New hybrid reformations of peripheral CT angiography: do we still need axial images?

Abstract Purpose To quantify the detectability of peripheral artery stenosis on hybrid CT angiography (CTA) reformations. Methods Hybrid reformations were developed by combining multipath curved planar reformations (mpCPR) and maximum intensity projections (MIP). Fifty peripheral CTAs were evaluated...

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Veröffentlicht in:Clinical imaging 2015-07, Vol.39 (4), p.603-607
Hauptverfasser: Schernthaner, Ruediger Egbert, Wolf, Florian, Mistelbauer, Gabriel, Weber, Michael, Sramek, Milos, Groeller, Eduard, Loewe, Christian
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container_end_page 607
container_issue 4
container_start_page 603
container_title Clinical imaging
container_volume 39
creator Schernthaner, Ruediger Egbert
Wolf, Florian
Mistelbauer, Gabriel
Weber, Michael
Sramek, Milos
Groeller, Eduard
Loewe, Christian
description Abstract Purpose To quantify the detectability of peripheral artery stenosis on hybrid CT angiography (CTA) reformations. Methods Hybrid reformations were developed by combining multipath curved planar reformations (mpCPR) and maximum intensity projections (MIP). Fifty peripheral CTAs were evaluated twice: either with MIP, mpCPR and axial images or with hybrid reformations only. Digital subtraction angiography served as gold standard. Results Using hybrid reformations, two independent readers detected 88.0% and 81.3% of significant stenosis, respectively. However, CTA including axial images detected statistically significant more lesions (98%). Conclusion Peripheral CTA reading including axial images is still recommended. Further improvement of these hybrid reformations is necessary.
doi_str_mv 10.1016/j.clinimag.2015.03.005
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Methods Hybrid reformations were developed by combining multipath curved planar reformations (mpCPR) and maximum intensity projections (MIP). Fifty peripheral CTAs were evaluated twice: either with MIP, mpCPR and axial images or with hybrid reformations only. Digital subtraction angiography served as gold standard. Results Using hybrid reformations, two independent readers detected 88.0% and 81.3% of significant stenosis, respectively. However, CTA including axial images detected statistically significant more lesions (98%). Conclusion Peripheral CTA reading including axial images is still recommended. Further improvement of these hybrid reformations is necessary.</description><identifier>ISSN: 0899-7071</identifier><identifier>EISSN: 1873-4499</identifier><identifier>DOI: 10.1016/j.clinimag.2015.03.005</identifier><identifier>PMID: 25825345</identifier><identifier>CODEN: CLIMEB</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Accuracy ; Adult ; Aged ; Aged, 80 and over ; Angiography ; Angiography, Digital Subtraction - methods ; Arterial Occlusive Diseases - diagnostic imaging ; Calcification ; Constriction, Pathologic - diagnostic imaging ; CT angiography ; Digital ; Female ; Humans ; Image detection ; Lesions ; Male ; Medical imaging ; Middle Aged ; Peripheral arterial occlusive disease ; Postprocessing ; Projection ; Radiology ; Readers ; Reading ; Retrospective Studies ; Sensitivity and Specificity ; Studies ; Three-dimensional reformations ; Tomography, X-Ray Computed - methods ; Veins &amp; arteries ; Work stations</subject><ispartof>Clinical imaging, 2015-07, Vol.39 (4), p.603-607</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. 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Methods Hybrid reformations were developed by combining multipath curved planar reformations (mpCPR) and maximum intensity projections (MIP). Fifty peripheral CTAs were evaluated twice: either with MIP, mpCPR and axial images or with hybrid reformations only. Digital subtraction angiography served as gold standard. Results Using hybrid reformations, two independent readers detected 88.0% and 81.3% of significant stenosis, respectively. However, CTA including axial images detected statistically significant more lesions (98%). Conclusion Peripheral CTA reading including axial images is still recommended. 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Methods Hybrid reformations were developed by combining multipath curved planar reformations (mpCPR) and maximum intensity projections (MIP). Fifty peripheral CTAs were evaluated twice: either with MIP, mpCPR and axial images or with hybrid reformations only. Digital subtraction angiography served as gold standard. Results Using hybrid reformations, two independent readers detected 88.0% and 81.3% of significant stenosis, respectively. However, CTA including axial images detected statistically significant more lesions (98%). Conclusion Peripheral CTA reading including axial images is still recommended. Further improvement of these hybrid reformations is necessary.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25825345</pmid><doi>10.1016/j.clinimag.2015.03.005</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0001-6012-4337</orcidid></addata></record>
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subjects Accuracy
Adult
Aged
Aged, 80 and over
Angiography
Angiography, Digital Subtraction - methods
Arterial Occlusive Diseases - diagnostic imaging
Calcification
Constriction, Pathologic - diagnostic imaging
CT angiography
Digital
Female
Humans
Image detection
Lesions
Male
Medical imaging
Middle Aged
Peripheral arterial occlusive disease
Postprocessing
Projection
Radiology
Readers
Reading
Retrospective Studies
Sensitivity and Specificity
Studies
Three-dimensional reformations
Tomography, X-Ray Computed - methods
Veins & arteries
Work stations
title New hybrid reformations of peripheral CT angiography: do we still need axial images?
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