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Investigative Radiology

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https://www.readbyqxmd.com/read/29438139/optimizing-pulmonary-embolism-computed-tomography-in-the-age-of-individualized-medicine-a-prospective-clinical-study
#1
Babs M F Hendriks, Nienke G Eijsvoogel, Madeleine Kok, Bibi Martens, Joachim E Wildberger, Marco Das
PURPOSE: The aim of the study was to simultaneously optimize contrast media (CM) injection and scan parameters for the individual patient during computed tomography pulmonary angiography (CTPA). METHODS: In this study (NCT02611115), 235 consecutive patients suspected of having pulmonary embolism were prospectively enrolled. Automated kV selection software on a third-generation multidetector computed tomography adapted tube voltage to the individual patient, based on scout scans...
February 12, 2018: Investigative Radiology
https://www.readbyqxmd.com/read/29420321/texture-analysis-and-machine-learning-for-detecting-myocardial-infarction-in-noncontrast-low-dose-computed-tomography-unveiling-the-invisible
#2
Manoj Mannil, Jochen von Spiczak, Robert Manka, Hatem Alkadhi
OBJECTIVES: The aim of this study was to test whether texture analysis and machine learning enable the detection of myocardial infarction (MI) on non-contrast-enhanced low radiation dose cardiac computed tomography (CCT) images. MATERIALS AND METHODS: In this institutional review board-approved retrospective study, we included non-contrast-enhanced electrocardiography-gated low radiation dose CCT image data (effective dose, 0.5 mSv) acquired for the purpose of calcium scoring of 27 patients with acute MI (9 female patients; mean age, 60 ± 12 years), 30 patients with chronic MI (8 female patients; mean age, 68 ± 13 years), and in 30 subjects (9 female patients; mean age, 44 ± 6 years) without cardiac abnormality, hereafter termed controls...
February 8, 2018: Investigative Radiology
https://www.readbyqxmd.com/read/29420322/improved-detection-of-foreign-bodies-on-radiographs-using-x-ray-dark-field-and-phase-contrast-imaging
#3
Katharina Hellbach, Ebba Beller, Andreas Schindler, Franziska Schoeppe, Nina Hesse, Alena Baumann, Regina Schinner, Sigrid Auweter, Christian Hauke, Marcus Radicke, Felix G Meinel
PURPOSE: The aim of this study was to investigate whether the detection of foreign bodies can be improved using dark-field and phase-contrast radiography compared with conventional (transmission) radiographs. MATERIALS AND METHODS: Experiments were performed using ex vivo pig paws, which were prepared with differently sized foreign bodies of metal, wood, and glass (n = 10 each). Paws without foreign bodies served as controls (n = 30). All images were acquired using an experimental grating-based large object radiography system...
February 7, 2018: Investigative Radiology
https://www.readbyqxmd.com/read/29419708/intravenous-calcium-zinc-diethylene-triamine-penta-acetic-acid-in-patients-with-presumed-gadolinium-deposition-disease-a-preliminary-report-on-25-patients
#4
Richard C Semelka, Miguel Ramalho, Michael Jay, Lisa Hickey, Joseph Hickey
OBJECTIVES: The aim of this study was to report the use of intravenous calcium (Ca)-/zinc (Zn)-diethylene triamine penta-acetic acid (DTPA) for the treatment of 25 symptomatic patients diagnosed with gadolinium deposition disease (GDD). MATERIALS AND METHODS: Written informed consent was obtained. Twenty-five patients (18 women; mean age, 46.8 ± 15.3 years) with a diagnosis of GDD were included. All patients had received at least 1 administration of a gadolinium (Gd)-based contrast agent...
February 6, 2018: Investigative Radiology
https://www.readbyqxmd.com/read/29337841/frequency-and-severity-of-acute-allergic-like-reactions-to-intravenously-administered-gadolinium-based-contrast-media-in-children
#5
Monica M Forbes-Amrhein, Jonathan R Dillman, Andrew T Trout, Bernadette L Koch, Julie M Dickerson, Richard M Giordano, Alexander J Towbin
OBJECTIVES: The purpose of this study is to determine the frequency and severity of acute allergic-like reactions to gadolinium-based contrast media (GBCM) in children before, during, and after the transition from gadopentetate dimeglumine to gadoterate meglumine as our primary clinical GBCM. MATERIALS AND METHODS: Institutional review board approval was obtained for this Health Insurance Portability and Accountability Act-compliant retrospective investigation. Allergic-like reactions to GBCM in pediatric patients were retrospectively assessed from January 2009 to January 2017, which included a departmental change of GBCM from gadopentetate dimeglumine to gadoterate meglumine...
January 15, 2018: Investigative Radiology
https://www.readbyqxmd.com/read/29329151/gadolinium-retention-brain-t1-hyperintensity-and-endogenous-metals-a-comparative-study-of-macrocyclic-versus-linear-gadolinium-chelates-in-renally-sensitized-rats
#6
Marlène Rasschaert, Andréa Emerit, Nathalie Fretellier, Cécile Factor, Philippe Robert, Jean-Marc Idée, Claire Corot
OBJECTIVES: This preclinical study was designed to compare gadolinium (Gd) brain uptake after repeated injections of a macrocyclic Gd-based contrast agent (GBCA) (gadoterate meglumine) or 2 linear GBCAs (L-GBCAs) (gadobenate dimeglumine or gadodiamide) on a translational model of moderate renal impairment in rats. METHODS: The study was carried out in subtotally nephrectomized rats. Animals received 4 intravenous injections per week of GBCA (gadoterate meglumine, gadobenate dimeglumine, or gadodiamide) for 5 weeks, resulting in a cumulative dose of 12 mmol/kg, followed by a 1-month injection-free period...
January 12, 2018: Investigative Radiology
https://www.readbyqxmd.com/read/29329150/comparison-of-iodine-density-measurement-among-dual-energy-computed-tomography-scanners-from-3-vendors
#7
Hyungjin Kim, Jin Mo Goo, Chang Kyung Kang, Kum Ju Chae, Chang Min Park
OBJECTIVES: The aims of this study were to analyze the effect of dual-energy computed tomography (DECT) scanners and fluid characteristics on iodine quantification and to calculate the measurement variability range induced by those variables. METHODS: We performed an experimental phantom study with 4 mediastinal iodine phantoms. Each phantom contained 6 tubes of different iodine concentrations (0, 1.0, 2.5, 5.0, 10.0, and 20.0 mg/mL) diluted in a specific solvent, which was water, 10% amino acid solution, 20% lipid emulsion, or 18% calcium solution, respectively...
January 12, 2018: Investigative Radiology
https://www.readbyqxmd.com/read/29319556/gadolinium-accumulation-in-the-deep-cerebellar-nuclei-and-globus-pallidus-after-exposure-to-linear-but-not-macrocyclic-gadolinium-based-contrast-agents-in-a-retrospective-pig-study-with-high-similarity-to-clinical-conditions
#8
Janina Boyken, Thomas Frenzel, Jessica Lohrke, Gregor Jost, Hubertus Pietsch
OBJECTIVE: The aim of this retrospective study was to determine the gadolinium (Gd) concentration in different brain areas in a pig cohort that received repeated administration of Gd-based contrast agents (GBCAs) at standard doses over several years, comparable with a clinical setting. MATERIAL AND METHODS: Brain tissue was collected from 13 Göttingen mini pigs that had received repeated intravenous injections of gadopentetate dimeglumine (Gd-DTPA; Magnevist) and/or gadobutrol (Gadovist)...
January 9, 2018: Investigative Radiology
https://www.readbyqxmd.com/read/29315083/capture-consistently-acquired-projections-for-tuned-and-robust-estimation-a-self-navigated-respiratory-motion-correction-approach
#9
Cihat Eldeniz, Tyler Fraum, Amber Salter, Yasheng Chen, H Michael Gach, Parag J Parikh, Kathryn J Fowler, Hongyu An
OBJECTIVES: In this study, we present a fully automated and robust self-navigated approach to obtain 4-dimensional (4-D) motion-resolved images during free breathing. MATERIALS AND METHODS: The proposed method, Consistently Acquired Projections for Tuned and Robust Estimation (CAPTURE), is a variant of the stack-of-stars gradient-echo sequence. A 1-D navigator was consistently acquired at a fixed azimuthal angle for all stacks of spokes to reduce nonphysiological signal contamination due to system imperfections...
January 8, 2018: Investigative Radiology
https://www.readbyqxmd.com/read/29300210/pediatric-brain-gadolinium-deposition-in-dentate-nucleus-and-globus-pallidus-on-unenhanced-t1-weighted-images-is-dependent-on-the-type-of-contrast-agent
#10
Young Jin Ryu, Young Hun Choi, Jung-Eun Cheon, Woo-Jin Lee, Subin Park, Ji Eun Park, Woo Sun Kim, In-One Kim
PURPOSE: The aim of this study was to identify the signal intensity (SI) changes in the dentate nucleus (DN) and the globus pallidus (GP) on unenhanced T1-weighted magnetic resonance (MR) images after multiple administration of gadolinium-based contrast agents (GBCAs) in children and compare those changes between linear and macrocyclic GBCAs. MATERIALS AND METHODS: This retrospective study was approved by the institutional review board and the requirement for informed consent was waived...
January 2, 2018: Investigative Radiology
https://www.readbyqxmd.com/read/29278545/treatment-effect-of-balloon-pulmonary-angioplasty-in-chronic-thromboembolic-pulmonary-hypertension-quantified-by-automatic-comparative-imaging-in-computed-tomography-pulmonary-angiography
#11
Zhiwei Zhai, Hideki Ota, Marius Staring, Jan Stolk, Koichiro Sugimura, Kei Takase, Berend C Stoel
OBJECTIVES: Balloon pulmonary angioplasty (BPA) in patients with inoperable chronic thromboembolic pulmonary hypertension (CTEPH) can have variable outcomes. To gain more insight into this variation, we designed a method for visualizing and quantifying changes in pulmonary perfusion by automatically comparing computed tomography (CT) pulmonary angiography before and after BPA treatment. We validated these quantifications of perfusion changes against hemodynamic changes measured with right-sided heart catheterization...
December 22, 2017: Investigative Radiology
https://www.readbyqxmd.com/read/29261532/t2-mapping-for-noninvasive-assessment-of-interstitial-edema-in-acute-cardiac-allograft-rejection-in-a-mouse-model-of-heterotopic-heart-transplantation
#12
Dagmar Hartung, Katja Hueper, Rongjun Chen, Marcel Gutberlet, Frank Wacker, Martin Meier, Song Rong, Mi-Sun Jang, Jan H Bräsen, Faikah Gueler
OBJECTIVES: Heart transplantation (HTX) in mice is used to characterize gene-deficient mice and to test new treatment strategies. The purpose was to establish noninvasive magnetic resonance imaging techniques in mice to monitor pathophysiological changes of the allograft during rejection. MATERIALS AND METHODS: Magnetic resonance imaging was performed at baseline and days 1 and 6 after isogenic (n = 10, C57BL/6) and allogenic (n = 12, C57BL/6 to BALB/c) heterotopic HTX on a 7 T small animal scanner...
December 19, 2017: Investigative Radiology
https://www.readbyqxmd.com/read/29261531/impact-of-contrast-media-concentration-on-low-kilovolt-computed-tomography-angiography-a-systematic-preclinical-approach
#13
Ulrike Fleischmann, Hubertus Pietsch, Johannes G Korporaal, Thomas G Flohr, Michael Uder, Gregor Jost, Michael M Lell
OBJECTIVES: Low peak kilovoltage (kVp) protocols in computed tomography angiography (CTA) demand a review of contrast media (CM) administration practices. The aim of this study was to systematically evaluate different iodine concentrations of CM in a porcine model. MATERIALS AND METHODS: Dynamic 70 kVp CTA was performed on 7 pigs using a third-generation dual-source CT system. Three CM injection protocols (A-C) with an identical total iodine dose and iodine delivery rate (150 mg I/kg, 12 s, 0...
December 19, 2017: Investigative Radiology
https://www.readbyqxmd.com/read/29215401/relaxivity-of-ferumoxytol-at-1-5-t-and-3-0-t
#14
Gesine Knobloch, Timothy Colgan, Curtis N Wiens, Xiaoke Wang, Tilman Schubert, Diego Hernando, Samir D Sharma, Scott Reeder
OBJECTIVES: The aim of this study was to determine the relaxation properties of ferumoxytol, an off-label alternative to gadolinium-based contrast agents, under physiological conditions at 1.5 T and 3.0 T. MATERIALS AND METHODS: Ferumoxytol was diluted in gradually increasing concentrations (0.26-4.2 mM) in saline, human plasma, and human whole blood. Magnetic resonance relaxometry was performed at 37°C at 1.5 T and 3.0 T. Longitudinal and transverse relaxation rate constants (R1, R2, R2*) were measured as a function of ferumoxytol concentration, and relaxivities (r1, r2, r2*) were calculated...
December 5, 2017: Investigative Radiology
https://www.readbyqxmd.com/read/29200014/increased-delay-between-gadolinium-chelate-administration-and-t1-weighted-magnetic-resonance-imaging-acquisition-increases-contrast-enhancing-tumor-volumes-and-t1-intensities-in-brain-tumor-patients
#15
Paula L Piechotta, David Bonekamp, Martin Sill, Antje Wick, Wolfgang Wick, Martin Bendszus, Philipp Kickingereder
OBJECTIVES: The aim of this study was to evaluate the impact of delayed T1-weighted (T1-w) MRI acquisition after gadolinium chelate administration on brain tumor volumes and T1-w intensities. MATERIALS AND METHODS: Fifty-five patients with histologically confirmed, contrast-enhancing intra-axial brain tumors were analyzed in this prospective test-retest study. Patients underwent 2 consecutive 3 T MRI scans (separated by a 1-minute break) during routine follow-up with contrast-enhanced T1 (ceT1-w), T2, and FLAIR acquisition...
November 29, 2017: Investigative Radiology
https://www.readbyqxmd.com/read/29200013/computed-tomography-based-imaging-of-voxel-wise-lesion-water-uptake-in-ischemic-brain-relationship-between-density-and-direct-volumetry
#16
Gabriel Broocks, Fabian Flottmann, Marielle Ernst, Tobias Djamsched Faizy, Jens Minnerup, Susanne Siemonsen, Jens Fiehler, Andre Kemmling
OBJECTIVES: Net water uptake per volume of brain tissue may be calculated by computed tomography (CT) density, and this imaging biomarker has recently been investigated as a predictor of lesion age in acute stroke. However, the hypothesis that measurements of CT density may be used to quantify net water uptake per volume of infarct lesion has not been validated by direct volumetric measurements so far. The purpose of this study was to (1) develop a theoretical relationship between CT density reduction and net water uptake per volume of ischemic lesions and (2) confirm this relationship by quantitative in vitro and in vivo CT image analysis using direct volumetric measurements...
November 28, 2017: Investigative Radiology
https://www.readbyqxmd.com/read/29190227/potential-of-noncontrast-magnetic-resonance-imaging-with-diffusion-weighted-imaging-in-characterization-of-breast-lesions-intraindividual-comparison-with-dynamic-contrast-enhanced-magnetic-resonance-imaging
#17
Pascal A T Baltzer, Hubert Bickel, Claudio Spick, Georg Wengert, Ramona Woitek, Panagiotis Kapetas, Paola Clauser, Thomas H Helbich, Katja Pinker
OBJECTIVES: The aim of this study was to assess the potential of noncontrast magnetic resonance imaging (NC-MRI) with diffusion-weighted imaging (DWI) in characterization of breast lesions in comparison to dynamic contrast-enhanced MRI (DCE-MRI) at 3 T. MATERIALS AND METHODS: Consecutive patients with conventional imaging (mammography, ultrasound) BI-RADS 4/5 findings were included in this institutional review board-approved single-center study. All underwent 3 T breast MRI including readout-segmented DWI, DCE, and T2-weighted sequences...
November 22, 2017: Investigative Radiology
https://www.readbyqxmd.com/read/29166300/effect-of-age-on-high-t1-signal-intensity-of-the-dentate-nucleus-and-globus-pallidus-in-a-large-population-exposed-to-gadodiamide
#18
Carlo Cosimo Quattrocchi, Yuri Errante, Carlo Augusto Mallio, Luca Marinelli, Gianguido LoVullo, Gabriele Giannotti, Sabino Walter Della Sala, Aart J van der Molen, Bruno Beomonte Zobel
OBJECTIVE: The purpose of this study was to assess the effect of age and number of previous injections of gadodiamide on the signal intensity of unenhanced T1-weighted (T1w) images of the dentate nucleus and globus pallidus in a large population. MATERIALS AND METHODS: A large, single-center retrospective population survey was designed and received institutional review board approval. Between January 2014 and December 2014, T1w signal intensity ratios were obtained from a large population of 2500 consecutive enhanced brain magnetic resonance imaging (MRI) scans...
November 21, 2017: Investigative Radiology
https://www.readbyqxmd.com/read/28915161/unenhanced-dual-energy-computed-tomography-visualization-of-brain-edema
#19
Mohammed F Mohammed, Olivia Marais, Adam Min, David Ferguson, Sabeena Jalal, Faisal Khosa, Michael OʼKeeffe, Tim OʼConnell, Heiko Schmiedeskamp, Bernhard Krauss, Axel Rohr, Savvas Nicolaou
PURPOSE: The aim of this study was to determine whether dual-energy computed tomography (DECT) imaging is superior to conventional noncontrast computed tomography (CT) imaging for the detection of acute ischemic stroke. MATERIALS AND METHODS: This was a retrospective, single-center study of 40 patients who presented to the emergency department (ED) of a major, acute care, teaching center with signs and symptoms of acute stroke. Only those patients who presented to the ED within 4 hours of symptom onset were included in this study...
February 2018: Investigative Radiology
https://www.readbyqxmd.com/read/28857861/motion-corrected-real-time-cine-magnetic-resonance-imaging-of-the-heart-initial-clinical-experience
#20
Amir Ali Rahsepar, Haris Saybasili, Ahmadreza Ghasemiesfe, Ryan S Dolan, Monda L Shehata, Marcos P Botelho, Michael Markl, Bruce Spottiswoode, Jeremy D Collins, James C Carr
OBJECTIVES: Free-breathing real-time (RT) imaging can be used in patients with difficulty in breath-holding; however, RT cine imaging typically experiences poor image quality compared with segmented cine imaging because of low resolution. Here, we validate a novel unsupervised motion-corrected (MOCO) reconstruction technique for free-breathing RT cardiac images, called MOCO-RT. Motion-corrected RT uses elastic image registration to generate a single heartbeat of high-quality data from a free-breathing RT acquisition...
January 2018: Investigative Radiology
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