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Objective: Pathologic features of atherosclerotic plaques on CT are not established. We compared CT values among pathologically confirmed plaque constituents and evaluated their ability to distinguish plaque constituents.
Methods: 50 histopathological images of carotid endarterectomy samples from 10 males and 2 females (age 54-74 years, average 65.9 years) were examined. We compared pre-operative CT [pre-contrast (CT-P), early post-contrast phase (CT-E), delayed post-contrast phase (CT-D)] of lipid-rich necrotic core (NC) and fibrous tissue (F) plaque components with pathological images. The ability of features to differentiate plaque components using several discrimination techniques were compared.
Results: CT values of NC and F were 36 ± 13, 45 ± 11 (mean ± standard deviation, Hounsfield unit, HU), 41 ± 17, 69 ± 18, and 44 ± 16, 70 ± 13 in CT-P ( < 0.01), CT-E ( < 0.0001), and CT-D ( < 0.0001), respectively. The threshold, sensitivity, and accuracy for distinguishing NC from F were 44 HU, 74%, and 68%; 55 HU, 85%, and 85%; and 63 HU, 92%, and 84% in CTP, CT-E, and CT-D, respectively. CT-P had lower accuracy than CT-E and CT-D (both < 0.05), but CT-E and CT-D were similar. CT-E and CT-D yielded 90 and 91% sensitivity and accuracy, respectively in linear discrimination analysis.
Conclusion: In both pre- and post-contrast CT, CT values were lower in NC than F. Although values overlapped, using two-phase post-contrast CTs improved discrimination ability.
Advances In Knowledge: Our findings may help to establish computer-aided diagnosis of vulnerable atherosclerotic plaques in future.
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http://dx.doi.org/10.1259/bjr.20190901 | DOI Listing |
J Mol Model
September 2024
Department of Chemistry, College of Science, King Saud University, Riyadh, 11451, Saudi Arabia.
Context: Dye-sensitized solar cells (DSSCs) present a convincing substitute for conventional silicon-based solar cells because of their possible lower manufacturing costs and versatile uses. Electron injection and dye regeneration processes are important in meeting the need for photosensitizers with improved efficiency and stability. Aimed at enhancing the performance and efficiency of DSSCs, this study focuses on the structural engineering to performance metrics of novel indoline-benzo[d][1,2,3]thiadiazole based push-pull sensitizers (LHZ1 to LHZ9) with D-D-A-π-A framework.
View Article and Find Full Text PDFBr J Radiol
May 2020
Department of Radiology, Nippon Life Hospital, Osaka, Japan.
Objective: Pathologic features of atherosclerotic plaques on CT are not established. We compared CT values among pathologically confirmed plaque constituents and evaluated their ability to distinguish plaque constituents.
Methods: 50 histopathological images of carotid endarterectomy samples from 10 males and 2 females (age 54-74 years, average 65.
Indian J Nucl Med
October 2015
Department of Clinical Oncology, Faculty of Medicine, Sohag University, Sohag, Egypt.
Objectives: Assess the added value of dual time point F-18-fluorodeoxyglucose positron emission tomography/computed tomography (DTP F-18-FDG-PET/CT) in the differentiation of malignant from a benign lesion in cancer patients.
Materials And Methods: Totally, 140 F-18-FDG PET/CT scans of 60 cancer patients who underwent DTP protocol (early whole body PET/CT [E] at 60 min [range, 45-76 min] and delayed limited PET/CT [D] on areas of interest at 120 min [range, 108-153 min] after the tracer injection) were retrospectively reviewed. Visual and semi-quantitative analysis was performed on both early and delayed images.
J Comput Assist Tomogr
June 1988
Department of Diagnostic Radiology, Evanston Hospital, IL 60201.
Four hundred fifteen cases of suspected pituitary tumors were examined by CT and magnetic resonance (MR). Forty-one microadenomas and 26 large sellar-suprasellar pituitary tumors were diagnosed and surgically removed (61 cases) or treated with bromocriptine (six cases). The present study demonstrated that (a) in cases of microadenomas, MR was more accurate than CT in three cases, as accurate as CT in 33 cases, but missed six cases diagnosed on CT, when MR images were suboptimal (thicker than 5 mm); (b) when the sellar-suprasellar mass was markedly constricted at the diaphragma sellae on MR sagittal slices (16 cases), transsphenoidal surgical approach was not only insufficient for total removal but could be dangerous, as the remaining suprasellar portion may rapidly increase in size following surgery from postoperative hemorrhage and/or acute edema with severe obstructive hydrocephalus (three cases) and/or acute blindness (two cases); (c) hemorrhage in pituitary tumors was easily seen on MR and missed on CT; (d) coronal MR slices visualized the carotid siphon obviating the need for angiography to rule out intrasellar aneurysm, which can mimic pituitary tumor on contrast CT; (e) postoperative MR was needed before considering radiotherapy to visualize accurately the relation of the optic chiasm to the residual tumor and to follow up its gradual change in size; (f) finally, in cases treated with bromocriptine, MR was more accurate than CT in following the gradual decrease of pituitary tumor.
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