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https://www.readbyqxmd.com/read/28331170/-pathological-complete-response-of-metastatic-testicular-tumor-with-persistent-low-level-positive-human-chorionic-gonadotropin-after-chemotherapy
#1
Ryosuke Jikuya, Akihito Hashizume, Tomoyuki Tatenuma, Nobuhiko Mizuno, Kentaro Muraoka, Masaki Kawai, Akitoshi Takizawa, Takeshi Kishida
We describe a case of testicular tumor with multiple metastasis to the lung,retoroperitoneal lymph node, and brain. After chemotherapy the retroperitoneal lymph node and brain metastasis disappeared,but the multiple pulmonary metastases but not disappear,although they were reduced in size. Since the human chorionic gonadotoropin (HCG) was persistently dected at a low level,we performed a testosterone tolerance test. The HCG level became undetectable for a while,but was detected at a low level again. Then the patient underwent residual tumor removal of some of the residual pulmonary disease,which was diagnosed as tumor necrosis...
March 2017: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/28301210/update-of-dual-energy-ct-applications-in-the-genitourinary-tract
#2
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/28295434/the-potential-of-dual-energy-ct-to-reduce-proton-beam-range-uncertainties
#3
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
#4
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
#5
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/28273739/dual-energy-ct-with-virtual-monochromatic-images-and-metal-artifact-reduction-software-for-reducing-metallic-dental-artifacts
#6
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/28273652/potential-of-gadolinium-as-contrast-material-in-second-generation-dual-energy-computed-tomography-an-ex-vivo-phantom-study
#7
Malte N Bongers, Christoph Schabel, Bernhard Krauss, Claus D Claussen, Konstantin Nikolaou, Christoph Thomas
PURPOSE: To evaluate the potential of gadolinium (Gd) as contrast material (CM) in second generation dual energy computed tomography (DECT). MATERIAL AND METHODS: In a phantom model, DECT post-processing was used to increase Gd attenuation using advanced monoenergetic extrapolation (MEI), to create virtual non-contrast images (Gd-VNC) and Gd maps and to quantify Gd content. Dilutions of Gd and iodinated CM (7-296 HU) were filled in syringes, placed in an attenuation phantom and scanned with standard DECT protocols (80 &100/Sn140 kV)...
February 22, 2017: Clinical Imaging
https://www.readbyqxmd.com/read/28267884/microscopic-dual-energy-ct-microdect-a-flexible-tool-for-multichannel-ex-vivo-3d-imaging-of-biological-specimens
#8
S Handschuh, C J Beisser, B Ruthensteiner, B D Metscher
Dual-energy computed tomography (DECT) uses two different x-ray energy spectra in order to differentiate between tissues, materials or elements in a single sample or patient. DECT is becoming increasingly popular in clinical imaging and preclinical in vivo imaging of small animal models, but there have been only very few reports on ex vivo DECT of biological samples at microscopic resolutions. The present study has three main aims. First, we explore the potential of microscopic DECT (microDECT) for delivering isotropic multichannel 3D images of fixed biological samples with standard commercial laboratory-based microCT setups at spatial resolutions reaching below 10 μm...
March 7, 2017: Journal of Microscopy
https://www.readbyqxmd.com/read/28258740/uric-acid-versus-non-uric-acid-renal-stones-in%C3%A2-vivo-differentiation-with-spectral-ct
#9
F Lombardo, M Bonatti, G A Zamboni, G Avesani, N Oberhofer, M Bonelli, A Pycha, R Pozzi Mucelli, G Bonatti
AIM: To differentiate uric acid from non-uric acid renal stones based on their spectral attenuation values. MATERIALS AND METHODS: The present study was approved by the institutional review board and the need for informed consent was waived. Thirty-three consecutive patients (21 men, 12 women; mean age 55 years) with symptomatic urolithiasis underwent dual-energy computed tomography (DECT) using a second-generation dual-source CT system. Stone composition was assessed by means of chemical analysis after extraction or spontaneous expulsion...
February 28, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28249339/dual-energy-ct-a-novel-technique-for-diagnostic-testing-of-fragility-fractures-of-the-pelvis
#10
Carsten Hackenbroch, Hans-Joachim Riesner, Patricia Lang, Fabian Stuby, Burkhardt Danz, Benedikt Friemert, Hans-Georg Palm
Background The incidence of fragility fractures of the pelvis is increasing. Established methods to diagnose this condition include X-rays, computed tomography (CT) and magnetic resonance imaging (MRI). Dual energy CT (DECT) is a modern technology for the imaging of bone oedema/bruises and has been used in injuries of the extremities and spine. It is unclear whether this technique can also be used in fragility fractures of the pelvis. The aim of this study was to perform a literature research and survey of the "AG Becken III" members of the German Society of Trauma Surgery (DGU) on the usefulness of DECT in fractures of the pelvis...
February 2017: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/28245141/detecting-intracranial-hemorrhage-using-automatic-tube-current-modulation-with-advanced-modeled-iterative-reconstruction-in-unenhanced-head-single-and-dual-energy-dual-source-ct
#11
Jan-Erik Scholtz, Julian L Wichmann, Dennis W Bennett, Doris Leithner, Ralf W Bauer, Thomas J Vogl, Boris Bodelle
OBJECTIVE: The purpose of our study was to determine diagnostic accuracy, image quality, and radiation dose of low-dose single- and dual-energy unenhanced third-generation dual-source head CT for detection of intracranial hemorrhage (ICH). MATERIALS AND METHODS: A total of 123 patients with suspected ICH were examined using a dual-source 192-MDCT scanner. Standard-dose 120-kVp single-energy CT (SECT; n = 36) and 80-kVp and 150-kVp dual-energy CT (DECT; n = 30) images were compared with low-dose SECT (n = 32) and DECT (n = 25) images obtained using automated tube current modulation (ATCM)...
February 28, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28238226/dual-energy-ct-in-gout-a-review-of-current-concepts-and-applications
#12
REVIEW
Hong Chou, Teck Yew Chin, Wilfred C G Peh
Dual-energy computed tomography (DECT) is a relatively recent development in the imaging of gouty arthritis. Its availability and usage have become increasingly widespread in recent years. DECT is a non-invasive method for the visualisation, characterisation and quantification of monosodium urate crystal deposits which aids the clinician in the early diagnosis, treatment and follow-up of this condition. This article aims to give an up to date review and summary of existing literature on the role and accuracy of DECT in the imaging of gout...
March 2017: Journal of Medical Radiation Sciences
https://www.readbyqxmd.com/read/28236659/a-simple-formulation-for-deriving-effective-atomic-numbers-via-electron-density-calibration-from-dual-energy-ct-data-in-the-human-body
#13
Masatoshi Saito, Shota Sagara
PURPOSE: The main objective of this study is to propose a simple formulation (which we called DEEDZ) for deriving effective atomic numbers (Zeff ) via electron density (ρe ) calibration from dual-energy (DE) CT data. We carried out numerical analysis of this DEEDZ method for a large variety of materials with known elemental compositions and mass densities using an available photon cross sections database. The new conversion approach was also applied to previously published experimental DECT data to validate its practical feasibility...
February 25, 2017: Medical Physics
https://www.readbyqxmd.com/read/28229032/role-of-dual-energy-computed-tomography-imaging-in-the-diagnosis-of-gout
#14
REVIEW
Divya Jayakumar, Shiv T Sehra, Suneesh Anand, Gary W Stallings, Abhijeet Danve
Gout is a well-known inflammatory arthritis and affects four percent of the United States population. It results from the deposition of uric acid crystals in joints, tendons, bursae, and other surrounding tissues. Prevalence of gout has increased in the recent decade. Gout is usually seen in conjunction with other chronic comorbid conditions like cardiac disease, metabolic syndrome, and renal disease. The diagnosis of this inflammatory arthritis is confirmed by visualization of monosodium urate (MSU) crystals in the synovial fluid...
January 20, 2017: Curēus
https://www.readbyqxmd.com/read/28198752/monoenergetic-dual-energy-computed-tomographic-imaging-cardiothoracic-applications
#15
Lukas Lenga, Moritz H Albrecht, Ahmed E Othman, Simon S Martin, Doris Leithner, Tommaso D'Angelo, Christophe Arendt, Jan-Erik Scholtz, Carlo N De Cecco, U Joseph Schoepf, Thomas J Vogl, Julian L Wichmann
Monoenergetic imaging is an increasingly used reconstruction technique in postprocessing of dual-energy computed tomography (DECT). The main advantage of this technique is the ability to substantially increase image contrast of structures with uptake of iodinated contrast material. Although monoenergetic imaging was mainly used in oncological DECT applications, recent research has further demonstrated its role in vascular imaging. Using this dedicated postprocessing algorithm, image contrast of vascular structures in the thorax can be increased, a drastic reduction of contrast material is feasible, and even beam-hardening artifacts can be reduced...
February 14, 2017: Journal of Thoracic Imaging
https://www.readbyqxmd.com/read/28182581/application-of-single-and-dual-energy-ct-brain-tissue-segmentation-to-pet-monitoring-of-proton-therapy
#16
Bianca Berndt, Guillaume Landry, Florian Schwarz, Thomas Tessonnier, Florian Kamp, George Dedes, Christian Thieke, Matthias Würl, Christopher Kurz, Ute Ganswindt, Frank Verhaegen, Jürgen Debus, Claus Belka, Wieland Sommer, Maximilian Reiser, Julia Bauer, Katia Parodi
The purpose of this work was to evaluate the ability of single and dual energy computed tomography (SECT, DECT) to estimate tissue composition and density for usage in Monte Carlo (MC) simulations of irradiation induced β (+) activity distributions. This was done to assess the impact on positron emission tomography (PET) range verification in proton therapy. A DECT-based brain tissue segmentation method was developed for white matter (WM), grey matter (GM) and cerebrospinal fluid (CSF). The elemental composition of reference tissues was assigned to closest CT numbers in DECT space (DECTdist)...
March 21, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/28168368/accuracy-of-iodine-quantification-using-dual-energy-ct-in-latest-generation-dual-source-and-dual-layer-ct
#17
Gert Jan Pelgrim, Robbert W van Hamersvelt, Martin J Willemink, Bernhard T Schmidt, Thomas Flohr, Arnold Schilham, Julien Milles, Matthijs Oudkerk, Tim Leiner, Rozemarijn Vliegenthart
OBJECTIVE: To determine the accuracy of iodine quantification with dual energy computed tomography (DECT) in two high-end CT systems with different spectral imaging techniques. METHODS: Five tubes with different iodine concentrations (0, 5, 10, 15, 20 mg/ml) were analysed in an anthropomorphic thoracic phantom. Adding two phantom rings simulated increased patient size. For third-generation dual source CT (DSCT), tube voltage combinations of 150Sn and 70, 80, 90, 100 kVp were analysed...
February 6, 2017: European Radiology
https://www.readbyqxmd.com/read/28133030/-evaluation-of-the-therapeutic-effect-of-using-dual-energy-ct-for-rectal-cancer-after-neoadjuvant-chemotherapy
#18
Hajime Morohashi, Yoshiyuki Sakamoto, Daichi Ichinohe, Hiroyuki Jin, Takuya Miura, Fumiyasu Tsushima, Shuichi Ono, Kenichi Hakamada
It is difficult to know the effects of preoperative treatment on advanced rectal cancer even if using a variety of diagnostic imaging modalities. We report the efficacy of evaluating the therapeutic effect of using dual-energy CT(DECT)against rectal cancer after neoadjuvant chemotherapy(NAC). The subject sample consisted of1 1 patients who underwent rectal cancer surgery after NAC from September 2015 to January 2016. The pathological effective grade was higher if the after/before ratio ofcontrast enhancement on DECT was small(Grade 1a: 1...
November 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28126406/elf-exposure-from-mobile-and-cordless-phones-for-the-epidemiological-mobi-kids-study
#19
Carolina Calderón, Hiroki Ichikawa, Masao Taki, Kanako Wake, Darren Addison, Terry Mee, Myron Maslanyj, Hans Kromhout, Ae-Kyoung Lee, Malcolm R Sim, Joe Wiart, Elisabeth Cardis
This paper describes measurements and computational modelling carried out in the MOBI-Kids case-control study to assess the extremely low frequency (ELF) exposure of the brain from use of mobile and cordless phones. Four different communication systems were investigated: Global System for Mobile (GSM), Universal Mobile Telecommunications System (UMTS), Digital Enhanced Cordless Telecommunications (DECT) and Wi-Fi Voice over Internet Protocol (VoIP). The magnetic fields produced by the phones during transmission were measured under controlled laboratory conditions, and an equivalent loop was fitted to the data to produce three-dimensional extrapolations of the field...
April 2017: Environment International
https://www.readbyqxmd.com/read/28107411/xenon-enhanced-dual-energy-ct-imaging-in-combined-pulmonary-fibrosis-and-emphysema
#20
Keishi Sugino, Masahiro Kobayashi, Yasuhiko Nakamura, Kyoko Gocho, Fumiaki Ishida, Kazutoshi Isobe, Nobuyuki Shiraga, Sakae Homma
BACKGROUND: Little has been reported on the feasibility of xenon-enhanced dual-energy computed tomography (Xe-DECT) in the visual and quantitative analysis of combined pulmonary fibrosis and emphysema (CPFE). OBJECTIVES: We compared CPFE with idiopathic pulmonary fibrosis (IPF) and chronic obstructive pulmonary disease (COPD), as well as correlation with parameters of pulmonary function tests (PFTs). METHODS: Studied in 3 groups were 25 patients with CPFE, 25 with IPF without emphysema (IPF alone), 30 with COPD...
2017: PloS One
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