Giant Pulmonary Artery Thrombotic Material, Due to Chronic Thromboembolic Pulmonary Hypertension, Mimics Pulmonary Artery Sarcoma.

In this article, we present the case of a 38-year-old female who suffered from serious respiratory distress. After an extensive pulmonary artery imaging diagnostic work-up (CTPA, MRA and PET), we were unable to differentiate between chronic thromboembolic pulmonary hypertension (CTEPH) vs. pulmonary artery sarcoma (PAS) due to extensive filling defects and extraluminal findings.

MDCTA volumetric analysis for the quantification and grading of acute non-cerebral, non-gastrointestinal hemorrhage: a feasibility study.

Purpose: To assess the feasibility of multi-detector computed tomography angiography (MDCTA) volumetry for the quantification and grading of acute non-cerebral, non-gastrointestinal bleeding.

Methods: This retrospective, single-center study investigated consecutive patients with MDCTA positive for active non-cerebral, non-gastrointestinal bleeding, between January 2020 and June 2020. Outcome measures were the quantification of active extravasation at the arterial and parenchymal phase using volumetry measurements, the calculation of active bleeding rate and bleeding grading, 30-day mortality rate, identification of independent predictors of mortality and correlation between volumetric analysis, various clinical features, and the decision to proceed with an intervention.

Lung cancer histology classification from CT images based on radiomics and deep learning models.

Adenocarcinoma (AC) and squamous cell carcinoma (SCC) are frequent reported cases of non-small cell lung cancer (NSCLC), responsible for a large fraction of cancer deaths worldwide. In this study, we aim to investigate the potential of NSCLC histology classification into AC and SCC by applying different feature extraction and classification techniques on pre-treatment CT images. The employed image dataset (102 patients) was taken from the publicly available cancer imaging archive collection (TCIA).

Telomere length across different UIP fibrotic-Interstitial Lung Diseases: a prospective Greek case-control study.

Introduction: Short telomeres are recognized as risk factor for idiopathic pulmonary fibrosis (IPF). We aimed to assess the role of telomere length (TL) in fibrotic-Interstitial Lung Diseases (f-ILDs) associated with a usual interstitial pneumonia (UIP) pattern as well as in IPF acute exacerbation (IPF-AE).

Aim And Methods: TL was measured from peripheral white blood cells using a multiplex quantitative polymerase chain reaction in consecutive patients with f-ILDs, all presenting UIP pattern in the high-resolution chest-computed-tomography and compared to age-matched healthy controls.

"Luck's always to blame": silent wounds of a penetrating gunshot trauma sustained 20 years ago.

Gunshot tracheal injuries represent life-threatening events and usually necessitate emergent surgical intervention. We report a case of an exceptional finding of a patient with retained ballistic fragments in the soft tissues of the thorax, proximal to the right subclavian artery and the trachea, carrying silently his wounds for two decades without any medical or surgical intervention. The bullet pellet on the upper part of the trachea seen accidentally in the chest computed tomography, was also found during bronchoscopy.

Baastrup's disease (kissing spines syndrome): a pictorial review.

Unlabelled: Excessive lordosis is a common finding and may produce mechanical pressure that causes repetitive strains of the interspinous ligament with subsequent degeneration and collapse. Baastrup's disease (kissing spine syndrome) is a term referring to close approximation of adjacent spinous processes due to degenerative changes of the spine. Baastrup's disease usually affects the lumbar spine, with L4-L5 being the most commonly affected level.

Introduction of an effective method for the optimization of CT protocols using iterative reconstruction algorithms: comparison with patient data.

Objective: The purpose of this study is to introduce an efficient method for the optimization of iterative reconstruction CT protocols based on phantom image analysis and the comparison of obtained results with actual patient data.

Materials And Methods: We considered chest, abdomen, and pelvis CT examinations before the installation of an iterative reconstruction algorithm (iDose4) to define the exposure parameters used in clinical routine with filtered back projection (FBP). The body area of a CT phantom was subsequently scanned with various tube voltages and tube currents-exposure time products, and acquired data were reconstructed with FBP and different levels of iDose4.

Effect of iDose4 iterative reconstruction algorithm on image quality and radiation exposure in prospective and retrospective electrocardiographically gated coronary computed tomographic angiography.

Objectives: The aims of this study were to compare a commercially available reconstruction algorithm (iDose4) with filtered back projection (FBP) in terms of image quality (IQ) for both retrospective electrocardiographically gated and prospective electrocardiographically triggered cardiac computed tomographic angiography (CCTA) protocols and to evaluate the achievable radiation dose reduction.

Methods: A total cohort of 58 patients underwent either prospective CTCA or retrospective CTCA with full or reduced tube current-time product (in milliampere-second) protocol on a 64-slice multidetector computed tomographic scanner. All images were reconstructed with FBP, whereas the reduced milliampere-second images were also reconstructed using 2 levels (levels 4 and 6) of iDose4.

Radiation dose and image noise evaluation in coronary computed tomography angiography (CCTA) using an iterative reconstruction algorithm.

Introduction: The purpose of this study was to evaluate radiation dose reduction in coronary computerised tomography angiography (CCTA), using a commercially available iterative reconstruction (IR) algorithm as well as the behaviour of the image noise.

Methods: A total cohort of 47 patients underwent CCTA examination on a 64-slice multi-detector CT. They were divided into four groups according to the time when the examination was performed (before or after the installation of iDose) and the acquisition protocol followed (prospective or retrospective electrocardiography-ECG gated).

Using "iDose4" iterative reconstruction algorithm in adults' chest-abdomen-pelvis CT examinations: effect on image quality in relation to patient radiation exposure.

Objective: The aim of this study is to examine the effect of iDose4 hybrid iterative reconstruction algorithm (Philips Healthcare, Cleveland, OH) on radiation dose and image quality in chest–abdomen–pelvis (CAP) CT scanning of adult patients.

Methods: CAP CT examinations were performed on 99 patients with the use of the “old standard” protocol performing filtered back projection reconstruction algorithm (FBP protocol) and on 84 patients with the use of iDose4 protocol on a 64-multidetector CT. Patients were subdivided into three weight groups (Group 1, 41–60kg; Group 2, 61–90kg; and Group 3, .

Implications of the Incidental Finding of a MYCN Amplified Adrenal Tumor: A Case Report and Update of a Pediatric Disease Diagnosed in Adults.

MYCN is a well-known oncogene overexpressed in different human malignancies including neuroblastoma, rhabdomyosarcoma, medulloblastoma, astrocytoma, Wilms' tumor, and small cell lung cancer. While neuroblastoma is one of the most common childhood malignancies, in adults it is extremely rare and its treatment is based on pediatric protocols that take into consideration stage and genotypic features, such as MYCN amplification. Although neuroblastoma therapy has evolved, identification of early stage patients who need chemotherapy continues to pose a therapeutic challenge.

A new era in computed tomographic dose optimization: the impact of iterative reconstruction on image quality and radiation dose.

The ongoing evolution of computer technology has made the use of iterative reconstruction (IR) algorithms clinically applicable. We reviewed current literature on the clinical use of IR against filtered back projection algorithms in terms of image quality and radiation dose. Iterative reconstruction algorithms provide equal or better image quality compared with filtered back projection, with dose reduction ranging from 25% to 98.

Patient radiation exposure and image quality evaluation with the use of iDose4 iterative reconstruction algorithm in chest-abdomen-pelvis CT examinations.

The aim of this study is to evaluate the effect of iDose(4) iterative reconstruction algorithm on radiation dose and imaging quality at chest-abdomen-pelvis (CAP) CT examinations. Seventeen patients were considered; all patients had a previous CT scan with the standard filter back-projection (FBP) protocol and a follow-up scan with the iDose(4) protocol at the same scanner. Image noise, signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were objectively calculated.

Ovarian hyperstimulation syndrome complicated by severe community-acquired pneumonia due to methicillin-resistant Staphylococcus aureus positive for Panton-Valentine leukocidin.

We report a case of severe ovarian hyperstimulation syndrome (OHSS) complicated by community-acquired methicillin-resistant Staphylococcus aureus-Panton-Valentine leukocidin positive (CAMRSA-PVL[+]) necrotizing pneumonia, sepsis and multiple organ failure (MOF) in a previously immunocompetent female. The patient required prolonged ventilatory support and intensive care unit (ICU) hospitalization. Multiple cavities and severely affected lung function persist 1 year after discharge.

Patient radiation doses in cardiac computed tomography: comparison of published results with prospective and retrospective acquisition.

Prospective ECG triggering has the potential of reducing radiation exposure while maintaining diagnostic accuracy of cardiac computed tomography (CT). The aim of this study is to review patient radiation doses associated with coronary artery calcium scoring (CACS) and CT coronary angiography (CTCA) and to compare results between prospective and retrospective acquisition schemes. Patient radiation doses from CACS and CTCA were extracted from 67 relevant studies.

Adult patient radiation doses from non-cardiac CT examinations: a review of published results.

Objectives: CT is a valuable tool in diagnostic radiology but it is also associated with higher patient radiation doses compared with planar radiography. The aim of this article is to review patient dose for the most common types of CT examinations reported during the past 19 years.

Methods: Reported dosimetric quantities were compared with the European diagnostic reference levels (DRLs).

Reduction of the estimated radiation dose and associated patient risk with prospective ECG-gated 256-slice CT coronary angiography.

Computed tomography (CT) coronary angiography has been widely used since the introduction of 64-slice scanners and dual-source CT technology, but high radiation doses have been reported. Prospective ECG-gating using a 'step-and-shoot' axial scanning protocol has been shown to reduce radiation exposure effectively while maintaining diagnostic accuracy. 256-slice scanners with 80 mm detector coverage have been currently introduced into practice, but their impact on radiation exposure has not been adequately studied.

Bright-dark ring sign in MR imaging of hepatic epithelioid hemangioendothelioma.

We describe the imaging findings in a rare case of multifocal nodular form of hepatic epithelioid hemangioendothelioma on ultrasound (US) and dynamic contrast-enhanced spiral computed tomography (CT) and MRI. The nodules showed multilayered target appearance on MR images with prominent peripheral rim with high signal intensity (SI) on T1-weighted and very low SI on T2-weighted images, corresponding to thrombosed vascular channels. The above combination of imaging findings is to our knowledge distinct and should suggest the diagnosis of hepatic epithelioid hemangioendothelioma.

Patient radiation exposure measurements during interventional procedures: a prospective study.

This is a prospective study with the purpose of assessing patient radiation dose and stochastic risk (risk for fatal cancer) in a patient population undergoing interventional radiological (IR) procedures. Measurements were performed on 36 consecutive patients undergoing percutaneous transluminal angioplasty (PTA, n=18), transjugular intrahepatic portosystemic shunt (TIPS, n=3), diagnostic angiography (DA, n=6), arterial embolization (AE, n=3), and hepatic neoplasm chemoembolization (HCE, n=6). Kerma area product (KAP) was used as a measure of x-ray exposure to the patient.

Quality assurance (QA) procedures for software: evaluation of an ADC quality system.

Image viewing and processing software in computed radiography manipulates image contrast in such a way that all relevant image features are rendered to an appropriate degree of visibility, and improves image quality using enhancement algorithms. The purpose of this study was to investigate procedures for the quality assessment of image processing software for computed radiography with the use of existing test objects and to assess the influence that processing introduces on physical image quality characteristics. Measurements of high-contrast resolution, low-contrast resolution, spatial resolution, greyscale (characteristic curve) and geometric distortion were performed 'subjectively' by three independent observers and 'objectively' by the use of criteria based on pixel intensity values.