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Tuesday, June 05, 2012

Stress Testing on CT & Changes in Reading Images Comparing 64-Slice to 256-, 320-Slice CT

Stress Testing upon CT

Min said the actual higher-slice systems may present an advantage in perfusion image resolution compared with 64-slice, because of their capability to image the entire coronary heart at once. Up until now, he explained only 64-slice systems happen to be evaluated for CT perfusion image resolution. The higher-slice systems will probably show CT can be used for high-quality heart perfusion imaging, but studies are needed. These systems also provide additional perfusion applications with regard to liver and mind imaging. This may assist justify the higher price, if shared in between several specialities.

The actual Aquilion One 320-slice scanner may complete an entire physique scan in 3 seconds and a coronary heart scan without desk movement in less than fifty percent a second. Poon said this particular speed and protection will allow CT adenosine stress image resolution, which is primarily restricted to magnetic resonance imaging (MRI) as well as nuclear imaging.

“Nuclear continues to be the standard of treatment (for perfusion imaging), however the temporal spatial resolution isn't good at all,” Poon stated. He added the reduced resolution can skip small perfusion defects which are easily seen around the 320-slice images.

Changes in Studying Images

The minor misalignments in 64-slice cardiac pictures lead to many items, which radiologists and cardiologists consider when reading. Nevertheless, a 320-slice scanner picture eliminates such items. Poon said what you see may be the actual, full coronary heart frozen at a particular time.

“I had to alter my reading routines,” Poon said. “I was so accustomed to reading 64-slice that I simply assumed many things We saw were items. But now what I 'm seeing is a sore; it’s not an artifact anymore. You have to look at the 330 under a different mild. You can’t assume you will find artifacts anymore.”

The actual University of Chi town Medical Center uses 16-, 64- as well as 256-slice systems. Some individuals had exams carried out at different occasions by two or even all three of the methods. Vannier said the radiologists in comparison these images as well as were able to pick out the actual 256-slice system immediately. Just about all motion was freezing and the images didn't have the “blocky” misaligned sewing artifacts, he said. Our prime motion area close to the diaphragm also contributed to movement blur that made an appearance as a thickening of cells, which would have resulted in an improper prognosis. “We started asking ourself if we were phoning things abnormal once they were actually Okay. It was really sobering,” Vannier stated.

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