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Erschienen in: Japanese Journal of Radiology 2/2018

09.11.2017 | Invited Review

Dual energy computed tomography for the head

verfasst von: Norihito Naruto, Toshihide Itoh, Kyo Noguchi

Erschienen in: Japanese Journal of Radiology | Ausgabe 2/2018

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Abstract

Dual energy CT (DECT) is a promising technology that provides better diagnostic accuracy in several brain diseases. DECT can generate various types of CT images from a single acquisition data set at high kV and low kV based on material decomposition algorithms. The two-material decomposition algorithm can separate bone/calcification from iodine accurately. The three-material decomposition algorithm can generate a virtual non-contrast image, which helps to identify conditions such as brain hemorrhage. A virtual monochromatic image has the potential to eliminate metal artifacts by reducing beam-hardening effects. DECT also enables exploration of advanced imaging to make diagnosis easier. One such novel application of DECT is the X-Map, which helps to visualize ischemic stroke in the brain without using iodine contrast medium.
Literatur
1.
Zurück zum Zitat Brooks RA. A quantitative theory of the Hounsfield unit and its application to dual energy scanning. J Comput Assist Tomogr. 1977;1:487–93.CrossRefPubMed Brooks RA. A quantitative theory of the Hounsfield unit and its application to dual energy scanning. J Comput Assist Tomogr. 1977;1:487–93.CrossRefPubMed
2.
Zurück zum Zitat Flohr TG, McCollough CH, Bruder H, et al. First performance evaluation of a dual-source CT (DSCT) system. Eur Radiol. 2006;16:256–68.CrossRefPubMed Flohr TG, McCollough CH, Bruder H, et al. First performance evaluation of a dual-source CT (DSCT) system. Eur Radiol. 2006;16:256–68.CrossRefPubMed
3.
Zurück zum Zitat Johnson TR. Dual-energy CT. General principles. AJR Am J Roentgenol. 2012;1(99):S3–8.CrossRef Johnson TR. Dual-energy CT. General principles. AJR Am J Roentgenol. 2012;1(99):S3–8.CrossRef
4.
Zurück zum Zitat McCollough CH, Leng S, Yu L, et al. Dual-and multi-energy CT: principles, technical approaches, and clinical applications. Radiology. 2015;276:637–53.CrossRefPubMedPubMedCentral McCollough CH, Leng S, Yu L, et al. Dual-and multi-energy CT: principles, technical approaches, and clinical applications. Radiology. 2015;276:637–53.CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Postoma AA, Hofman PA, Stadler AA, et al. Dual-energy CT of the brain and intracranial vessels. AJR Am J Roentgenol. 2012;199:S26–33.CrossRef Postoma AA, Hofman PA, Stadler AA, et al. Dual-energy CT of the brain and intracranial vessels. AJR Am J Roentgenol. 2012;199:S26–33.CrossRef
7.
Zurück zum Zitat Watanabe Y, Uotani K, Nakazawa T, et al. Dual-energy direct bone removal CT angiography for evaluation of intracranial aneurysm or stenosis: comparison with conventional digital subtraction angiography. Eur Radiol. 2009;19:1019–24.CrossRefPubMed Watanabe Y, Uotani K, Nakazawa T, et al. Dual-energy direct bone removal CT angiography for evaluation of intracranial aneurysm or stenosis: comparison with conventional digital subtraction angiography. Eur Radiol. 2009;19:1019–24.CrossRefPubMed
8.
Zurück zum Zitat Schulz B, Kuehling K, Kromen W, et al. Automatic bone removal technique in whole-body dual-energy CT angiography: performance and image quality. AJR Am J Roentgenol. 2012;199:W646–50.CrossRefPubMed Schulz B, Kuehling K, Kromen W, et al. Automatic bone removal technique in whole-body dual-energy CT angiography: performance and image quality. AJR Am J Roentgenol. 2012;199:W646–50.CrossRefPubMed
9.
Zurück zum Zitat Gupta R, Phan CM, Leidecker C, et al. Evaluation of dual-energy CT for differentiating intracerebral hemorrhage from iodinated contrast material staining. Radiology. 2010;257:205–11.CrossRefPubMed Gupta R, Phan CM, Leidecker C, et al. Evaluation of dual-energy CT for differentiating intracerebral hemorrhage from iodinated contrast material staining. Radiology. 2010;257:205–11.CrossRefPubMed
10.
Zurück zum Zitat Hu R, Besheli LD, Young J, et al. Dual-energy head CT enables accurate distinction of intraparenchymal hemorrhage from calcification in emergency department patients. Radiology. 2016;280:177–83.CrossRefPubMed Hu R, Besheli LD, Young J, et al. Dual-energy head CT enables accurate distinction of intraparenchymal hemorrhage from calcification in emergency department patients. Radiology. 2016;280:177–83.CrossRefPubMed
11.
Zurück zum Zitat Yoon W, Seo JJ, Kim JK, et al. Contrast enhancement and contrast extravasation on computed tomography after intra-arterial thrombolysis in patients with acute ischemic stroke. Stroke. 2004;35:876–81.CrossRefPubMed Yoon W, Seo JJ, Kim JK, et al. Contrast enhancement and contrast extravasation on computed tomography after intra-arterial thrombolysis in patients with acute ischemic stroke. Stroke. 2004;35:876–81.CrossRefPubMed
12.
Zurück zum Zitat Yu L, Leng S, McCollough CH. Dual energy CT-based monochoromatic imaging. AJR Am J Roentgenol. 2012;199:S9–15.CrossRefPubMed Yu L, Leng S, McCollough CH. Dual energy CT-based monochoromatic imaging. AJR Am J Roentgenol. 2012;199:S9–15.CrossRefPubMed
13.
Zurück zum Zitat Bamberg F, Dierks A, Nikolaou K, et al. Metal artifact reduction by dual energy computed tomography using monoenergetic extrapolation. Eur Radiol. 2011;21:1424–9.CrossRefPubMed Bamberg F, Dierks A, Nikolaou K, et al. Metal artifact reduction by dual energy computed tomography using monoenergetic extrapolation. Eur Radiol. 2011;21:1424–9.CrossRefPubMed
14.
Zurück zum Zitat Johnson TR, KrauB B, Sedlmair M, et al. Material differentiation by dual energy CT: initial experience. Eur Radiol. 2007;17:1510–7.CrossRefPubMed Johnson TR, KrauB B, Sedlmair M, et al. Material differentiation by dual energy CT: initial experience. Eur Radiol. 2007;17:1510–7.CrossRefPubMed
15.
Zurück zum Zitat Liu X, Yu L, Primak AN, et al. Quantitative imaging of element composition and mass fraction using dual-energy CT: three-material decomposition. Med Phys. 2009;36:1602–9.CrossRefPubMedPubMedCentral Liu X, Yu L, Primak AN, et al. Quantitative imaging of element composition and mass fraction using dual-energy CT: three-material decomposition. Med Phys. 2009;36:1602–9.CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Phan CM, Yoo AJ, Hirsch JA, et al. Differentiation of hemorrhage from iodinated contrast in different intracranial compartments using dual-energy head CT. AJNR Am J Neuroradiol. 2012;33:1088–94.CrossRefPubMed Phan CM, Yoo AJ, Hirsch JA, et al. Differentiation of hemorrhage from iodinated contrast in different intracranial compartments using dual-energy head CT. AJNR Am J Neuroradiol. 2012;33:1088–94.CrossRefPubMed
17.
Zurück zum Zitat Kim SJ, Lim HK, Lee HY, et al. Dual-energy CT in the evaluation of intracerebral hemorrhage of unknown origin: differentiation between tumor bleeding and pure hemorrhage. AJNR Am J Neuroradiol. 2012;33:865–72.CrossRefPubMed Kim SJ, Lim HK, Lee HY, et al. Dual-energy CT in the evaluation of intracerebral hemorrhage of unknown origin: differentiation between tumor bleeding and pure hemorrhage. AJNR Am J Neuroradiol. 2012;33:865–72.CrossRefPubMed
18.
Zurück zum Zitat Furlan A, Higashida R, Wechsler L, et al. Intra-arterial prourokinase for acute ischemic stroke: PROACT II study: a randomized controlled trial. JAMA. 1999;282:2003–11.CrossRefPubMed Furlan A, Higashida R, Wechsler L, et al. Intra-arterial prourokinase for acute ischemic stroke: PROACT II study: a randomized controlled trial. JAMA. 1999;282:2003–11.CrossRefPubMed
19.
Zurück zum Zitat Thomas C, Korn A, Krauss B, et al. Automatic bone and plaque removal using dual energy CT for head and neck angiography: feasibility and initial performance evaluation. Eur J Radiol. 2010;76:61–7.CrossRefPubMed Thomas C, Korn A, Krauss B, et al. Automatic bone and plaque removal using dual energy CT for head and neck angiography: feasibility and initial performance evaluation. Eur J Radiol. 2010;76:61–7.CrossRefPubMed
20.
Zurück zum Zitat Vlahos I, Chung R, Nair A, et al. Dual-energy CT: vascular applications. AJR Am J Roentgenol. 2012;199:S87–97.CrossRefPubMed Vlahos I, Chung R, Nair A, et al. Dual-energy CT: vascular applications. AJR Am J Roentgenol. 2012;199:S87–97.CrossRefPubMed
23.
Zurück zum Zitat Linn N, Pfefferkorn T, Ivanicova K, et al. Noncontrast CT in deep cerebral venous thrombosis and sinus thrombosis: comparison of its diagnostic value for both entities. AJNR Am J Neuroradiol. 2009;30:728–35.CrossRefPubMed Linn N, Pfefferkorn T, Ivanicova K, et al. Noncontrast CT in deep cerebral venous thrombosis and sinus thrombosis: comparison of its diagnostic value for both entities. AJNR Am J Neuroradiol. 2009;30:728–35.CrossRefPubMed
24.
Zurück zum Zitat Primak AN, Giraldo JCR, Eusemann CD, Schmidt B, Kantor B, Fletcher JG, McCollough CH. Dual-source dual-energy CT with additional tin filtration: dose and image quality evaluation in phantoms and in vivo. AJR Am J Roentgenol. 2010;195:1164–74.CrossRefPubMedPubMedCentral Primak AN, Giraldo JCR, Eusemann CD, Schmidt B, Kantor B, Fletcher JG, McCollough CH. Dual-source dual-energy CT with additional tin filtration: dose and image quality evaluation in phantoms and in vivo. AJR Am J Roentgenol. 2010;195:1164–74.CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Primak AN, Ramirez Giraldo JC, Liu X, Yu L, McCollough CH. Improved dual-energy material discrimination for dual-source CT by means of additional spectral filtration. Med Phys. 2009;36:1359–69.CrossRefPubMedPubMedCentral Primak AN, Ramirez Giraldo JC, Liu X, Yu L, McCollough CH. Improved dual-energy material discrimination for dual-source CT by means of additional spectral filtration. Med Phys. 2009;36:1359–69.CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Noguchi K, Itoh T, Naruto N, et al. A novel imaging technique (X-Map) to identify acute ischemic lesions using noncontrast dual-energy computed tomography. J Stroke Cerebrovasc Dis. 2017;26:34–41.CrossRefPubMed Noguchi K, Itoh T, Naruto N, et al. A novel imaging technique (X-Map) to identify acute ischemic lesions using noncontrast dual-energy computed tomography. J Stroke Cerebrovasc Dis. 2017;26:34–41.CrossRefPubMed
27.
Zurück zum Zitat Tomura N, Uemura K, Inugami A, et al. Early CT finding in cerebral infarction: obscuration of the lentiform nucleus. Radiology. 1988;168:463–7.CrossRefPubMed Tomura N, Uemura K, Inugami A, et al. Early CT finding in cerebral infarction: obscuration of the lentiform nucleus. Radiology. 1988;168:463–7.CrossRefPubMed
28.
Zurück zum Zitat Truwit CL, Barkovich AJ, Marton G, et al. Loss of the insular ribbon: another early CT sign of acute middle cerebral artery infarction. Radiology. 1990;176:801–6.CrossRefPubMed Truwit CL, Barkovich AJ, Marton G, et al. Loss of the insular ribbon: another early CT sign of acute middle cerebral artery infarction. Radiology. 1990;176:801–6.CrossRefPubMed
Metadaten
Titel
Dual energy computed tomography for the head
verfasst von
Norihito Naruto
Toshihide Itoh
Kyo Noguchi
Publikationsdatum
09.11.2017
Verlag
Springer Japan
Erschienen in
Japanese Journal of Radiology / Ausgabe 2/2018
Print ISSN: 1867-1071
Elektronische ISSN: 1867-108X
DOI
https://doi.org/10.1007/s11604-017-0701-4

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