Abstract:
AIM:To develop and validate a test bolus (TB)-based quantitative model to create an individualised contrast medium injection protocol for use at coronary computed tomography angiography (CCTA) to improve patient-to-patient uniformity of intracoronary attenuation. MATERIALS AND METHODS:In the model-building phase, 175 patients who underwent CCTA using a traditional contrast medium injection protocol were recruited. A personalised injection equation was proposed according to the relationship between aortic enhancement and the haemodynamic parameters obtained from the TB. In the model-validation phase, a target aortic enhancement of 350 HU was set. Two hundred and fifteen additional CCTA examinations were performed using the proposed personalised injection model. Comparisons of inter-individual variability between the traditional and the proposed personalised injection protocol were performed. RESULTS:In the model-building phase, a high positive correlation between aortic enhancement and the haemodynamic parameters obtained from the TB was found. As a result, a personalised injection equation was determined using linear regression. In the model-validation phase, the average aortic enhancement was 350.5 HU, without significant differences from the preset level. Using the TB-based personalised injection protocol, inter-individual variability of aortic enhancement was significantly reduced (71.8 versus 38.9 HU, p<0.001) and patients who were scanned at 100 kVp had a reduction in the average contrast medium flow rate from 4.1 to 3.2 ml/s (p<0.001). CONCLUSIONS:The proposed TB-based injection protocol can achieve a desired preset and stable aortic enhancement.
journal_name
Clin Radioljournal_title
Clinical radiologyauthors
Zhu X,Zhu Y,Liu W,Yang G,Su Z,Tang L,Xu Ydoi
10.1016/j.crad.2016.04.001subject
Has Abstractpub_date
2016-11-01 00:00:00pages
1113-9issue
11eissn
0009-9260issn
1365-229Xpii
S0009-9260(16)30026-5journal_volume
71pub_type
杂志文章abstract::The ability to deliver cells in appropriate doses to their targeted site of action is a well-known obstacle to optimising stem cell therapy. Systemic administration of cells results in pulmonary "trapping," which significantly decreases the number of available circulating cells to impact underlying disorders. Directed...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2016.01.005
更新日期:2016-04-01 00:00:00
abstract:AIM:To assess whether patients taking aspirin were more likely to experience bleeding complications after transrectal ultrasound (TRUS)-guided prostate biopsy. MATERIALS AND METHODS:Three hundred and eighty-seven patients taking aspirin who underwent prostate biopsy over a 3.5 year period and 731 patients not taking a...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2007.09.014
更新日期:2008-05-01 00:00:00
abstract::In most of the radiotherapy centres the treatment planning is based on isodose lines. Isoeffect lines are also being drawn based on the concepts of TDFs and CREs. It was aimed in this work to find out whether the isoeffect lines based on the concepts of TDFs, CREs and the physical isodose lines are identical in all th...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(79)80072-0
更新日期:1979-05-01 00:00:00
abstract:AIMS:To investigate the clinical spectrum, cardiovascular magnetic resonance imaging (cMRI) characteristics, including T1 and extracellular volume fraction, and outcomes of Danon disease to facilitate further understanding of the phenotype of patients with Danon disease. MATERIALS AND METHODS:The study comprised six m...
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(99)91239-4
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abstract:OBJECTIVE:To determine the effect of breathing on the detection of small dense pulmonary nodules of threshold conspicuity by spiral computed tomography (SCT). MATERIALS AND METHODS:Forty pulmonary nodules of high density were created by endobronchial deployment of 2 and 4mm diameter beads in the peripheral airways of ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(98)80170-0
更新日期:1998-07-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/j.crad.2004.09.016
更新日期:2005-07-01 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(80)80022-5
更新日期:1980-11-01 00:00:00
abstract:AIM:To investigate the diagnostic and differential diagnostic values of dynamic contrast-enhanced magnetic resonance imaging (DCE MRI) in prostatic diseases, and to investigate the correlation between the parameters of SI-T curves and angiogenesis. MATERIALS AND METHODS:Twenty-one patients with proven prostatic carcin...
journal_title:Clinical radiology
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doi:10.1016/j.crad.2007.07.023
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pub_type: 杂志文章
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doi:10.1016/j.crad.2013.05.092
更新日期:2013-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/s0009-9260(05)80967-5
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doi:10.1016/j.crad.2020.10.017
更新日期:2020-12-09 00:00:00
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1053/crad.2000.0645
更新日期:2000-12-01 00:00:00
abstract:AIM:To evaluate splenic phenotype in autosomal dominant polycystic kidney disease (ADPKD) including presence of cysts and splenomegaly to determine if these are ADPKD related or represent unrelated incidental findings. MATERIALS AND METHODS:The axial/coronal T2-weighted images of ADPKD patients (n=215) and age/gender-...
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更新日期:2019-12-01 00:00:00
abstract::Percutaneous high brachial aortography with a small diameter catheter (5 gauge) was used as an alternative to the translumbar approach in 45 patients in whom access via the femoral route was not considered possible. Only one serious complication occurred: the late development of a bleeding false aneurysm in a patient ...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(86)80036-8
更新日期:1986-11-01 00:00:00
abstract::Thirteen adult patients with biochemically proven congenital adrenal hyperplasia (CAH) were examined by computed tomography (CT). Six patients had never received glucocorticoid therapy. In three of those six patients, CT revealed a tumorous transformation in one of the hyperplastic adrenal glands. In the seven patient...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(86)80389-0
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abstract:AIM:To evaluate the diagnostic performance of chemical shift magnetic resonance imaging (MRI) in distinguishing hepatocellular carcinomas (HCCs) from non-hepatocellular malignant tumours (non-HCCs) of the liver. MATERIALS AND METHODS:Patients with a diagnosis of malignant liver tumours examined at 3 T MRI were include...
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journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(05)83133-2
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abstract::The fine gauge Chiba needle was evaluated in percutaneous aspiration biopsy in 20 patients with suspected malignant lung neoplasm. Adequate aspirate can be obtained with one biopsy. A confident cytological diagnosis of malignancy was made in 19 out of 20 patients. Most of the patients were elderly. Nine patients devel...
journal_title:Clinical radiology
pub_type: 杂志文章
doi:10.1016/s0009-9260(78)80181-0
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doi:10.1016/s0009-9260(82)80400-5
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pub_type: 杂志文章
doi:10.1016/j.crad.2007.10.002
更新日期:2008-04-01 00:00:00
abstract::The complication rate following radiofrequency catheter ablation for atrial fibrillation is low (<5%). Complications include pericardial effusion, cardiac tamponade, pulmonary vein stenosis, oesophageal ulceration or perforation, atrio-oesophageal fistula formation, stroke/transient ischaemic attack, phrenic nerve inj...
journal_title:Clinical radiology
pub_type: 杂志文章,评审
doi:10.1016/j.crad.2013.08.018
更新日期:2014-01-01 00:00:00
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journal_title:Clinical radiology
pub_type: 临床试验,杂志文章
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journal_title:Clinical radiology
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doi:10.1016/j.crad.2008.01.008
更新日期:2008-07-01 00:00:00
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journal_title:Clinical radiology
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abstract:AIM:The purpose of this study was to determine the feasibility of echocardiogram (ECG)-gated multi-slice CT angiography (MCTA) in patients with clinical suspicion of acute venous thromboembolism (VTE), to investigate the effect of ECG-gating on cardiac motion artefacts, and to determine the diagnostic reader agreement ...
journal_title:Clinical radiology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2003-11-01 00:00:00
abstract::A comparative study is reported of endoscopy and the barium meal in the investigation of the oesophagus, stomach and duodenum, based on 281 endoscopies. There was total agreement between the two methods in 239 instances, including 101 normals, 80 peptic ulcers and nine cancers. In nine instances with unequivocal follo...
journal_title:Clinical radiology
pub_type: 杂志文章
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更新日期:1975-04-01 00:00:00