• Title/Summary/Keyword: Quantitative CT

Search Result 339, Processing Time 0.025 seconds

Myocardial Blood Flow Quantified by Low-Dose Dynamic CT Myocardial Perfusion Imaging Is Associated with Peak Troponin Level and Impaired Left Ventricle Function in Patients with ST-Elevated Myocardial Infarction

  • Jingwei Pan;Mingyuan Yuan;Mengmeng Yu;Yajie Gao;Chengxing Shen;Yining Wang;Bin Lu;Jiayin Zhang
    • Korean Journal of Radiology
    • /
    • v.20 no.5
    • /
    • pp.709-718
    • /
    • 2019
  • Objective: To investigate the association of myocardial blood flow (MBF) quantified by dynamic computed tomography (CT) myocardial perfusion imaging (MPI) with troponin level and left ventricle (LV) function in patients with ST-segment elevated myocardial infarction (STEMI). Materials and Methods: Thirty-five STEMI patients who successfully had undergone reperfusion treatment within 1 week of their infarction were consecutively enrolled. All patients were referred for dynamic CT-MPI. Serial high-sensitivity troponin T (hs-TnT) levels and left ventricular ejection fraction (LVEF) measured by echocardiography were recorded. Twenty-six patients with 427 segments were included for analysis. Various quantitative parameters derived from dynamic CT-MPI were analyzed to determine if there was a correlation between hs-TnT levels and LVEF on admission and again at the 6-month mark. Results: The mean radiation dose for dynamic CT-MPI was 3.2 ± 1.1 mSv. Infarcted territories had significantly lower MBF (30.5 ± 7.4 mL/min/100 mL versus 73.4 ± 8.1 mL/min/100 mL, p < 0.001) and myocardial blood volume (MBV) (2.8 ± 0.9 mL/100 mL versus 4.2 ± 1.1 mL/100 mL, p = 0.044) compared with those of reference territories. MBF showed the best correlation with the level of peak hs-TnT (r = -0.682, p < 0.001), and MBV showed a moderate correlation with the level of peak hs-TnT (r = -0.437, p = 0.026); however, the other parameters did not show any significant correlation with hs-TnT levels. As for the association with LV function, only MBF was significantly correlated with LVEF at the time of admission (r = 0.469, p = 0.016) and at 6 months (r = 0.585, p = 0.001). Conclusion: MBF quantified by dynamic CT-MPI is significantly inversely correlated with the level of peak hs-TnT. In addition, patients with lower MBF tended to have impaired LV function at the time of their admission and at 6 months.

Quantitative evaluation of iterative reconstruction algorithm for high quality computed tomography image acquisition with low dose radiation : Comparison with filtered back projection algorithm (저선량.고화질 CT 영상 획득을 위한 반복적 재구성 기법의 정량적 평가 : 필터보정 역투영법과의 비교 분석)

  • Ha, Seongmin;Shim, Hackjoon;Chang, Hyuk-Jae;Kim, Seonkyu
    • Proceedings of the Korean Society of Broadcast Engineers Conference
    • /
    • 2013.06a
    • /
    • pp.274-277
    • /
    • 2013
  • CT(Computed Tomography)영상에서 선량과 화질은 중요한 요소이다. 선량은 환자에게 직접적으로 악영향을 끼치는 요소이며, 화질은 환자의 병변을 판단하는데 매우 중요하게 작용한다. 반복적 재구성 알고리즘을 이용하면 저선량 영상에서도 고화질의 영상을 얻을 수 있는지 FBP와 정량적, 정성적으로 비교하였다. 촬영 프로토콜은 관전압 80, 100, 120kVp에서 관전류를 동일하게 200mA로 촬영하여 획득하였으며, 정량적 평가를 위해 SD(Standard Deviation), SNR(Signal to Noise Ratio), MTF(Modulation Transfer Function)를 측정하여 분석하였다. 선량은 80kVp일 때 가장 낮았으며, 120kVp일 때 가장 높았다. 80kVp의 영상을 Toshiba 사(社)의 AIDR 3D(Adaptive Iterative Reduction integrated into $^{SURE}Exposure$)로 재구성하고, 120kVp의 영상에 FBP로 재구성한 다음 정량적 비교를 한 결과 AIDR 3D를 적용한 영상의 SD가 낮게 나왔으며, SNR이 높게 나타났고, MTF 곡선은 유사하게 나타났다. 그리고 FWHM(Full Width at Half Maximum) 값의 오차가 거의 없었다. 결론적으로 AIDR 3D는 저선량에서도 높은 화질을 나타냄을 확인하였다.

  • PDF

Measurement Method of the Masseter Muscle Volume Using 3D Computed Tomography (3D CT를 이용한 교근의 부피측정)

  • Baek, Jung Hwan;Choi, Jong Woo;Yoo, Sun Kuk;Kim, Yong Oock;Park, Beyoung Yun
    • Archives of Plastic Surgery
    • /
    • v.32 no.5
    • /
    • pp.589-592
    • /
    • 2005
  • Since G.N. Hounsfield's clinical use of computed tomography in 1971, digital imaging technique using computers has shown an eye opening progress. Progress has made 3-dimensional understanding of not only facial bones but muscles and other connective tissues possible through 3-dimensional reconstruction of preexisting tomographical images. Also, quantitative analysis of density, distance, volume has become possible, allowing objective analysis of preoperative and postoperative states through imaging. The authors measured the masseter muscle volume of 20 normal individuals and 8 female patients through 3-D reconstructive CT imaging and made a statistical analysis of the measurements. The method used in our study may be applied to the diagnosis of disease causing the change of the facial volume and presurgical design as a useful tool to provide objective information on the evaluation of surgery outcome.

Repressive effects of red bean, Phaseolus angularis, extracts on obesity of mouse induced with high-fat diet via downregulation of adipocyte differentiation and modulating lipid metabolism

  • Park, Young Mi;Kim, Jee In;Seo, Dong Hyun;Seo, Joo Hee;Lim, Jae-Hwan;Lee, Jong Eun;Choi, Je-Yong;Seo, Eul-Won
    • Food Science and Biotechnology
    • /
    • v.27 no.6
    • /
    • pp.1811-1821
    • /
    • 2018
  • Obesity is generally caused by quantitative changes in adipocyte differentiation and fat metabolism. Only a few studies have been determined the effect of red beans extract on obesity and plasma cholesterol concentration. We have been studied the functional activities of red-bean extracts including anti-oxidative effect against DNA and cell damages. Histological study including micro CT analysis showed that the accumulation of fat in hepatocytes and intestines was significantly decreased in red bean extract treated group. In addition, plasma cholesterol and triglyceride levels were decreased in blood samples. In addition, it was confirmed that the red bean extract inhibited the expression of $PPAR{\gamma}$, Fabp4 and RETN genes, which regulate total adipocyte differentiation and lipid metabolism. Red bean extract inhibits the expressions of transcription factors associated with adipocyte differentiation in a dose-dependent manner, thereby inhibiting fat accumulation and decreasing blood lipid levels in obese mice induced by high fat diet.

Comparison of Sizes of Anatomical Structures according to Scan Position Changes in Patients with Interstitial Lung Disease Using High-Resolution Thoracic CT (고해상도 흉부 전산화단층촬영을 이용한 간질성 폐질환을 가진 환자의 자세에 따른 해부학적 구조물 크기 비교)

  • Lee, Jae-min;Park, Je-heon;Kim, Ju-seong;Lim, Cheong-Hwan;Lee, Ki-Baek
    • Journal of radiological science and technology
    • /
    • v.44 no.2
    • /
    • pp.91-100
    • /
    • 2021
  • High-Resolution thoracic CT (HRCT) is a scanning protocol in which thin slice thickness and sharpness algorithm are utilized to enhance image resolution for diagnosis and assessment of interstitial lung disease (ILD). This examination is sometimes performed in both supine and prone position to improve sensitivity to early changes of these conditions. Anatomical structures (the size of lung field and heart and descending aorta) of 150 patients who underwent HRCT were retrospectively compared. HRCT had been conducted in two positions (supine and prone). Data were divided into five groups according to patient body weights (from 40 to more than 80kg, 10kg intervals, 60 patients/each group). Quantitative analysis was utilized in Image J program. In the supine position defined as the control group, the average values of lung fields and heart size and aorta were compared with the prone position defined as the experimental group. The size of the lungs was found to be higher in the supine position, and it was confirmed that there was a statistically significant difference in patients over 70 kg (p<0.05). In addition, both sizes of the heart and descending aorta were larger in prone position, but in the case of the heart, there was no correlation with the presence or absence of ILD disease (p>0.05). Also, the area of prone in the descending aorta was higher than supine position, but there was no statistically significant difference between supine and prone position (p>0.05). In conclusion, when the severity of ILD disease was severe, there was no statistically significant difference in the area difference between supine and prone position, so it is considered that it will be helpful in diagnostic decision.

The Effects of Scratch Programming on Preservice Teachers: Assessment Utilizing Computational Thinking and Bloom's Taxonomy (스크래치 프로그래밍이 예비교사에게 미치는 영향 : 컴퓨팅 사고 및 블룸의 텍사노미 활용 평가)

  • Choi, Hyungshin;Kim, Kibum
    • Journal of The Korean Association of Information Education
    • /
    • v.19 no.2
    • /
    • pp.225-232
    • /
    • 2015
  • The goal of this study is to assess the effects of Scratch programming classes on preservice teachers by using computational thinking and cognitive evaluations based on Bloom's taxonomy. To pursue this research goal we measured preservice teachers' programming skills using cognitive evaluation items based on Bloom's taxonomy after preservice teachers took one-semester Scratch programming course. In addition, a survey focused on computational thinking (CT) concepts, CT practices, and CT perspectives was conducted. We also conducted artifact-based interviews to unpack preservice teachers' experiences of working on team projects and analyzed their experiences qualitatively. The results of this study are meaningful because we assessed preservice teachers' experiences comprehensively with both quantitative and qualitative methods. In addition, this study provides us with implications for evaluation perspectives in designing programming courses for preservice teachers by adopting Bloom's taxonomy scheme.

Automatic Segmentation of Renal Parenchyma using Graph-cuts with Shape Constraint based on Multi-probabilistic Atlas in Abdominal CT Images (복부 컴퓨터 단층촬영영상에서 다중 확률 아틀라스 기반 형상제한 그래프-컷을 사용한 신실질 자동 분할)

  • Lee, Jaeseon;Hong, Helen;Rha, Koon Ho
    • Journal of the Korea Computer Graphics Society
    • /
    • v.22 no.4
    • /
    • pp.11-19
    • /
    • 2016
  • In this paper, we propose an automatic segmentation method of renal parenchyma on abdominal CT image using graph-cuts with shape constraint based on multi-probabilistic atlas. The proposed method consists of following three steps. First, to use the various shape information of renal parenchyma, multi-probabilistic atlas is generated by cortex-based similarity registration. Second, initial seeds for graph-cuts are extracted by maximum a posteriori (MAP) estimation and renal parenchyma is segmented by graph-cuts with shape constraint. Third, to reduce alignment error of probabilistic atlas and increase segmentation accuracy, registration and segmentation are iteratively performed. To evaluate the performance of proposed method, qualitative and quantitative evaluation are performed. Experimental results show that the proposed method avoids a leakage into neighbor regions with similar intensity of renal parenchyma and shows improved segmentation accuracy.

Image Segmentation of Lung Parenchyma using Improved Deformable Model on Chest Computed Tomography (개선된 가변형 능동모델을 이용한 흉부 컴퓨터단층영상에서 폐 실질의 분할)

  • Kim, Chang-Soo;Choi, Seok-Yoon
    • Journal of the Korea Institute of Information and Communication Engineering
    • /
    • v.13 no.10
    • /
    • pp.2163-2170
    • /
    • 2009
  • We present an automated, energy minimized-based method for Lung parenchyma segmenting Chest Computed Tomography(CT) datasets. Deformable model is used for energy minimized segmentation. Quantitative knowledge including expected volume, shape of Chest CT provides more feature constrain to diagnosis or surgery operation planning. Segmentation subdivides an lung image into its consistent regions or objects. Depends on energy-minimizing, the level detail image of subdivision is carried. Segmentation should stop when the objects or region of interest in an application have been detected. The deformable model that has attracted the most attention to date is popularly known as snakes. Snakes or deformable contour models represent a special case of the general multidimensional deformable model theory. This is used extensively in computer vision and image processing applications, particularly to locate object boundaries, in the mean time a new type of external force for deformable models, called gradient vector flow(GVF) was introduced by Xu. Our proposed algorithm of deformable model is new external energy of GVF for exact segmentation. In this paper, Clinical material for experiments shows better results of proposal algorithm in Lung parenchyma segmentation on Chest CT.

Intracerebral Hemorrhage Auto Recognition in Computed Tomography Images (CT 영상에서 뇌출혈의 자동인식)

  • Choi, Seok-Yoon;Kang, Se-Sik;Kim, Chang-Soo;Kim, Jung-Hoon;Kim, Dong-Hyun;Ye, Soo-Young;Ko, Seong-Jin
    • Journal of radiological science and technology
    • /
    • v.36 no.2
    • /
    • pp.141-148
    • /
    • 2013
  • The CT examination sometimes fail to localize the cerebral hemorrhage part depending on the seriousness and may embarrass the pathologist if he/she is not trained enough for emergencies. Therefore, an assisting role is necessary for examination, automatic and quick detection of the cerebral hemorrhage part, and supply of the quantitative information in emergencies. the computer based automatic detection and recognition system may be of a great service to the bleeding part detection. As a result of this research, we succeeded not only in automatic detection of the cerebral hemorrhage part by grafting threshold value handling, morphological operation, and roundness calculation onto the bleeding part but also in development of the PCA based classifier to screen any wrong choice in the detection candidate group. We think if we apply the new developed system to the cerebral hemorrhage patient in his critical condition, it will be very valuable data to the medical team for operation planning.

Accuracy verification of dental cone-beam computed tomography of mandibular incisor root canals and assessment of its morphology and aging-related changes

  • Katsuyuki Aoki;Masamitsu Serikawa;Takuya Harada;Akinobu Usami
    • Anatomy and Cell Biology
    • /
    • v.56 no.2
    • /
    • pp.185-190
    • /
    • 2023
  • The root canal morphology undergoes aging-related changes, and relevant quantitative analyses have not yet been reported. We compared the cone beam computed tomography (CBCT) and micro-computed tomography (microCT) scans of extracted mandibular incisors to check the accuracy of morphological measurements. Thereafter, the root canal morphology and aging-related changes in the mandibular incisors of Japanese individuals were assessed using CBCT. Six extracted teeth were fixed in a phantom head and imaged using CBCT and micro-CT. The correlation between the findings of the two imaging modalities was examined. Further, CBCT reconstructed images of the mandibular incisors of 81 individuals were observed. Age-related changes of the root canals were compared between participants aged <30 years and those aged ≥30 years. The CBCT and micro-CT findings regarding the root canals of the extracted teeth coincided in 94.4% of the cases. Mandibular incisors exhibiting two root canals in either cross-section accounted for 9.9% of central incisors and 12.4% of lateral incisors. Mandibular central incisors with two root canals were observed in two (6.3%) individuals aged <30 years and six (12.2%) aged ≥30 years. Mandibular lateral incisors with two root canals were observed in one (3.1%) individual aged <30 years and nine (18.4%) aged ≥30 years. CBCT allows accurate evaluation of complex root canal morphologies and is useful for endodontic preoperative assessment. Mandibular incisors have more frequent occurrence of two root canals with aging.