IF 3 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Marianna Gulizia, Anais Viry, Mario Jreige, Guillaume Fahrni, Yannick Marro, Gibran Manasseh, Christine Chevallier, Clarisse Dromain, Naik Vietti-Violi
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引用次数: 0

摘要

背景/目标:通过(1)确定使用 DECT 的最佳虚拟单色成像(VMI)重建;(2)比较使用减少的碘化造影剂(ICM)容积进行的 DECT 和使用标准 ICM 容积进行的单能 CT(SECT),评估在使用双能 CT(DECT)进行肿瘤体成像时减少造影剂容积的可行性。方法:在这项回顾性研究中,我们定量和定性比较了 35 例胸腹盆腔 DECT 在 9 种不同的虚拟单能图像 (VMI) 水平(从 40 到 80 keV)下使用减量 ICM(0.3 gI/kg 体重)的图像质量,以确定最佳的 keV 重建水平。在这 35 名患者中,有 20 名之前曾使用标准 ICM 容量(0.3 gI/kg体重 + 9 gI)进行过 SECT,因此可以进行方案比较。由两名放射科医生进行的定性分析包括整体图像质量、噪声和对比度增强。定量分析包括肝实质和门静脉的对比度增强测量、对比度-噪声比和信噪比。方差分析用于确定最佳 VMI 水平重建,t 检验和配对 t 检验用于比较两种方案。结果:VMI60 keV 提供了最高的总体图像质量评分。与使用标准 ICM 容量的 SECT 相比,减少 ICM 容量的 DECT 显示出更高的对比度增强和更低的噪音(p < 0.001)。两种方案的总体图像质量没有统计学差异(p = 0.290)。结论与使用标准对比度容积的 SECT 相比,使用减小对比度容积的 VMI60 keV 可提供更高的对比度和更低的噪音。使用减小 ICM 容量的 DECT 是肿瘤人体 CT 的首选技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Contrast Volume Reduction in Oncologic Body Imaging Using Dual-Energy CT: A Comparison with Single-Energy CT.

Background/Objectives: To evaluate the feasibility of reducing contrast volume in oncologic body imaging using dual-energy CT (DECT) by (1) identifying the optimal virtual monochromatic imaging (VMI) reconstruction using DECT and (2) comparing DECT performed with reduced iodinated contrast media (ICM) volume to single-energy CT (SECT) performed with standard ICM volume. Methods: In this retrospective study, we quantitatively and qualitatively compared the image quality of 35 thoracoabdominopelvic DECT across 9 different virtual monoenergetic image (VMI) levels (from 40 to 80 keV) using a reduced volume of ICM (0.3 gI/kg of body weight) to determine the optimal keV reconstruction level. Out of these 35 patients, 20 had previously performed SECT with standard ICM volume (0.3 gI/kg of body weight + 9 gI), enabling protocol comparison. The qualitative analysis included overall image quality, noise, and contrast enhancement by two radiologists. Quantitative analysis included contrast enhancement measurements, contrast-to-noise ratio, and signal-to-noise ratio of the liver parenchyma and the portal vein. ANOVA was used to identify the optimal VMI level reconstruction, while t-tests and paired t-tests were used to compare both protocols. Results: VMI60 keV provided the highest overall image quality score. DECT with reduced ICM volume demonstrated higher contrast enhancement and lower noise than SECT with standard ICM volume (p < 0.001). No statistical difference was found in the overall image quality between the two protocols (p = 0.290). Conclusions: VMI60 keV with reduced contrast volume provides higher contrast and lower noise than SECT at a standard contrast volume. DECT using a reduced ICM volume is the technique of choice for oncologic body CT.

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来源期刊
Diagnostics
Diagnostics Biochemistry, Genetics and Molecular Biology-Clinical Biochemistry
CiteScore
4.70
自引率
8.30%
发文量
2699
审稿时长
19.64 days
期刊介绍: Diagnostics (ISSN 2075-4418) is an international scholarly open access journal on medical diagnostics. It publishes original research articles, reviews, communications and short notes on the research and development of medical diagnostics. There is no restriction on the length of the papers. Our aim is to encourage scientists to publish their experimental and theoretical research in as much detail as possible. Full experimental and/or methodological details must be provided for research articles.
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