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Oncologic applications of dual-energy CT in the abdomen.
Agrawal, Mukta D; Pinho, Daniella F; Kulkarni, Naveen M; Hahn, Peter F; Guimaraes, Alexander R; Sahani, Dushyant V.
Afiliación
  • Agrawal MD; From the Department of Abdominal and Interventional Radiology, Massachusetts General Hospital, 55 Fruit St, White Building, Room 270, Boston, MA 02114-2696.
Radiographics ; 34(3): 589-612, 2014.
Article en En | MEDLINE | ID: mdl-24819783
Dual-energy computed tomographic (DECT) technology offers enhanced capabilities that may benefit oncologic imaging in the abdomen. By using two different energies, dual-energy CT allows material decomposition on the basis of energy-dependent attenuation profiles of specific materials. Although image acquisition with dual-energy CT is similar to that with single-energy CT, comprehensive postprocessing is able to generate not only images that are similar to single-energy CT (SECT) images, but a variety of other images, such as virtual unenhanced (VUE), virtual monochromatic (VMC), and material-specific iodine images. An increase in the conspicuity of iodine on low-energy VMC images and material-specific iodine images may aid detection and characterization of tumors. Use of VMC images of a desired energy level (40-140 keV) improves lesion-to-background contrast and the quality of vascular imaging for preoperative planning. Material-specific iodine images enable differentiation of hypoattenuating tumors from hypo- or hyperattenuating cysts and facilitate detection of isoattenuating tumors, such as pancreatic masses and peritoneal disease, thereby defining tumor targets for imaging-guided therapy. Moreover, quantitative iodine mapping may serve as a surrogate biomarker for monitoring effects of the treatment. Dual-energy CT is an innovative imaging technique that enhances the capabilities of CT in evaluating oncology patients.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Radiografía Abdominal / Tomografía Computarizada Multidetector / Neoplasias Abdominales Tipo de estudio: Diagnostic_studies Límite: Humans Idioma: En Revista: Radiographics Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Radiografía Abdominal / Tomografía Computarizada Multidetector / Neoplasias Abdominales Tipo de estudio: Diagnostic_studies Límite: Humans Idioma: En Revista: Radiographics Año: 2014 Tipo del documento: Article Pais de publicación: Estados Unidos