Document Detail


Cranial CT with 64-, 16-, 4- and single-slice CT systems-comparison of image quality and posterior fossa artifacts in routine brain imaging with standard protocols.
MedLine Citation:
PMID:  18389247     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Posterior fossa artifacts constitute a characteristic limitation of cranial CT. To identify practical benefits and drawbacks of newer CT systems with reduced collimation in routine cranial imaging, we aimed to investigate image quality, posterior fossa artifacts and parenchymal delineation in non-enhanced CT (NECT) with 1-, 4-, 16- and 64-slice scanners using standard scan protocols. We prospectively enrolled 25 consecutive patients undergoing NECT on a 64-slice CT. Three groups with 25 patients having undergone NECT on 1-, 4- and 16-slice CT machines were matched regarding age and sex. Standard routine CT parameters were used on each CT system with helical acquisition in the posterior fossa; the parameters varied regarding collimation and radiation dose. Three blinded readers independently assessed the cases regarding image quality, infra- and supratentorial artifacts and delineation of brain parenchymal structures on a five-point ordinal scale. Reading orders were randomized. A proportional odds model that accounted for the correlated nature of the data was fit using generalized estimating equations. Posterior fossa artifacts were significantly reduced, and the delineation of infratentorial brain structures was significantly improved with the thinner collimation used for the newer CT systems (p<0.001). No significant differences were observed for midbrain structures (p>0.5). The thinner collimation available on modern CT systems leads to reduced posterior fossa artifacts and to a better delineation of brain parenchyma in the posterior fossa.
Authors:
Birgit Ertl-Wagner; Lara Eftimov; Jeffrey Blume; Roland Bruening; Christoph Becker; Jean Cormack; Hartmut Brueckmann; Maximilian Reiser
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article     Date:  2008-04-04
Journal Detail:
Title:  European radiology     Volume:  18     ISSN:  0938-7994     ISO Abbreviation:  Eur Radiol     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-08     Completed Date:  2008-12-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1720-6     Citation Subset:  IM    
Affiliation:
Institute of Clinical Radiology, University of Munich-Campus Grosshadern, Marchioninistr. 15, 81377, Munich, Germany. B.Ertl-Wagner@t-online.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Artifacts*
Brain / radiography*
Equipment Design
Equipment Failure Analysis
Female
Humans
Image Enhancement / instrumentation*
Male
Middle Aged
Reproducibility of Results
Sensitivity and Specificity
Tomography, X-Ray Computed / instrumentation*,  methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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