European journal of radiology
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To determine the difference in radiation dose between non-enhanced (NECT) and contrast-enhanced (CECT) chest CT examinations contributed by contrast material with different scanner generations with automatic exposure control (AEC). ⋯ The presence of contrast material lead to an increase in dose for chest examinations in three CT generations with AEC. Although image noise values were significantly higher for CECT, the absolute differences were in a range of 3 HU. This can be regarded as negligible, thus indicating that AEC is able to fulfill its purpose of maintaining image quality. However, technological developments lead to a significant reduction of dose and image noise with the latest CT generation.
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The diagnostic performance of percutaneous core needle lung biopsy under multi-CT fluoroscopic guidance for ground-glass opacity (GGO) pulmonary lesions was evaluated. ⋯ The diagnostic performance was satisfactory, and it was considered that the procedure was appropriate for GGO lesions regardless of lesion size, the percentage of GGO component, or the length of needle path. The procedure was also feasible without any major complications.
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The HydroCoil Embolic System (HES) was developed to reduce recurrences of aneurysms relative to platinum coils. But the HydroCoil Embolic System was characterized with many limitations. The manufacturer had recognized the challenge and recently a new design of hydrogel-coated coil-HydroSoft has become available in the market as the new generation HydroCoil. We reported our initial experience using HydroSoft coil versus HydroCoil in our center. ⋯ HydroSoft coil allowed us to deploy coated coils with good packing density. A slight expansion of these coils at the neck can be expected to reduce neck remnant and potentially inhibit recurrence.
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To propose an acquisition scheme suitable for fiber tractography without cerebrospinal fluid contamination while retaining high signal-to-noise ratio. ⋯ The combined DTI technique is capable of improving tractography with higher signal-to-noise ratio at shorter scan time than FLAIR DTI. Its superiority at thin-slice acquisitions makes it particularly suitable for high-resolution clinical applications.
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The aim of this study was to evaluate the clinical value of virtual bronchoscopy (VB) in aiding diagnosis of peripheral lung cancer by transbronchial biopsy (TBB). In addition, we sought to systematically analyze the factors that affect the diagnostic sensitivity of VB-guided TBB for the evaluation of peripheral lung cancers. ⋯ Use of an ultrathin bronchoscope and simulation with VB reconstructed by high quality MDCT images is thought to improve pathological diagnosis of peripheral lung cancers, especially for solid and partly solid types. For small pulmonary lesions ≤30 mm, the lesion internal opacity is a significant factor for predicting the diagnostic sensitivity, and the sensitivity was low for small non-solid type of lung cancers.