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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004721naa a2200457 4500
001oai:DiVA.org:uu-305771
003SwePub
008161021s2016 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:134399241
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3057712 URI
024a https://doi.org/10.1007/s00330-016-4273-y2 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1343992412 URI
040 a (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Loizou, L.u Karolinska Institutet4 aut
2451 0a Multidetector CT of pancreatic ductal adenocarcinoma :b Effect of tube voltage and iodine load on tumour conspicuity and image quality
264 c 2016-03-10
264 1b Springer Science and Business Media LLC,c 2016
338 a print2 rdacarrier
520 a OBJECTIVES: To compare a low-tube-voltage with or without high-iodine-load multidetector CT (MDCT) protocol with a normal-tube-voltage, normal-iodine-load (standard) protocol in patients with pancreatic ductal adenocarcinoma (PDAC) with respect to tumour conspicuity and image quality.METHODS: Thirty consecutive patients (mean age: 66 years, men/women: 14/16) preoperatively underwent triple-phase 64-channel MDCT examinations twice according to: (i) 120-kV standard protocol (PS; 0.75 g iodine (I)/kg body weight, n = 30) and (ii) 80-kV protocol A (PA; 0.75 g I/kg, n = 14) or protocol B (PB; 1 g I/kg, n = 16). Two independent readers evaluated tumour delineation and image quality blindly for all protocols. A third reader estimated the pancreas-to-tumour contrast-to-noise ratio (CNR). Statistical analysis was performed with the Chi-square test.RESULTS: Tumour delineation was significantly better in PB and PA compared with PS (P = 0.02). The evaluation of image quality was similar for the three protocols (all, P > 0.05). The highest CNR was observed with PB and was significantly better compared to PA (P = 0.02) and PS (P = 0.0002).CONCLUSION: In patients with PDAC, a low-tube-voltage, high-iodine-load protocol improves tumour delineation and CNR leading to higher tumour conspicuity compared to standard protocol MDCT.KEY POINTS: • Low-tube-voltage high-iodine-load MDCT improves pancreatic cancer conspicuity compared to a standard protocol. • The pancreas-to-tumour attenuation difference increases significantly by reducing the tube voltage. • The radiation exposure dose decreases by reducing the tube voltage.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Radiologi och bildbehandling0 (SwePub)302082 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Radiology, Nuclear Medicine and Medical Imaging0 (SwePub)302082 hsv//eng
653 a Pancreatic neoplasm; Image enhancement; Contrast media; Multidetector computed tomography; Radiation dosage
700a Albiin, N.u Karolinska Institutet4 aut
700a Leidner, B.u Karolinska Inst, Dept Clin Sci Intervent & Technol CLINTEC, Div Med Imaging & Technol, S-14186 Stockholm, Sweden; C1 46 Karolinska Univ Hosp Huddinge, Dept Radiol, S-14186 Stockholm, Sweden4 aut
700a Axelsson, E.u Karolinska Inst, Dept Clin Sci Intervent & Technol CLINTEC, Div Med Imaging & Technol, S-14186 Stockholm, Sweden; C1 46 Karolinska Univ Hosp Huddinge, Dept Radiol, S-14186 Stockholm, Sweden4 aut
700a Fischer, M. A.u Karolinska Inst, Dept Clin Sci Intervent & Technol CLINTEC, Div Med Imaging & Technol, S-14186 Stockholm, Sweden; C1 46 Karolinska Univ Hosp Huddinge, Dept Radiol, S-14186 Stockholm, Sweden4 aut
700a Grigoriadis, A.u Karolinska Institutet4 aut
700a Del Chiaro, M.u Karolinska Institutet4 aut
700a Segersvärd, R.u Karolinska Institutet4 aut
700a Verbeke, C.u Karolinska Institutet4 aut
700a Sundin, Andersu Uppsala universitet,Radiologi,Univ Uppsala Hosp, Dept Radiol, S-75185 Uppsala, Sweden4 aut0 (Swepub:uu)anderssu
700a Kartalis, N.u Karolinska Institutet4 aut
710a Karolinska Institutetb Karolinska Inst, Dept Clin Sci Intervent & Technol CLINTEC, Div Med Imaging & Technol, S-14186 Stockholm, Sweden; C1 46 Karolinska Univ Hosp Huddinge, Dept Radiol, S-14186 Stockholm, Sweden4 org
773t European Radiologyd : Springer Science and Business Media LLCg 26:11, s. 4021-4029q 26:11<4021-4029x 0938-7994x 1432-1084
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-305771
8564 8u https://doi.org/10.1007/s00330-016-4273-y
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:134399241

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