0000000000430148

AUTHOR

Michael D. Rosenberg

showing 3 related works from this author

Dual-Energy CT Material Density Iodine Quantification for Distinguishing Vascular From Nonvascular Renal Lesions: Normalization Reduces Intermanufact…

2019

OBJECTIVE. The purpose of this study was to determine whether a single, uniform normalized iodine threshold reduces variability and enables reliable differentiation between vascular and nonvascular renal lesions independent of the dual-energy CT (DECT) platform used. MATERIALS AND METHODS. In this retrospective, HIPAA-compliant, institutional review board-approved study, 247 patients (156 men, 91 women; mean age ± SD, 67 ± 12 years old) with 263 renal lesions (193 nonvascular, 70 vascular) underwent unenhanced single- energy and contrast-enhanced DECT scans. One hundred and six nonvascular and 38 vascular lesions were scanned on two dual-source DECT (dsDECT) scanners, and 87 nonvascular and…

AdultMaleNormalization (statistics)chemistry.chemical_elementIodinedual-energy CTrapid-kilovoltage switching030218 nuclear medicine & medical imagingDiagnosis DifferentialRadiography Dual-Energy Scanned ProjectionYoung Adult03 medical and health sciences0302 clinical medicineHumansMedicineDual sourceRadiology Nuclear Medicine and imagingAgedRetrospective StudiesAged 80 and overvariabilitybusiness.industryGeneral MedicineMaterial densityMiddle Agedrenal lesionKidney Neoplasmschemistry030220 oncology & carcinogenesisdual sourceFemaleDual energy ctTomography X-Ray ComputedbusinessNuclear medicineIodineAmerican Journal of Roentgenology
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Negative biopsy of focal hepatic lesions: Decision tree model for patient management

2019

OBJECTIVE. The purpose of this study was to investigate patient- and procedure-related variables affecting the false-negative rate of ultrasound (US)-guided liver biopsy and to develop a standardized patient-tailored predictive model for the management of negative biopsy results. MATERIALS AND METHODS. We retrospectively included 389 patients (mean age ± SD, 62 ± 12 years old) who had undergone US-guided liver biopsy of 405 liver lesions between January 1, 2013, and June 30, 2015. We collected multiple patient- and procedure-related variables. By comparing pathology reports of biopsy and the reference standard (further histology or imaging follow-up), we were able to categorize the biopsy r…

AdultImage-Guided BiopsyMalemedicine.medical_specialtyRadiology Nuclear Medicine and ImagingFalse Negative Result030218 nuclear medicine & medical imaging03 medical and health sciencesCore biopsyFalse-negative result0302 clinical medicineBiopsymedicineHumansFalse Negative ReactionsUltrasonography InterventionalAgedRetrospective StudiesAged 80 and overFine-needle aspirationmedicine.diagnostic_testUS-guided liver biopsybusiness.industryLiver DiseasesDecision TreesUltrasoundnutritional and metabolic diseasesGeneral MedicineMiddle AgedPatient managementDiagnostic errorFine-needle aspiration030220 oncology & carcinogenesisLiver biopsyFemaleRadiologybusinessCore biopsyDecision tree model
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Characterization of Small Incidental Indeterminate Hypoattenuating Hepatic Lesions: Added Value of Single-Phase Contrast-Enhanced Dual-Energy CT Mate…

2018

OBJECTIVE. The objective of this study is to determine whether single-phase contrast-enhanced dual-energy CT (DECT) material attenuation analysis improves the characterization of small (< 2.0 cm) incidental indeterminate hypoattenuating hepatic lesions, compared with conventional single-energy CT evaluation. MATERIALS AND METHODS. This retrospective study involved 55 patients (24 men and 31 women; mean [± SD] age, 63.9 ± 15.3 years) with 77 incidental hypoattenuating hepatic lesions (59 benign and 18 malignant lesions) measuring 0.5–2.0 cm who underwent single-phase contrast-enhanced DECT of the abdomen for pain. For each lesion, attenuation measurements were obtained using blended 120-k…

AdultMalegenetic structuresmedia_common.quotation_subjectContrast MediaSensitivity and Specificity030218 nuclear medicine & medical imaging03 medical and health sciences0302 clinical medicineRetrospective StudieIncidental FindingIncidentalHumansContrast (vision)MedicineRadiology Nuclear Medicine and imagingSingle phaseAgedRetrospective Studiesmedia_commonAged 80 and overIncidental FindingsEnhancementbusiness.industryLiver lesionAttenuationLiver NeoplasmsGeneral MedicineMiddle AgedIopamidolCharacterization (materials science)Dual-energy CTLiver Neoplasm030220 oncology & carcinogenesisRadiographic Image Interpretation Computer-AssistedFemaleDual energy ctTomography X-Ray ComputedIndeterminateNuclear medicinebusinessIodineHumanAmerican Journal of Roentgenology
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