Dual-energy subtraction radiography improves laryngeal delineation in patients with moderate to severe cervical spondylosis

Purpose To investigate the feasibility of dual-energy subtraction (DES) in patients with moderate-severe cervical spondylosis for improving delineation of the larynx on flat panel detector (FPD) radiography. Materials and methods For 118 patients, we graded conventional/DES anterior–posterior views...

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Veröffentlicht in:Japanese journal of radiology 2013-07, Vol.31 (7), p.465-470
Hauptverfasser: Machida, Haruhiko, Yoda, Keiko, Arai, Yasuko, Nishida, Suguru, Asanuma, Masayasu, Yuhara, Toshiyuki, Mori, Takako, Tamura, Mieko, Ueno, Eiko, Sabol, John M.
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container_issue 7
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container_title Japanese journal of radiology
container_volume 31
creator Machida, Haruhiko
Yoda, Keiko
Arai, Yasuko
Nishida, Suguru
Asanuma, Masayasu
Yuhara, Toshiyuki
Mori, Takako
Tamura, Mieko
Ueno, Eiko
Sabol, John M.
description Purpose To investigate the feasibility of dual-energy subtraction (DES) in patients with moderate-severe cervical spondylosis for improving delineation of the larynx on flat panel detector (FPD) radiography. Materials and methods For 118 patients, we graded conventional/DES anterior–posterior views for delineation of the vocal cords, subglottis, and pyriform sinus using a 5-point scale and lateral views from conventional laryngeal FPD radiography to determine cervical spondylosis severity on a scale from 0 (none) to 3 (severe). We compared the delineation of each anatomical structure in both groups of grades 0–1 and grades 2–3 of spondylosis severity between conventional and DES methods and the improved delineation rate for each anatomical structure by DES compared to the conventional method between both groups. Results With DES, the delineation of each anatomical structure was significantly better than with conventional radiography for both groups ( P  
doi_str_mv 10.1007/s11604-013-0219-3
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Materials and methods For 118 patients, we graded conventional/DES anterior–posterior views for delineation of the vocal cords, subglottis, and pyriform sinus using a 5-point scale and lateral views from conventional laryngeal FPD radiography to determine cervical spondylosis severity on a scale from 0 (none) to 3 (severe). We compared the delineation of each anatomical structure in both groups of grades 0–1 and grades 2–3 of spondylosis severity between conventional and DES methods and the improved delineation rate for each anatomical structure by DES compared to the conventional method between both groups. Results With DES, the delineation of each anatomical structure was significantly better than with conventional radiography for both groups ( P  &lt; 0.0001). The improved delineation rate of the vocal cord and subglottis using DES was significantly higher in grades 2–3 than in grades 0–1 ( P  &lt; 0.05), although there was no significant difference in the delineation rate of the pyriform sinus between the groups ( P  = 0.847). Conclusion DES provides better delineation of the laryngeal anatomy than conventional FPD radiography predominantly in patients with moderate-severe cervical spondylosis.</description><identifier>ISSN: 1867-1071</identifier><identifier>EISSN: 1867-108X</identifier><identifier>DOI: 10.1007/s11604-013-0219-3</identifier><identifier>PMID: 23744489</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Feasibility Studies ; Female ; Humans ; Imaging ; Larynx - diagnostic imaging ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Nuclear Medicine ; Original Article ; Radiography ; Radiology ; Radiotherapy ; Retrospective Studies ; Spondylosis - diagnostic imaging ; Subtraction Technique ; X-Ray Intensifying Screens</subject><ispartof>Japanese journal of radiology, 2013-07, Vol.31 (7), p.465-470</ispartof><rights>Japan Radiological Society 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c348t-25a8cc6497f668451e8456e7bd2020cdae2e3c7be8880584d3701a89789bcfdc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11604-013-0219-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11604-013-0219-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23744489$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Machida, Haruhiko</creatorcontrib><creatorcontrib>Yoda, Keiko</creatorcontrib><creatorcontrib>Arai, Yasuko</creatorcontrib><creatorcontrib>Nishida, Suguru</creatorcontrib><creatorcontrib>Asanuma, Masayasu</creatorcontrib><creatorcontrib>Yuhara, Toshiyuki</creatorcontrib><creatorcontrib>Mori, Takako</creatorcontrib><creatorcontrib>Tamura, Mieko</creatorcontrib><creatorcontrib>Ueno, Eiko</creatorcontrib><creatorcontrib>Sabol, John M.</creatorcontrib><title>Dual-energy subtraction radiography improves laryngeal delineation in patients with moderate to severe cervical spondylosis</title><title>Japanese journal of radiology</title><addtitle>Jpn J Radiol</addtitle><addtitle>Jpn J Radiol</addtitle><description>Purpose To investigate the feasibility of dual-energy subtraction (DES) in patients with moderate-severe cervical spondylosis for improving delineation of the larynx on flat panel detector (FPD) radiography. Materials and methods For 118 patients, we graded conventional/DES anterior–posterior views for delineation of the vocal cords, subglottis, and pyriform sinus using a 5-point scale and lateral views from conventional laryngeal FPD radiography to determine cervical spondylosis severity on a scale from 0 (none) to 3 (severe). We compared the delineation of each anatomical structure in both groups of grades 0–1 and grades 2–3 of spondylosis severity between conventional and DES methods and the improved delineation rate for each anatomical structure by DES compared to the conventional method between both groups. Results With DES, the delineation of each anatomical structure was significantly better than with conventional radiography for both groups ( P  &lt; 0.0001). The improved delineation rate of the vocal cord and subglottis using DES was significantly higher in grades 2–3 than in grades 0–1 ( P  &lt; 0.05), although there was no significant difference in the delineation rate of the pyriform sinus between the groups ( P  = 0.847). 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Materials and methods For 118 patients, we graded conventional/DES anterior–posterior views for delineation of the vocal cords, subglottis, and pyriform sinus using a 5-point scale and lateral views from conventional laryngeal FPD radiography to determine cervical spondylosis severity on a scale from 0 (none) to 3 (severe). We compared the delineation of each anatomical structure in both groups of grades 0–1 and grades 2–3 of spondylosis severity between conventional and DES methods and the improved delineation rate for each anatomical structure by DES compared to the conventional method between both groups. Results With DES, the delineation of each anatomical structure was significantly better than with conventional radiography for both groups ( P  &lt; 0.0001). The improved delineation rate of the vocal cord and subglottis using DES was significantly higher in grades 2–3 than in grades 0–1 ( P  &lt; 0.05), although there was no significant difference in the delineation rate of the pyriform sinus between the groups ( P  = 0.847). Conclusion DES provides better delineation of the laryngeal anatomy than conventional FPD radiography predominantly in patients with moderate-severe cervical spondylosis.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>23744489</pmid><doi>10.1007/s11604-013-0219-3</doi><tpages>6</tpages></addata></record>
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source MEDLINE; SpringerNature Complete Journals
subjects Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Feasibility Studies
Female
Humans
Imaging
Larynx - diagnostic imaging
Male
Medicine
Medicine & Public Health
Middle Aged
Nuclear Medicine
Original Article
Radiography
Radiology
Radiotherapy
Retrospective Studies
Spondylosis - diagnostic imaging
Subtraction Technique
X-Ray Intensifying Screens
title Dual-energy subtraction radiography improves laryngeal delineation in patients with moderate to severe cervical spondylosis
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