Dual-layer detector spectral CT versus magnetic resonance imaging for the assessment of iron overload in myelodysplastic syndromes and aplastic anemia.

Background: The purpose of this study is to investigate the performance of dual-layer detector spectral CT for iron deposition compared to magnetic resonance imaging (MRI) T2* imaging.Methods: Thirty-one patients with a clinical history of myelodysplastic syndromes and aplastic anemia underwent live...

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Publicado en:Japanese Journal of Radiology Vol. 38; no. 4; pp. 374 - 382
Autores principales: Ma, Quanmei, Hu, Juan, Yang, Wei, Hou, Yang
Formato: Journal Article
Publicado: Springer Nature Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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        18671071
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      jtl: Japanese Journal of Radiology
      issn: 18671071
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      dt: Apr2020
      vid: 38
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s11604-020-00921-9
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        atl: Dual-layer detector spectral CT versus magnetic resonance imaging for the assessment of iron overload in myelodysplastic syndromes and aplastic anemia.
      aug:
        au:
          Ma, Quanmei
          Hu, Juan
          Yang, Wei
          Hou, Yang
        affil: Department of Radiology, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, 110004, Shenyang, Liaoning, People's Republic of China
      sug:
        subj:
          Anemia, Aplastic
          Tomography, X-Ray Computed Methods
          Iron Overload
          Myelodysplastic Syndromes
          Magnetic Resonance Imaging Methods
          Aged
          Male
          Algorithms
          Female
          Prospective Studies
          Liver
          Heart
          Middle Age
          Adult
          Scales
          Aged: 65+ years
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Male
          Female
      ab: Background: The purpose of this study is to investigate the performance of dual-layer detector spectral CT for iron deposition compared to magnetic resonance imaging (MRI) T2* imaging.Methods: Thirty-one patients with a clinical history of myelodysplastic syndromes and aplastic anemia underwent liver and cardiac T2*-weighted unenhanced MRI on a three-tesla MRI scanner, and underwent unenhanced CT scan laterally on a 128-row spectral detector CT. R2* values of the liver, septal muscle, and paraspinal muscle were calculated. Attenuation differences (ΔH) in the liver and myocardium were calculated between the lower (50 keV) and higher (120 keV) energy levels.Results: The liver and cardiac T2* values were 9.54 ± 5.63 ms and 21.41 ± 2.44 ms, respectively. The liver-to-muscle and myocardium-to-muscle T2* value ratios were 0.37 ± 0.23 and 0.79 ± 0.19, respectively. The liver and cardiac ΔH were - 1.13 ± 4.24 HU and 2.22 ± 4.41 HU, respectively. There was a strong linear correlation between the liver R2* and ΔH (r = - 0.832, P < 0.001), but weak correlation existed between the cardiac R2* and ΔH (P = 0.041).Conclusions: Dual-layer detector spectral unenhanced CT seemed to be equally valuable to MRI T2* imaging for evaluating liver iron overload.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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