Neuroimaging clinics of North America
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Neuroimaging Clin. N. Am. · Aug 2017
ReviewMiscellaneous and Emerging Applications of Dual-Energy Computed Tomography for the Evaluation of Pathologies in the Head and Neck.
Dual-energy computed tomography (DECT) and its specific algorithms and applications have been increasingly recognized in clinical practice as a valuable advance in technology beyond what is possible with the established postprocessing capabilities of single-energy multidetector computed tomography, mainly because of its potential benefits regarding image quality and contrast. DECT may represent an alternative approach to purely attenuation-based imaging of the head and neck, because it provides a material-specific visualization based on spectral information. With this approach, owing to its physical properties, iodine can be assessed as a potential "biological tracer" to improve depiction of tumor conspicuity and grade of invasion.
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Neuroimaging Clin. N. Am. · Aug 2017
ReviewDual-Energy Computed Tomographic Applications for Differentiation of Intracranial Hemorrhage, Calcium, and Iodine.
This article reviews the physical principles of dual-energy material decomposition and its current implementation. Clinical applications of dual-energy material decomposition including differentiation of calcification from hemorrhage and iodinated contrast from hemorrhage are highlighted, and their applications to neuroimaging are reviewed.
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Neuroimaging Clin. N. Am. · Aug 2017
ReviewDual-Energy Computed Tomography Angiography of the Head and Neck and Related Applications.
Dual-energy computed tomography (DECT) has become an increasingly widespread and useful component of the neuroimaging armamentarium, offering automated bone removal, metallic artifact reduction, and improved characterization of iodinated contrast enhancement. The application of these techniques to CT neuroangiography enables a number of benefits including more efficient 3D post-processing, contrast dose reduction opportunities, successful differentiation of hemorrhage from contrast staining following thromboembolic recanalization therapy, improved detection of active contrast extravasation in the setting of intracranial hemorrhage, and more precise characterization of atheromatous steno-occlusive disease.
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Neuroimaging Clin. N. Am. · Aug 2017
ReviewDual-Energy Computed Tomography: Physical Principles, Approaches to Scanning, Usage, and Implementation: Part 1.
There are increasing applications of dual-energy computed tomography (CT), a type of spectral CT, in neuroradiology and head and neck imaging. In this 2-part review, the fundamental principles underlying spectral CT scanning and the major considerations in implementing this type of scanning in clinical practice are reviewed. In the first part of this 2-part review, the physical principles underlying spectral CT scanning are reviewed, followed by an overview of the different approaches for spectral CT scanning, including a discussion of the strengths and challenges encountered with each approach.
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Neuroimaging Clin. N. Am. · Aug 2017
ReviewDual-Energy Computed Tomography of the Neck: A Pictorial Review of Normal Anatomy, Variants, and Pathologic Entities Using Different Energy Reconstructions and Material Decomposition Maps.
There is increasing use of dual-energy computed tomography (DECT) for the evaluation of head and neck pathologic entities. Optimal DECT utilization requires familiarity with the appearance of normal tissues variants, and pathologic entities on different DECT reconstructions that may be used in clinical practice. The purpose of this article is to provide a practical, pictorial review of the appearance of normal anatomic structures and different neoplastic and nonneoplastic head and neck pathologic entities on commonly used DECT reconstructions.