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https://www.readbyqxmd.com/read/28812126/myocardial-iodine-concentration-measurement-using-dual-energy-computed-tomography-for-the-diagnosis-of-cardiac-amyloidosis-a-pilot-study
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
https://www.readbyqxmd.com/read/28711209/dual-energy-computed-tomography-of-the-neck-a-pictorial-review-of-normal-anatomy-variants-and-pathologic-entities-using-different-energy-reconstructions-and-material-decomposition-maps
#14
REVIEW
Almudena Pérez-Lara, Reza Forghani
There is increasing use of dual-energy computed tomography (DECT) for the evaluation of head and neck pathologic entities. Optimal DECT utilization requires familiarity with the appearance of normal tissues variants, and pathologic entities on different DECT reconstructions that may be used in clinical practice. The purpose of this article is to provide a practical, pictorial review of the appearance of normal anatomic structures and different neoplastic and nonneoplastic head and neck pathologic entities on commonly used DECT reconstructions...
August 2017: Neuroimaging Clinics of North America
https://www.readbyqxmd.com/read/28711206/miscellaneous-and-emerging-applications-of-dual-energy-computed-tomography-for-the-evaluation-of-pathologies-in-the-head-and-neck
#15
REVIEW
Tommaso D'Angelo, Silvio Mazziotti, Giorgio Ascenti, Julian L Wichmann
Dual-energy computed tomography (DECT) and its specific algorithms and applications have been increasingly recognized in clinical practice as a valuable advance in technology beyond what is possible with the established postprocessing capabilities of single-energy multidetector computed tomography, mainly because of its potential benefits regarding image quality and contrast. DECT may represent an alternative approach to purely attenuation-based imaging of the head and neck, because it provides a material-specific visualization based on spectral information...
August 2017: Neuroimaging Clinics of North America
https://www.readbyqxmd.com/read/28711204/applications-of-dual-energy-computed-tomography-for-the-evaluation-of-head-and-neck-squamous-cell-carcinoma
#16
REVIEW
Reza Forghani, Hillary R Kelly, Hugh D Curtin
There are multiple emerging applications of dual-energy computed tomography (DECT) for the evaluation of pathology in the head and neck, in particular head and neck squamous cell carcinoma. Studies suggest that DECT image sets reconstructed as supplements to routine diagnostic images may improve lesion visualization, determination of tumor extent, and identification of invasion of critical anatomic structures. This article reviews the evidence for the use and potential advantages of supplementary DECT reconstructions for the evaluation of head and neck squamous cell carcinoma...
August 2017: Neuroimaging Clinics of North America
https://www.readbyqxmd.com/read/28711203/dual-energy-computed-tomography-angiography-of-the-head-and-neck-and-related-applications
#17
REVIEW
Shahmir Kamalian, Michael H Lev, Stuart R Pomerantz
Dual-energy computed tomography (DECT) has become an increasingly widespread and useful component of the neuroimaging armamentarium, offering automated bone removal, metallic artifact reduction, and improved characterization of iodinated contrast enhancement. The application of these techniques to CT neuroangiography enables a number of benefits including more efficient 3D post-processing, contrast dose reduction opportunities, successful differentiation of hemorrhage from contrast staining following thromboembolic recanalization therapy, improved detection of active contrast extravasation in the setting of intracranial hemorrhage, and more precise characterization of atheromatous steno-occlusive disease...
August 2017: Neuroimaging Clinics of North America
https://www.readbyqxmd.com/read/28711200/dual-energy-computed-tomography-physical-principles-approaches-to-scanning-usage-and-implementation-part-2
#18
REVIEW
Reza Forghani, Bruno De Man, Rajiv Gupta
There are increasing applications and use of spectral computed tomography or dual-energy computed tomography (DECT) in neuroradiology and head and neck imaging in routine clinical practice. Part 1 of this 2-part review covered fundamental physical principles underlying DECT scanning and the different approaches for scanning. Part 2 focuses on important and practical considerations for implementing and using DECT in clinical practice, including a review of different images and reconstructions produced by these scanners and important and practical issues, ranging from image quality and radiation dose to workflow-related aspects of DECT scanning, that routinely come up during operationalization of DECT...
August 2017: Neuroimaging Clinics of North America
https://www.readbyqxmd.com/read/28711189/effective-atomic-number-estimation-using-kv-mv-dual-energy-source-in-linac
#19
Dousatsu Sakata, Akihiro Haga, Satoshi Kida, Toshikazu Imae, Shigeharu Takenaka, Keiichi Nakagawa
Dual-energy computed tomography (DECT) imaging can measure the effective atomic number (EAN) as well as the electron density, and thus its adoption may improve dose calculations in brachytherapy and external photon/particle therapy. An expanded energy gap in dual-energy sources is expected to yield more accurate EAN estimations than conventional DECT systems, which typically span less than 100kV. The aim of this paper is to assess a larger energy gap DECT by using a linear accelerator (LINAC) radiotherapy system with a kV X-ray imaging device, which are combined to provide X-rays in both the kV- and MV-energy ranges...
July 2017: Physica Medica: PM
https://www.readbyqxmd.com/read/28708725/dual-energy-computed-tomography-in-stroke-imaging-technical-and-clinical-considerations-of-virtual-noncontrast-images-for-detection-of-the-hyperdense-artery-sign
#20
Sebastian Winklhofer, Ilaria Vittoria De Martini, Chrisitian Nern, Iris Blume, Susanne Wegener, Athina Pangalu, Antonios Valavanis, Hatem Alkadhi, Roman Guggenberger
OBJECTIVE: The technical feasibility of virtual noncontrast (VNC) images from dual-energy computed tomography (DECT) for the detection of the hyperdense artery sign (HAS) in ischemic stroke patients was investigated. METHODS: True noncontrast (TNC) scans of 60 patients either with or without HAS (n = 30 each) were investigated. Clot presence and characteristics were assessed on VNC images from DECT angiography and compared with TNC images. Clot characterization included the level of confidence for diagnosing HAS, a qualitative clot burden score, and quantitative attenuation (Hounsfield unit [HU]) measurements...
July 13, 2017: Journal of Computer Assisted Tomography
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