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AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates

Research ArticleNeurointervention

Quantitative Analysis of Conebeam CT for Delineating Stents in Stent-Assisted Coil Embolization

T. Kuriyama, N. Sakai, M. Beppu, C. Sakai, H. Imamura, K. Masago, N. Katakami and H. Isoda
American Journal of Neuroradiology March 2018, 39 (3) 488-493; DOI: https://doi.org/10.3174/ajnr.A5533
T. Kuriyama
aFrom the Department of Radiological and Medical Laboratory Sciences (T.K., H. Isoda), Nagoya University Graduate School of Medicine, Nagoya, Japan
bDivisions of Radiological Technology (T.K.)
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N. Sakai
cNeuroendovascular Therapy (N.S., C.S.)
eDivision of Neurosurgery (N.S., M.B., H. Imamura), Kobe City Medical Center General Hospital, Kobe, Japan
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M. Beppu
eDivision of Neurosurgery (N.S., M.B., H. Imamura), Kobe City Medical Center General Hospital, Kobe, Japan
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C. Sakai
cNeuroendovascular Therapy (N.S., C.S.)
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H. Imamura
eDivision of Neurosurgery (N.S., M.B., H. Imamura), Kobe City Medical Center General Hospital, Kobe, Japan
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K. Masago
fDepartment of Pathology and Molecular Diagnostics (K.M.), Aichi Cancer Center, Nagoya, Japan
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N. Katakami
dIntegrated Oncology (N.K.), Institute of Biomedical Research and Innovation, Kobe, Japan
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H. Isoda
aFrom the Department of Radiological and Medical Laboratory Sciences (T.K., H. Isoda), Nagoya University Graduate School of Medicine, Nagoya, Japan
gBrain & Mind Research Center (H. Isoda), Nagoya University, Nagoya, Japan.
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Article Figures & Data

Figures

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  • Fig 1.
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    Fig 1.

    3D-MIP images of phantom stents at various concentrations of contrast medium.

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    Fig 2.

    CNR of a phantom stent imaged at various settings (10- or 20-second acquisition time, 1 × 1 or 2 × 2 binning) plotted against increasing concentrations of contrast medium.

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    Fig 3.

    FWHM values of the phantom stent images obtained in saline at various settings (10- or 20-second acquisition time; 1 × 1 or 2 × 2 binning).

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    Fig 4.

    CNR of stent struts imaged with CBCT with a 15% concentration of contrast medium in groups A and B.

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    Fig 5.

    FWHM of the stent strut on CBCT images with a 15% concentration of contrast medium in groups A and B.

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    Fig 6.

    The DAP values in groups A and B.

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    Fig 7.

    3D-MIP images of 2 clinical cases imaged with different acquisition times and binning settings and a 15% concentration of contrast medium.

Tables

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    Table 1:

    Imaging parameters and conditions for CBCT

    10-Second CBCT20-Second CBCT
    Exposure parameters
        Tube voltage70 kV70 kV
        Pulse width12.5 ms12.5 ms
        Radiation exposure1.20 μGy/pulse1.20 μGy/pulse
        Binning/focus size/FOV1 × 1/0.4 mm/22 cm
    2 × 2/0.6 mm/42 cm
    Acquisition parameters
        Angle step0.8°/frame0.4°/frame
        Angle200°200°
        Total frame250500
        Matrix size/binning9602/2 × 2
    10242/1 × 1
    Injection condition
        Injection rate1.0 mL/s1.0 mL/s
        Concentration of contrast medium14%14%
        X-ray delay time4.5 seconds4.5 seconds
        Injection time of contrast medium14.5 seconds24.5 seconds
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    Table 2:

    P values for differences in contrast-to-noise ratios of phantom stent struts by acquisition time/binning level at various contrast medium concentrations

    Acquisition Combination (Sec/Binning vs Sec/Binning)Concentration of Contrast Medium
    Just Saline10%15%20%
    10/1 × 1 vs 10/2 × 2.9328.5888.2733.2734
    10/1 × 1 vs 20/1 × 1.9419.9828.2595.4224
    10/1 × 1 vs 20/2 × 2.0019.9413.6592.2044
    10/2 × 2 vs 20/1 × 1.0257.1573.0088.0145
    10/2 × 2 vs 20/2 × 2.9985.8009.2948.5754
    20/1 × 1 vs 20/2 × 2.0568.9481.092.0113
    • All numbers represent P values.

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American Journal of Neuroradiology: 39 (3)
American Journal of Neuroradiology
Vol. 39, Issue 3
1 Mar 2018
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Cite this article
T. Kuriyama, N. Sakai, M. Beppu, C. Sakai, H. Imamura, K. Masago, N. Katakami, H. Isoda
Quantitative Analysis of Conebeam CT for Delineating Stents in Stent-Assisted Coil Embolization
American Journal of Neuroradiology Mar 2018, 39 (3) 488-493; DOI: 10.3174/ajnr.A5533

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Quantitative Analysis of Conebeam CT for Delineating Stents in Stent-Assisted Coil Embolization
T. Kuriyama, N. Sakai, M. Beppu, C. Sakai, H. Imamura, K. Masago, N. Katakami, H. Isoda
American Journal of Neuroradiology Mar 2018, 39 (3) 488-493; DOI: 10.3174/ajnr.A5533
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