Accuracy of Quantification of Iodine and Hounsfield Unit Values on Virtual Monochromatic Imaging Using Dual-Energy Computed Tomography

2018 ◽  
Vol 42 (6) ◽  
pp. 965-971 ◽  
Author(s):  
Hayate Washio ◽  
Shingo Ohira ◽  
Tsukasa Karino ◽  
Yuya Nitta ◽  
Masaaki Hayashi ◽  
...  
2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
K Miwa ◽  
Y Taniguchi ◽  
K Sumimoto ◽  
Y Matsuoka ◽  
Y Izawa ◽  
...  

Abstract Background It has been previously reported that poor subpleural perfusion (PSP) in dual-energy computed tomography (DE-CT) might suggest the microvasculopathy in patients with chronic thromboembolic pulmonary hypertension (CTEPH). However, it remains unclear whether pathological findings of microvasculopathy in CTEPH and pulmonary arterial hypertension (PAH) are equivalent. The aim is to evaluate the microvasculopathy in CTEPH and PAH by using clinical parameters and DE-CT. Methods We retrospectively reviewed PSP (defined as subpleural spaces either not or minimally perfused in all segments) of consecutive treatment-naïve 89 CTEPH patients and 20 PAH patients who underwent DECT from Feb. 2015 to Dec. 2019. We also evaluated hemodynamic parameters and DE-CT parameters including quantitative evaluation of pulmonary blood volume (PBV) which was calculated as the average of entire lung iodine density. Results PSP was observed in 49.4% of patients in CTEPH group versus 5.0% in PAH group (p<0.01). There were no significant differences in hemodynamics and lung PBV between CTEPH group and PAH group (mean pulmonary arterial pressure; 36.4±10.4mmHg vs 38.3±8.5mmHg p=0.464, pulmonary vascular resistance; 700±388dyne*sec/cm5 vs 805±440 dyne*sec/cm5 p=0.288, lung PBV; 24.9±6.4 Hounsfield Unit vs 22.0±6.6 Hounsfield Unit p=0.06, respectively), however diffusing capacity for carbon monoxide (%DLCO/VA) was significantly lower (69.5±16.8% vs 45.7±23.7% p<0.01) in PAH group. Conclusion PSP in DE-CT, which was observed more frequently in patients with CTEPH, might suggest the different mechanism of microvasculopathy from PAH in patients with CTEPH. Microvasculopathy in CTEPH would be diffuse very distal thrombosis. DE-CT is effective modality to detect microvasculopathy of diffuse distal thrombosis in patients with CTEPH. DECT, Poor subpleural perfusion Funding Acknowledgement Type of funding source: None


Urology ◽  
2014 ◽  
Vol 84 (3) ◽  
pp. 561-564 ◽  
Author(s):  
Maria A. Jepperson ◽  
El-Sayed H. Ibrahim ◽  
Abby Taylor ◽  
Joseph G. Cernigliaro ◽  
William E. Haley ◽  
...  

2019 ◽  
Author(s):  
Torsten Diekhoff ◽  
Michael Fuchs ◽  
Nils Engelhard ◽  
Kay-Geert Hermann ◽  
Michael Putzier ◽  
...  

2011 ◽  
Vol 12 (1) ◽  
pp. 62-63 ◽  
Author(s):  
Thomas Henzler ◽  
Steffen Diehl ◽  
Susanne Jochum ◽  
Tim Sueselbeck ◽  
Stefan O Schoenberg ◽  
...  

Diagnostics ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 161
Author(s):  
Masakatsu Tsurusaki ◽  
Keitaro Sofue ◽  
Masatoshi Hori ◽  
Kosuke Sasaki ◽  
Kazunari Ishii ◽  
...  

Dual-energy computed tomography (DECT) is an imaging technique based on data acquisition at two different energy settings. Recent advances in CT have allowed data acquisitions and simultaneous analyses of X-rays at two energy levels, and have resulted in novel developments in the field of abdominal imaging. The use of low and high X-ray tube voltages in DECT provide fused images that improve the detection of liver tumors owing to the higher contrast-to-noise ratio (CNR) of the tumor compared with the liver. The use of contrast agents in CT scanning improves image quality by enhancing the CNR and signal-to-noise ratio while reducing beam-hardening artifacts. DECT can improve detection and characterization of hepatic abnormalities, including mass lesions. The technique can also be used for the diagnosis of steatosis and iron overload. This article reviews and illustrates the different applications of DECT in liver imaging.


Sign in / Sign up

Export Citation Format

Share Document