Evaluation of diagnostic accuracy in CT perfusion analysis in moyamoya disease.

Purpose: The purpose of the present study was to determine optimal threshold of vascular pixel elimination (VPE) for CT perfusion (CTP) and to assess diagnostic accuracy of CTP by comparing with xenon enhanced CT (XeCT) in moyamoya disease.Materials and Methods: Twenty-three patients underwent XeCT...

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Publicado en:Japanese Journal of Radiology Vol. 34; no. 1; pp. 28 - 35
Autores principales: Ohno, Takashi, Kudo, Kohsuke, Zaharchuk, Greg, Fujima, Noriyuki, Shirato, Hiroki
Formato: diagnostic images research tables/charts Journal Article
Publicado: Springer Nature Jan2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2016
      vid: 34
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      pub: Springer Nature
      place: New York, New York
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        atl: Evaluation of diagnostic accuracy in CT perfusion analysis in moyamoya disease.
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        au:
          Ohno, Takashi
          Kudo, Kohsuke
          Zaharchuk, Greg
          Fujima, Noriyuki
          Shirato, Hiroki
        affil: Department of Radiation Medicine, Hokkaido University Graduate School of Medicine, Sapporo Japan
      sug:
        subj:
          Carotid Arteries Radiography
          Tomography, X-Ray Computed
          Moyamoya Disease Radiography
          Cerebral Arteries Radiography
          Blood Flow Velocity
          Adult
          Aged
          Middle Age
          Gases
          Contrast Media
          Image Processing, Computer Assisted
          Radiographic Image Enhancement
          Male
          Female
          Reproducibility of Results
          Cerebrovascular Circulation
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: The purpose of the present study was to determine optimal threshold of vascular pixel elimination (VPE) for CT perfusion (CTP) and to assess diagnostic accuracy of CTP by comparing with xenon enhanced CT (XeCT) in moyamoya disease.Materials and Methods: Twenty-three patients underwent XeCT and CTP. Cerebral blood flow (CBF) images were generated for XeCT and CTP using nine types of software. Region of interest (ROI) measurement was performed on XeCT-CBF and CTP-CBF. Linear regression analysis was performed between XeCT-CBF and CTP-CBF in all software, without and with VPE. The Pearson correlation coefficient was calculated, and an optimal threshold was determined based on maximum correlation coefficients. Correlation coefficients at various VPE thresholds including data of no-VPE were compared with each other. The maximum correlation coefficient at the optimal threshold was also compared.Results: Optimal thresholds varied among software types (0.8-2.2 and 7-14 ml/100 g in relative and absolute VPE, respectively). There were significant differences between correlation coefficients at a range of VPE thresholds compared to no-VPE in most software types. There were significant differences in maximum correlation coefficient at optimal threshold among various software types.Conclusion: Optimal threshold of VPE for CTP could be determined and diagnostic accuracy of CTP varied among software types in moyamoya disease.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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