Utility of virtual monoenergetic images derived from a dual-layer detector-based spectral CT in the assessment of aortic anatomy and pathology: A retrospective case control study.

Abstract:

OBJECTIVES:To evaluate the ability of the retrospectively generated virtual monoenergetic images (VMIs) from a dual-layer detector-based spectral computed tomography (SDCT) to augment aortic enhancement for the evaluation of aortic anatomy and pathology. METHODS:98 patients with suboptimal aortic enhancement (≤200 HU) were retrospectively identified from SDCT scans. VMI from 40 to 80 keV were generated. Attenuation, noise, SNR, and CNR were measured at seven levels in the aorta. Image quality was graded on a 5-point scale, 5 being the best. From the VMI, an ideal set was chosen with mean vascular attenuation above 200 HU while maintaining diagnostic quality. Image parameters and quality of this ideal-set were compared to the standard 120-kVp images. RESULTS:The mean attenuation of all seven measured anatomical regions was 156.6 ± 61.7 HU in the 120-kVp images. Attenuation of the VMI from 40 to 70 keV were higher than the 120-kVp image, measuring 439.2 ± 215.3 HU, 298.5 ± 140.6 HU, 213.4 ± 94.3 HU, and 164.7 ± 90.2 HU, for 40 keV, 50 keV, 60 keV, and 70 keV, respectively (p value <0.01 for 40, 50, 60 keV; 0.07 for 70 keV). SNR and CNR showed similar trends. The 50 keV VMI had the best image quality (4.48 ± 0.84 vs. 2.24 ± 0.92 on 120-kVp images, p < 0.001). Attenuation, CNR, and SNR increased by 90.6%, 85.0%, and 108.1% at 50 keV compared to 120-kVp. CONCLUSIONS:A contrast-enhanced CT study can be optimized for the assessment of the aorta by using low-energy VMI obtained using SDCT. At the optimal monoenergetic level, attenuation, SNR, CNR and image quality were significantly higher than that of conventional polyenergetic images.

journal_name

Clin Imaging

journal_title

Clinical imaging

authors

Chalian H,Kalisz K,Rassouli N,Dhanantwari A,Rajiah P

doi

10.1016/j.clinimag.2018.08.007

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

292-301

eissn

0899-7071

issn

1873-4499

pii

S0899-7071(18)30228-6

journal_volume

52

pub_type

杂志文章
  • Radiology-pathology conference: sclerosing hemangioma of the lung.

    abstract::Sclerosing hemangioma (SH) is a relatively rare, benign neoplasm of the lung. Although there are relatively characteristic imaging findings, biopsy remains the definitive diagnostic test. We report the radiology and pathology of a patient with a SH, with emphasis on the computed tomographic and (18)F-fluorodeoxyglucos...

    journal_title:Clinical imaging

    pub_type: 杂志文章,评审

    doi:10.1016/j.clinimag.2006.05.030

    authors: Neuman J,Rosioreanu A,Schuss A,Turi G,Yung E,Trow TK,Williams L,Katz DS

    更新日期:2006-11-01 00:00:00

  • Equivalent cross-relaxation rate imaging and diffusion weighted imaging for early prediction of response to bevacizumab-containing treatment in colorectal liver metastases-preliminary study.

    abstract:PURPOSE:To evaluate and compare the usefulness of equivalent cross-relaxation rate (ECR) imaging (ECRI) and diffusion-weighted imaging (DWI) in the early prediction of the response of bevacizumab-containing treatments of colorectal liver metastases. METHODS AND MATERIAL:Seven patients received bevacizumab-containing t...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2016.08.013

    authors: Matsushima S,Sato T,Nishiofuku H,Sato Y,Murata S,Kinosada Y,Era S,Inaba Y

    更新日期:2017-01-01 00:00:00

  • The role of single-photon emission computed tomography/computed tomography for precise localization of metastases in patients with differentiated thyroid cancer.

    abstract:PURPOSE:It is very important in the management of patients with differentiated thyroid cancer (DTC) to precisely localize the foci of I-131 uptake, but it is difficult because of a lack of anatomic landmarks. The purpose of this study was to investigate the added value of I-131 single-photon emission computed tomograph...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2008.06.024

    authors: Wang H,Fu HL,Li JN,Zou RJ,Gu ZH,Wu JC

    更新日期:2009-01-01 00:00:00

  • Performance of PI-RADS v2 assessment categories assigned prior to MR-US fusion biopsy in a new fusion biopsy program.

    abstract:OBJECTIVE:To validate the performance of PI-RADS v2 for detection of clinically significant prostate cancer (csPca, Gleason ≥7) within the context of a new fusion biopsy program. MATERIAL AND METHODS:Patients with a PI-RADS v2 assessment category assigned on pre-biopsy mpMRI between March 2015 and November 2017 were i...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2020.03.004

    authors: Trent GP,Ye N,Chopra J,Chen R,Wong-You-Cheong J,Naslund M,Siddiqui MM,Wnorowski A

    更新日期:2020-08-01 00:00:00

  • Characteristics of computed tomography perfusion parameters in non-small-cell-lung-cancer and its relationship to histology, size, stage an treatment response.

    abstract:OBJECTIVES:To analyze computed tomography perfusion (CTP) parameters in NSCLC. MATERIALS AND METHODS:Prospective study, 152 patients with NSCLC. CTP parameters were correlated with histology, stage, size and response to conventional chemotherapy/radiotherapy. RESULTS:Neuroendocrine tumours presented higher BV (p 0.00...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2017.12.001

    authors: Trinidad López C,Souto Bayarri M,Oca Pernas R,Delgado Sánchez-Gracián C,González Vázquez M,Vaamonde Liste A,Tardáguila De La Fuente G,De La Fuente Aguado J

    更新日期:2018-01-01 00:00:00

  • Transient arterial phase respiratory motion-related artifact in MR imaging of the liver: an analysis of four different gadolinium-based contrast agents.

    abstract:PURPOSE:The purpose was to compare hepatic arterial phase (HAP) respiratory motion artifact (RMA) between gadoxetate, gadobutrol, gadopentetate, and gadobenate. MATERIALS/METHODS:Two hundred cases of each gadolinium agent were included. RMA was assigned using 5-point Likert scale (1=no motion, 5=extreme motion) on pre...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2016.09.004

    authors: Shah MR,Flusberg M,Paroder V,Rozenblit AM,Chernyak V

    更新日期:2017-01-01 00:00:00

  • Asymptomatic sacroiliitis in inflammatory bowel disease. Assessment by computed tomography.

    abstract::Plain film radiographs and computed tomography scans of sacroiliac joints in 65 asymptomatic patients with known inflammatory bowel disease were performed and evaluated by two radiologists. Computed tomography revealed the presence of asymptomatic sacroiliitis in 21 (32%) of the 65 patients (New York grades 2 to 4); a...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/0899-7071(95)00046-s

    authors: McEniff N,Eustace S,McCarthy C,O'Malley M,O'Morain CA,Hamilton S

    更新日期:1995-10-01 00:00:00

  • A case report of an unusual location of pericruciate meniscal cyst with adjacent bony erosion.

    abstract::Meniscal cysts are uncommon cystic lesions around the knee, and pericruciate meniscal cysts are the most rare types. Here we present an unusual case of a pericruciate meniscal cyst located laterally to the anterior cruciate ligament (ACL), causing erosion of the adjacent tibial plateau. ...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/s0899-7071(02)00434-5

    authors: Lu CY,Hiseh TJ,Huang HT,Wang CK,Liu GC

    更新日期:2002-09-01 00:00:00

  • MRA review.

    abstract::Magnetic resonance (MR) angiography is a rapidly evolving field in MR imaging, the main goal of which is a noninvasive tool for visualizing blood vessels. The acquisition of continuous images of the blood vessels, comparable to the conventional DSA images, as well as the functional evaluation of blood-flow velocities ...

    journal_title:Clinical imaging

    pub_type: 杂志文章,评审

    doi:10.1016/0899-7071(92)90042-8

    authors: Bosmans H,Marchal G,Van Hecke P,Vanhoenacker P

    更新日期:1992-07-01 00:00:00

  • A magnetic resonance imaging study of abnormalities of the patella and patellar tendon that predispose children to acute patellofemoral dislocation.

    abstract::This study compared 20 children hospitalised with acute patellofemoral dislocation with an age-matched healthy control group with no history of knee problems or patellar dislocation. The following morphological parameters were significantly different between the groups: the mean patellar width and length, mean sulcus ...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2016.11.010

    authors: Yılmaz B,Çiçek ED,Şirin E,Özdemir G,Karakuş Ö,Muratlı HH

    更新日期:2017-01-01 00:00:00

  • Diagnostic accuracy of MDCT in differentiating gallbladder cancer from acute and xanthogranulomatous cholecystitis.

    abstract:OBJECTIVE:To determine the diagnostic accuracy of multi-detector CT (MDCT) for differentiating gallbladder cancer from acute and xanthogranulomatous cholecystitis using previously described imaging features. METHODS:In this IRB approved HIPAA-compliant retrospective cohort study, contrast-enhanced MDCT of histological...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2018.04.010

    authors: Wasnik AP,Davenport MS,Kaza RK,Weadock WJ,Udager A,Keshavarzi N,Nan B,Maturen KE

    更新日期:2018-01-01 00:00:00

  • Role of computed tomography screening for detection of coronary artery disease.

    abstract::Coronary artery disease (CAD) is a leading cause of morbidity and mortality in Western populations, and the prediction and prevention of CAD is an inherent challenge facing current health care societies. Computed tomography (CT) has emerged as a noninvasive imaging tool in the field of cardiovascular disease. Notably,...

    journal_title:Clinical imaging

    pub_type: 杂志文章,评审

    doi:10.1016/j.clinimag.2015.07.002

    authors: Han D,Lee JH,Hartaigh BÓ,Min JK

    更新日期:2016-03-01 00:00:00

  • Three-dimensional noninvasive contrast-enhanced electron beam tomography angiography of the kidneys: adjunctive use in medical and surgical management.

    abstract:OBJECTIVE:To indicate the use of 3D electron beam computerized tomography angiography (EBCTA) for renal artery lesions, vascular variants that are crucial to detect before surgery, especially partial nephrectomy and extension of the intravascular tumor. METHODS:Forty patients (30 men, 10 women, age range 13-82, mean a...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/S0899-7071(03)00101-3

    authors: Tepe SM,Memisoglu E,Kural AR

    更新日期:2004-01-01 00:00:00

  • Pleomorphic xanthoastrocytoma in the posterior fossa: a case report with advanced neuroimaging findings.

    abstract::Pleomorphic xanthoastrocytoma (PXA) is a rare glioma usually occurring in children and young adults. It is a benign World Health Organization (WHO) grade II tumor that accounts for <1% of all astrocytomas. Its occurrence in the infratentorial compartment is rare, and the cerebellum is the most common of the unusual lo...

    journal_title:Clinical imaging

    pub_type:

    doi:10.1016/j.clinimag.2020.02.010

    authors: Luna LP,da Ponte IM,Oliveira IB,Ramos F Jr,Gerson G

    更新日期:2020-07-01 00:00:00

  • Imaging of common congenital anomalies of the brain and spine.

    abstract::The term congenital anomalies refers to those processes that are present before or at birth. In congenital brain anomalies these defects are usually manifested as structural abnormalities. The central nervous system (CNS) starts forming at approximately the 17th day of intrauterine life and myelination is almost compl...

    journal_title:Clinical imaging

    pub_type: 杂志文章,评审

    doi:10.1016/0899-7071(92)90117-r

    authors: Castillo M,Dominguez R

    更新日期:1992-04-01 00:00:00

  • MRI of small intrahepatic mass-forming cholangiocarcinoma and atypical small hepatocellular carcinoma (≤3 cm) with cirrhosis and chronic viral hepatitis: a comparative study.

    abstract:OBJECTIVE:The objective was to identify the decision-making magnetic resonance (MR) features in differentiating small intrahepatic mass-forming cholangiocarcinoma (sIMCC) from atypical small hepatocellular carcinoma (sHCC) (≤3 cm) in patients with cirrhosis and chronic viral hepatitis. METHODS:Signal features and rela...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2013.12.022

    authors: Sheng RF,Zeng MS,Rao SX,Ji Y,Chen LL

    更新日期:2014-05-01 00:00:00

  • Comparison of resistive index versus pulsatility index in assessing the benign etiology of adnexal masses.

    abstract::Retrospective analysis of pelvic sonograms with colorguided spectral Doppler evaluation of 189 adnexal masses yielded four malignancies, 20 benign neoplasms, 32 cysts, and 14 endometriomas. Fifty-eight masses were presumed benign on additional imaging. Pulsatility index (PI) < 1.0 was seen in 70% neoplasms, 63% benign...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/s0899-7071(98)00013-8

    authors: Angeid-Backman E,Coleman BG,Arger PH,Jacobs JE,Langer JE,Horii S

    更新日期:1998-07-01 00:00:00

  • F-18 FDG PET/MRI findings of primary breast lymphoma in two cases: FDG PET/MRI findings of primary breast lymphoma.

    abstract::We present the integrated positron emission tomography (PET)/magnetic resonance imaging (MRI) findings of diffuse large B-cell lymphoma involving the breast in two women. They were admitted with palpable breast masses. PET/MRI revealed high (18)F-fluorodeoxyglucose (FDG) uptake in multinodular enhancing masses without...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2015.01.015

    authors: Kong EJ,Cho IH

    更新日期:2015-07-01 00:00:00

  • Breast MRI as an adjunct in the diagnosis of a carcinoma partially obscured on mammography.

    abstract::The role of unenhanced breast MRI as an adjunct to mammography in the diagnosis of a breast carcinoma presenting as architectural distortion partially obscured by dense tissue on film-screen mammography is illustrated. ...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/0899-7071(94)90081-7

    authors: Stomper PC,Mazurchuk RV,Tsangaris TN

    更新日期:1994-07-01 00:00:00

  • Ultrasonographic appearance of the plantar fasciitis.

    abstract:PURPOSE:To study high frequency sonographic in the examination of plantar fasciitis (PF), which is a common cause of heel pain. MATERIALS AND METHODS:Our study was done with 25 PF (21 unilateral, 4 bilateral) and 15 control cases of similar age, weight and gender. In this study, the plantar fascial thickness (mainly),...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/s0899-7071(02)00591-0

    authors: Akfirat M,Sen C,Günes T

    更新日期:2003-09-01 00:00:00

  • Imaging features of left ovarian and renal venous aneurysms: two case reports and literature review.

    abstract::Venous aneurysms rarely occur in the visceral veins. We report two extremely rare cases of venous aneurysms, one of the ovarian vein and the other one of the renal vein. The aneurysms were depicted on grayscale and color Doppler ultrasonography as anechoic saccular structures with compressibility and blood flow. Pulse...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2016.01.004

    authors: Yoo J,Park SB,Shin M,Lee ES,Park HJ,Lee JB,Choi BI

    更新日期:2016-07-01 00:00:00

  • Pelvic pathology after hysterectomy. A pictorial essay.

    abstract::Hysterectomy, one of the most commonly performed surgical procedures, leads to characteristic changes in the appearance of the pelvis on imaging studies. Women who have had a hysterectomy are often at risk for several complications, both benign and malignant, that are frequently evaluated with cross-sectional imaging....

    journal_title:Clinical imaging

    pub_type: 杂志文章,评审

    doi:10.1016/0899-7071(95)00011-e

    authors: Kasales CJ,Langer JE,Arger PH

    更新日期:1995-07-01 00:00:00

  • FDG PET/CT findings of a ruptured pulmonary hydatid cyst with histopathological correlation.

    abstract::We present a case of ruptured pulmonary hydatid cyst in a patient with hemoptysis and suspected pulmonary malignancy, for which the (18)F-fluorodeoxyglucose positron emission tomography (PET)/computed tomography (CT) findings of absent metabolic activity within the cyst and hypermetabolism within a pericystic region o...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2012.12.007

    authors: Yang L,Maldjian PD,Peters S

    更新日期:2013-07-01 00:00:00

  • Medical student education in the time of COVID-19: A virtual solution to the introductory radiology elective.

    abstract:RATIONALE AND OBJECTIVES:During the COVID-19 pandemic, medical educators and students are facing unprecedented challenges while navigating the new virtual landscape that social-distancing policies mandate. In response to these challenges, a new virtual introduction to radiology elective was established with unique onli...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2021.01.013

    authors: Belfi LM,Dean KE,Bartolotta RJ,Shih G,Min RJ

    更新日期:2021-01-20 00:00:00

  • Metastasis in vertebra mimicking acute compression fractures in a patient with osteoporosis: MRI findings.

    abstract::Elderly patients who have osteoporosis and a cancer history with backache and vertebral fractures are diagnostic challenges. We present a case of an 87-year-old man who complained of severe low-back pain with radiation to the lower limbs and weakness of the lower limbs. The patient had had a fall on a bus 1 month befo...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:

    authors: Ho CS,Choi WM,Chen CY,Chen WY,Chan WP

    更新日期:2005-01-01 00:00:00

  • Multiple Sclerosis lesions detection by a hybrid Watershed-Clustering algorithm.

    abstract:BACKGROUND:Computer Aided Diagnosis (CAD) systems have been developing in the last years with the aim of helping the diagnosis and monitoring of several diseases. We present a novel CAD system based on a hybrid Watershed-Clustering algorithm for the detection of lesions in Multiple Sclerosis. METHODS:Magnetic Resonanc...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2020.11.006

    authors: Bonanno L,Mammone N,De Salvo S,Bramanti A,Rifici C,Sessa E,Bramanti P,Marino S,Ciurleo R

    更新日期:2020-11-05 00:00:00

  • Rare presentation of Ewing sarcoma metastasis to the sella and suprasellar cistern.

    abstract::We present an exceedingly rare case of a Ewing sarcoma metastasis manifesting as a sellar mass mimicking a pituitary adenoma. The differential diagnosis of the young adult with a sellar mass is presented and correlated with a review of available literature, demonstrating this case's unique potential for clinical teach...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2016.10.017

    authors: Starc MT,Rosenblum MK,Meyers PA,Hatzoglou V

    更新日期:2017-01-01 00:00:00

  • Inguinal herniation of a bladder diverticulum.

    abstract::The inguinal herniation of a bladder diverticulum is a rare entity. We report two cases and describe the findings observed by computed tomography, which allowed demonstration of the site and contents of the hernia. ...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2006.03.001

    authors: Fuerxer F,Brunner P,Cucchi JM,Mourou MY,Bruneton JN

    更新日期:2006-09-01 00:00:00

  • Characteristics of axillary lymph nodes apparent on dynamic contrast-enhanced breast MRI in healthy women.

    abstract::The study was initiated to characterize and better understand the natural characteristics of axillary lymph nodes (LNs) apparent on dynamic breast magnetic resonance imaging (MRI). The most important finding in 71 subjects that included healthy women was that 41% showed strong enhanced axillary LNs. The dynamic curves...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2011.12.022

    authors: Krammer J,Engel D,Nissen J,Schnitzer A,Suetterlin M,Schoenberg SO,Wasser K

    更新日期:2012-07-01 00:00:00

  • Vaginal tumor-vesical fistula detected by dynamic fluorodeoxyglucose-positron emission tomography/computed tomography: A case report.

    abstract::Preoperative fistulas are rare in patients with bladder mucosa-invading gynecological tumors. This is the first reported case of a vesico-vaginal fistula identified using 2-deoxy-2-[fluorine-18]fluoro-d-glucose positron emission tomography/computed tomography (18F-FDG-PET/CT) in a patient with vaginal cancer. A 61-yea...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2017.07.017

    authors: Ishibashi N,Maebayashi T,Aizawa T,Sakaguchi M,Amano Y

    更新日期:2017-01-01 00:00:00