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2005 Volume 61 Issue 2 Pages
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2005 Volume 61 Issue 2 Pages
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2005 Volume 61 Issue 2 Pages
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[in Japanese]
Article type: Article
2005 Volume 61 Issue 2 Pages
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Article type: Appendix
2005 Volume 61 Issue 2 Pages
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2005 Volume 61 Issue 2 Pages
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MASAYUKI SHIMOSEGAWA
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2005 Volume 61 Issue 2 Pages
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2005 Volume 61 Issue 2 Pages
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2005 Volume 61 Issue 2 Pages
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KEIKO TOHYAMA, TETSURO KATAFUCHI, SATORU MATSUO, JUNJI MORISHITA, KATS ...
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2005 Volume 61 Issue 2 Pages
245-252
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Phase contrast images were obtained experimentally by using a customized mammography unit with a nominal focal spot size of 100μm and variable source-to-image distances of up to 1.5m. The purpose of this study was to examine the applicability and potential usefulness of phase contrast imaging for mammography. A mammography phantom (ACR156 RMI phantom) was imaged, and its visibility was examined. The optical density of the phantom images was adjusted to approximately 1.3 for both the contact and phase contrast images. Forty-one observers (18 medical doctors and 23 radiological technologists) participated in visual evaluation of the images. Results showed that, in comparison with the images of contact mammography, the phantom images of phase contrast imaging demonstrated statistically significantly superior visibility for fibers, clustered micro-calcifications, and masses. Therefore, phase contrast imaging obtained by using the customized mammography unit would be useful for improving diagnostic accuracy in mammography.
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TOMOHARU SATO, TOSHIHIRO ISHIDA, MIWA SASAKI, TSUGIO OOTSUKA
Article type: Article
2005 Volume 61 Issue 2 Pages
253-259
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Use of an enhanced dynamic wedge (EDW) changes the size of the irradiation field in real time because of the shift of the flexible aperture during irradiation. Therefore, when EDW is used, it is speculated that the scatter factors proposed by Khan et al. may differ from that obtained in an open irradiation field. The aim of the present study was to investigate whether the total scatter factors (S_<cp>) can also be separated into the collimator scatter factors (S_c) and phantom scatter factors (S_p) when using EDW, and whether S_p in an irregular irradiation field using EDW and one without the use of EDW can likewise be handled. Results indicated that the values of S_<cp> and S_c in a square or rectangular irradiation field using EDW tended to differ from those in an open irradiation field, whereas S_p was almost the same, with a slight variation of about 0.5%, indicating that S_<cp> could be separated into S_c and S_p. However, for an irregular irradiation field, the variations in S_p exceeded 1% in some cases irrespective of the use or non-use of EDW. Depending on the size and geometry of the irradiation field, it was within the range of the degree of uncertainty of 2.5% in the evaluation of output radiation dosage, which was described in AAPM Report 13. Therefore, the theory proposed by Khan et al. was found to be valid also for an irregular irradiation field using EDW, which could be handled in the same manner as in the irregular irradiation field without using EDW.
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ISAO YAMAGUCHI, TOMOKAZU ISHIDA, EIJI KIDOYA, KYOJI HIGASHIMURA, MASAY ...
Article type: Article
2005 Volume 61 Issue 2 Pages
260-267
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A strict determination of scan timing is needed for dynamic multi-phase scanning and 3D-CT angiography (3D-CTA) by multi-detector row CT (MDCT). In the present study, contrast media arrival time (T_<AR>) was measured in the abdominal aorta at the bifurcation of the celiac artery for confirmation of circulatory differences in patients. In addition, we analyzed the process of formation of the time-density curve (TDC) and examined factors that affect the time to peak aortic enhancement (T_<PA>). Mean T_<AR> was 15.57±3.75 s. TDCs were plotted for each duration of injection. The rising portions of TDCs were superimposed on one another. TDCs with longer injection durations were piled up upon one another. Rise angle was approximately constant in response to each flow rate. Rise time (T_R) showed a good correlation with injection duration (T_<ID>). T_R was 1.01T_<ID> (R^2=0.994) in the phantom study and 0.94T_<ID>-0.60 (R^2=0.988) in the clinical study. In conclusion, for the selection of optimal scan timing it is useful to determine T_R at a given point and to determine the time from T_<AR>.
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REINA CHIBA, YONGBUM LEE, DU YIH TSAI
Article type: Article
2005 Volume 61 Issue 2 Pages
268-276
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This paper presents an improved adaptive-neighborhood-contrast-enhancement (ANCE) method for the improvement of medical image quality. The ANCE method consists of computing the local contrast around each pixel using a variable neighborhood whose size depends on the statistical properties around the given pixel. The obtained contrast image is then transformed into a new contrast image using a contrast enhancement function. Finally, a contrast-enhanced image is obtained by applying inverse contrast transform to the previous step. This technique provides the advantages of enhancing or preserving image contrast while suppressing noise. However, it does have a drawback. The performance of the ANCE method largely depends on how to determine the parameters used in the processing steps. The present study proposes a novel method for optimal and automatic determination of several parameters using entropy. To quantitatively compare the performance of the proposed method with that of the ANCE method, computer-simulated images are generated. The output-to-input SNR level and the mean squared error are used as comparison criteria. Results demonstrated the superiority of the proposed method. Moreover, we have applied our new algorithm to echocardiograms and mammograms. Our results showed that the proposed method has the potential to become useful for improving the image quality of medical images.
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TAKAAKI KITAI, MASAHIRO SAITO, TAKESI OGAWA, JUN NOGUTI, SADAHIKO SANO ...
Article type: Article
2005 Volume 61 Issue 2 Pages
277-284
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To investigate the clinical usefulness of coronary arteriography using a gadolinium contrast medium (hereinafter referred to as Gd contrast medium) in patients with iodine allergy, images obtained using an iodinated contrast medium and a Gd contrast medium were compared using respective phantoms. Within the range of the effective energy (34.8 to 41.0 keV) in clinical use, the tube-voltage dependency of the Gd contrast medium was lower than that of the iodinated contrast medium. The contrast ratios were found to be comparable for the images obtained by a 4-fold-diluted iodinated contrast medium and the undiluted Gd contrast medium. Although the assessment of stenotic ratio was difficult to obtain by visual evaluation of the clinical images, due to unclear borders of the blood vessels, the presence or absence of significant stenosis was discriminative by arteriography using the Gd contrast medium. Based on these findings, it was considered necessary to make a confirmed diagnosis using a Gd contrast medium with concurrent diagnosis by intravascular echography. In conclusion, coronary arteriography and PCI using a Gd contrast medium are considered to offer benefit to the diagnosis and treatment of patients with iodine allergy.
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TAKAO ICHIDA, MINORU HOSOGAI, TAKAYOSHI OGAWA, EIJI YAMADA, MASACHIKA ...
Article type: Article
2005 Volume 61 Issue 2 Pages
285-290
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We were requested to perform IVR for uterine artery embolotherapy of a patient who was unable to take the decubitus position. Because of extreme overweight, the patient was limited to a sitting posture on a bed in the living environment. Therefore, a device to support her sitting posture on the IVR patient table was designed and created. The support device was used to hold the patient's body in a half-sitting posture and distribute her weight load appropriately so that the weight load applied to the patient's body could be minimized. Using this support device, IVR could be performed smoothly during a period of 2 hours 40 minutes.
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YUSUKE OKUMURA, MASAYUKI SUZUKI, AKIHIRO TAKEMURA, HIDEO TSUJII, KAZUH ...
Article type: Article
2005 Volume 61 Issue 2 Pages
291-297
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MR cisternography has been introduced for use in neuroradiology. This method is capable of visualizing tiny structures such as blood vessels and cranial nerves in the cerebrospinal fluid (CSF) space because of its superior contrast resolution. The cranial nerves and small vessels are shown as structures of low intensity surrounded by marked hyperintensity of the CSF. In the present study, we evaluated visualization of the lower cranial nerves (glossopharyngeal, vagus, and accessory) by the three-dimensional fast imaging employing steady-state acquisition (3D-FIESTA) sequence and multiplanar reformation (MPR) technique. The subjects were 8 men and 3 women, ranging in age from 21 to 76 years (average, 54 yeas). We examined the visualization of a total of 66 nerves in 11 subjects by 3D-FIESTA. The results were classified into four categories ranging from good visualization to non-visualization. In all cases, all glossopharyngeal and vagus nerves were identified to some extent, while accessory nerves were visualized either partially or entirely in only 16 cases. The total visualization rate was about 91%. In conclusion, 3D-FIESTA may be a useful method for visualization of the lower cranial nerves.
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Article type: Appendix
2005 Volume 61 Issue 2 Pages
298-299
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2005 Volume 61 Issue 2 Pages
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2005 Volume 61 Issue 2 Pages
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Article type: Cover
2005 Volume 61 Issue 2 Pages
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