Abstract:
OBJECTIVES:The aim of this ex vivo study was to assess the performance of monoenergetic dual-energy CT (DECT) reconstructions to reduce metal artefacts in bodies with orthopedic devices in comparison with standard single-energy CT (SECT) examinations in forensic imaging. Forensic and clinical impacts of this study are also discussed. MATERIALS AND METHODS:Thirty metallic implants in 20 consecutive cadavers with metallic implants underwent both SECT and DECT with a clinically suitable scanning protocol. Extrapolated monoenergetic DECT images at 64, 69, 88, 105, 120, and 130 keV and individually adjusted monoenergy for optimized image quality (OPTkeV) were generated. Image quality of the seven monoenergetic images and of the corresponding SECT image was assessed qualitatively and quantitatively by visual rating and measurements of attenuation changes induced by streak artefact. RESULTS:Qualitative and quantitative analyses showed statistically significant differences between monoenergetic DECT extrapolated images and SECT, with improvements in diagnostic assessment in monoenergetic DECT at higher monoenergies. The mean value of OPTkeV was 137.6 ± 4.9 with a range of 130 to 148 keV. CONCLUSIONS:This study demonstrates that monoenergetic DECT images extrapolated at high energy levels significantly reduce metallic artefacts from orthopedic implants and improve image quality compared to SECT examination in forensic imaging.
journal_name
Skeletal Radioljournal_title
Skeletal radiologyauthors
Filograna L,Magarelli N,Leone A,Guggenberger R,Winklhofer S,Thali MJ,Bonomo Ldoi
10.1007/s00256-015-2155-zsubject
Has Abstractpub_date
2015-09-01 00:00:00pages
1287-94issue
9eissn
0364-2348issn
1432-2161journal_volume
44pub_type
杂志文章abstract:OBJECTIVE:To characterize the radiologic features of postradiation sarcomas arising in the pelvic bones following treatment for uterine cervical carcinoma. DESIGN AND PATIENTS:Five patients who developed postradiation sarcomas in the pelvic bones following radiation therapy for carcinoma of the uterine cervix within t...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560000318
更新日期:2001-03-01 00:00:00
abstract::A broken needle is a rare complication of bone biopsy. We describe an easily applied technique of retrieval of a retained biopsy needle fragment using a cannulated drill typically used for internal fixation of femoral neck fractures. This approach allows for removal under moderate conscious sedation and can be perform...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-019-03304-y
更新日期:2020-02-01 00:00:00
abstract::Two children presented with painful lytic lesions in the lower extremity. The lesions were located within cortical bone, and surrounded by sclerosis of the medullary bone and periosteal new bone formation. The lesions were painful, and nonsteroidal anti-inflammatory agents relieved the pain. CT-guided core biopsies we...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-002-0501-4
更新日期:2002-10-01 00:00:00
abstract::Giant cell reparative granuloma (GCRG) is a non-neoplastic fibrous lesion with unevenly distributed multinucleated giant cells, areas of osseous metaplasia and hemorrhage. The small bones of the hands and feet are the most common sites, followed by the vertebral bodies and craniofacial bones. In the craniofacial bones...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-002-0563-3
更新日期:2003-03-01 00:00:00
abstract::Fatigue stress fractures are quite common in athletes, especially in women. They typically involve the lower extremities, but they have also been described in the pelvis and sacrum. Most of the time, they are radiographically occult at the beginning, and become visible only when the callus is detected. They are suspec...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-011-1244-x
更新日期:2012-01-01 00:00:00
abstract::A newborn baby presented with hyaline membrane disease, interstitial pneumonia, jaundice, hepatosplenomegaly, and unusual bone manifestations with lytic and sclerotic bone lesions and virtually absent periosteal reaction. He subsequently developed intracranial calcifications and mental retardation. The pneumonia and h...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00355386
更新日期:1983-01-01 00:00:00
abstract::We report the case of a 64-year-old man who initially presented with a maculopapular rash followed several weeks later by bilateral shin pain and infiltrative cutaneous lesions over the lower legs. The plain radiographs were not contributory, and the patient was referred for a whole-body bone scan, which demonstrated ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-009-0806-7
更新日期:2010-03-01 00:00:00
abstract::Four patients with histologically confirmed osteonecrosis of the first metatarsal sesamoid are presented. No patient was an athlete, nor recalled any noticeable trauma or significant stress as having occurred to the feet. No foot deformities or joint malalignments were found. Excellent results were obtained by excisio...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00350208
更新日期:1986-01-01 00:00:00
abstract::The triangular fibrocartilage complex (TFCC) is an intricate ligamentous and cartilaginous structure that helps transmit axial load across the wrist, and provide stability to the ulnocarpal and distal radioulnar joints (DRUJ). Because the blood supply to the TFCC varies depending on location, certain types of tears ar...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-017-2796-1
更新日期:2018-03-01 00:00:00
abstract::We present a rare case of alveolar soft-tissue sarcoma, with extensive bone invasion. The differential diagnosis with bone metastasis and primary bone tumors is discussed. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050104
更新日期:1996-05-01 00:00:00
abstract:OBJECTIVE:To determine whether there is a subset of young patients (< 35 years) with acute, post-traumatic insults to the rotator cuff which mimic the early stages of impingement. DESIGN AND PATIENTS:One hundred and ninety-seven consecutive shoulder MR images were retrospectively reviewed, and the results of 83 clinic...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050134
更新日期:1996-08-01 00:00:00
abstract::We evaluated the relative contribution of plain radiographs and computed tomography to the assessment of fracture healing under experimental circumstances. In 15 sheep, we performed midshaft femoral osteotomies and internal fixation of the resultant segmental fractures. Radiographs were obtained preoperatively and imm...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00355070
更新日期:1986-01-01 00:00:00
abstract:OBJECTIVE:Zoledronic acid (ZOL) has a suppressive effect on marrow adiposity in ovariectomized rats. Currently, however, data on the effect of ZOL on marrow fat in humans are unavailable. The purpose of this work was to determine the in vivo effect of ZOL on bone remodeling and marrow adipogenesis in postmenopausal ost...
journal_title:Skeletal radiology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00256-015-2200-y
更新日期:2015-10-01 00:00:00
abstract::Handigodu disease is a new syndrome of familial spondyloepi(meta)physeal dysplasia. It is inherited as an autosomal dominant trait. The disease is prevalent in a localised area of South India. On the basis of detailed clinical, anthropometric and radiological investigations of 234 affected individuals, it has been obs...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:
更新日期:1994-11-01 00:00:00
abstract:OBJECTIVE:To describe the CT and MR imaging appearance of both osseous and extraosseous manifestations of melorheostosis. DESIGN AND PATIENTS:We retrospectively reviewed the CT (n=7) and/or MR imaging findings (n=12) of 17 patients with characteristic radiographic findings of melorheostosis (undulating cortical hypero...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560100366
更新日期:2001-08-01 00:00:00
abstract::Primary perivascular epithelioid cell neoplasms (PEComas) of bone are rare mesenchymal tumors. Histologically, they are composed predominantly of perivascular epithelioid cells and have the capacity to metastasize. PEComas have been reported within intra-abdominal and intra-pelvic organs. To the best of our knowledge,...
journal_title:Skeletal radiology
pub_type: 杂志文章,评审
doi:10.1007/s00256-012-1479-1
更新日期:2012-11-01 00:00:00
abstract::This study reviews 16 cases of chondroblastoma of the patella which constitute nearly 6% of a large group of chondroblastomas scattered throughout the skeleton. Both radiologic and histologic appearances of chondroblastomas of the patella are indistinguishable from those of chondroblastomas arising in other sites. A r...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00361660
更新日期:1988-01-01 00:00:00
abstract::We report three patients with known primary tumor in whom radionuclide skeletal imaging for metastatic disease was normal with or without clinical symptomatology referable to this area. Magnetic resonance imaging (MRI) of the spine demonstrated focal areas of abnormal signal intensity in the vertebral bodies of these ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00197616
更新日期:1990-01-01 00:00:00
abstract::We present four cases of carpal bone fractures which were not recognized on standard anteroposterior (AP) and lateral views of the wrist. When there is clinical suspicion of fractures of the hook of the hamate, pisiform, or trapezium, either because of the mechanism of injury or clinical presentation, a carpal tunnel ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00349927
更新日期:1987-01-01 00:00:00
abstract:OBJECTIVE:To investigate the MR findings of necrotic lesions and the extralesional area of osteonecrosis of the femoral head (ONFH) for each of the radiological stages. DESIGN AND PATIENTS:Forty-nine hips in 29 patients (15 female, 14 male; mean age 38 years, range 17-59 years) were imaged using a 1.0-T superconductin...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050583
更新日期:2000-03-01 00:00:00
abstract::Osteosarcomas arising in irradiated tissues are uncommon but important complications of radiotherapy. Radiation-induced osteosarcomas generally occur 3-30 years after exposure and are most common after radiotherapy for cervical or breast carcinoma. These tumors are usually rapidly growing, extremely painful, and histo...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s002560050144
更新日期:1996-08-01 00:00:00
abstract::Sarcoidosis is a systemic disease that histologically typically shows non-caseating granulomas. The most common radiologic finding is hilar and mediastinal adenopathy. Patients with widely disseminated disease may show involvement of the peripheral appendicular skeleton in 1-13% of such cases. A primary skeletal prese...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-008-0479-7
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVES:Total elbow arthroplasty (TEA) is becoming a popular alternative to arthrodesis for patients with end-stage elbow arthrosis and comminuted distal humeral fractures. Prior outcome studies have primarily focused on surgical findings. Our purpose is to determine the radiographic outcome of TEA and to correlate ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-016-2351-5
更新日期:2016-06-01 00:00:00
abstract::Melorheostosis is a very rare disorder characterized by irregular cortical thickening seen on radiographs. In this paper, we present a case of melorheostosis with microscopically confirmed soft-tissue components. The patient was a 51-year-old man who complained of severe pain in the lateral aspect of his right knee. T...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-016-2562-9
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to describe the suprascapular nerve block using CT guidance and to evaluate the short- and medium-term efficacy in a range of shoulder pathologies. DESIGN AND PATIENTS:CT-guided infiltration around the suprascapular nerve was performed with bupivacaine and Celestone Chronodose...
journal_title:Skeletal radiology
pub_type: 临床试验,杂志文章
doi:10.1007/s00256-003-0733-y
更新日期:2004-05-01 00:00:00
abstract::Extramedullary plasmacytomas are rare neoplasms arising from proliferations of monoclonal plasma cells. In primary form, these malignancies occur without other sites of plasma cell disease. Secondary extramedullary plasmacytomas occur in association with multiple myeloma and may be discovered during initial intramedul...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-020-03514-9
更新日期:2020-12-01 00:00:00
abstract::Metallosis is an uncommon complication following total knee arthroplasty that leads to osteolysis and implant loosening due to chronic inflammatory reaction. Abrasion between the metallic surfaces of the implant releases metallic debris that interacts with the periprosthetic soft tissues and causes chronic synovitis. ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-014-1860-3
更新日期:2014-08-01 00:00:00
abstract:PURPOSE:The purpose of this study is to define the normal range of acetabular abduction and anteversion in relation to pelvic anatomy as depicted on conventional CT scan. METHODS:We retrospectively reviewed 100 pelvic CT scans performed on patients presenting for evaluation of non-orthopaedic pathology. The study grou...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-006-0086-4
更新日期:2006-06-01 00:00:00
abstract::The total bone width (T) and medullary width (M) of the humerus and femur of 216 and 138 Nigerian newborn infants, respectively, were measured in order to determine the normal standards for cortical bone mass in the newborn. The cortical width (C), cortical area (CA), and percentage cortical area (PCA) were calculated...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/BF00349862
更新日期:1986-01-01 00:00:00
abstract::The ischiorectal fossa may give rise to a wide variety of pathological entities, although it is composed of relatively few structures. Developmental cysts are included among the list. Large epidermoid cysts in the ischiorectal fossa have been previously described (Fujimoto et al., Clin Imaging 17:146-148, 1993; Ng et ...
journal_title:Skeletal radiology
pub_type: 杂志文章
doi:10.1007/s00256-009-0705-y
更新日期:2009-09-01 00:00:00