Anatomical Road Mapping Using CT and MR Enterography for Ultrasound Molecular Imaging of Small Bowel Inflammation in Swine.

Objectives: To evaluate the feasibility and time saving of fusing CT and MR enterography with ultrasound for ultrasound molecular imaging (USMI) of inflammation in an acute small bowel inflammation of swine.Methods: Nine swine with ileitis were scanned with either CT (n = 3) or MR (n = 6) enterograp...

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Publicado en:European Radiology Vol. 28; no. 5; pp. 2068 - 2077
Autores principales: Wang, Huaijun, Felt, Stephen A., Guracar, Ismayil, Taviani, Valentina, Zhou, Jianhua, Sigrist, Rosa Maria Silveira, Zhang, Huiping, Liau, Joy, Vilches-Moure, José G., Tian, Lu, Saenz, Yamil, Bettinger, Thierry, Hargreaves, Brian A., Lutz, Amelie M., Willmann, Jürgen K.
Formato: Journal Article
Publicado: Springer Nature May2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Anatomical Road Mapping Using CT and MR Enterography for Ultrasound Molecular Imaging of Small Bowel Inflammation in Swine.
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          Wang, Huaijun
          Felt, Stephen A.
          Guracar, Ismayil
          Taviani, Valentina
          Zhou, Jianhua
          Sigrist, Rosa Maria Silveira
          Zhang, Huiping
          Liau, Joy
          Vilches-Moure, José G.
          Tian, Lu
          Saenz, Yamil
          Bettinger, Thierry
          Hargreaves, Brian A.
          Lutz, Amelie M.
          Willmann, Jürgen K.
        affil: Department of Radiology, Stanford University, School of Medicine, 300 Pasteur Drive, Room H1307, 94305-5621, Stanford, CA, USA
      sug:
        subj:
          Magnetic Resonance Imaging Methods
          Tomography, X-Ray Computed Methods
          Ileitis Diagnosis
          Molecular Imaging Methods
          Ultrasonography Methods
          Intestine, Small
          Swine
          Inflammation Diagnosis
          Animals
          Scales
      ab: Objectives: To evaluate the feasibility and time saving of fusing CT and MR enterography with ultrasound for ultrasound molecular imaging (USMI) of inflammation in an acute small bowel inflammation of swine.Methods: Nine swine with ileitis were scanned with either CT (n = 3) or MR (n = 6) enterography. Imaging times to load CT/MR images onto a clinical ultrasound machine, fuse them to ultrasound with an anatomical landmark-based approach, and identify ileitis were compared to the imaging times without anatomical road mapping. Inflammation was then assessed by USMI using dual selectin-targeted (MBSelectin) and control (MBControl) contrast agents in diseased and healthy control bowel segments, followed by ex vivo histology.Results: Cross-sectional image fusion with ultrasound was feasible with an alignment error of 13.9 ± 9.7 mm. Anatomical road mapping significantly reduced (P < 0.001) scanning times by 40%. Localising ileitis was achieved within 1.0 min. Subsequently performed USMI demonstrated significantly (P < 0.001) higher imaging signal using MBSelectin compared to MBControl and histology confirmed a significantly higher inflammation score (P = 0.006) and P- and E-selectin expression (P ≤ 0.02) in inflamed vs. healthy bowel.Conclusions: Fusion of CT and MR enterography data sets with ultrasound in real time is feasible and allows rapid anatomical localisation of ileitis for subsequent quantification of inflammation using USMI.Key Points: • Real-time fusion of CT/MRI with ultrasound to localise ileitis is feasible. • Anatomical road mapping using CT/MRI significantly decreases the scanning time for USMI. • USMI allows quantification of inflammation in swine, verified with ex vivo histology.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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