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.

Abstract:

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). Dual-energy CT (80 and 140 kVp) was performed, and virtual noncalcium (VNCa) images were calculated. RESULTS:Increased signal intensity at STIR was found in the higher radiation groups. An increase of signal intensity in MR imaging was accompanied by a significant increase in the Hounsfield unit value of the VNCa images of the bone marrow (STIR: 0, 1, 2, 3; mean Hounsfield unit: -103, -90, -76, -34, respectively; P < 0.05; R = 0.388). CONCLUSIONS:The VNCa images derived from DECT are able to demonstrate bone marrow edema in radiation-induced bone changes in the mandible.

journal_name

J Comput Assist Tomogr

authors

Poort LJ,Stadler AAR,Ludlage JHB,Hoebers FJP,Kessler PAWH,Postma AA

doi

10.1097/RCT.0000000000000559

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

553-558

issue

4

eissn

0363-8715

issn

1532-3145

pii

00004728-201707000-00008

journal_volume

41

pub_type

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