Added Value of Bone Subtraction in Dual-energy Digital Radiography in the Detection of Pneumothorax: Impact of Reader Expertise and Medical Specialty.

Abstract:

RATIONALE AND OBJECTIVES:This study aimed to determine the value of dual-energy thoracic radiography in the diagnosis of pneumothorax considering the reader's experience. MATERIALS AND METHODS:Forty patients with a suspected pneumothorax, imaged with dual-energy chest radiographs, were divided into two groups: those with pneumothorax as the final diagnosis (n = 19) and those without (n = 21). The images were analyzed by 36 readers (5 interns, 16 residents, 15 senior physicians) for the presence or absence of pneumothorax during three readout sessions at 2-week intervals: standard images alone (session 1), dual-energy images with bone subtraction alone (session 2), and a combination of the two (session 3). RESULTS:The number of correct responses increased 13.3% between sessions 1 and 2 (P < .001) and 9.4% between sessions 1 and 3 (P < .001). The mean sensitivity for pneumothorax detection was higher in sessions 2 (82%) and 3 (79%) compared to session 1 (70%). There was no statistically significant difference in specificity between the sessions. The number of correct responses for small volume pneumothoraces was higher in sessions 2 (10.6 ± 1.8) and 3 (10.1 ± 2.0) than in session 1 (8.9 ± 2.3), with a statistically significant difference between sessions 1 and 2 (P = .002) and between sessions 1 and 3 (P = .048). CONCLUSION:Bone subtracted dual-energy thoracic radiographs improve the detection sensitivity of pneumothorax, including in cases of small pneumothoraces, regardless of the reader's level or expertise.

journal_name

Acad Radiol

journal_title

Academic radiology

authors

Urbaneja A,Dodin G,Hossu G,Bakour O,Kechidi R,Gondim Teixeira P,Blum A

doi

10.1016/j.acra.2017.06.015

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

82-87

issue

1

eissn

1076-6332

issn

1878-4046

pii

S1076-6332(17)30306-9

journal_volume

25

pub_type

杂志文章
  • Differentiating diaphragmatic paralysis and eventration.

    abstract:RATIONALE AND OBJECTIVES:Although elevation of the diaphragm can be appreciated on conventional PA and lateral chest radiography, the modality is commonly viewed as inadequate to differentiate diaphragmatic paralysis from eventration. Our objective was to qualitatively and quantitatively measure the utility of chest ra...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2007.01.027

    authors: Verhey PT,Gosselin MV,Primack SL,Kraemer AC

    更新日期:2007-04-01 00:00:00

  • Big Data and the Future of Radiology Informatics.

    abstract::Rapid growth in the amount of data that is electronically recorded as part of routine clinical operations has generated great interest in the use of Big Data methodologies to address clinical and research questions. These methods can efficiently analyze and deliver insights from high-volume, high-variety, and high-gro...

    journal_title:Academic radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.acra.2015.10.004

    authors: Kansagra AP,Yu JP,Chatterjee AR,Lenchik L,Chow DS,Prater AB,Yeh J,Doshi AM,Hawkins CM,Heilbrun ME,Smith SE,Oselkin M,Gupta P,Ali S

    更新日期:2016-01-01 00:00:00

  • Three-dimensional isotropic wavelets for post-acquisitional extraction of latent images of atherosclerotic plaque components from micro-computed tomography of human coronary arteries.

    abstract:RATIONALE AND OBJECTIVES:The capability of wavelet transforms to separate signals into frequency bands is the basis for its use in image compression and storage, data management and transmission, and, recently, extraction of latent images of tissue components from noisy medical images. Analysis of temporal variations o...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2007.06.018

    authors: Gertz SD,Bodmann BG,Vela D,Papadakis M,Aboshady I,Cherukuri P,Alexander S,Kouri DJ,Baid S,Gittens AA,Gladish GW,Conyers JL,Cody DD,Gavish L,Mazraeshahi RM,Wilner WT,Frazier L,Madjid M,Zarrabi A,Lukovenkov S,Ahmed

    更新日期:2007-12-01 00:00:00

  • Increased epicardial, pericardial, and subcutaneous adipose tissue is associated with the presence and severity of coronary artery calcium.

    abstract:RATIONALE AND OBJECTIVES:Epicardial adipose tissue (EAT), pericardial adipose tissue (PAT), and subcutaneous adipose tissue (SAT) are mediators of metabolic risk and may be involved in the pathogenesis of coronary artery disease. The aim of this study was to investigate the association of visceral and subcutaneous fat ...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2010.08.017

    authors: Ahmadi N,Nabavi V,Yang E,Hajsadeghi F,Lakis M,Flores F,Zeb I,Bevinal M,Ebrahimi R,Budoff M

    更新日期:2010-12-01 00:00:00

  • Influence of Cardiovascular Risk Factors on the Prevalence of Coronary Atherosclerosis in Patients with Angiographically Normal Coronary Arteries.

    abstract:RATIONALE AND OBJECTIVES:Cardiovascular (CV) disease is predominately influenced by CV risk factors and coronary computed tomography angiography (CTA) is capable of detecting early-stage coronary artery disease. We sought to determine the influence of CV risk factors on the prevalence of nonobstructive atherosclerosis ...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2016.12.005

    authors: Bittner DO,Klinghammer L,Marwan M,Schmid J,Layritz C,Hoffmann U,Achenbach S,Pflederer T

    更新日期:2017-05-01 00:00:00

  • Percutaneous implantation of non-small-cell lung carcinoma: technique and observations.

    abstract:RATIONALE AND OBJECTIVES:The authors performed this study to determine whether intrathoracic inoculation of non-small-cell lung carcinoma with fluoroscopic guidance would provide for more accurate implantation. MATERIALS AND METHODS:A tumor cell inoculum (2 x 10(6) cells per 0.15 mL) was injected percutaneously under ...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/s1076-6332(05)80267-3

    authors: Hamide JP,Qian Z,Xu H,Diethelm L,Skrepnik N,Castaneda-Zuniga WR,Hunt JD

    更新日期:1997-09-01 00:00:00

  • LSU Health Sciences Center New Orleans Department of Radiology: effects of Hurricane Katrina.

    abstract::This case study chronicles the impact of Hurricane Katrina on the Department of Radiology at the Louisiana State University School of Medicine in New Orleans and the department's subsequent efforts to recover and re-dedicate itself to providing quality patient care and resident education. Hurricane Katrina damaged the...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2009.01.016

    authors: Duggal A,Letourneau JG,Bok LR

    更新日期:2009-05-01 00:00:00

  • Design considerations for using PET as a response measure in single site and multicenter clinical trials.

    abstract:RATIONALE AND OBJECTIVES:Positron emission tomography (PET) is used to evaluate response to therapy with increasing interest in having PET provide endpoints for clinical trials. Here we demonstrate impacts of PET measurement error and choice of quantification method on clinical trial design. MATERIALS AND METHODS:Samp...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2011.10.008

    authors: Doot RK,Kurland BF,Kinahan PE,Mankoff DA

    更新日期:2012-02-01 00:00:00

  • Preoperative Prediction of Ki-67 Status in Breast Cancer with Multiparametric MRI Using Transfer Learning.

    abstract:RATIONALE AND OBJECTIVES:Ki-67 is one of the most important biomarkers of breast cancer traditionally measured invasively via immunohistochemistry. In this study, deep learning based radiomics models were established for preoperative prediction of Ki-67 status using multiparametric magnetic resonance imaging (mp-MRI). ...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2020.02.006

    authors: Liu W,Cheng Y,Liu Z,Liu C,Cattell R,Xie X,Wang Y,Yang X,Ye W,Liang C,Li J,Gao Y,Huang C,Liang C

    更新日期:2021-02-01 00:00:00

  • Three-dimensional volume rendering of fetal MR images for the diagnosis of congenital cystic adenomatoid malformation.

    abstract:RATIONALE AND OBJECTIVES:Great expertise is necessary to mentally compile a series of individual two-dimensional image sections into a three-dimensional (3D) composite view that can aid in differential diagnosis. The purpose of this study was to test 3D volume-rendering techniques for differentiating congenital cystic ...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/s1076-6332(03)80108-3

    authors: Hata N,Wada T,Chiba T,Tsutsumi Y,Okada Y,Dohi T

    更新日期:2003-03-01 00:00:00

  • Can coronary artery anomalies be detected on CT calcium scoring studies?

    abstract:PURPOSE:To determine whether coronary artery anomalies can be detected on noncontrast computed tomography (CT) coronary artery calcium scoring (CCS) studies. MATERIALS AND METHODS:A total of 126 patients (mean age 62 years; 35 women) underwent noncontrast CCS and contrast enhanced coronary CT angiography (cCTA). Thirt...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2012.12.006

    authors: Maddux PT,Schoepf UJ,Zwerner PL,Krazinski AW,Berghaus TM,Morris PB,Thilo C

    更新日期:2013-05-01 00:00:00

  • Theory-based signal calibration with single-point T1 measurements for first-pass quantitative perfusion MRI studies.

    abstract:RATIONALE AND OBJECTIVES:The aim of the study is to develop a theory-based signal calibration approach to be used for the conversion of signal-time curves to absolute contrast concentration-time curves for first-pass contrast-enhanced quantitative myocardial perfusion studies. MATERIALS AND METHODS:A normalization pro...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2006.02.040

    authors: Cernicanu A,Axel L

    更新日期:2006-06-01 00:00:00

  • Prognostic vascular imaging biomarkers in high-grade gliomas: tumor permeability as an adjunct to blood volume estimates.

    abstract:RATIONALE AND OBJECTIVES:Despite recent advances in the treatment of high-grade gliomas, overall survival (OS) remains poor, which underlines the importance of searching for and determining prognostic imaging biomarkers. The purpose of our retrospective study was to correlate patient survival with relative cerebral blo...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2012.11.011

    authors: Jain R,Narang J,Griffith B,Bagher-Ebadian H,Scarpace L,Mikkelsen T,Littenberg B,Schultz LR

    更新日期:2013-04-01 00:00:00

  • Teaching and Assessing Professionalism in Radiology: Resources and Scholarly Opportunities to Contribute to Required Expectations.

    abstract::Teaching and assessing trainees' professionalism now represents an explicit expectation for Accreditation Council Graduate Medical Education-accredited radiology programs. Challenges to meeting this expectation include variability in defining the construct of professionalism; limits of traditional teaching and assessm...

    journal_title:Academic radiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.acra.2018.01.008

    authors: Kelly AM,Mullan PB

    更新日期:2018-05-01 00:00:00

  • Comparison Between Dual-Energy Computed Tomography and Ultrasound in the Diagnosis of Gout of Various Joints.

    abstract:RATIONALE AND OBJECTIVES:Dual-energy computed tomography (DECT) and ultrasound are both used to assess gouty arthritis. The present study was designed to compare the diagnostic accuracy of DECT and ultrasound in detecting monosodium urate (MSU) crystal deposition in various joints. MATERIALS AND METHODS:This study enr...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2015.08.010

    authors: Zhu L,Wu H,Wu X,Sun W,Zhang T,Ye L,Wang W,Wang J

    更新日期:2015-12-01 00:00:00

  • Should Radiologists Comment on Incidental Findings of Vascular Calcifications Found on Abdominal/Pelvic CT in Patients Less Than 50 Years of Age?

    abstract:RATIONALE AND OBJECTIVES:To evaluate if incidental abdominopelvic calcified atherosclerosis (ACA) in patients under 50 years of age correlates with cardiovascular disease (CVD) risk factors. Most studies evaluating calcific atherosclerosis and associated increased risk of CVD have concentrated on middle age and older p...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2019.10.013

    authors: Bernheim A,Grunhut J,Tang A,Gofur E,Thai J,Mehta V,Stern J,Jadidi N,Hodes A,Goldwasser B,Arneja A,Krausz D,Coords M,Peti S,Chacko J,Sarkany D

    更新日期:2020-08-01 00:00:00

  • Radiologic consultation: effect on inpatient diagnostic imaging evaluation in a teaching hospital.

    abstract:RATIONALE AND OBJECTIVES:The authors evaluated radiologic consultation affecting resident physician ordering of relatively expensive imaging studies. METHODS:Requisitions (n = 180) for expensive imaging studies from three general medicine floors (two consultation floors, one control floor) were prospectively evaluated...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/s1076-6332(05)80294-6

    authors: Gottlieb RH,Hollenberg GM,Fultz PJ,Rubens DJ

    更新日期:1997-03-01 00:00:00

  • Diagnosis of Lymphangiomatosis: A Study Based on CT Lymphangiography.

    abstract:RATIONALE AND OBJECTIVES:Lymphangiomatosis is a rare disease characterized by the widespread presence of lymphangiomas in any part of the body. In previous studies, lymphatic vessel abnormalities in lymphangiomatosis have only rarely been mentioned. The objective of this paper is to discuss the imaging features of lymp...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2019.03.024

    authors: Jin D,Sun X,Shen W,Zhao Q,Wang R

    更新日期:2020-02-01 00:00:00

  • Detection of Extraprostatic Extension of Cancer on Biparametric MRI Combining Texture Analysis and Machine Learning: Preliminary Results.

    abstract:RATIONALE AND OBJECTIVES:Extraprostatic extension of disease (EPE) has a major role in risk stratification of prostate cancer patients. Currently, pretreatment local staging is performed with MRI, while the gold standard is represented by histopathological analysis after radical prostatectomy. Texture analysis (TA) is ...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2018.12.025

    authors: Stanzione A,Cuocolo R,Cocozza S,Romeo V,Persico F,Fusco F,Longo N,Brunetti A,Imbriaco M

    更新日期:2019-10-01 00:00:00

  • Monitoring breast cancer response to neoadjuvant systemic chemotherapy using parametric contrast-enhanced MRI: a pilot study.

    abstract:RATIONALE AND OBJECTIVES:Neoadjuvant systemic therapy (NST) is the standard treatment for locally advanced breast cancer and a common option for primary operable disease. It is important to develop standardized imaging techniques that can monitor and quantify response to NST enabling treatment tailored to each individu...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2007.02.005

    authors: Chou CP,Wu MT,Chang HT,Lo YS,Pan HB,Degani H,Furman-Haran E

    更新日期:2007-05-01 00:00:00

  • Three-dimensional human airway segmentation methods for clinical virtual bronchoscopy.

    abstract:RATIONALE AND OBJECTIVES:The segmentation of airways from CT images is a critical first step for numerous virtual bronchoscopic (VB) applications. Automatic or semiautomatic methods are necessary, since manual segmentation is prohibitively time consuming. The methods must be robust and operate within a reasonable time ...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/s1076-6332(03)80517-2

    authors: Kiraly AP,Higgins WE,McLennan G,Hoffman EA,Reinhardt JM

    更新日期:2002-10-01 00:00:00

  • Image Quality of Virtual Monochromatic Reconstructions of Noncontrast CT on a Dual-Source CT Scanner in Adult Patients.

    abstract:RATIONALE AND OBJECTIVES:To evaluate the image quality of virtual monochromatic images (VMI) reconstructed from dual-energy dual-source noncontrast head CT with different reconstruction kernels. MATERIALS AND METHODS:Twenty-five consecutive adult patients underwent noncontrast dual-energy CT. VMI were retrospectively ...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2020.05.038

    authors: van Ommen F,Kauw F,Bennink E,Heit JJ,Wolman DN,Dankbaar JW,de Jong HWAM,Wintermark M

    更新日期:2020-06-30 00:00:00

  • Communicating Radiology Test Results: Are Our Phone Calls Excessive, Just Right, or Not Enough?

    abstract:RATIONALE AND OBJECTIVES:This study aimed to determine the preferences of radiology and referring provider residents regarding direct communication of radiology test results. METHODS:This Health Insurance Portability and Accountability Act-compliant quality improvement effort was exempt from institutional review board...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2017.09.015

    authors: Bhatti ZS,Brown RKJ,Kazerooni EA,Davenport MS

    更新日期:2018-03-01 00:00:00

  • Multivariate Analysis of Radiologists' Usage of Phrases that Convey Diagnostic Certainty.

    abstract:RATIONALE AND OBJECTIVES:To quantify the use of Diagnostic Certainty Phrases (DCP) in radiology reports, including DCPs with good agreement (including "diagnostic of," "unlikely" and "represents") in connoting degree of certainty between providers based on previous studies; and to assess whether modality, presence of a...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2018.10.017

    authors: Lacson R,Odigie E,Wang A,Kapoor N,Shinagare A,Boland G,Khorasani R

    更新日期:2019-09-01 00:00:00

  • A comparative study of HRCT image metrics and PFT values for characterization of ILD and COPD.

    abstract:RATIONALE AND OBJECTIVES:The aim of this study was to compare the performance of various image-based metrics computed from thoracic high-resolution computed tomography (HRCT) with data from pulmonary function testing (PFT) in characterizing interstitial lung disease (ILD) and chronic obstructive pulmonary disease (COPD...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2012.03.007

    authors: Song G,Mortani Barbosa E Jr,Tustison N,Gefter WB,Kreider M,Gee JC,Torigian DA

    更新日期:2012-07-01 00:00:00

  • Comparison of T1 Mapping and T1rho Values with Conventional Diffusion-weighted Imaging to Assess Fibrosis in a Rat Model of Unilateral Ureteral Obstruction.

    abstract:RATIONALE AND OBJECTIVES:The aim of this study was to investigate the potential of magnetic resonance imaging (MRI) T1 mapping and T1 relaxation time in the rotating frame (T1rho) for assessment of renal fibrosis in a rat model of unilateral ureteral obstruction (UUO). MATERIALS AND METHODS:UUO was created in 36 rats....

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2018.03.023

    authors: Hu G,Liang W,Wu M,Lai C,Mei Y,Li Y,Xu J,Luo L,Quan X

    更新日期:2019-01-01 00:00:00

  • MRI-based delta-radiomics are predictive of pathological complete response after neoadjuvant chemoradiotherapy in locally advanced rectal cancer.

    abstract:RATIONALE AND OBJECTIVES:To investigate the capability of delta-radiomics to predict pathological complete response (pCR) after neoadjuvant chemoradiotherapy (nCRT) in patients with locally advanced rectal cancer (LARC). MATERIALS AND METHODS:This retrospective study enrolled 165 consecutive patients with LARC (traini...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2020.10.026

    authors: Wan L,Peng W,Zou S,Ye F,Geng Y,Ouyang H,Zhao X,Zhang H

    更新日期:2020-11-11 00:00:00

  • Reliability of MR Quantification of Rotator Cuff Muscle Fatty Degeneration Using a 2-point Dixon Technique in Comparison with the Goutallier Classification: Validation Study by Multiple Readers.

    abstract:RATIONALE AND OBJECTIVES:Presurgical assessment of fatty degeneration is important in the management of patients with rotator cuff tears. The Goutallier classification is widely accepted as a qualitative scoring system, although it is highly observer-dependent and has poor reproducibility. The objective of this study w...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2017.03.026

    authors: Horiuchi S,Nozaki T,Tasaki A,Yamakawa A,Kaneko Y,Hara T,Yoshioka H

    更新日期:2017-11-01 00:00:00

  • A pulmonary nodule view system for the Lung Image Database Consortium (LIDC).

    abstract:RATIONALE AND OBJECTIVES:The aim of this study was to develop a pulmonary nodule viewing system to visualize and retrieve data from the Lung Image Database Consortium. MATERIALS AND METHODS:The pulmonary nodule viewing system, developed using Microsoft C++ and the .NET 2.0 Framework, is composed of a clinical informat...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2011.04.006

    authors: Lin H,Chen Z,Wang W

    更新日期:2011-09-01 00:00:00

  • Increased Epicardial Fat Volume Is Independently Associated with the Presence and Severity of Systemic Sclerosis.

    abstract:RATIONALE AND OBJECTIVES:The study aimed to determine if intrathoracic fat volumes are associated with the presence and severity of systemic sclerosis (SSc), defined by the presence of pulmonary arterial hypertension (PAH). MATERIALS AND METHODS:A total of 265 patients were included in the study, 202 of whom had SSc (...

    journal_title:Academic radiology

    pub_type: 杂志文章

    doi:10.1016/j.acra.2017.07.003

    authors: Long BD,Stojanovska J,Brown RKJ,Attili AK,Jackson EA,Ognenovski V

    更新日期:2017-12-01 00:00:00