0000000000430149

AUTHOR

Juan Carlos Ramirez-giraldo

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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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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Reproducibility of CT Radiomic Features within the Same Patient: Influence of Radiation Dose and CT Reconstruction Settings.

2019

Background Results of recent phantom studies show that variation in CT acquisition parameters and reconstruction techniques may make radiomic features largely nonreproduceable and of limited use for prognostic clinical studies. Purpose To investigate the effect of CT radiation dose and reconstruction settings on the reproducibility of radiomic features, as well as to identify correction factors for mitigating these sources of variability. Materials and Methods This was a secondary analysis of a prospective study of metastatic liver lesions in patients who underwent staging with single-energy dual-source contrast material-enhanced staging CT between September 2011 and April 2012. Technique p…

MaleContrast MediaRadiation Dosage030218 nuclear medicine & medical imaging03 medical and health sciences0302 clinical medicineMedicineHumansRadiology Nuclear Medicine and imagingProspective StudiesCluster analysisNeoplasm StagingReproducibilitybusiness.industryRadiation doseLiver NeoplasmsReproducibility of ResultsReconstruction algorithmMiddle AgedHierarchical clusteringFeature (computer vision)radiomics030220 oncology & carcinogenesisRadiographic Image Interpretation Computer-AssistedFemaleTomographybusinessNuclear medicineTomography X-Ray ComputedCt reconstructionAlgorithmsRadiology
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