1. Virtual unenhanced imaging of the liver derived from 160-mm rapid-switching dual-energy CT (rsDECT): Comparison of the accuracy of attenuation values and solid liver lesion conspicuity with native unenhanced images
- Author
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Hicham Kobeiter, Philippe Richard, Laurence Baranes, Marjan Djabbari, Sébastien Mulé, Francesco Brunetti, Maxime Lacroix, B. Zegai, Alexis Laurent, Vania Tacher, Frederic Pigneur, Edouard Herin, Alain Luciani, Nicola de’Angelis, CHU Henri Mondor, Institut Mondor de Recherche Biomédicale (IMRB), Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), General Electric Medical Systems [Buc] (GE Healthcare), General Electric Medical Systems, Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), CCSD, Accord Elsevier, and Early detection of Colon Cancer using Molecular Markers and Microbiota (EA 7375) (EC2M3)
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[SDV]Life Sciences [q-bio] ,Contrast Media ,030218 nuclear medicine & medical imaging ,Radiography, Dual-Energy Scanned Projection ,Lesion ,03 medical and health sciences ,0302 clinical medicine ,Parenchyma ,Dual energy CT ,medicine ,Humans ,Image quality ,Radiology, Nuclear Medicine and imaging ,In patient ,Retrospective Studies ,business.industry ,Attenuation ,Liver Neoplasms ,Radiation dose ,Liver lesions ,Reproducibility of Results ,General Medicine ,[SDV] Life Sciences [q-bio] ,Liver lesion ,030220 oncology & carcinogenesis ,Conventional unenhanced ,Radiographic Image Interpretation, Computer-Assisted ,Dual energy ct ,medicine.symptom ,Tomography, X-Ray Computed ,business ,Nuclear medicine ,Liver parenchyma ,Virtual unenhanced - Abstract
International audience; Objectives: To evaluate the reliability of attenuation values of the liver parenchyma and focal liver lesions on virtual unenhanced images from arterial (VUEart) and portal venous phases (VUEport) compared to native unenhanced (NU) attenuation values in patients referred for assessment of malignant liver lesions.Methods: Seventy-three patients with confirmed primary or metastatic liver tumors who underwent a multiphase contrast-enhanced rapid-switching kVp dual-energy CT (rsDECT) were included in this IRB-approved retrospective study. Both qualitative and quantitative analyses - including the lesion-to-liver contrast-to-noise ratio (LL-CNR) - were performed and compared between NU and both VUEart and VUEport images.Results: The mean liver attenuation values were significantly lower in VUEart images (56.7 ± 6.7 HU) than in NU images (59.6 ± 7.5 HU, p = 0.008), and were comparable between VUEart and VUEport images (57.9 ± 6 UH, p = 0.38) and between VUEport and NU images (p = 0.051). The mean liver lesions attenuation values were comparable between NU, VUEart and VUEport images (p = 0.60). Strong and significant correlations values were found both in liver lesions and tumor-free parenchyma (r = 0.82-0.91, p < 0.01). The mean LL-CNR was significantly higher in VUEart and VUEport images than in NU images (1.7 ± 1 and 1.6 ± 1.1 vs 0.9 ± 0.6; p < 0.001), but was comparable between VUEart and VUEport images (p > 0.9). Lesion conspicuity was significantly higher in VUEport images than in NU images (p < 0.001).Conclusion: VUEport images derived from 3rd generation rsDECT could confidently replace NU images in patients undergoing assessment for malignant liver lesions. These images provide comparable attenuation values in both liver lesions and liver parenchyma while reducing the radiation dose and scanning time.
- Published
- 2020
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