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https://www.readbyqxmd.com/read/28918335/modern-diagnosis-of-chronic-thromboembolic-pulmonary-hypertension
#1
Aileen Kharat, Anne-Lise Hachulla, Stéphane Noble, Frédéric Lador
Chronic thromboembolic pulmonary hypertension (CTEPH) should be suspected in patients presenting persistent dyspnea three months after a pulmonary embolism or in patients presenting with acute pulmonary embolism and suggestive images on the CT-scan. For these patients, a specific diagnostic work-up should be performed. First step consists of the ventilation/perfusion (V/Q) scan which is a good screening test due to its high sensitivity and high negative predictive value. Pulmonary angiography remains the gold standard approach for the confirmation of the diagnosis and pre-surgical evaluation of CTEPH...
September 9, 2017: Thrombosis Research
https://www.readbyqxmd.com/read/28915161/unenhanced-dual-energy-computed-tomography-visualization-of-brain-edema
#2
Mohammed F Mohammed, Olivia Marais, Adam Min, David Ferguson, Sabeena Jalakhan, 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...
September 14, 2017: Investigative Radiology
https://www.readbyqxmd.com/read/28900555/the-utility-of-dual-energy-computed-tomography-in-musculoskeletal-imaging
#3
REVIEW
Sachin Khanduri, Aakshit Goyal, Bhumika Singh, Mriganki Chaudhary, Tushar Sabharwal, Shreshtha Jain, Hritik Sharma
The objective of this article is to review the mechanisms, advantages and disadvantages of dual energy computed tomography (DECT) over conventional tomography (CT) in musculoskeletal imaging as DECT provides additional information about tissue composition and artifact reduction. This provides clinical utility in detection of urate crystals, bone marrow edema, reduction of beam hardening metallic artifact, and ligament and tendon analysis.
2017: Journal of Clinical Imaging Science
https://www.readbyqxmd.com/read/28885130/a-comparison-of-relative-proton-stopping-power-measurements-across-patient-size-using-dual-and-single-energy-ct
#4
Gregory Michalak, Vicki Taasti, Bernhard Krauss, Amanda Deisher, Ahmed Halaweish, Cynthia McCollough
PURPOSE: To evaluate the accuracy and precision across phantom size of a dual-energy computed tomography (DECT) technique used to calculate relative proton stopping power (SPR) in tissue-simulating materials and a silicone implant relative to conventional single-energy CT (SECT). MATERIAL AND METHODS: A 32 cm lateral diameter (CIRS model 062M, Norfolk, Virginia) electron density phantom containing inserts which simulated the chemical composition of eight tissues in a solid-water background was scanned using SECT and DECT...
September 8, 2017: Acta Oncologica
https://www.readbyqxmd.com/read/28871983/phase-1-2-study-of-dual-energy-computed-tomography-for-assessment-of-pulmonary-function-in-radiation-therapy-planning
#5
Houda Bahig, Marie-Pierre Campeau, Andréanne Lapointe, Stephane Bedwani, David Roberge, Jacques de Guise, Danis Blais, Toni Vu, Louise Lambert, Carl Chartrand-Lefebvre, Martin Lord, Edith Filion
PURPOSE: To quantify lung function according to a dual-energy computed tomography (DECT)-derived iodine map in patients treated with radiation therapy for lung cancer, and to assess the dosimetric impact of its integration in radiation therapy planning. METHODS AND MATERIALS: Patients treated with stereotactic ablative radiation therapy for early-stage or intensity modulated radiation therapy for locally advanced lung cancer were prospectively enrolled in this study...
October 1, 2017: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/28858542/detection-of-myocardial-infarction-using-delayed-enhancement-dual-energy-ct-in-stable-patients
#6
Gaston A Rodriguez-Granillo, Roxana Campisi, Alejandro Deviggiano, Maria N Lopez de Munain, Macarena De Zan, Carlos Capunay, Patricia Carrascosa
OBJECTIVE: The objective of our study was to explore whether delayed enhancement dual-energy CT (DECT) allows the detection of myocardial infarcts in stable patients. SUBJECTS AND METHODS: Patients with known or suspected coronary artery disease clinically referred for myocardial perfusion imaging using SPECT were prospectively included. All patients (n = 34) also underwent stress, rest, and delayed enhancement DECT on a DECT scanner. At SPECT, segments with myocardial infarction (MI) were defined as those with a summed rest score of ≥ 2 in two or more consecutive segments, and a diagnosis of MI was supported by wall motion abnormalities, clinical history, and ECG findings...
August 31, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28835993/metastatic-and-non-metastatic-lymph-nodes-quantification-and-different-distribution-of-iodine-uptake-assessed-by-dual-energy-ct
#7
Stefania Rizzo, Davide Radice, Marco Femia, Paolo De Marco, Daniela Origgi, Lorenzo Preda, Massimo Barberis, Raffaella Vigorito, Giovanni Mauri, Alberto Mauro, Massimo Bellomi
OBJECTIVES: To evaluate quantification of iodine uptake in metastatic and non-metastatic lymph nodes (LNs) by dual-energy CT (DECT) and to assess if the distribution of iodine within LNs at DECT correlates with the pathological structure. METHODS: Ninety LNs from 37 patients (23 with lung and 14 with gynaecological malignancies) were retrospectively selected. Information of LNs sent for statistical analysis included Hounsfield units (HU) at different energy levels; decomposition material densities fat-iodine, iodine-fat, iodine-water, water-iodine...
August 23, 2017: European Radiology
https://www.readbyqxmd.com/read/28812126/myocardial-iodine-concentration-measurement-using-dual-energy-computed-tomography-for-the-diagnosis-of-cardiac-amyloidosis-a-pilot-study
#8
Virgile Chevance, Thibaud Damy, Vania Tacher, François Legou, Fourat Ridouani, Alain Luciani, Hicham Kobeiter, Alain Rahmouni, Jean-François Deux
OBJECTIVE: To measure myocardium iodine concentration (MIC) in patients with cardiac amyloidosis (CA) using dual-energy computed tomography (DECT). METHODS: Twenty-two patients with CA, 13 with non-amyloid hypertrophic cardiomyopathies (CH) and 10 control patients were explored with pre-contrast, arterial and 5-minute DECT acquisition (Iomeprol; 1.5 mL/kg). Inter-ventricular septum (IVS) thickness, blood pool iodine concentration (BPIC), MIC (mg/mL), iodine ratio and extra-cellular volume (ECV) were calculated...
August 10, 2017: European Radiology
https://www.readbyqxmd.com/read/28811929/dual-energy-computed-tomography-angiography-virtual-calcified-plaque-subtraction-in-a-vascular-phantom
#9
Kwang Nam Jin, Jin Wook Chung, Eun-Ah Park, Whal Lee
BACKGROUND: Material decomposition of dual-energy computed tomography (DECT) enables subtraction of calcified plaque. PURPOSE: To evaluate the accuracy of lumen area measurement in calcified plaque by subtraction of DECT and to determine the effect of contrast material concentration, lumen diameter, density, and thickness of calcified plaque for the measurement. MATERIAL AND METHODS: Vessel phantoms were made with six lumen diameters (5.7, 4...
July 2017: Acta Radiologica Open
https://www.readbyqxmd.com/read/28803339/dual-energy-computed-tomography-has-limited-diagnostic-sensitivity-for-short-term-gout
#10
Ertao Jia, Junqing Zhu, Wenhui Huang, Xiaoguang Chen, Juan Li
The aim of this study was to discuss the diagnostic value of dual-energy computed tomography (DECT) in patients with gout during different disease phases. Two hundred twenty-one patients (136 with gout and 85 with other arthritic diseases) were recruited to the study. Arthrosis pain was evaluated in all patients by DECT scans. We calculated the sensitivity and specificity of DECT for the diagnosis of gout, including the first onset period, less than 24 months period, and more than 24 months period. We then investigated the related risk factors of urate crystals volume in the foot...
August 12, 2017: Clinical Rheumatology
https://www.readbyqxmd.com/read/28774446/computed-tomography-and-mr-imaging-in-crystalline-induced-arthropathies
#11
REVIEW
Constantinus Franciscus Buckens, Maaike P Terra, Mario Maas
Crystalline-induced arthropathies impose substantial morbidity but can be challenging to diagnose, especially in early phases. The most common crystalline arthropathies are gout (monosodium urate deposition), calcium pyrophosphate dihydrate deposition, and hydroxyapatite deposition disease. Computed tomography (CT) and MR imaging provide 3-dimensional information on osseous structures, periarticular soft tissue, and tophi with superior spatial resolution. Dual-source CT (dual-energy CT [DECT]) offers the further advantage of selectively identifying crystalline deposits...
September 2017: Radiologic Clinics of North America
https://www.readbyqxmd.com/read/28755282/scaphoid-fracture-bone-marrow-edema-detected-with-dual-energy-ct-virtual-non-calcium-images-and-confirmed-with-mri
#12
Nazeer M Dareez, Kristine H Dahlslett, Eirin Engesland, Elisabeth S Lindland
We aimed to determine whether bone marrow edema (BME) in acute traumatic scaphoid fracture could be demonstrated with dual-energy CT (DECT) using MRI as the gold standard. In recent years, virtual non-calcium (VNCa) images have been used to demonstrate BME in trauma cases, for example, in vertebral compression fractures, hip trauma to detect occult fractures and knee fractures. We present three cases of acute scaphoid trauma. Two patients had subtle or invisible fractures on x-ray and conventional CT images, while DECT VNCa images clearly visualized the BME, which was confirmed by MRI...
July 29, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28752662/a-bayesian-approach-to-solve-proton-stopping-powers-from-noisy-multi-energy-ct-data
#13
Arthur Lalonde, Esther Bär, Hugo Bouchard
PURPOSE: To propose a new formalism allowing the characterization of human tissues from multi-energy computed tomography (MECT) data affected by noise and to evaluate its performance in estimating proton stopping powers (SPR). METHODS: A recently published formalism based on principal components analysis called eigentissues decomposition (ETD) is adapted to the context of noise using a Bayesian estimator. The method, named Bayesian ETD, uses the maximum a posteriori fractions of eigentissues in each voxel to determine physical parameters relevant for proton beam dose calculation...
July 28, 2017: Medical Physics
https://www.readbyqxmd.com/read/28732526/ultrasonography-and-dual-energy-computed-tomography-provide-different-quantification-of-urate-burden-in-gout-results-from-a-cross-sectional-study
#14
Tristan Pascart, Agathe Grandjean, Laurène Norberciak, Vincent Ducoulombier, Marguerite Motte, Hélène Luraschi, Marie Vandecandelaere, Catherine Godart, Eric Houvenagel, Nasser Namane, Jean-François Budzik
BACKGROUND: Ultrasonography (US) and dual-energy computed tomography (DECT) can assess urate burden in gout. The objective of this study was to compare the quantification of urate deposition provided by US to the one provided by DECT. METHODS: Patients with a diagnosis of gout were prospectively recruited to undergo quantification of urate deposition using US and DECT. US examination for tophi and the double contour (DC) sign was performed on the knees and feet and corresponding DECT scans provided volumes of tophi and of overall urate deposition...
July 21, 2017: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/28727616/iterative-reconstruction-may-improve-diagnosis-of-gout-an-ex-vivo-bio-phantom-dual-energy-computed-tomography-study
#15
Torsten Diekhoff, Maximilian Kotlyarov, Jürgen Mews, Bernd Hamm, Kay-Geert Armin Hermann
OBJECTIVES: We hypothesize that, compared with filtered back projection (FBP), iterative reconstruction (IR) increases the detected volume of uric acid, which serves as a measure of the sensitivity of the method, and therefore allows examinations with lower radiation exposure. Thus, the aim of our study was to evaluate the role of IR in dual-energy computed tomography (DECT) for gout assessment and volumetry in an ex vivo gout model using an epoxy phantom and a biophantom. MATERIALS AND METHODS: We prepared specimens with different concentrations of monosodium uric acid in ultrasound gel (30%-50%) and inserted them into an epoxy-based phantom and a porcine foreleg...
July 19, 2017: Investigative Radiology
https://www.readbyqxmd.com/read/28724406/iodine-concentration-calculated-by-dual-energy-computed-tomography-dect-as-a-functional-parameter-to-evaluate-thyroid-metabolism-in-patients-with-hyperthyroidism
#16
Duong Duc Binh, Takahito Nakajima, Hidenori Otake, Tetsuya Higuchi, Yoshito Tsushima
BACKGROUND: Thyroid function in patients with Grave's disease is usually evaluated by thyroid scintigraphy with radioactive iodine. Recently, dual-energy computed tomography (DECT) with two different energy X-rays can calculate iodine concentrations and can be applied for iodine measurements in thyroid glands. This study aimed to assess the potential use of DECT for the functional assessment of the thyroid gland. METHODS: Thirteen patients with Grave's disease treated at our hospital from May to September 2015 were included in this retrospective study...
July 19, 2017: BMC Medical Imaging
https://www.readbyqxmd.com/read/28722700/detection-of-bone-marrow-edema-pattern-with-dual-energy-computed-tomography-of-the-pig-mandible-treated-with-radiotherapy-and-surgery-compared-with-magnetic-resonance-imaging
#17
COMPARATIVE STUDY
Lucas J Poort, Annika A R Stadler, Johan H B Ludlage, Frank J P Hoebers, Peter A W H Kessler, Alida A Postma
OBJECTIVE: The aim of the study was to investigate the accuracy of dual-energy computed tomography (DECT) compared with magnetic resonance (MR) imaging for the detection of edema of the mandible. MATERIALS AND METHODS: Fifteen adult Göttingen mini pigs received irradiation to the mandible with an equivalent dose of 0, 25, 50, or 70 Gy. Six months after irradiation, all animals underwent DECT and MR imaging of the mandible. Magnetic resonance short tau inversion recovery (STIR) was used for the grading of the bone marrow edema (0-3)...
July 2017: Journal of Computer Assisted Tomography
https://www.readbyqxmd.com/read/28718888/assessing-lung-function-using-contrast-enhanced-dual-energy-computed-tomography-for-potential-applications-in-radiation-therapy
#18
Andréanne Lapointe, Houda Bahig, Danis Blais, Hugo Bouchard, Édith Filion, Jean-François Carrier, Stéphane Bedwani
PURPOSE: There is an increasing interest in the evaluation of lung function from physiological images in radiation therapy treatment planning to reduce the extent of post-radiation toxicities. The purpose of this work is to retrieve reliable functional information from contrast-enhanced dualenergy computed tomography (DECT) for new applications in radiation therapy. The functional information obtained by DECT is also compared with other methods using single energy CT (SECT) and single-photon emission computed tomography (SPECT) with CT...
July 18, 2017: Medical Physics
https://www.readbyqxmd.com/read/28711211/advanced-tissue-characterization-and-texture-analysis-using-dual-energy-computed-tomography-horizons-and-emerging-applications
#19
REVIEW
Reza Forghani, Ashok Srinivasan, Behzad Forghani
In the last article of this issue, advanced analysis capabilities of DECT is reviewed, including spectral Hounsfield unit attenuation curves, virtual monochromatic images, material decomposition maps, tissue effective Z determination, and other advanced post-processing DECT tools, followed by different methods of analysis of the attenuation curves generated using DECT. The article concludes with exciting future horizons and potential applications, such as the use of the rich quantitative data in dual energy CT scans for texture or radiomic analysis and the use of machine learning methods for generation of prediction models using spectral data...
August 2017: Neuroimaging Clinics of North America
https://www.readbyqxmd.com/read/28711210/routine-dual-energy-computed-tomography-scanning-of-the-neck-in-clinical-practice-a-single-institution-experience
#20
REVIEW
Almudena Pérez-Lara, Mark Levental, Lorne Rosenbloom, Gary Wing, Reza Forghani
There is increasing use and popularity of dual-energy computed tomography (DECT) in many subspecialties in radiology. This article reviews the practical workflow implications of routine DECT scanning based on the experience at a single institution where a large percentage of elective neck CTs are acquired in DECT mode. The article reviews factors both on the production (technologist) and on the interpretation (radiologist) side, focusing on challenges posed and potential solutions for seamless workflow implementation...
August 2017: Neuroimaging Clinics of North America
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