scholarly journals The Search Patterns of Abdominal Imaging Subspecialists for Abdominal Computed Tomography: Toward a Foundational Pattern for New Radiology Residents

2021 ◽  
Vol 11 ◽  
pp. 1
Author(s):  
Mark A. Kliewer ◽  
Michael Hartung ◽  
C. Shawn Green
Keyword(s):  
Computed Tomography ◽  
Eye Gaze ◽  
Correlation Coefficients ◽  
The Body ◽  
Abdominal Imaging ◽  
Search Pattern ◽  
Abdominal Ct ◽  
Sagittal Image ◽  
Search Patterns ◽  
Picture Archiving And Communication

Objectives: The routine search patterns used by subspecialty abdominal imaging experts to inspect the image volumes of abdominal/pelvic computed tomography (CT) have not been well characterized or rendered in practical or teachable terms. The goal of this study is to describe the search patterns used by experienced subspecialty imagers when reading a normal abdominal CT at a modern picture archiving and communication system workstation, and utilize this information to propose guidelines for residents as they learn to interpret CT during training. Material and Methods: Twenty-two academic subspecialists enacted their routine search pattern on a normal contrast-enhanced abdominal/pelvic CT study under standardized display parameters. Readers were told that the scan was normal and then asked to verbalize where their gaze centered and moved through the axial, coronal, and sagittal image stacks, demonstrating eye position with a cursor as needed. A peer coded the reported eye gaze movements and scrilling behavior. Spearman correlation coefficients were calculated between years of professional experience and the numbers of passes through the lung bases, liver, kidneys, and bowel. Results: All readers followed an initial organ-by-organ approach. Larger organs were examined by drilling, while smaller organs by oscillation or scanning. Search elements were classified as drilling, scanning, oscillation, and scrilling (scan drilling); these categories were parsed as necessary. The greatest variability was found in the examination the body wall and bowel/mesentery. Two modes of scrilling were described, and these classified as roaming and zigzagging. The years of experience of the readers did not correlated to number of passes made through the lung bases, liver, kidneys, or bowel. Conclusion: Subspecialty abdominal radiologists negotiate through the image stacks of an abdominal CT study in broadly similar ways. Collation of the approaches suggests a foundational search pattern for new trainees.

scholarly journals Deep Learning Automated Segmentation for Muscle and Adipose Tissue from Abdominal Computed Tomography in Polytrauma Patients

Sensors ◽  
2021 ◽  
Vol 21 (6) ◽  
pp. 2083
Author(s):  
Leanne L. G. C. Ackermans ◽  
Leroy Volmer ◽  
Leonard Wee ◽  
Ralph Brecheisen ◽  
Patricia Sánchez-González ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Adipose Tissue ◽  
Deep Learning ◽  
Visceral Adipose Tissue ◽  
Subcutaneous Adipose Tissue ◽  
The Body ◽  
Fine Tuning ◽  
Abdominal Ct ◽  
Visceral Adipose ◽  
Subcutaneous Adipose

Manual segmentation of muscle and adipose compartments from computed tomography (CT) axial images is a potential bottleneck in early rapid detection and quantification of sarcopenia. A prototype deep learning neural network was trained on a multi-center collection of 3413 abdominal cancer surgery subjects to automatically segment truncal muscle, subcutaneous adipose tissue and visceral adipose tissue at the L3 lumbar vertebral level. Segmentations were externally tested on 233 polytrauma subjects. Although after severe trauma abdominal CT scans are quickly and robustly delivered, with often motion or scatter artefacts, incomplete vertebral bodies or arms that influence image quality, the concordance was generally very good for the body composition indices of Skeletal Muscle Radiation Attenuation (SMRA) (Concordance Correlation Coefficient (CCC) = 0.92), Visceral Adipose Tissue index (VATI) (CCC = 0.99) and Subcutaneous Adipose Tissue Index (SATI) (CCC = 0.99). In conclusion, this article showed an automated and accurate segmentation system to segment the cross-sectional muscle and adipose area L3 lumbar spine level on abdominal CT. Future perspectives will include fine-tuning the algorithm and minimizing the outliers.

scholarly journals Computed Tomography-Derived Occipital–Coccygeal Length and Ilium Wing Distance Correlates with Skin to Epidural and Intrathecal Depths in Dogs

2020 ◽  
Vol 7 (4) ◽  
pp. 196
Author(s):  
Tsim Christopher Sun ◽  
Mariano Makara ◽  
Fernando Martinez-Taboada
Keyword(s):  
Computed Tomography ◽  
Strong Correlation ◽  
Body Condition Score ◽  
Correlation Coefficients ◽  
The Body ◽  
Regression Equations ◽  
Moderate Correlation ◽  
Weak Correlation ◽  
Intrathecal Space ◽  
The Relationship

The current clinical techniques for neuraxial needle placement in dogs are predominantly blind without prior knowledge of the depth required to reach the desired space. This study investigated the correlation and defined the relationship between easily obtainable external landmark variables in the dog; occipital–coccygeal length (OCL) and ilium wings distance (IWD), with the skin to epidural and intrathecal space distances using computed tomography (CT). The CT images of 86 dogs of different breeds were examined in this retrospective observational study. Images of dogs in sternal recumbency were optimized to the sagittal view. The distances between the skin and lumbosacral epidural space (LSE) and skin to sacrococcygeal space (SCE) were measured to the ligamentum flavum surrogate (LFS) line. The distance between the skin and the intrathecal space (ITS) was measured from the skin to the vertebral canal at the interlumbar (L5–L6) space. Measurements of the IWD and OCL were performed on dorsal and scout views, respectively. Linear regression equations and Pearson’s correlation coefficients were calculated between variables. Data were reported as mean (standard deviation). Significance was set as alpha < 0.05. After exclusion of four dogs, 82 CT scans were included. The depths were LSE 45 (15) mm, SCE 23 (10) mm, and ITS 50 (15) mm. There was a moderate correlation between OCL with LSE (=14.2 + OCL * 0.05 (r = 0.59, p < 0.0001)), and a strong correlation with ITS (=11.4 + OCL * 0.07 (r = 0.76, p < 0.0001)), while a very weak correlation was found with SCE (=14.0 + OCL * 0.02 (r = 0.27, p < 0.0584)). Similarly, with IWD, there was a moderate correlation with LSE (=10.8 + IWD * 0.56 (r = 0.61, p < 0.0001)), and strong correlation with ITS (=9.2 + IWD * 0.67 (r = 0.75, p < 0.0001)), while a weak correlation was found with SCE (=11.2 + IWD * 0.2 (r = 0.32, p < 0.0033)). Mathematical formulae derived from the multiple regression showed that the body condition score (BCS) improved the relationship between IWD and OCL and the LSE, SCE and ITS, while the addition of body weight was associated with multicollinearity. Further studies are required to determine the accuracy of the algorithms to demonstrate their ability for prediction in a clinical setting.

Direct coronal computed tomography of the body

1984 ◽  
Vol 20 (3) ◽  
pp. 697
Author(s):  
Y J Yoon ◽  
H S Suh ◽  
J S Lee ◽  
S M Hong ◽  
S Y Chung ◽  
...  
Keyword(s):  
Computed Tomography ◽  
The Body

scholarly journals Correlation of age, sex and season with the state of human decomposition as quantified by postmortem computed tomography

2021 ◽  
Author(s):  
Dominic L. C. Guebelin ◽  
Akos Dobay ◽  
Lars Ebert ◽  
Eva Betschart ◽  
Michael J. Thali ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Demographic Data ◽  
Sociodemographic Factors ◽  
The State ◽  
The Body ◽  
Seasonal Effects ◽  
Whole Body ◽  
Postmortem Computed Tomography ◽  
Whole Body Computed Tomography ◽  
Urban Study

AbstractDead bodies exhibit a variable range of changes with advancing decomposition. To quantify intracorporeal gas, the radiological alteration index (RAI) has been implemented in the assessment of postmortem whole-body computed tomography. We used this RAI as a proxy for the state of decomposition. This study aimed to (I) investigate the correlation between the state of decomposition and the season in which the body was discovered; and (II) evaluate the correlations between sociodemographic factors (age, sex) and the state of decomposition, by using the RAI as a proxy for the extent of decomposition. In a retrospective study, we analyzed demographic data from all autopsy reports from the Institute of Forensic Medicine of Zurich between January 2017 to July 2019 and evaluated the radiological alteration index from postmortem whole-body computed tomography for each case. The bodies of older males showed the highest RAI. Seasonal effects had no significant influence on the RAI in our urban study population with bodies mostly being discovered indoors. Autopsy reports contain valuable data that allow interpretation for reasons beyond forensic purposes, such as sociopolitical observations.

scholarly journals Reliability and Change in Erosion Measurements by High-Resolution peripheral Quantitative Computed Tomography in a Longitudinal Dataset of Rheumatoid Arthritis Patients

2020 ◽  
pp. jrheum.191391 ◽  
Author(s):  
Stephanie Finzel ◽  
Sarah L. Manske ◽  
Cheryl Barnabe ◽  
Andrew J. Burghardt ◽  
Hubert Marotte ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Computed Tomography ◽  
High Resolution ◽  
Intraclass Correlation ◽  
Quantitative Computed Tomography ◽  
Correlation Coefficients ◽  
Peripheral Quantitative Computed Tomography ◽  
Good Reliability ◽  
Change Over Time ◽  
Over Time

Objective The aim of this multi-reader exercise was to assess the reliability and change over time of erosion measurements in rheumatoid arthritis (RA) patients using high-resolution peripheral quantitative computed tomography (HR-pQCT). Methods HR-pQCT scans of 23 patients with RA were assessed at baseline and 12 months. Four experienced readers examined the dorsal, palmar, radial, and ulnar surfaces of the metacarpal head (MH) and phalangeal base (PB) of the 2nd and 3rd digits, blinded to time order. In total, 368 surfaces (23 patients x16 surfaces) were evaluated per time point to characterize cortical breaks as pathological (erosion) or physiological, and to quantify erosion width and depth. Reliability was evaluated by intraclass correlation coefficients (ICC), percentage agreement, and Light’s kappa; change over time was defined by means ± SD of erosion numbers and dimensions. Results ICCs for the mean measurements of width and depth of the pathological breaks ranged between 0.819 - 0.883, and 0.771 - 0.907 respectively. Most physiological cortical breaks were found at the palmar PB, whereas most pathological cortical breaks were located at the radial MH. There was a significant increase in both the numbers and the dimensions of erosions between baseline and follow-up (p=0.0001 for erosion numbers, width, and depth in axial plane, and p=0.001 for depth in perpendicular plane). Conclusion This exercise confirmed good reliability of HR-pQCT erosion measurements and their ability to detect change over time.

Computed Tomography of the Body

1983 ◽  
Vol 309 (19) ◽  
pp. 1160-1165 ◽  
Author(s):  
Jack Wittenberg
Keyword(s):  
Computed Tomography ◽  
The Body

Growth performance, correlation and regression estimates of seven-chicken strains in South-Western Nigeria

2020 ◽  
Vol 45 (2) ◽  
pp. 40-48
Author(s):  
A. J. Atansuyi ◽  
U. C. Ihendu ◽  
C. A. Chineke
Keyword(s):  
Body Weight ◽  
Growth Performance ◽  
Correlation Coefficients ◽  
Tail Length ◽  
Experimental Period ◽  
The Body ◽  
Coefficient Of Determination ◽  
Indigenous Chicken ◽  
Randomized Design ◽  
Study Results

This study was conducted to determine the growth performance, correlation and regression estimates of seven-chicken strains in South-western Nigeria using a total of 300 day-old chicks. The birds were divided into seven groups based on their strain. The seven strains are Normal feather (NF), Fulani ecotype (FE), Frizzle feather (FF), naked neck (NN) and Transylvania indigenous strains while Hubbard and Marshal were meat-type exotic chickens. There were forty- five (45) unsexed day-old chicks in each strain except the Frizzle feather that were 30 in number. Completely randomized design (CRD) was used for the trial that lasted for 8 weeks. The birds were fed experimental diets ad libitum throughout the period of the study. Results showed that there were significant differences (p<0.05) in the initial and final weights of the birds. It was observed that exotic strains weighed heavier (3569.73gHB) than their indigenous counterparts (1391.11gNF). However, the Fulani ecotype weighed heaviest (1840.99g) among Nigeria indigenous strains during the experimental period. This showed that FE strains are generally heavy breed chicken and could be incorporated into a meat producing indigenous chicken if improved upon. The result of the correlation coefficients showed that a very strong, positive and highly significant (P<0.001) relationship existed between body weights and linear body measurements as most of the values are (>0.40). All the body parameter examined had significant (p<0.01) and direct relationship with the body weight. Shoulder-to-tail length (STL) had the highest coefficient of 0.98.The high correlation estimates obtained in this study could be as a result of pleiotropy, heterozygosity or linkage of genes in the birds. The three functions were highly significant (p<0.05) for all the parameters studied. This shows that the functions well described the parameters. On the basis of coefficient of determination (R ), the body weight of poultry birds at any age can be predicted most accurately with BRG using cubic function.

scholarly journals Computed tomography of the body: when should it be used?

BMJ ◽  
1982 ◽  
Vol 284 (6308) ◽  
pp. 4-8 ◽  
Author(s):  
J E Husband ◽  
S J Golding
Keyword(s):  
Computed Tomography ◽  
The Body

scholarly journals Ichthyometry and electrical bioimpedance analysis to estimate the body composition of tambatinga

2014 ◽  
Vol 44 (2) ◽  
pp. 279-286 ◽  
Author(s):  
Francisco Teixeira Andrade ◽  
Márvio Lobão Teixeira de Abreu ◽  
João Batista Lopes ◽  
Agustinho Valente de Figueiredo ◽  
Maria de Nazaré Bona Alencar Araripe ◽  
...  
Keyword(s):  
Body Composition ◽  
Water Content ◽  
Correlation Coefficients ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
The Body ◽  
Composition Analysis ◽  
Average Weight ◽  
Electrical Bioimpedance ◽  
The Relationship

Body composition analysis is relevant to characterize the nutritional requirements and finishing phase of fish. The aim of this study was to investigate the relationship between ichthyometric (weight, total and standard length, density and yields), bromatological (fat, protein, ash and water content) and bioelectrical-impedance-analysis (BIA) (resistance, reactance, phase angle and composition indexes) variables in the hybrid tambatinga (Colossoma macropomum × Piaractus brachypomus). In a non-fertilized vivarium, 520 juveniles were housed and fed commercial rations. Then, 136 days after hatching (DAH), 15 fish with an average weight of 37.69 g and average total length of 12.96 cm were randomly chosen, anesthetized (eugenol) and subjected to the first of fourteen fortnightly assessments (BIA and biometry). After euthanasia, the following parts were weighed: whole carcass with the head, fillet, and skin (WC); fillet with skin (FS); and the remainder of the carcass with the head (CH). Together, FS and CH were ground and homogenized for the bromatological analyses. Estimates of the body composition and yields of tambatinga, with models including ichthyometric and BIA variables, showed correlation coefficients ranging from 0.81 (for the FS yield) to 1,00 (for the total ash). Similarly, models that included only BIA variables had correlation coefficients ranging from 0.81 (FS and CH yields) to 0.98 (for the total ash). Therefore, in tambatinga, the BIA technique allows the estimation of the yield of the fillet with skin and the body composition (water content, fat, ash, and protein). The best models combine ichthyometric and BIA variables.

scholarly journals FOSSA NAVICULARIS MAGNA AT THE SKULL BASE: EMBRYOGENESIS AND ITS DETECTION BY COMPUTED TOMOGRAPHY

2018 ◽  
Vol 99 (3) ◽  
pp. 153-157
Author(s):  
S. L. Kabak ◽  
V. V. Zatochnaya ◽  
Yu. M. Mel’nichenko ◽  
N. A. Savrasova ◽  
E. A. Dorokh
Keyword(s):  
Computed Tomography ◽  
Congenital Anomaly ◽  
Skull Base ◽  
Paranasal Sinuses ◽  
Ventral Surface ◽  
The Body ◽  
Spiral Computed ◽  
Edge Defect ◽  
Medical Centers ◽  
Fossa Navicularis

Fossa navicularis magna was detected in multislice spiral computed  tomography in two patients who turned to the medical centers with  pathology of the paranasal sinuses. Its appearance is determined during  the development of the basilar part of the occipital bone and the body of the sphenoid bone in embryogenesis. This fossa has the  appearance of an edge defect on the ventral surface of the clivus in  CBCT scans. Practical radiologist should interpret such a finding as a  congenital anomaly of development, but not as an invasive lesion.

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