[Diagnostic techniques for multi-slice cardiac CT].
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Biomedical subjects
Publications and source records attributed to Yoshihiro Ida.
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[reaction: see text] Primary amines reacted with carbonate salts (Na2CO3, K2CO3, Cs2CO3, and Ag2CO3) and halomethyloxiranes in the presence of a base such as DBU or TEA to give oxazolidinones in high yields. The use of K2CO3 among these carbonate gave the best yield in this synthesis. A reaction mechanism was proposed that the oxazolidinone was obtained from an oxazinanone intermediate via a bicyclo[2.2.1] intermediate. The present reaction can be widely applied to convenient synthesis of useful N-substituted oxazolidinones and chiral oxazolidinones.
One of the newest CT application technologies is cardiac synchronized image reconstruction. In this technology, evaluation of time-resolution is very important. We developed a method of measuring time-resolution in cardiac synchronized reconstruction, and evaluated various scanning protocols. In our experiment, ECG-gated scanning was done by multi-slice CT (Aquilion16 Super Heart Edition, Toshiba Medical Systems Co., Ltd., Japan). The nominal slice thickness was 0.5 mm, and rotation time was 0.5 sec. Input heart rate was set at 40, 45, 50, 55, 60, 70, 75, 80, and 90 bpm, and helical pitch at 3.2, 4.0, and 4.8 (beam-pitch: 0.200, 0.250 and 0.300). We measured FWTM of the obtained sensitivity distribution and compared at each scanning protocol. Time resolution improved as helical pitch decreased and heart rate increased. However, phase-time resolution deteriorated as heart rate increased. The results of our experiment indicated that a segment center was determined by X-ray tube rotation time and heart rate, and the number of segments was determined by heart rate, helical pitch, and reconstruction position. Time resolution changed with X-ray tube rotation time, heart rate, helical pitch, and reconstruction position. In this report, we provide a reference for an optimal scanning protocol in cardiac synchronized image reconstruction.
Coronary artery visualization by multi-slice CT and the evaluation of coronary stenosis were examined. Multi-slice CT could not be used for evaluation after the coronary artery stent custody method. We examined various coronary artery stent custody phantoms and stent visualization of clinical examples by using multi-slice CT with a slice thickness of 0.5 mm. ECG-gated scanning was done by inputting ECG using 4DAS (Data Acquisition System) multi-slice CT with a slice thickness of 0.5 mm. We carried out image reconstruction, measured the CT number, and examined the inside stent. The CT number of the inside stent rose in accordance with stent diameter. The inside stent was visualized clearly at 0.5 mm in comparison with 1.0 mm in slice thickness. Visualization of the lumen was influenced in the Stent Custody Phantom by the quality of the stent material, Strut form, and the size of the diameter. The inside stent could be evaluated with the S670 4 mmphi stent. Form evaluation of the inside stent was possible, although the cavity in the stent was influenced by the difference in distance between peaks.
Although the principal dosimetric quantity in computed tomography (CT) can be assessed using a pencil ionization chamber with an active length of 100 mm, standard CT dosimetry phantoms of polymethylmethacrylate (PMMA) , and plates of aluminum, most facilities do not possess the requisites. We present a practical method of estimating CTDI(100, c), CTDI(100, p) and the half-value layer (HVL) from CTDI(100, air), which is measured parallel with the axis of rotation of the scanner to free-in-air. The three data chosen for this method of estimation were as follows: 1) the relation of HVL to CTDI(100, air) per radiographic exposure (mAs); 2) the relation of HVL to CTDI(100, c) per CTDI(100, air); 3) the relation of HVL to CTDI(100, p) per CTDI(100, air). The data were based on the measured values of six CT scanners, so as to avoid dependence on the technical characteristics of a specific manufacturer. The estimated value has a possible maximum uncertainty of 20%, although this method of estimation is practical for dose assessment.
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In our hospital, CT-perfusion was introduced in April, 2002. It is used to diagnose, to determine what treatment to use and to prognosticate cerebral blood flow after operation in super acute period brain infarct. At the beginning of the introduction, processing time and dosage for partial areas needed improvement. Therefore, we investigated the possibility of shorter processing time and lower dosage of radiation with the help of improvement in the analysis software as well as a different scan method. Two methods of reducing radiation dosage were examined. (1) The speed of X-ray rotation was slowed down; while photon per image was maintained, total mAs was lowered. (2) Continuation scan was replaced by intermission one. Analyzing time with older and newer version of analysis software was compared. The dosage was able to decrease by 25% as a result of the rotation speed slowed down; it became further less by 50% with the intermission scan. Processing such as the vein extraction was automated by using new analysis software and successfully shorten the analysing time without damaging the reliability of analyses. We forecast that more clinical research on further lowering dosage and stabilization of analyzing will enable us to provide better information.
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