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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 February 2018, DOI: https://doi.org/10.3174/ajnr.A5533
T. Kuriyama
aFrom the Department of Radiological and Medical Laboratory Sciences (T.K., H.I.), Nagoya University Graduate School of Medicine, Nagoya, Japan
bDivisions of Radiological Technology (T.K.)
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  • ORCID record for T. Kuriyama
N. Sakai
cNeuroendovascular Therapy (N.S., C.S.)
eDivision of Neurosurgery (N.S., M.B., H.I.), Kobe City Medical Center General Hospital, Kobe, Japan
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M. Beppu
eDivision of Neurosurgery (N.S., M.B., H.I.), 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
aFrom the Department of Radiological and Medical Laboratory Sciences (T.K., H.I.), Nagoya University Graduate School of Medicine, Nagoya, Japan
eDivision of Neurosurgery (N.S., M.B., H.I.), Kobe City Medical Center General Hospital, Kobe, Japan
gBrain & Mind Research Center (H.I.), Nagoya University, Nagoya, 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.I.), Nagoya University Graduate School of Medicine, Nagoya, Japan
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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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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 Feb 2018, 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 Feb 2018, DOI: 10.3174/ajnr.A5533
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