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Optimization of window settings for standard and advanced virtual monoenergetic imaging in abdominal dual-energy CT angiography
by
Ball, B. Devon
, De Cecco, Carlo N.
, Varga-Szemes, Akos
, Caruso, Damiano
, Wichmann, Julian L.
, Schoepf, U. Joseph
, Mangold, Stefanie
, De Santis, Domenico
, Stroebel, Maxwell H.
, Laghi, Andrea
, Parinella, Ashley H.
in
Aged
/ Computed Tomography Angiography - methods
/ Contrast Media
/ Female
/ Gastroenterology
/ Hepatology
/ Humans
/ Imaging
/ Iohexol
/ Male
/ Medicine
/ Medicine & Public Health
/ Radiographic Image Interpretation, Computer-Assisted
/ Radiography, Abdominal - methods
/ Radiography, Dual-Energy Scanned Projection - methods
/ Radiology
/ Reproducibility of Results
/ Retrospective Studies
/ Vascular Diseases - diagnostic imaging
2017
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Optimization of window settings for standard and advanced virtual monoenergetic imaging in abdominal dual-energy CT angiography
by
Ball, B. Devon
, De Cecco, Carlo N.
, Varga-Szemes, Akos
, Caruso, Damiano
, Wichmann, Julian L.
, Schoepf, U. Joseph
, Mangold, Stefanie
, De Santis, Domenico
, Stroebel, Maxwell H.
, Laghi, Andrea
, Parinella, Ashley H.
in
Aged
/ Computed Tomography Angiography - methods
/ Contrast Media
/ Female
/ Gastroenterology
/ Hepatology
/ Humans
/ Imaging
/ Iohexol
/ Male
/ Medicine
/ Medicine & Public Health
/ Radiographic Image Interpretation, Computer-Assisted
/ Radiography, Abdominal - methods
/ Radiography, Dual-Energy Scanned Projection - methods
/ Radiology
/ Reproducibility of Results
/ Retrospective Studies
/ Vascular Diseases - diagnostic imaging
2017
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Optimization of window settings for standard and advanced virtual monoenergetic imaging in abdominal dual-energy CT angiography
by
Ball, B. Devon
, De Cecco, Carlo N.
, Varga-Szemes, Akos
, Caruso, Damiano
, Wichmann, Julian L.
, Schoepf, U. Joseph
, Mangold, Stefanie
, De Santis, Domenico
, Stroebel, Maxwell H.
, Laghi, Andrea
, Parinella, Ashley H.
in
Aged
/ Computed Tomography Angiography - methods
/ Contrast Media
/ Female
/ Gastroenterology
/ Hepatology
/ Humans
/ Imaging
/ Iohexol
/ Male
/ Medicine
/ Medicine & Public Health
/ Radiographic Image Interpretation, Computer-Assisted
/ Radiography, Abdominal - methods
/ Radiography, Dual-Energy Scanned Projection - methods
/ Radiology
/ Reproducibility of Results
/ Retrospective Studies
/ Vascular Diseases - diagnostic imaging
2017
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Optimization of window settings for standard and advanced virtual monoenergetic imaging in abdominal dual-energy CT angiography
Journal Article
Optimization of window settings for standard and advanced virtual monoenergetic imaging in abdominal dual-energy CT angiography
2017
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Overview
Objectives
To determine the optimal window setting for displaying virtual monoenergetic reconstructions of third generation dual-source, dual-energy CT (DECT) angiography of the abdomen.
Methods
Forty-five patients were evaluated with DECT angiography (90/150 kV, 180/90 ref. mAs). Three datasets were reconstructed: standard linear blending (M_0.6), 70 keV traditional virtual monoenergetic (M70), and 40 keV advanced noise-optimized virtual monoenergetic (M40+). The best window setting (width and level,
W/L
) was assessed by two blinded observers and was correlated with aortic attenuation to obtain the Optimized
W/L
setting (O-
W/L
). Subjective image quality was assessed, and vessel diameters were measured to determine any possible influences between different
W/L
settings. Repeated measures of variance were used to evaluate comparison of
W/L
values, image quality, and vessel sizing between M_0.6, M70, and M40+.
Results
The Best
W/L
(B-
W/L
) for M70 and M40+ was 880/280 and 1410/450, respectively. Results from regression analysis inferred an O-
W/L
of 850/270 for M70 and 1350/430 for M40+. Significant differences for
W
and
L
were found between the Best and the Optimized
W/L
for M40+, and between M70 and M40+ for both the Best and Optimized
W
/
L
. No significant differences for vessel measurements were found using the O-
W
/
L
for M40+ compared to the standard M_0.6 (
p
≥ 0.16), and significant differences were observed when using the B-
W
/
L
with M40+ compared to M_0.6 (
p
≤ 0.04).
Conclusion
In order to optimize virtual monoenergetic imaging with both traditional M70 and advanced M40+, adjusting the
W
/
L
settings is necessary. Our results suggest a
W
/
L
setting of 850/270 for M70 and 1350/430 for M40+.
Publisher
Springer US,Springer Nature B.V
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