Abdominal vessel depiction on virtual triphasic spectral detector CT: initial clinical experience

Purpose To evaluate vessel assessment in virtual monoenergetic images (VMI 40keV ) and virtual-non-contrast images (VNC) derived from venous phase spectral detector computed tomography (SDCT) acquisitions in comparison to arterial phase and true non-contrast (TNC) images. Methods Triphasic abdominal...

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Vydáno v:	Abdominal imaging Ročník 46; číslo 7; s. 3501 - 3511
Hlavní autoři:	Lennartz, Simon, Laukamp, Kai Roman, Tandon, Yasmeen, Jordan, Michelle, Große Hokamp, Nils, Zopfs, David, Pennig, Lenhard, Obmann, Markus, Gilkeson, Robert C., Herrmann, Karin A., Ramaiya, Nikhil, Gupta, Amit
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	New York Springer US 01.07.2021 Springer Nature B.V
Témata:	Abdomen Arteries Attenuation Blood vessels Computed tomography Gastroenterology Hepatology Image contrast Image reconstruction Imaging Medical imaging Medicine Medicine & Public Health Qualitative analysis Radiology Renal artery Technical Tomography Virtual monoenergetic images Virtual non-contrast images Spectral-detector CT Multiphase CT
ISSN:	2366-004X, 2366-0058, 2366-0058
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Abstract	Purpose To evaluate vessel assessment in virtual monoenergetic images (VMI 40keV ) and virtual-non-contrast images (VNC) derived from venous phase spectral detector computed tomography (SDCT) acquisitions in comparison to arterial phase and true non-contrast (TNC) images. Methods Triphasic abdominal SDCT was performed in 25 patients including TNC, arterial and venous phase. VMI 40keV and VNC were reconstructed from the venous phase and compared to conventional arterial-phase images (CI art ), TNC and conventional venous-phase images (CI ven ). Vessel contrast and virtual contrast removal were analyzed with region-of-interest-based measurements and in a qualitative assessment. Results Quantitative analysis revealed no significant attenuation differences between TNC and VNC in arterial vessels ( p -range 0.07–0.47) except for the renal artery ( p = 0.011). For venous vessels, significant differences between TNC and VNC were found for all veins ( p < 0.001) except the inferior vena cava ( p = 0.26), yet these differences remained within a 10 HU range in most patients. No significant attenuation differences were found between CI art /VMI 40keV in arterial vessels ( p -range 0.06–0.86). Contrast-to-noise ratio provided by VMI 40keV and CI art was equivalent for all arterial vessels assessed ( p -range 0.14–0.91). Qualitatively, VMI 40keV showed similar enhancement of abdominal and pelvic arteries as CI art and VNC were rated comparable to TNC. Conclusion Our study suggests that VNC and VMI 40keV derived from single venous-phase SDCT offer comparable assessment of major abdominal vessels as provided by routine triphasic examinations, if no dynamic contrast information is required.
AbstractList	PurposeTo evaluate vessel assessment in virtual monoenergetic images (VMI40keV) and virtual-non-contrast images (VNC) derived from venous phase spectral detector computed tomography (SDCT) acquisitions in comparison to arterial phase and true non-contrast (TNC) images.MethodsTriphasic abdominal SDCT was performed in 25 patients including TNC, arterial and venous phase. VMI40keV and VNC were reconstructed from the venous phase and compared to conventional arterial-phase images (CIart), TNC and conventional venous-phase images (CIven). Vessel contrast and virtual contrast removal were analyzed with region-of-interest-based measurements and in a qualitative assessment.ResultsQuantitative analysis revealed no significant attenuation differences between TNC and VNC in arterial vessels (p-range 0.07–0.47) except for the renal artery (p = 0.011). For venous vessels, significant differences between TNC and VNC were found for all veins (p < 0.001) except the inferior vena cava (p = 0.26), yet these differences remained within a 10 HU range in most patients. No significant attenuation differences were found between CIart/VMI40keV in arterial vessels (p-range 0.06–0.86). Contrast-to-noise ratio provided by VMI40keV and CIart was equivalent for all arterial vessels assessed (p-range 0.14–0.91).Qualitatively, VMI40keV showed similar enhancement of abdominal and pelvic arteries as CIart and VNC were rated comparable to TNC.ConclusionOur study suggests that VNC and VMI40keV derived from single venous-phase SDCT offer comparable assessment of major abdominal vessels as provided by routine triphasic examinations, if no dynamic contrast information is required. Purpose To evaluate vessel assessment in virtual monoenergetic images (VMI 40keV ) and virtual-non-contrast images (VNC) derived from venous phase spectral detector computed tomography (SDCT) acquisitions in comparison to arterial phase and true non-contrast (TNC) images. Methods Triphasic abdominal SDCT was performed in 25 patients including TNC, arterial and venous phase. VMI 40keV and VNC were reconstructed from the venous phase and compared to conventional arterial-phase images (CI art ), TNC and conventional venous-phase images (CI ven ). Vessel contrast and virtual contrast removal were analyzed with region-of-interest-based measurements and in a qualitative assessment. Results Quantitative analysis revealed no significant attenuation differences between TNC and VNC in arterial vessels ( p -range 0.07–0.47) except for the renal artery ( p = 0.011). For venous vessels, significant differences between TNC and VNC were found for all veins ( p < 0.001) except the inferior vena cava ( p = 0.26), yet these differences remained within a 10 HU range in most patients. No significant attenuation differences were found between CI art /VMI 40keV in arterial vessels ( p -range 0.06–0.86). Contrast-to-noise ratio provided by VMI 40keV and CI art was equivalent for all arterial vessels assessed ( p -range 0.14–0.91). Qualitatively, VMI 40keV showed similar enhancement of abdominal and pelvic arteries as CI art and VNC were rated comparable to TNC. Conclusion Our study suggests that VNC and VMI 40keV derived from single venous-phase SDCT offer comparable assessment of major abdominal vessels as provided by routine triphasic examinations, if no dynamic contrast information is required. To evaluate vessel assessment in virtual monoenergetic images (VMI ) and virtual-non-contrast images (VNC) derived from venous phase spectral detector computed tomography (SDCT) acquisitions in comparison to arterial phase and true non-contrast (TNC) images. Triphasic abdominal SDCT was performed in 25 patients including TNC, arterial and venous phase. VMI and VNC were reconstructed from the venous phase and compared to conventional arterial-phase images (CI ), TNC and conventional venous-phase images (CI ). Vessel contrast and virtual contrast removal were analyzed with region-of-interest-based measurements and in a qualitative assessment. Quantitative analysis revealed no significant attenuation differences between TNC and VNC in arterial vessels (p-range 0.07-0.47) except for the renal artery (p = 0.011). For venous vessels, significant differences between TNC and VNC were found for all veins (p < 0.001) except the inferior vena cava (p = 0.26), yet these differences remained within a 10 HU range in most patients. No significant attenuation differences were found between CI /VMI in arterial vessels (p-range 0.06-0.86). Contrast-to-noise ratio provided by VMI and CI was equivalent for all arterial vessels assessed (p-range 0.14-0.91). Qualitatively, VMI showed similar enhancement of abdominal and pelvic arteries as CI and VNC were rated comparable to TNC. Our study suggests that VNC and VMI derived from single venous-phase SDCT offer comparable assessment of major abdominal vessels as provided by routine triphasic examinations, if no dynamic contrast information is required. To evaluate vessel assessment in virtual monoenergetic images (VMI40keV) and virtual-non-contrast images (VNC) derived from venous phase spectral detector computed tomography (SDCT) acquisitions in comparison to arterial phase and true non-contrast (TNC) images.PURPOSETo evaluate vessel assessment in virtual monoenergetic images (VMI40keV) and virtual-non-contrast images (VNC) derived from venous phase spectral detector computed tomography (SDCT) acquisitions in comparison to arterial phase and true non-contrast (TNC) images.Triphasic abdominal SDCT was performed in 25 patients including TNC, arterial and venous phase. VMI40keV and VNC were reconstructed from the venous phase and compared to conventional arterial-phase images (CIart), TNC and conventional venous-phase images (CIven). Vessel contrast and virtual contrast removal were analyzed with region-of-interest-based measurements and in a qualitative assessment.METHODSTriphasic abdominal SDCT was performed in 25 patients including TNC, arterial and venous phase. VMI40keV and VNC were reconstructed from the venous phase and compared to conventional arterial-phase images (CIart), TNC and conventional venous-phase images (CIven). Vessel contrast and virtual contrast removal were analyzed with region-of-interest-based measurements and in a qualitative assessment.Quantitative analysis revealed no significant attenuation differences between TNC and VNC in arterial vessels (p-range 0.07-0.47) except for the renal artery (p = 0.011). For venous vessels, significant differences between TNC and VNC were found for all veins (p < 0.001) except the inferior vena cava (p = 0.26), yet these differences remained within a 10 HU range in most patients. No significant attenuation differences were found between CIart/VMI40keV in arterial vessels (p-range 0.06-0.86). Contrast-to-noise ratio provided by VMI40keV and CIart was equivalent for all arterial vessels assessed (p-range 0.14-0.91). Qualitatively, VMI40keV showed similar enhancement of abdominal and pelvic arteries as CIart and VNC were rated comparable to TNC.RESULTSQuantitative analysis revealed no significant attenuation differences between TNC and VNC in arterial vessels (p-range 0.07-0.47) except for the renal artery (p = 0.011). For venous vessels, significant differences between TNC and VNC were found for all veins (p < 0.001) except the inferior vena cava (p = 0.26), yet these differences remained within a 10 HU range in most patients. No significant attenuation differences were found between CIart/VMI40keV in arterial vessels (p-range 0.06-0.86). Contrast-to-noise ratio provided by VMI40keV and CIart was equivalent for all arterial vessels assessed (p-range 0.14-0.91). Qualitatively, VMI40keV showed similar enhancement of abdominal and pelvic arteries as CIart and VNC were rated comparable to TNC.Our study suggests that VNC and VMI40keV derived from single venous-phase SDCT offer comparable assessment of major abdominal vessels as provided by routine triphasic examinations, if no dynamic contrast information is required.CONCLUSIONOur study suggests that VNC and VMI40keV derived from single venous-phase SDCT offer comparable assessment of major abdominal vessels as provided by routine triphasic examinations, if no dynamic contrast information is required.
Author	Laukamp, Kai Roman Gupta, Amit Lennartz, Simon Pennig, Lenhard Obmann, Markus Tandon, Yasmeen Gilkeson, Robert C. Ramaiya, Nikhil Große Hokamp, Nils Herrmann, Karin A. Jordan, Michelle Zopfs, David
Author_xml	– sequence: 1 givenname: Simon surname: Lennartz fullname: Lennartz, Simon organization: Department of Diagnostic and Interventional Radiology, Faculty of Medicine and University Hospital Cologne, University Cologne, Else Kröner Forschungskolleg Clonal Evolution in Cancer, University Hospital Cologne, Department of Radiology, Massachusetts General Hospital, Harvard Medical School – sequence: 2 givenname: Kai Roman surname: Laukamp fullname: Laukamp, Kai Roman email: kai.laukamp@uk-koeln.de organization: Department of Radiology, University Hospitals Cleveland Medical Center, Department of Radiology, Case Western Reserve University, Department of Diagnostic and Interventional Radiology, Faculty of Medicine and University Hospital Cologne, University Cologne – sequence: 3 givenname: Yasmeen surname: Tandon fullname: Tandon, Yasmeen organization: Department of Radiology, Case Western Reserve University, Department of Diagnostic and Interventional Radiology, Faculty of Medicine and University Hospital Cologne, University Cologne, Department of Radiology, Mayo Clinic – sequence: 4 givenname: Michelle surname: Jordan fullname: Jordan, Michelle organization: Department of Radiology, University Hospitals Cleveland Medical Center, Department of Radiology, Case Western Reserve University – sequence: 5 givenname: Nils surname: Große Hokamp fullname: Große Hokamp, Nils organization: Department of Radiology, University Hospitals Cleveland Medical Center, Department of Radiology, Case Western Reserve University, Department of Diagnostic and Interventional Radiology, Faculty of Medicine and University Hospital Cologne, University Cologne – sequence: 6 givenname: David surname: Zopfs fullname: Zopfs, David organization: Department of Diagnostic and Interventional Radiology, Faculty of Medicine and University Hospital Cologne, University Cologne – sequence: 7 givenname: Lenhard surname: Pennig fullname: Pennig, Lenhard organization: Department of Diagnostic and Interventional Radiology, Faculty of Medicine and University Hospital Cologne, University Cologne – sequence: 8 givenname: Markus surname: Obmann fullname: Obmann, Markus organization: Department of Radiology and Nuclear Medicine, University Hospital Basel – sequence: 9 givenname: Robert C. surname: Gilkeson fullname: Gilkeson, Robert C. organization: Department of Radiology, University Hospitals Cleveland Medical Center, Department of Radiology, Case Western Reserve University – sequence: 10 givenname: Karin A. surname: Herrmann fullname: Herrmann, Karin A. organization: Department of Radiology, Case Western Reserve University – sequence: 11 givenname: Nikhil surname: Ramaiya fullname: Ramaiya, Nikhil organization: Department of Radiology, University Hospitals Cleveland Medical Center, Department of Radiology, Case Western Reserve University, Department of Radiology, Massachusetts General Hospital, Harvard Medical School – sequence: 12 givenname: Amit surname: Gupta fullname: Gupta, Amit organization: Department of Radiology, University Hospitals Cleveland Medical Center, Department of Radiology, Case Western Reserve University
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Keywords	Virtual monoenergetic images Virtual non-contrast images Spectral-detector CT Multiphase CT
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Snippet	Purpose To evaluate vessel assessment in virtual monoenergetic images (VMI 40keV ) and virtual-non-contrast images (VNC) derived from venous phase spectral... To evaluate vessel assessment in virtual monoenergetic images (VMI ) and virtual-non-contrast images (VNC) derived from venous phase spectral detector computed... PurposeTo evaluate vessel assessment in virtual monoenergetic images (VMI40keV) and virtual-non-contrast images (VNC) derived from venous phase spectral... To evaluate vessel assessment in virtual monoenergetic images (VMI40keV) and virtual-non-contrast images (VNC) derived from venous phase spectral detector...
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SubjectTerms	Abdomen Arteries Attenuation Blood vessels Computed tomography Gastroenterology Hepatology Image contrast Image reconstruction Imaging Medical imaging Medicine Medicine & Public Health Qualitative analysis Radiology Renal artery Technical Tomography
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Title	Abdominal vessel depiction on virtual triphasic spectral detector CT: initial clinical experience
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