• Title/Summary/Keyword: Enhanced CT

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Imaging Features of Hepatic Adenoma in a Dog with Atypical Computed Tomographic Findings

  • Jin, Hansol;Cheon, Byunggyu;Lee, Gahyun;Park, Seungjo;Lee, Ju-Hwan;Choi, Jihye
    • Journal of Veterinary Clinics
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    • v.35 no.2
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    • pp.53-56
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    • 2018
  • Computed tomography (CT) findings of hepatic adenoma in veterinary medicine are variable and unlike in human medicine, not defined clearly. A 12-year-old neutered male Shih Tzu presented after a seizure, with weight loss, salivation, and cachexia. An abdominal mass was identified on radiography, and ultrasonographic images showed a mixed echo pattern with marked vascularity. CT showed that the mass originated from caudate lobe, was heterogeneously hypoattenuated compared with the hepatic parenchyma, and had irregular margins. Contrast enhanced CT showed that the mass enhanced like the surrounding liver parenchyma. However, it contained unenhanced areas and enhanced vessels were observed in the arterial phase at the periphery of the mass. The margins of mass were more enhanced in the venous phase than the arterial phase and the hypoattenuating regions within the mass were not enhanced. Greater enhancing in the venous phase is seen with adenomas; however, the heterogeneous enhancement pattern, especially the marginal vascular enhancement and internal hypoattenuating regions, is seen with malignancy. Although this is a single case of hepatic adenoma, the atypical enhanced pattern of this case can provide useful information to predict the malignancy of primary liver tumor.

An Enhanced Compensation Algorithm for the CT Saturation Using Interpolation-based LSQ(Least Square) Fitting Method (내삽법 기반의 최소자승법을 이용한 개선된 CT 포화 복원 알고리즘)

  • Ryu, Ki-Chan;Kang, Sang-Hee;Lee, Bong-Hyun
    • Proceedings of the KIEE Conference
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    • 2006.07a
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    • pp.14-15
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    • 2006
  • A saturation of magnetic flux in the core may occur when a large primary current flows when the iron-cored current transformer is used. This saturation makes the distorted secondary current of the CT. the distorted secondary current may cause the mal-operation or operation time delay of protective relays. CT compensation algorithm using The LSQ(Least Square) fitting method has a problem. It needs to acquire enough data for executing this algorithm without an error. In this paper, an enhanced algorithm using interpolation based LSQ(Least Square) Fitting Method is proposed. The Lagrange Interpolation Method is used for the interpolation and CT is simulated by EMTP. The results show that the proposed algorithm can accurately compensate a distorted secondary current more than existing Algorithm when the saturation severely occurs.

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A Fast Lower Extremity Vessel Segmentation Method for Large CT Data Sets Using 3-Dimensional Seeded Region Growing and Branch Classification

  • Kim, Dong-Sung
    • Journal of Biomedical Engineering Research
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    • v.29 no.5
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    • pp.348-354
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    • 2008
  • Segmenting vessels in lower extremity CT images is very difficult because of gray level variation, connection to bones, and their small sizes. Instead of segmenting vessels, we propose an approach that segments bones and subtracts them from the original CT images. The subtracted images can contain not only connected vessel structures but also isolated vessels, which are very difficult to detect using conventional vessel segmentation methods. The proposed method initially grows a 3-dimensional (3D) volume with a seeded region growing (SRG) using an adaptive threshold and then detects junctions and forked branches. The forked branches are classified into either bone branches or vessel branches based on appearance, shape, size change, and moving velocity of the branch. The final volume is re-grown by collecting connected bone branches. The algorithm has produced promising results for segmenting bone structures in several tens of vessel-enhanced CT image data sets of lower extremities.

CT and US Findings of Multilocular Cystic Renal Cell Carcinoma

  • Jong Chul Kim;Kie Hwan Kim;Jun Woo Lee
    • Korean Journal of Radiology
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    • v.1 no.2
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    • pp.104-109
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    • 2000
  • Objective: Multilocular cystic renal cell carcinoma (MCRCC) is a recently described variety of renal cell carcinoma with characteristic pathologic and clinical features. The purpose of this study was to analyze the imaging findings of MCRCCs. Materials and Methods: Ten adult patients with pathologically proven unilateral MCRCC who underwent renal US and CT were included in this study. The radiologic findings were retrospectively evaluated for cystic content, wall, septum, nodularity, calcification and solid portion by three radiologists who established a consensus. Imaging and postnephrectomy pathologic findings were compared. Results: All patients were adults (six males and four females) and their ages ranged from 33 to 68 years (mean, 46). On US and CT images, all tumors appeared as well-defined multilocular cystic masses composed of serous or complicated fluid. In all patients, unenhanced CT scans revealed hypodense cystic portions, and in four tumors, due to the presence of hemorrhage or gelatinous fluid, some hyperdense areas were also noted. In no tumor was an expansile solid nodule seen in the thin septa, and in only one was there dystrophic calcification in a septum. Small areas of solid portion constituting less than 10% of the entire lesion were found in six of the ten tumors, and these areas were slightly enhanced on enhanced CT scans. In all patients, imaging and pathologic findings correlated closely. Conclusion: On US and CT images, MCRCC appeared as a well-defined multilocular cystic mass with serous, proteinaceous or hemorrhagic fluid, with no expansile solid nodules in the thin septa, and sometimes with small slightly enhanced solid areas. Where radiologic examinations demonstrate a cystic renal mass of this kind in adult males, MCRCC should be included in the differential diagnosis.

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Detection and Analysis of the Liver Region and Hepatoma in CT Images Using Shape-based Interpolation and Quantization Method (형태기반 보간법과 양자화 기법을 이용한 CT 영상에서의 간 영역과 간암 추출 및 분석)

  • Kim, Kwang-Baek
    • Journal of the Korean Institute of Intelligent Systems
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    • v.17 no.3
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    • pp.380-389
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    • 2007
  • In Korea, undoubtedly, the cancer is one of the most common reasons of death, and hepatoma is the second highest fatal cancer regardless of the gender only next to the stomach cancer In the middle and prime-aged between 40 and 60 years, the incidence of hepatoma is the highest in the world, and the death rate due to hepatoma is the highest among OECD countries. In this paper, we propose a novel method for automatic identification of hepatoma from a contrast enhanced CT images, which is used in an expert system that helps medical specialists. First, consecutive $40{\sim}50$ contrail enhanced CT images are photographed by every 5mm from the upper part of the chest, and using position information on the rib, we classify the internal area including only internal organs and the external one that consists of the rib, subcutaneous fat layers, and the background from the CT images. Then, the region of the liver is extracted from the classified internal area by using information on the intensity, the distribution of brightness, and using the regions extracted from consecutive images, we restore information on the 5 mm space occurred between the consecutive two slides tty applying a shape-based interpolation method. Lastly, using the characteristics such as the brightness and the morphology, we are able to extract the regions of hepatoma. The expert system based on our method is sufficiently competitive when it is compared with the diagnoses by specialists in the diagnostic radiology.

Radiological Evaluation of CT Contrast Medium Extravasation (CT 조영제 혈관외유출의 방사선학적 고찰)

  • Kweon, Dae-Cheol;Park, Chang-Hee;Jeong, Jae-Ho;Kang, Hui-Doo;Song, Woon-Heung
    • Korean Journal of Digital Imaging in Medicine
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    • v.10 no.2
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    • pp.39-49
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    • 2008
  • Extravasation of contrast material is a not infrequent complication of enhanced imaging studies and large volume extravasation may result in severe damage. Subcutaneous extravasation of the radiographic contrast medium is one of the complications of the contrast medium-enhanced procedures. Automated power injectors enable the contrast material to be delivered at a uniform high-flow-rate and as a nonfragmented bolus, and this is essential for many contrast material enhanced CT(computed tomography) applications. The major risk associated with the use of automated power injectors is the well known complication of contrast material extravasation at the injection site. Automated injection of CT contrast material can produce the compartment syndrome. Selection of the nonionic contrast material after careful evaluation of the intravenous administration site and monitoring of the patient during the use of a mechanical power injector may help minimize or prevent extravasation injuries. Early identification is important and conservative management is effective in most cases. Prevention of these injuries with the education of radiological technologist remains the ultimate aim.

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Contrast Enhanced Ultrasonography and CT Features of Gastrointestinal Stromal Tumor in a Dog

  • Saran Chhoey;Soyeon Kim;Kroesna Kang;Sath Keo;Jihye Choi
    • Journal of Veterinary Clinics
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    • v.40 no.5
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    • pp.375-381
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    • 2023
  • A large abdominal mass was incidentally found in a 13-year-old mixed-breed dog and was confirmed to be a cecal gastrointestinal stromal tumor (GIST). Contrast-enhanced ultrasound and post-contrast computed tomography (CT) showed mild contrast enhancement of the mass, indicating low blood flow. The tumor origin was determined to be the cecum by identifying the vessels supplying the mass on post-contrast CT. The exophytic growth of the tumor left the cecal lumen intact without obstruction. This report described the CEUS and CT perfusion of the cecal GIST and perfusion evaluation can help diagnose and characterize GISTs in dogs.

Clinical Value of Cardiovascular Calcifications on Non-Enhanced, Non-ECG-Gated Chest CT (비 조영증강 비 심전도동기 흉부 CT에서 발견되는 심혈관계 석회화의 임상적 가치)

  • Tae Seop Choi;Hwan Seok Yong;Cherry Kim;Young Joo Suh
    • Journal of the Korean Society of Radiology
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    • v.81 no.2
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    • pp.324-336
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    • 2020
  • Cardiovascular calcifications can occur in various cardiovascular diseases and can serve as a biomarker for cardiovascular event prediction. Advances in CT have enabled evaluation of calcifications in cardiovascular structures not only on ECG-gated CT but also on non-ECG-gated CT. Therefore, many studies have been conducted on the clinical relevance of cardiovascular calcifications in patients. In this study, we divided cardiovascular calcifications into three classes, i.e., coronary artery, thoracic aorta, and cardiac valve calcifications, which are closely associated with cardiovascular events. Further, we briefly described pericardial calcifications, which can be found incidentally. Since the start of lung cancer screening in Korea in the second half of 2019, the number of non-enhanced, non-ECG-gated, low-dose chest CT has been increasing, and the number of incidentally found cardiovascular calcifications has also been increasing. Therefore, understanding the relevance of cardiovascular calcifications on non-enhanced, non-ECG-gated, low-dose chest CT and their proper reporting are important for radiologists.

Hepatic Cavernous Hemangioma in Cirrhotic Liver: Imaging Findings

  • Jeong-Sik Yu;Ki Whang Kim;Mi-Suk Park;Sang-Wook Yoon
    • Korean Journal of Radiology
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    • v.1 no.4
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    • pp.185-190
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    • 2000
  • Objective: To document the imaging findings of hepatic cavernous hemangioma detected in cirrhotic liver. Materials and Methods: The imaging findings of 14 hepatic cavernous hemangiomas in ten patients with liver cirrhosis were retrospectively analyzed. A diagnosis of hepatic cavernous hemangioma was based on the findings of two or more of the following imaging studies: MR, including contrast-enhanced dynamic imaging (n = 10), dynamic CT (n = 4), hepatic arteriography (n = 9), and US (n = 10). Results: The mean size of the 14 hepatic hemangiomas was 0.9 (range, 0.5-1.5) cm in the longest dimension. In 11 of these (79%), contrast-enhanced dynamic CT and MR imaging showed rapid contrast enhancement of the entire lesion during the early phase, and hepatic arteriography revealed globular enhancement and rapid filling-in. On contrast-enhanced MR images, three lesions (21%) showed partial enhancement until the 5-min delayed phases. US indicated that while three slowly enhancing lesions were homogeneously hyperechoic, 9 (82%) of 11 showing rapid enhancement were not delineated. Conclusion: The majority of hepatic cavernous hemangiomas detected in cirrhotic liver are small in size, and in many, hepatic arteriography and/or contrast-enhanced dynamic CT and MR imaging demonstrates rapid enhancement. US, however, fails to distinguish a lesion of this kind from its cirrhotic background.

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Computed tomographic assessment of retrograde urohydropropulsion in male dogs and prediction of stone composition using Hounsfield unit in dogs and cats

  • Bruwier, Aurelie;Godart, Benjamin;Gatel, Laure;Leperlier, Dimitri;Bedu, Anne-Sophie
    • Journal of Veterinary Science
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    • v.23 no.5
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    • pp.65.1-65.10
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    • 2022
  • Background: Persistent uroliths after a cystotomy in dogs are a common cause of surgical failure. Objectives: This study examined the following: the success rate of retrograde urohydropropulsion in male dogs using non-enhanced computed tomography (CT), whether the CT mean beam attenuation values in Hounsfield Units (mHU) measured in vivo could predict the urolithiasis composition and whether the selected reconstruction kernel may influence the measured mHU. Methods: All dogs and cats that presented with lower urinary tract uroliths and had a non-enhanced CT preceding surgery were included. In male dogs, CT was performed after retrograde urohydropropulsion to detect the remaining urethral calculi. The percentage and location of persistent calculi were recorded. The images were reconstructed using three kernels, from smooth to ultrasharp, and the calculi mHU were measured. Results: Sixty-five patients were included in the study. The success rate of retrograde urohydropropulsion in the 45 male dogs was 55.6% and 86.7% at the first and second attempts, respectively. The predominant components of the calculi were cystine (20), struvite (15), calcium oxalate (8), and urate (7). The convolution kernel influenced the mHU values (p < 0.05). The difference in mHU regarding the calculus composition was better assessed using the smoother kernel. A mHU greater than 1,000 HU was predictive of calcium oxalate calculi. Conclusions: Non-enhanced CT is useful for controlling the success of retrograde urohydropropulsion. The mHU could allow a prediction of the calculus composition, particularly for calcium oxalate, which may help determine the therapeutic strategy.