Body composition evaluation with computed tomography: Contrast media and slice thickness cause methodological errors

Nutrition ◽  
2019 ◽  
Vol 59 ◽  
pp. 50-55 ◽  
Author(s):  
Fabian Morsbach ◽  
Yi-Hua Zhang ◽  
Lena Martin ◽  
Catarina Lindqvist ◽  
Torkel Brismar
Keyword(s):  
Computed Tomography ◽  
Body Composition ◽  
Contrast Media ◽  
Slice Thickness ◽  
Methodological Errors

scholarly journals Manual kidney stone size measurements in computed tomography are most accurate using multiplanar image reformatations and bone window settings

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Robert Peter Reimer ◽  
Konstantin Klein ◽  
Miriam Rinneburger ◽  
David Zopfs ◽  
Simon Lennartz ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Treatment Decision ◽  
Reconstruction Algorithm ◽  
Slice Thickness ◽  
Reconstruction Algorithms ◽  
Stone Size ◽  
Bone Window ◽  
3D Printed ◽  
Measurement Strategies ◽  
Digital Caliper

AbstractComputed tomography in suspected urolithiasis provides information about the presence, location and size of stones. Particularly stone size is a key parameter in treatment decision; however, data on impact of reformatation and measurement strategies is sparse. This study aimed to investigate the influence of different image reformatations, slice thicknesses and window settings on stone size measurements. Reference stone sizes of 47 kidney stones representative for clinically encountered compositions were measured manually using a digital caliper (Man-M). Afterwards stones were placed in a 3D-printed, semi-anthropomorphic phantom, and scanned using a low dose protocol (CTDIvol 2 mGy). Images were reconstructed using hybrid-iterative and model-based iterative reconstruction algorithms (HIR, MBIR) with different slice thicknesses. Two independent readers measured largest stone diameter on axial (2 mm and 5 mm) and multiplanar reformatations (based upon 0.67 mm reconstructions) using different window settings (soft-tissue and bone). Statistics were conducted using ANOVA ± correction for multiple comparisons. Overall stone size in CT was underestimated compared to Man-M (8.8 ± 2.9 vs. 7.7 ± 2.7 mm, p < 0.05), yet closely correlated (r = 0.70). Reconstruction algorithm and slice thickness did not significantly impact measurements (p > 0.05), while image reformatations and window settings did (p < 0.05). CT measurements using multiplanar reformatation with a bone window setting showed closest agreement with Man-M (8.7 ± 3.1 vs. 8.8 ± 2.9 mm, p < 0.05, r = 0.83). Manual CT-based stone size measurements are most accurate using multiplanar image reformatation with a bone window setting, while measurements on axial planes with different slice thicknesses underestimate true stone size. Therefore, this procedure is recommended when impacting treatment decision.

scholarly journals Computed tomography contrast media extravasation: treatment algorithm and immediate treatment by squeezing with multiple slit incisions

2016 ◽  
Vol 14 (2) ◽  
pp. 430-434 ◽  
Author(s):  
Sue Min Kim ◽  
Kyung Hoon Cook ◽  
Il Jae Lee ◽  
Dong Ha Park ◽  
Myong Chul Park
Keyword(s):  
Computed Tomography ◽  
Contrast Media ◽  
Treatment Algorithm

The Labyrinthine Portion of the Facial Canal in Patients with Bell's Palsy Investigated by Computed Tomography

1987 ◽  
Vol 28 (1) ◽  
pp. 25-30 ◽  
Author(s):  
K. Wadin ◽  
L. Thomander ◽  
H. Wilbrand
Keyword(s):  
Computed Tomography ◽  
Temporal Bone ◽  
No Value ◽  
Bell’S Palsy ◽  
Ct Images ◽  
Slice Thickness ◽  
Facial Canal ◽  
Bell's Palsy ◽  
Unreliable Method ◽  
Different Parts

The reproducibility of the labyrinthine portion of the facial canal by computed tomography was investigated in 22 patients with Bell's palsy. The CT images were compared with those obtained in 18 temporal bone specimens. Measurements of the diameters of different parts of the facial canal were made on these images and also microscopically in plastic casts of the temporal bone specimens. No marked difference was found between the dimensions of the labyrinthine portion of the facial canal of the involved and healthy temporal bone in the patient, nor did these differ from the dimensions in the specimens. CT of the slender, curved labyrinthine portion was found to be of doubtful value for metric estimation of small differences in width. The anatomic variations of the canal rendered the evaluation more difficult. CT with a slice thickness of 2 mm was of no value for assessment of this part of the canal. Measurement of the diameters of the labyrinthine portion on CT images is an inappropriate and unreliable method for clinical purposes.

Dose-optimized slice thickness for routine multislice computed tomography liver examinations

2012 ◽  
Author(s):  
K. Dobeli ◽  
S. Lewis ◽  
S. Meikle ◽  
D. Thiele ◽  
P. C. Brennan
Keyword(s):  
Computed Tomography ◽  
Multislice Computed Tomography ◽  
Slice Thickness

scholarly journals Risk of acute kidney injury after contrast-enhanced computed tomography in emergency department

2020 ◽  
pp. 102490792091339
Author(s):  
Seda Dağar ◽  
Emine Emektar ◽  
Hüseyin Uzunosmanoğlu ◽  
Şeref Kerem Çorbacıoğlu ◽  
Özge Öztekin ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Contrast Media ◽  
Kidney Injury ◽  
Intravenous Contrast ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Background: Despite its risks associated with renal injury, intravenous contrast media increases diagnostic efficacy and hence the chance of early diagnosis and treatment, which leaves clinicians in a dilemma regarding its use in emergency settings. Objective: The aim of this study was to determine the risk and predictors of contrast-induced acute kidney injury following intravenous contrast media administration for computed tomography in the emergency department. Methods: All patients aged 18 years and older who had a basal creatinine measurement within the last 8 h before contrast-enhanced computed tomography and a second creatinine measurement within 48–72 h after computed tomography scan between 1 January 2015 and 31 December 2017 were included in the study. Characteristics of patients with and without contrast-induced acute kidney injury development were compared. Multivariate regression analysis was used to assess the predictors for contrast-induced acute kidney injury. Results: A total of 631 patients were included in the final statistical analysis. After contrast media administration, contrast-induced acute kidney injury developed in 4.9% ( n = 31) of the patients. When the characteristics of patients are compared according to the development of contrast-induced acute kidney injury, significant differences were detected for age, initial creatinine, initial estimated glomerular filtration rate, and all acute illness severity indicators (hypotension, anemia, hypoalbuminemia, and need for intensive care unit admission). A multivariate logistic regression analysis was performed. The need for intensive care unit admission (odds ratio: 6.413 (95% confidence interval: 1.709–24.074)) and hypotension (odds ratio: 5.575 (95% confidence interval: 1.624–19.133)) were the main factors for contrast-induced acute kidney injury development. Conclusion: Our study results revealed that hypotension, need for intensive care, and advanced age were associated with acute kidney injury in patients receiving contrast media. Therefore, we believe that to perform contrast-enhanced computed tomography in emergency department should not be decided only by checking for renal function tests and that these predictors should be taken into consideration.

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