Feasibility and accuracy of dual-layer spectral detector computed tomography for quantification of gadolinium: a phantom study.

Objectives: The aim of this study was to evaluate the feasibility and accuracy of dual-layer spectral detector CT (SDCT) for the quantification of clinically encountered gadolinium concentrations.Methods: The cardiac chamber of an anthropomorphic thoracic phantom was equipped with 14 tubular inserts...

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Publicado en:European Radiology Vol. 27; no. 9; pp. 3677 - 3687
Autores principales: Hamersvelt, Robbert, Willemink, Martin, Jong, Pim, Milles, Julien, Vlassenbroek, Alain, Schilham, Arnold, Leiner, Tim, van Hamersvelt, Robbert W, Willemink, Martin J, de Jong, Pim A, Schilham, Arnold M R
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Sep2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2017
      vid: 27
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00330-017-4737-8
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        atl: Feasibility and accuracy of dual-layer spectral detector computed tomography for quantification of gadolinium: a phantom study.
      aug:
        au:
          Hamersvelt, Robbert
          Willemink, Martin
          Jong, Pim
          Milles, Julien
          Vlassenbroek, Alain
          Schilham, Arnold
          Leiner, Tim
          van Hamersvelt, Robbert W
          Willemink, Martin J
          de Jong, Pim A
          Schilham, Arnold M R
        affil: Department of Radiology , University Medical Center Utrecht , 3508 GA Utrecht The Netherlands
      sug:
        subj:
          Phantoms, Imaging
          Elements Analysis
          Tomography, X-Ray Computed Methods
          Pilot Studies
          Heart
          Reproducibility of Results
          Human
      ab: Objectives: The aim of this study was to evaluate the feasibility and accuracy of dual-layer spectral detector CT (SDCT) for the quantification of clinically encountered gadolinium concentrations.Methods: The cardiac chamber of an anthropomorphic thoracic phantom was equipped with 14 tubular inserts containing different gadolinium concentrations, ranging from 0 to 26.3 mg/mL (0.0, 0.1, 0.2, 0.4, 0.5, 1.0, 2.0, 3.0, 4.0, 5.1, 10.6, 15.7, 20.7 and 26.3 mg/mL). Images were acquired using a novel 64-detector row SDCT system at 120 and 140 kVp. Acquisitions were repeated five times to assess reproducibility. Regions of interest (ROIs) were drawn on three slices per insert. A spectral plot was extracted for every ROI and mean attenuation profiles were fitted to known attenuation profiles of water and pure gadolinium using in-house-developed software to calculate gadolinium concentrations.Results: At both 120 and 140 kVp, excellent correlations between scan repetitions and true and measured gadolinium concentrations were found (R > 0.99, P < 0.001; ICCs > 0.99, CI 0.99-1.00). Relative mean measurement errors stayed below 10% down to 2.0 mg/mL true gadolinium concentration at 120 kVp and below 5% down to 1.0 mg/mL true gadolinium concentration at 140 kVp.Conclusion: SDCT allows for accurate quantification of gadolinium at both 120 and 140 kVp. Lowest measurement errors were found for 140 kVp acquisitions.Key Points: • Gadolinium quantification may be useful in patients with contraindication to iodine. • Dual-layer spectral detector CT allows for overall accurate quantification of gadolinium. • Interscan variability of gadolinium quantification using SDCT material decomposition is excellent.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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