RSNA 2014 

Abstract Archives of the RSNA, 2014


GIS350

Comparison of Iodine Suppressing Efficiency for Different Abdominal Organs of Material-suppressed Iodine Images (MSI) Generated from CT Spectral Imaging

Scientific Posters

Presented on December 1, 2014
Presented as part of GIS-MOB: Gastrointestinal Monday Poster Discussions

Participants

Jing Wang, Abstract Co-Author: Nothing to Disclose
Wenya Liu, Abstract Co-Author: Nothing to Disclose
YI JIAGN MD, PhD, Presenter: Nothing to Disclose
Jing Wang, Abstract Co-Author: Nothing to Disclose
tingting LI MD, Abstract Co-Author: Nothing to Disclose

PURPOSE

Material suppressed iodine images (MSI)is a new technique provide by CT spectral imaging, which remove iodine contribution on 70keV monochromatic image. This study aims to evaluate theiodine suppressing efficiency for different abdomen organs of material suppressed iodine images (MSI).

METHOD AND MATERIALS

Totally 40 patients(mean age 49.6±12.2 years) received abdominal CT, including non-enhanced and contrast-enhanced images during the artery phase(AP) and portal phase(PVP) (Discovery CT750HD, GE healthcare)on a single-source dual-energy CT(Discovery CT 750HD, GE healthcare) with CTspectral imaging mode. MSI wasgeneratedby suppressing iodine on 70keV monochromatic image with a dedicated software (GSI Volume Viewer, Advantage Workstation 4.6). The mean CT number (CT) of abdominal organs including liver, kidney, pancreatic and abdominal aorta were measured in 70keV monochromatic images, MSI and true non-enhanced images(TNI). The iodine-suppressed radio(ISR) was calculated from formula as follow: ISR= (CT70keV- CT MSI)/(CT70keV- CTTNI).

RESULTS

There were significant difference in the ISR of liver and kidneybetweenAP and PVP(AP: liver,0.49±0.23vskidney,0.88±0.050;PVP: liver,0.80±0.09vskidney,0.91±0.04;both p<0.05). There were no significant difference in the ISR of pancreatic and abdominal aorta between AP and PVP( AP: pancreatic,0.75±0.12vsabdominal aorta,0.90±0.04;PVP: pancreatic,0.79±0.13vsabdominal aorta,0.88±0.07;both p>0.05). ISR of kidney in PVP was superior over other organs.

CONCLUSION

Theiodine suppressing efficiency of MSI varies for different abdomen organs and scan phases.Hypervascular organs seem to get more ISR.

CLINICAL RELEVANCE/APPLICATION

Although the MSI is supposed to be a potential replacement for TNI. To some extent, the efficiency of MSI is influenced by the characteristic of organ and scan phase.

Cite This Abstract

Wang, J, Liu, W, JIAGN, Y, Wang, J, LI, t, Comparison of Iodine Suppressing Efficiency for Different Abdominal Organs of Material-suppressed Iodine Images (MSI) Generated from CT Spectral Imaging.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14045722.html