Priscilla Butler

CT
8 strategies to optimize radiation dose in CT
How can imaging providers optimize CT dose to maximize the risk-benefit ratio and deliver better patient care? In this article, Priscilla Butler from the American College of Radiology offers eight actionable strategies for managing radiation dose while still providing diagnostic quality and accuracy.
July 13, 2017
2017 07 12 10 24 15 537 Butler Priscilla 400
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Two representative cases demonstrate the performance of PlaqueSegNet for coronary plaque segmentation. (A–D) Coronary CT angiography (CCTA) and intravascular US (IVUS) images in a 65-year-old male patient with chest pain for two months show plaque. (A) Cross-sectional IVUS image shows a lipid-rich plaque (hypoechoic, arrows). (B) Axial and (C) cross-sectional CCTA images show the same plaque (low-attenuation area, yellow line and arrows) in the proximal left anterior descending artery. (D) PlaqueSegNet segmentation of the noncalcified plaque (yellow shading) and coronary lumen (green shading) in the cross-sectional image. (E–G) CCTA images in a 57-year old female patient with chest pain for three months show multiple plaques. (E) Volume-rendered CCTA image of the coronary tree shows PlaqueSegNet plaque segmentation (yellow) in the right and left coronary arteries. (F, G) PlaqueSegNet segmentation delineates a mixed plaque (yellow shading) and coronary lumen (green shading) in the left main artery and proximal-to-mid left anterior descending artery.
CT
AI plus CCTA cuts plaque analysis time, predicts cardiac event risk
A deep-learning model quantifies coronary plaque volume from coronary CT angiography (CCTA) images.
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A 65-y-old man with HCC and liver cirrhosis confirmed by MRI. Ga-68 FAPI-46 PET/CT demonstrates increased focal uptake (SUVmax, 13.26, and TBRmax, 2.89) in liver, whereas F-18 FDG-PET/CT scans showed non–F-18 FDG-avid lesion (SUVmax, 3.24, and TBRmax, 1.43), indicated by solid arrows. Additionally, histologically proven adenocarcinoma in colon transversum was identified as pathologic with Ga-68 FAPI-46 alone (dashed arrows).
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Two representative cases demonstrate the performance of PlaqueSegNet for coronary plaque segmentation. (A–D) Coronary CT angiography (CCTA) and intravascular US (IVUS) images in a 65-year-old male patient with chest pain for two months show plaque. (A) Cross-sectional IVUS image shows a lipid-rich plaque (hypoechoic, arrows). (B) Axial and (C) cross-sectional CCTA images show the same plaque (low-attenuation area, yellow line and arrows) in the proximal left anterior descending artery. (D) PlaqueSegNet segmentation of the noncalcified plaque (yellow shading) and coronary lumen (green shading) in the cross-sectional image. (E–G) CCTA images in a 57-year old female patient with chest pain for three months show multiple plaques. (E) Volume-rendered CCTA image of the coronary tree shows PlaqueSegNet plaque segmentation (yellow) in the right and left coronary arteries. (F, G) PlaqueSegNet segmentation delineates a mixed plaque (yellow shading) and coronary lumen (green shading) in the left main artery and proximal-to-mid left anterior descending artery.
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