scholarly journals Justification of using Computed Tomography and Magnetic Resonance Imaging for Deep Venous Thrombosis and Pulmonary Embolism

2021 ◽  
Vol 17 (14) ◽  
pp. 119-134
Author(s):  
Petro Bodnar ◽  
Yaroslav Bodnar ◽  
Tetiana Bodnar ◽  
Liudmyla Bodnar ◽  
Dymytriy Hvalyboha

Deep vein thrombosis (DVT) is a medical condition, occurs when a blood clot forms in a deep vein and pulmonary embolism (PE) occurs when a blood clot gets lodged in an artery in the lung, affecting blood flow to part of the lung.The frequencies of using computed tomography (CT) and magnetic resonance imaging (MRI) to diagnose deep venous thrombosis and pulmonary embolism is increasing day by day.Both the technics are noninvasive and provide prompt results. But there are a good number of alternative technics for the same purposes. That is why, till now scholars and respective professionals are interested to know more about the justification and comparative effectiveness of CT and MRI in detecting DVT and PE.This review aimed to analyze the history of several detecting methods for DVT and PE and to dig out the clear concepts about the effectiveness and patient compliances of CT and MRI in detecting deep venous thrombosis and pulmonary embolism. For proper analysis a lot of research as well as meta-analysis had been studied.From this article besides scholars and professionals, general readers will get a clear concept about the features, effectiveness and justifications of CT and MRI in treating DVT and PE.

2019 ◽  
Vol 33 (08) ◽  
pp. 768-776 ◽  
Author(s):  
Si Heng Sharon Tan ◽  
Beatrice Ying Lim ◽  
Kiat Soon Jason Chng ◽  
Chintan Doshi ◽  
Francis K.L. Wong ◽  
...  

AbstractThe tibial tubercle–trochlear groove (TT–TG) distance was originally described for computed tomography (CT) but has recently been used on magnetic resonance imaging (MRI) without sufficient evidence demonstrating its validity on MRI. The current review aims to evaluate (1) whether there is a difference in the TT–TG distances measured using CT and MRI, (2) whether both the TT–TG distances measured using CT and MRI could be used to differentiate between patients with or without patellofemoral instability, and (3) whether the same threshold of 15 to 20 mm can be applied for both TT–TG distances measured using CT and MRI. The review was conducted using the preferred reporting items for systematic reviews and meta-analyses (PRSIMA) guidelines. All studies that compared TT–TG distances either (1) between CT and MRI or (2) between patients with and without patellofemoral instability were included. A total of 23 publications were included in the review. These included a total of 3,040 patients. All publications reported the TT–TG distance to be greater in patients with patellofemoral instability as compared to those without patellofemoral instability. This difference was noted for both TT–TG distances measured on CT and on MRI. All publications also reported the TT–TG distance measured on CT to be greater than that measured on MRI (mean difference [MD] = 1.79 mm; 95% confidence interval [CI]: 0.91–2.68). Pooling of the studies revealed that the mean TT–TG distance for the control group was 12.85 mm (95% CI: 11.71–14.01) while the mean TT–TG distance for patients with patellofemoral instability was 18.33 mm (95% CI: 17.04–19.62) when measured on CT. When measured on MRI, the mean TT–TG distance for the control group was 9.83 mm (95% CI: 9.11–10.54), while the mean TT–TG distance for patients with patellofemoral instability was 15.33 mm (95% CI: 14.24–16.42). Both the TTTG distances measured on CT and MRI could be used to differentiate between patients with and without patellofemoral instability. Patients with patellofemoral instability had significantly greater TT–TG distances than those without. However, the TT–TG distances measured on CT were significantly greater than that measured on MRI. Different cut-off values should, therefore, be used for TT–TG distances measured on CT and on MRI in the determination of normal versus abnormal values. Pooling of all the patients included in the review then suggest for 15.5 ± 1.5 mm to be used as the cut off for TT–TG distance measured on CT, and for 12.5 ± 2 mm to be used as the cut-off for TT–TG distance measured on MRI. The Level of evidence for this study is IV.


1994 ◽  
Vol 15 (8) ◽  
pp. 437-443 ◽  
Author(s):  
Mark S. Mizel ◽  
Neil D. Steinmetz ◽  
Elly Trepman

An experimental study was performed to compare computed tomography (CT), magnetic resonance imaging (MRI), and real-time, high resolution ultrasonography (US) for the detection of wooden foreign bodies in muscle tissue. Wooden splinters were prepared, measured for size, soaked in saline, and placed in porcine muscle distant from and adjacent to bone. The specimens were then examined using roentgenography, CT and MRI in planes parallel and perpendicular to the splinters, and US. The largest wooden foreign bodies (minimum smallest width = 10 mm) were easily detected by CT, MRI, and US. Almost all splinters of various sizes, small and large, soaked in saline for 5 months were easily detected by MRI. Smaller splinters (minimum smallest width = 1–4 mm) soaked for only 3 days and placed distant from bone were most easily detected by US; those soaked for 5 months were most easily detected by either US or MRI. The smaller splinters soaked for only 3 days and placed near bone were not reliably detected by any of the imaging methods; CT and MRI were both more sensitive than US in this situation. MRI scanning was more sensitive perpendicular than parallel to the long axis of the splinters. Therefore, either US or MRI may be the best initial imaging modality for evaluation of a suspected wooden foreign body, depending on availability of imaging method, chronicity of symptoms, and proximity to bone.


2019 ◽  
Vol 6 (1) ◽  
pp. 21 ◽  
Author(s):  
Katie Waine ◽  
Ben Strugnell ◽  
John Remnant ◽  
Fiona Lovatt ◽  
Martin Green ◽  
...  

Laryngeal chondritis, or “Texel throat”, is a disease affecting the upper respiratory tract of sheep with breeds like the Texel appearing to be predisposed. Previous work suggests the conformation of these breeds of sheep may be predisposing these animals to laryngeal disease. This study evaluated the anatomy of the Texel sheep larynx and describes incidental pathology. Forty-three larynges from rams of the Texel and Bluefaced Leicester breeds of sheep were measured and photographed. A larynx from each breed was submitted for computed tomography (CT) and magnetic resonance imaging (MRI). Measurements, photography, CT, and MRI demonstrated a difference in the anatomy of the larynx between breeds and a higher proportion of Texel sheep had laryngeal lesions. This study supports the hypothesis that the anatomy of the Texel sheep could be pre-disposing the breed to laryngeal chondritis.


2019 ◽  
Vol 52 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Lorenzo Carlo Pescatori ◽  
Edoardo Savarino ◽  
Giovanni Mauri ◽  
Enzo Silvestri ◽  
Maurizio Cariati ◽  
...  

Abstract Objective: To evaluate the feasibility of quantifying visceral adipose tissue (VAT) on computed tomography (CT) and magnetic resonance imaging (MRI) scans, using freeware, as well as calculating intraobserver and interobserver reproducibility. Materials and Methods: We quantified VAT in patients who underwent abdominal CT and MRI at our institution between 2010 and 2015, with a maximum of three months between the two examinations. A slice acquired at the level of the umbilicus was selected. Segmentation was performed with the region growing algorithm of the freeware employed. Intraobserver and interobserver reproducibility were evaluated, as was the accuracy of MRI in relation to that of CT. Results: Thirty-one patients (14 males and 17 females; mean age of 57 ± 15 years) underwent CT and MRI (mean interval between the examinations, 28 ± 12 days). The interobserver reproducibility was 82% for CT (bias = 1.52 cm2; p = 0.488), 86% for T1-weighted MRI (bias = −4.36 cm2; p = 0.006), and 88% for T2-weighted MRI (bias = −0.52 cm2; p = 0.735). The intraobserver reproducibility was 90% for CT (bias = 0.14 cm2; p = 0.912), 92% for T1-weighted MRI (bias = −3,4 cm2; p = 0.035), and 90% for T2-weighted MRI (bias = −0.30 cm2; p = 0.887). The reproducibility between T1-weighted MRI and T2-weighted MRI was 87% (bias = −0.11 cm2; p = 0.957). In comparison with the accuracy of CT, that of T1-weighted and T2-weighted MRI was 89% and 91%, respectively. Conclusion: The program employed can be used in order to quantify VAT on CT, T1-weighted MRI, and T2-weighted MRI scans. Overall, the accuracy of MRI (in comparison with that of CT) appears to be high, as do intraobserver and interobserver reproducibility. However, the quantification of VAT seems to be less reproducible in T1-weighted sequences.


Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Takahiro Sato

Background and Purpose: Computed tomography (CT) scan is difficult to detect early-onset acute intracerebral hemorrhage (ICH) rich in fresh blood correctly. We identified the presence of a perihematomal low-density lesion on CT imaging, which showed a high-intensity signal on T2-weighted imaging and an iso-intensity signal on fluid-attenuated inversion recovery imaging in magnetic resonance imaging (MRI) (Figure. A~C). It located inside of the hypo-intensity rim at the edge of hematoma on gradient recalled echo T2*-weighted imaging (Figure. D). We named it the “CT wall sign” and investigated the association with imaging findings in acute ICH. Methods: Patients with acute ICH within 24 hours from onset who underwent non-contrast head CT and MRI scan at the same time periods were included. The ICH volumes on CT and MRI (cm 3 ) were measured using a three-dimensional slicer and compared. Subjects were divided according to the presence or absence of the CT wall sign and compared the neuroradiological variables. Statistical analyses were performed to evaluate the association between the CT wall sign and other imaging findings. Results: A total of 146 patients were included and the CT wall sign was observed in 42 (29%) patients. The difference in the ICH volume between MRI and CT were significantly larger in the CT wall sign-positive group than in -negative group (6.0 cm 3 versus 0.40 cm 3 , P <0.001). The presence of CT wall sign was significantly associated with putamen hemorrhage ( P =0.049), large hematoma > 11.36 cm 3 ( P =0.005), and niveau formation in the hematoma ( P <0.001). Conclusions: The presence of the CT wall sign suggests that the volume of an acute ICH may be larger than it appears on CT imaging. Key words: Acute intracerebral hemorrhage, Computed tomography, Magnetic resonance imaging, Perihematomal low-density area.


Author(s):  
Raj Shah ◽  
Abbinaya Elangovan ◽  
David W Jordan ◽  
Jeffry Katz ◽  
Gregory S Cooper

Abstract Background Patients with inflammatory bowel disease (IBD) frequently undergo multiple computed tomography (CT) examinations. With the widespread availability of magnetic resonance imaging (MRI), it is unclear whether the use of CTs in IBD has declined. We aimed to analyze the trends of CT and MRI use in a large cohort of IBD patients in a 10-year period. Methods We retrospectively analyzed adults ≥18 years of age using a de-identified database, IBM Explorys. Patients with ≥1 CT of the abdomen (± pelvis) or MRI of the abdomen (± pelvis) at least 30 days after the diagnosis of Crohn’s disease (CD) or ulcerative colitis (UC) were included. We examined the factors associated with patients undergoing multiple CTs (≥5 CTs of the abdomen) and performed a trend analysis from 2010 to 2019. Results Among 176 110 CD and 143 460 UC patients, those with ≥1 CT of the abdomen annually increased from 2010 to 2019 with mean annual percentage change of +3.6% for CD and +4.9% for UC. Similarly, annual percentage change for patients with ≥1 MRI (CD: +15.6%; UC: +22.8%) showed a rising trend. There was a 3.8% increase in CD patients receiving ≥5 CTs of the abdomen annually compared with a 2.4% increase among UC patients in the 10-year period. Age ≥50 years, men, African Americans, public insurance payors, body mass index ≥30kg/m2, and smoking history were associated with ≥5 CTs. Conclusions There is a considerable increase in the number of CT scans performed in IBD patients. Further studies can explore factors influencing the use of CT and MRI of the abdomen in IBD patients.


2014 ◽  
Vol 2 (46) ◽  
pp. 8239-8248 ◽  
Author(s):  
Pratap C. Naha ◽  
Ajlan Al Zaki ◽  
Elizabeth Hecht ◽  
Michael Chorny ◽  
Peter Chhour ◽  
...  

A novel synthesis of dextran coated bismuth–iron oxide nanoparticles (BION) is reported. They are found to be effective as contrast agents for both CT and MRI and to be both biodegradable and biocompatible.


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