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Dual energy CT

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https://www.readbyqxmd.com/read/28330686/imaging-of-acute-and-chronic-thromboembolic-disease-state-of-the-art
#1
REVIEW
A Ruggiero, N J Screaton
Acute pulmonary embolism (PE) is a life-threatening condition that requires prompt diagnosis and treatment. Recent advances in imaging allow acute and rapid recognition even by the non-specialist radiologist. Most acute emboli resolve on anticoagulation without sequelae; however, some emboli fail to fully resolve becoming endothelialised with the development of chronic thromboembolic disease (CTED). Increased pulmonary vascular resistance arising from CTED may lead to chronic thromboembolic pulmonary hypertension (CTEPH) a debilitating disease affecting up to 5% of survivors of acute PE...
March 19, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28321330/ct-venography-after-knee-replacement-surgery-comparison-of-dual-energy-ct-based-monochromatic-imaging-and-single-energy-metal-artifact-reduction-techniques-on-a-320-row-ct-scanner
#2
Masafumi Kidoh, Daisuke Utsunomiya, Seitaro Oda, Takeshi Nakaura, Yoshinori Funama, Hideaki Yuki, Kenichiro Hirata, Masahiro Hatemura, Tomohiro Namimoto, Yasuyuki Yamashita
BACKGROUND: An optimal metal artifact reduction (MAR) technique is needed for a reliable and accurate image-based diagnosis. PURPOSE: Using a 320-row scanner, we compared the dual-energy computed tomography (CT)-based monochromatic and the single-energy metal artifact reduction (SEMAR) techniques for CT venography (CTV) to identify the better imaging method for diagnosing deep vein thrombosis (DVT) in patients who had undergone knee replacement surgery. MATERIAL AND METHODS: Twenty-three consecutive patients with suspected DVT after unilateral knee replacement surgery underwent dual-energy CT (135/80 kVp)...
February 2017: Acta Radiologica Open
https://www.readbyqxmd.com/read/28319953/dual-versus-single-energy-ct-angiography-imaging-for-patients-undergoing-intracranial-aneurysm-repair
#3
Amr Abdulazim, Christian Rubbert, Dorothea Reichelt, Christian Mathys, Bernd Turowski, Hans-Jakob Steiger, Daniel Hänggi, Nima Etminan
BACKGROUND: The invasiveness and risk of thromboembolic complications of catheter angiography underline the need for alternative imaging modalities in patients following intracranial aneurysm (IA) repair. However, the overall image quality of existing noninvasive imaging modalities, such as single-energy CT angiography (SE-CTA), compromises its value in this respect. OBJECTIVE: We prospectively investigated the value of a novel dual-energy CTA (DE-CTA) scanner and algorithm for assessing the degree of occlusion and parent vessel patency in patients following IA repair...
March 21, 2017: Cerebrovascular Diseases
https://www.readbyqxmd.com/read/28303582/generation-and-analysis-of-clinically-relevant-breast-imaging-x-ray-spectra
#4
Andrew M Hernandez, J Anthony Seibert, Anita Nosratieh, John M Boone
PURPOSE: The purpose of this work was to develop and make available x-ray spectra for some of the most widely used digital mammography (DM), breast tomosynthesis (BT), and breast CT (bCT) systems in North America. METHODS: The Monte Carlo code MCNP6 was used to simulate minimally-filtered (only beryllium) x-ray spectra at 8 tube potentials from 20 to 49 kV for DM/BT, and 9 tube potentials from 35 to 70 kV for bCT. Vendor-specific anode compositions, effective anode angles, focal spot sizes, source-to-detector distances, and beryllium filtration were simulated...
March 17, 2017: Medical Physics
https://www.readbyqxmd.com/read/28301779/detection-of-bone-marrow-edema-in-nondisplaced-hip-fractures-utility-of-a-virtual-unenhanced-dual-energy-ct-application
#5
Trenton T Kellock, Savvas Nicolaou, Sandra S Y Kim, Sultan Al-Busaidi, Luck J Louis, Tim W O'Connell, Hugue A Ouellette, Patrick D McLaughlin
Purpose To quantify the sensitivity and specificity of dual-energy computed tomographic (CT) virtual noncalcium images in the detection of nondisplaced hip fractures and to assess whether obtaining these images as a complement to bone reconstructions alters sensitivity, specificity, or diagnostic confidence. Materials and Methods The clinical research ethics board approved chart review, and the requirement to obtain informed consent was waived. The authors retrospectively identified 118 patients who presented to a level 1 trauma center emergency department and who underwent dual-energy CT for suspicion of a nondisplaced traumatic hip fracture...
March 16, 2017: Radiology
https://www.readbyqxmd.com/read/28301584/diagnostic-accuracy-and-added-value-of-dual-energy-subtraction-radiography-compared-to-standard-conventional-radiography-using-computed-tomography-as-standard-of-reference
#6
Katharina Martini, Marco Baessler, Stephan Baumueller, Thomas Frauenfelder
PURPOSE: To retrospectively evaluate diagnostic performance of dual-energy subtraction radiography (DESR) for interpretation of chest radiographs compared to conventional radiography (CR) using computed tomography (CT) as standard of reference. MATERIAL AND METHODS: A total of 199 patients (75 female, median age 67) were included in this institutional review board (IRB)-approved clinical trial. All patients were scanned in posteroanterior and lateral direction with dual-shot DE-technique...
2017: PloS One
https://www.readbyqxmd.com/read/28301210/update-of-dual-energy-ct-applications-in-the-genitourinary-tract
#7
Ravi K Kaza, Lakshmi Ananthakrishnan, Avinash Kambadakone, Joel F Platt
OBJECTIVE: Dual-energy CT (DECT) is being increasingly used for abdominal imaging because it provides incremental benefit of material characterization without significant increase in radiation dose. This article provides an overview of current DECT techniques and use of DECT in urinary tract imaging for assessment of renal masses and urinary calculi characterization and in CT urography. CONCLUSION: Incorporation of DECT into clinical practice and use of its material characterization capabilities in urinary tract imaging enable characterization of urinary calculi and incidental renal lesions and can reduce radiation dose by allowing generation of virtual unenhanced images...
March 16, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28298387/diagnosis-of-chronic-thromboembolic-pulmonary-hypertension
#8
REVIEW
Deepa Gopalan, Marion Delcroix, Matthias Held
Chronic thromboembolic pulmonary hypertension (CTEPH) is the only potentially curable form of pulmonary hypertension. Rapid and accurate diagnosis is pivotal for successful treatment. Clinical signs and symptoms can be nonspecific and risk factors such as history of venous thromboembolism may not always be present. Echocardiography is the recommended first diagnostic step. Cardiopulmonary exercise testing is a complementary tool that can help to identify patients with milder abnormalities and chronic thromboembolic disease, triggering the need for further investigation...
January 2017: European Respiratory Review: An Official Journal of the European Respiratory Society
https://www.readbyqxmd.com/read/28296317/validation-of-total-skin-electron-irradiation-tsei-technique-dosimetry-data-by-monte-carlo-simulation
#9
Alexander Nevelsky, Egor Borzov, Shahar Daniel, Raquel Bar-Deroma
Total skin electron irradiation (TSEI) is a complex technique which requires many nonstandard measurements and dosimetric procedures. The purpose of this work was to validate measured dosimetry data by Monte Carlo (MC) simulations using EGSnrc-based codes (BEAMnrc and DOSXYZnrc). Our MC simulations consisted of two major steps. In the first step, the incident electron beam parameters (energy spectrum, FWHM, mean angular spread) were adjusted to match the measured data (PDD and profile) at SSD=100 cm for an open field...
July 2016: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/28295434/the-potential-of-dual-energy-ct-to-reduce-proton-beam-range-uncertainties
#10
Esther Bär, Arthur Lalonde, Gary Royle, Hsiao-Ming Lu, Hugo Bouchard
PURPOSE: Dual-energy CT (DECT) promises improvements in estimating stopping power ratios (SPRs) for proton therapy treatment planning. Although several comparable mathematical formalisms have been proposed in literature, the optimal techniques to characterize human tissue SPRs with DECT in a clinical environment are not fully established. The aim of this work is to compare the most robust DECT methods against conventional single-energy CT (SECT) in conditions reproducing a clinical environment, where CT artifacts and noise play a major role on the accuracy of these techniques...
March 15, 2017: Medical Physics
https://www.readbyqxmd.com/read/28295418/technical-note-on-the-accuracy-of-parametric-two-parameter-cross-section-models-in-dual-energy-ct-applications
#11
Dong Han, Mariela A Porras-Chaverri, Joseph A O'Sullivan, David G Politte, Jeffrey F Williamson
PURPOSE: To evaluate and compare the theoretically achievable accuracy of two families of two-parameter photon cross-section models: basis vector model (BVM) and modified parametric fit model (mPFM). METHOD: The modified PFM assumes that photoelectric absorption and scattering cross sections can be accurately represented by power functions in effective atomic number and / or energy plus the Klein-Nishina cross section, along with empirical corrections that enforce exact prediction of elemental cross sections...
March 15, 2017: Medical Physics
https://www.readbyqxmd.com/read/28291377/dual-energy-ct-applications-in-salivary-gland-lesions
#12
Ashish Chawla, Sivasubramanian Srinivasan, Tze Chwan Lim, Geoiphy Pulickal, Jagadish Shenoy, Wilfred Chin Guan Peh
The increasing availability of dual-energy computed tomography (DECT) has set the stage for an exciting era in CT technology. This technique is extensively used throughout the world with numerous centres working on the applications of DECT in various radiology subspecialty areas. DECT provides many advantages over the conventional single-energy scan. Instead of a single set of images, radiologists have access to multiple sets of images from a single acquisition. The DECT workstation enables the reader to generate images, according to the clinical setting, in order to answer a specific clinical question...
March 14, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28289990/dual-contrast-agent-photon-counting-computed-tomography-of-the-heart-initial-experience
#13
Rolf Symons, Tyler E Cork, Manu N Lakshmanan, Robert Evers, Cynthia Davies-Venn, Kelly A Rice, Marvin L Thomas, Chia-Ying Liu, Steffen Kappler, Stefan Ulzheimer, Veit Sandfort, David A Bluemke, Amir Pourmorteza
To determine the feasibility of dual-contrast agent imaging of the heart using photon-counting detector (PCD) computed tomography (CT) to simultaneously assess both first-pass and late enhancement of the myocardium. An occlusion-reperfusion canine model of myocardial infarction was used. Gadolinium-based contrast was injected 10 min prior to PCD CT. Iodinated contrast was infused immediately prior to PCD CT, thus capturing late gadolinium enhancement as well as first-pass iodine enhancement. Gadolinium and iodine maps were calculated using a linear material decomposition technique and compared to single-energy (conventional) images...
March 13, 2017: International Journal of Cardiovascular Imaging
https://www.readbyqxmd.com/read/28289937/diagnostic-accuracy-of-virtual-non-contrast-enhanced-dual-energy-ct-for-diagnosis-of-adrenal-adenoma-a-systematic-review-and-meta-analysis
#14
Michael J Connolly, Matthew D F McInnes, Mohamed El-Khodary, Trevor A McGrath, Nicola Schieda
OBJECTIVE: To compare the diagnostic accuracy of dual-energy (DE) virtual non-contrast computed tomography (vNCT) to non-contrast CT (NCT) for the diagnosis of adrenal adenomas. METHODS: Search of multiple databases and grey literature was performed. Two reviewers independently applied inclusion criteria and extracted data. Risk of bias was assessed using QUADAS-2. Summary estimates of diagnostic accuracy were generated and sources of heterogeneity were assessed...
March 13, 2017: European Radiology
https://www.readbyqxmd.com/read/28289103/bone-structural-changes-after-gastric-bypass-surgery-evaluated-by-hr-pqct-a-two-year-longitudinal-study
#15
Vikram Vinod Shanbhogue, René Klinkby Støving, Katrine Diemer Frederiksen, Stine Hanson, Kim Brixen, Jeppe Gram, Niklas Rye Jorgensen, Stinus Hansen
Objective, design and methods: Roux-en-Y gastric bypass (RYGB) has proved successful in attaining sustained weight loss but may lead to metabolic bone disease. To assess impact on bone mass and structure, we measured areal bone mineral density at the hip and spine by dual-energy x-ray absorptiometry, and volumetric BMD (vBMD) and bone microarchitecture at the distal radius and tibia by high-resolution peripheral quantitative CT in 25 morbidly obese subjects (15 females, 10 males) at 0, 12 and 24 months after RYGB...
March 13, 2017: European Journal of Endocrinology
https://www.readbyqxmd.com/read/28283708/three-things-every-radiologist-should-know-about-dual-energy-ct
#16
Desiree E Morgan
No abstract text is available yet for this article.
March 10, 2017: Abdominal Radiology
https://www.readbyqxmd.com/read/28281789/preliminary-study-on-the-differentiation-between-parapelvic-cyst-and-hydronephrosis-with-non-calculous-using-only-pre-contrast-dual-energy-spectral-ct-scans
#17
Dong Han, Guangming Ma, Lequn Wei, Chenglong Ren, Jieli Zhou, Chen Shen, Taiping He
OBJECTIVE: To investigate the value of using the quantitative parameters from only the pre-contrast dual-energy spectral CT imaging for distinguishing between parapelvic cyst and hydronephrosis with non-calculous (HNC). METHODS: This retrospective study was approved by the institutional review board. 28 patients with parapelvic cyst and 24 patients with hydronephrosis with non-calculous (HNC) who underwent standard pre-contrast and multi-phase contrast-enhanced dual-energy spectral CT imaging were retrospectively identified...
March 10, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28273739/dual-energy-ct-with-virtual-monochromatic-images-and-metal-artifact-reduction-software-for-reducing-metallic-dental-artifacts
#18
Jihoon Cha, Hyung-Jin Kim, Sung Tae Kim, Yi Kyung Kim, Ha Youn Kim, Gyeong Min Park
Background Metallic dental prostheses may degrade image quality on head and neck computed tomography (CT). However, there is little information available on the use of dual-energy CT (DECT) and metal artifact reduction software (MARS) in the head and neck regions to reduce metallic dental artifacts. Purpose To assess the usefulness of DECT with virtual monochromatic imaging and MARS to reduce metallic dental artifacts. Material and Methods DECT was performed using fast kilovoltage (kV)-switching between 80-kV and 140-kV in 20 patients with metallic dental prostheses...
January 1, 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28270293/bone-marrow-imaging-by-third-generation-dual-source-dual-energy-ct-using-virtual-noncalcium-technique-for-assessment-of-diffuse-infiltrative-lesions-of-multiple-myeloma
#19
Qin Wang, Zhaoyong Sun, Shuo Li, Haibo Zhang, Jian Li, L U Zhang, Huadan Xue, Zhengyu Jin
Objective To evaluate the value of bone marrow imaging by third-generation dual-source dual-energy CT(DSDECT) using virtual noncalcium(VNCa) technique for the assessment of diffuse infiltrative lesions of multiple myeloma(MM). Methods From December 2015 to June 2016,31 patients with plasma disorders at our center were prospectively recruited and received whole-body imaging with third-generation DSDECT and MRI. CT numbers of vertebrae were measured on VNCa images as well as regular CT images. Correlation between VNCa CT numbers and MRI signal intensities of the vertebrae was evaluated...
February 20, 2017: Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae
https://www.readbyqxmd.com/read/28270287/correlation-between-dual-energy-and-perfusion-ct-in-patients-with-focal-liver-lesions-using-third-generation-dual-source-ct-scanner
#20
Jia Xu, Yongchang Zheng, Xuan Wang, Huadan Xue, Shitian Wang, Jixiang Liang, Zhengyu Jin
Objective To compare measurements of dual-energy CT iodine map parameters and liver perfusion CT parameters in patients with focal liver lesions using a third-generation dual-source CT scanner. Methods Between November 2015 and August 2016,33 patients with non-cystic focal lesions of liver were enrolled in this study. CT examinations were performed with a third-generation dual-source CT. The study CT protocol included a perfusion CT and dual-energy arterial and portal venous scans,with a time interval of 15 minutes...
February 20, 2017: Zhongguo Yi Xue Ke Xue Yuan Xue Bao. Acta Academiae Medicinae Sinicae
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