PubMed Health⌕ Search

Biomedical subjects

Yoshinori Funama

Publications and source records attributed to Yoshinori Funama.

13 recordsLinked to original sources
PubMed2007

Prediction of aortic peak enhancement in monophasic contrast injection protocols at multidetector CT: phantom and patient studies.

PURPOSE: The aim of this study was to investigate whether it is possible to predict aortic peak enhancement (APE) from the contrast dose and injection rate. MATERIALS AND METHODS: We first undertook an experimental study using a flow phantom that simulates the human circulation. We delivered 90-150 ml of iomeprol-350 at various injection rates and measured the APE values of the simulated aorta. In our clinical study we randomized 20 patients into four groups. In groups A, B, and C the iodine dose per kilogram of body weight (BW) ranged from 450 to 600 mg, and the injection duration was fixed at 30 s; group D received 450 mg/kg over 25 s. We then measured APE in all patients at the whole aorta, averaged the three highest values, and took the result as APE. RESULTS: In the phantom study, the decision coefficient for the best-fit equation obtained by multiple regression analysis of the relation between the iodine dose and injection rate and the simulated APE was high (0.93). In the patient study, the predicted APE values almost corresponded with the averaged APE values when we applied the fitness equation. CONCLUSION: Using our fitness equation, APE on contrast-enhanced computed tomography can be predicted from the iodine dose and the contrast injection rate per patient weight.

Adult↗
PubMed2006

Pulmonary nodules: estimation of malignancy at thin-section helical CT--effect of computer-aided diagnosis on performance of radiologists.

PURPOSE: To evaluate the effect of a computer-aided diagnosis (CAD) system on the diagnostic performance of radiologists for the estimation of the malignancy of pulmonary nodules on thin-section helical computed tomographic (CT) scans. MATERIALS AND METHODS: The institutional review board approved use of the CT database; informed specific study-related consent was waived. The institutional review board approved participation of radiologists; informed consent was obtained from all observers. Thirty-three (18 malignant, 15 benign) pulmonary nodules of less than 3.0 cm in maximal diameter were evaluated. Receiver operating characteristic (ROC) analysis with a continuous rating scale was used to compare observer performance for the estimation of the likelihood of malignancy first without and then with the CAD system. The participants were 10 board-certified radiologists and nine radiology residents. RESULTS: For all 19 participants, the mean area under the best-fit ROC curve (A(z)) values achieved without and with the CAD system were 0.843 +/- 0.097 (standard deviation) and 0.924 +/- 0.043, respectively. The difference was significant (P = .021). The mean A(z) values achieved without and with the CAD system were 0.910 +/- 0.052 and 0.944 +/- 0.040, respectively, for the 10 board-certified radiologists (P = .190) and 0.768 +/- 0.078 and 0.901 +/- 0.036, respectively, for the nine radiology residents (P = .009). CONCLUSION: Use of the CAD system significantly (P = .009) improved the diagnostic performance of radiology residents for assessment of the malignancy of pulmonary nodules; however, it did not improve that of board-certified radiologists.

Adenocarcinoma↗
PubMed2006

Improvement of low-contrast detectability in low-dose hepatic multidetector computed tomography using a novel adaptive filter: evaluation with a computer-simulated liver including tumors.

PURPOSE: The purpose of this study was to investigate how much radiation dose can be reduced without loss of low-contrast detectability with a newly developed adaptive noise reduction filter in hepatic multidetector computed tomography (MDCT) scans by using a computer-simulated liver phantom. MATERIALS AND METHODS: Simulated CT images, including liver and intrahepatic tumors, were mathematically constructed using a computer workstation to evaluate low-contrast detectability by the observer performance test. Milliampere second for construction of simulated images were 60, 80, 100, and 120 mAs (low dose) and 160 mAs (standard dose) at 120 kVp. Images with 60, 80, 100, and 120 mAs were postprocessed with the adaptive noise reduction filter. A total of 432 images were prepared and receiver operating characteristic (ROC) analysis was performed by 5 radiologists. The detectability of simulated tumor by radiologists was estimated with the area under the ROC curves (Az values). In addition, we visually evaluated CT images of 15 patients with chronic liver damage for graininess of the liver parenchyma, sharpness of the liver contour, conspicuity and marginal sharpness of the liver tumors, and overall image quality. RESULTS: The mean Az value at 0.777 (60 mAs), 0.828 (80 mAs), and 0.844 (100 mAs) without filter was significantly lower than that of 160 mAs without filter (P < 0.001, 60 mAs; P = 0.010, 80 mAs; P = 0.040, 100 mAs). There was no statistical difference between the mean Az value at 80 mAs with and 160 mAs without the adaptive noise reduction filter (P = 0.220) and 100 mAs with and 160 mAs without the adaptive noise reduction filter (P = 0.979). In the visual evaluation of patient livers, there was no statistical difference in the graininess and sharpness of the liver, the conspicuity and marginal sharpness of the tumor, and the overall image quality between standard-dose and filtered low-dose images (Wilcoxon signed rank test, P > 0.05). CONCLUSION: The radiation dose can be reduced by 50% without loss of nodule detectability by applying the adaptive noise reduction filter to simulated and patient liver images obtained at MDCT.

Aged↗
PubMed2006

Simulation of aortic peak enhancement on MDCT using a contrast material flow phantom: feasibility study.

OBJECTIVE: The objective of our study was to develop a flow phantom simulating aortic peak enhancement after the injection of contrast material on CT and to investigate the validity of the flow phantom by comparing the time-enhancement curves obtained for the flow phantom and humans. MATERIALS AND METHODS: We developed a flow phantom simulating the enhancement pattern of the aorta after the injection of contrast material. In protocols 1, 2, and 3 of the phantom study, 90, 102, and 150 mL of iohexol, respectively, was administered over 35 sec. In protocol 4, 102 mL of iohexol was administered over 25 sec. In phantom protocols 1', 2', and 3', the dose and contrast injection duration were the same as in protocols 1, 2, and 3; however, saline (10 mL) was injected during the 20 sec after contrast delivery. In the human study, 20 patients were randomized into four groups: Groups A, B, and C received 1.5, 1.7, and 2.5 mL of iohexol per kilogram of body weight, respectively, over 35 sec; and group D received 1.7 mL/kg over 25 sec. In patient groups A, B, C, and D, phantom protocols 1, 2, 3, and 4 were used, respectively. Single-level serial CT scans were obtained using a 16-MDCT scanner on the simulated and real aortas after the injection of contrast material. Time-enhancement curves of simulated and real aortas were generated, and aortic peak times and aortic peak enhancement values were calculated. RESULTS: Aortic peak enhancement and aortic peak times in protocols 1-4 and 1'-3' of the phantom study were 2-8% larger and 6-18% longer, respectively, than in the corresponding patient study. The shape of the time-enhancement curves before aortic peak time in protocols 1-3 and 1'-3' of the phantom study closely resembled that of the corresponding patient study. After the aortic peak time, the shape of time-enhancement curves in protocols 1, 2, and 3 of the phantom study was different from the corresponding patient study; however, it was similar in phantom protocols 1'-3' and the corresponding patient study. In all four phantom protocols, the difference between maximal and minimal aortic peak enhancement was less than the SD of the corresponding patient study. CONCLUSION: The level of peak aortic enhancement and the time to peak aortic enhancement were similar in the phantom and human studies when we used our different contrast injection protocols for MDCT.

Aged↗
PubMed2006

Lower tube voltage reduces contrast material and radiation doses on 16-MDCT aortography.

OBJECTIVE: The purpose of our study was to compare aortic CT angiography performed at a low tube voltage and reduced dose of contrast material with standard-voltage, standard-contrast-dose CT angiography. SUBJECTS AND METHODS: We evaluated 74 patients for aortic disease on MDCT angiography (collimation, 16 x 1.5 mm; beam pitch, 0.9). In 36 patients, we used the standard tube voltage (120 kVp) and a contrast dose of 100 mL (300 mg I/mL) (protocol 1), and in the remaining 38 patients we applied a reduced tube voltage (90 kVp) and a contrast dose of 40 mL (300 mg I/mL) (protocol 2). The patients' weights, CT attenuation of the aorta, visualization of the celiac axis and renal artery, and graininess and streak artifacts on transverse CT scans were evaluated and recorded for each data set. The signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were also measured. For statistical analysis, we used the two-tailed Student's t test and logistic regression; agreement between measurements recorded independently by two blinded reviewers was assessed using Cohen kappa statistics. RESULTS: In both protocols a negative correlation was seen between patient weight and CT attenuation. In three protocol 1 patients weighing more than 70 kg, CT attenuation was less than 200 H. No difference was seen between the two protocols with respect to mean attenuation of the aorta (p = 0.13) or visualization of the celiac axis and renal artery (p = 0.35 and 0.60, respectively). Although the SNR and CNR were significantly higher in protocol 1 than in protocol 2, qualitative evaluation of graininess and streak artifacts showed no statistically significant difference (p = 0.15 and 0.48, respectively). Interobserver agreement for quality assessments was within an acceptable range (kappa = 0.42-0.80). CONCLUSION: Low-contrast and low-voltage scans are appropriate for lighter patients (< 70 kg in body weight) with aortic disease. Moreover, this method is particularly valuable for follow-up studies of heavier patients (> 70 kg) with renal dysfunction.

Adult↗
PubMed2005

A computer-simulated liver phantom (virtual liver phantom) for multidetector computed tomography evaluation.

OBJECTIVE: The purpose of study was to develop a computer-simulated liver phantom for hepatic CT studies. A computer-simulated liver phantom was mathematically constructed on a computer workstation. MATERIALS AND METHODS: The computer-simulated phantom was calibrated using real CT images acquired by an actual four-detector CT. We added an inhomogeneous texture to the simulated liver by referring to CT images of chronically damaged human livers. The mean CT number of the simulated liver was 60 HU and we added numerous 5-to 10-mm structures with 60+/-10 HU/mm. To mimic liver tumors we added nodules measuring 8, 10, and 12 mm in diameter with CT numbers of 60+/-10, 60+/-15, and 60+/-20 HU. Five radiologists visually evaluated similarity of the texture of the computer-simulated liver phantom and a real human liver to confirm the appropriateness of the virtual liver images using a five-point scale. RESULTS: The total score was 44 in two radiologists, and 42, 41, and 39 in one radiologist each. They evaluated that the textures of virtual liver were comparable to those of human liver. CONCLUSIONS: Our computer-simulated liver phantom is a promising tool for the evaluation of the image quality and diagnostic performance of hepatic CT imaging.

Computer Simulation↗
PubMed2005

Radiation dose reduction without degradation of low-contrast detectability at abdominal multisection CT with a low-tube voltage technique: phantom study.

PURPOSE: To reduce radiation dose from abdominal computed tomography (CT) without degradation of low-contrast detectability by using a technique with low tube voltage (90 kV). MATERIALS AND METHODS: The institutional review board approved the participation of the radiologists in the observer performance test, and informed consent was obtained from all participating radiologists. A phantom for measurement of the radiation dose and a phantom containing low-contrast objects were scanned with a 16-detector row CT scanner at 120 kV and 90 kV. For determination of the radiation dose at both 90 kV and 120 kV, the tube current-time product settings were 100-560 mAs, and the doses at the center and periphery of the phantom were measured. To assess low-contrast detectability, we used a 300-mAs setting at 120 kV and 250-560-mAs settings at 90 kV. Five observers participated in the receiver operating characteristic analysis. Area under the receiver operating characteristic curve (A(z)) values were calculated in each observer. A(z) values obtained with each of the scanning techniques were recorded, and differences were examined for significance by using the Dunnet method. RESULTS: The mean A(z) value was 0.951 at 120 kV and 300 mAs. A(z) values were 0.927-0.973 at 90 kV and 450-560 mAs, and the differences between those values and values obtained at 120 kV and 300 mAs were not significant (P = .937-.952). A value of 100% was assigned to the radiation dose delivered to the center of the phantom at 120 kV and 300 mAs. The relative dose delivered at 90 kV ranged from 65% at 450 mAs to 79% at 560 mAs. CONCLUSION: A reduction from 120 kV to 90 kV led to as much as a 35% reduction in the radiation dose, without sacrifice of low-contrast detectability, at CT.

Analysis of Variance↗
PubMed2005

Abdominal CT with low tube voltage: preliminary observations about radiation dose, contrast enhancement, image quality, and noise.

PURPOSE: To prospectively investigate the effect of low tube voltage on radiation dose, contrast enhancement, image quality, and image noise at abdominal dynamic computed tomography (CT). MATERIALS AND METHODS: The institutional review board approved this study. Prior informed consent was obtained from all patients. Forty patients (24 women, 16 men; mean age, 62 years) underwent initial abdominal CT at 120 kV with 100 mL of contrast material (protocol A). Then all patients were randomly assigned to one of two protocols (protocol B, CT at 90 kV with 100 mL contrast material; protocol C, CT at 90 kV with 80 mL contrast material). The CT numbers of their abdominal organs were assessed quantitatively and qualitatively. Statistical analysis was performed by using the two-tailed paired t test, Kruskal-Wallis test, and kappa test of interobserver agreement. The radiation dose was measured with a phantom that consisted of glass-rod dosimeters. RESULTS: Quantitative analysis revealed that protocols B and C yielded significantly better enhancement of the aorta, liver, pancreas, spleen, and kidney than did protocol A (P < .05). With qualitative analysis, the difference among the three protocols in regard to image quality was not significant. At 90 kV versus 120 kV, the radiation dose reduction in the center of the phantom was 56.8% (6.3 vs 14.6 mGy); in the periphery, it was 46.2% (13.6 vs 25.3 mGy). CONCLUSION: By decreasing the tube voltage, the amount of contrast material can be reduced without image quality degradation. In scans obtained with a low tube voltage, the radiation dose can be reduced as much as 56.8%, and higher contrast material enhancement can be achieved.

Adult↗
PubMed2005

Digital cine angiography permits radiation dose reduction without reduction in image quality.

PURPOSE: To investigate how much the radiation dose in digital cine angiography (DCA) systems can be reduced while maintaining an image quality equivalent to that of conventional cine angiography (CCA). MATERIALS AND METHODS: Simulated vessel phantoms were subjected to DCA and CCA. In DCA, the input dose value to the image intensifier built in the system was 0.10, 0.12, 0.14, 0.17, 0.2, and 0.24 microGy. The detectability for simulated vessel phantoms was visually evaluated by five observers. The radiation dose was measured using radiofluorescent glass-rod dosimeters. Doses of digital cine imaging were measured as relative values with the dose of CCA considered as 1.0. RESULTS: The relative DCA/CCA values in DCA, measured by radiofluorescent glass-rod dosimeters, ranged from 0.414 to 0.901 for simulated vessel phantoms CONCLUSION: DCA allows a reduction by 59% of the radiation dose compared with CCA without reduction of image quality.

Analysis of Variance↗
PubMed2005

Reduction of radiation dose at HRCT of the temporal bone in children.

PURPOSE: The purpose of this study was to reduce the radiation exposure of the eye lens in high resolution computed tomography (HRCT) of the temporal bone using an experimental phantom. MATERIALS AND METHODS: The HRCT image that was used for analysis was obtained by changing parameters including effective-mAs (E-mAs), distance coverage, and height of object in the Y-axis. Radiation exposure was measured to calculate equivalent doses by glass rod dosimeters that were fixed above the right orbit parallel to the body axis. Deterioration in image quality was evaluated by three radiologists and the following three-point rating method was employed: grade 1 (good image quality without diagnostic limitations), grade 2 (image was deteriorated, but there were no diagnostic limitations), and grade 3 (image was deteriorated with diagnostic limitations). RESULTS: Assuming that the equivalent dose was y (mSv), and E-mAs was x, a simple regression line, y=0.506x-0.494 (decision coefficient, R2=0.999), was obtained. A standard deviation (S.D.) less than 120 (E-mAs, 220-120) was judged as grade 1, an S.D. between 120 and 150 was judged as grade 2, and an S.D. higher than 150 was judged as grade 3, indicating that deterioration of the quality of images with reduced E-mAs affected the diagnosis by imaging at S.D. higher than 150. CONCLUSION: Radiation dose at the eye lens in HRCT could be reduced up to an equivalent dose corresponding to 70 mAs without compromising diagnostic quality in the phantom experiment.

Humans↗
PubMed2000

The Influence of DSA Examinations on Patient-absorbed Doses.

An exposure measurement experiment was performed to obtain frontal DSA, lateral DSA and fluoroscopic absorbed doses. In addition, the proportion of each dose to the total absorbed dose was obtained to estimate which influenced the patient-absorbed dose the most among the three in diagnostic DSA examinations for the head and neck. Three correlation coefficients were obtained to evaluate the relationship between any two doses. As a result, the following four findings were obtained: 1. The mean proportion of each absorbed dose reached a high value in the order of frontal DSA absorbed dose > lateral DSA absorbed dose > fluoroscopic absorbed dose. 2. A strongly negative correlation between the proportions of frontal DSA absorbed dose and fluoroscopic absorbed dose was observed (r = -0.864, P < 0.01). Also, a slightly negative correlation between the proportions of lateral DSA absorbed dose and fluoroscopic absorbed dose was observed (r = -0.375, P < 0.01). However, no correlation between the proportions of frontal DSA absorbed dose and lateral DSA absorbed dose was observed (r = -0.143, P > 0.05). 3. The patient-absorbed doses, which were different from those of IVR examinations, were confirmed to be largely influenced by DSA radiographic doses. 4. The best method for the reduction of patient-absorbed doses was considered to be minimization of the frame number in DSA radiography required for diagnosis.

Journal Article↗
PubMedDate not supplied

CT portography by multidetector helical CT: comparison of three rendering models.

PURPOSE: To assess the value of multidetector CT portography in visualizing varices and portosystemic collaterals in comparison with conventional portography, and to compare the visualizations obtained by three rendering models (volume rendering, VR; minimum intensity projection, MIP; and shaded surface display, SSD). METHODS: A total of 46 patients with portal hypertension were examined by CT and conventional portography for evaluation of portosystemic collaterals. CT portography was performed by multidetector CT (MD-CT) scanner with a slice thickness of 2.5 mm and table feed of 7.5 mm. Three types of CT portographic models were generated and compared with transarterial portography. RESULTS: Among the 46 patients, 48 collaterals were identified on CT transverse images, while 38 collaterals were detected on transarterial portography. Forty-four of 48 collaterals identified on CT transverse images were visualized with the MIP model, while 34 and 29 collaterals were visualized by the VR and SSD methods, respectively. The average CT value for the portal vein and varices was 198 HU with data acquisition of 50 sec after contrast material injection. CONCLUSIONS: CT portography by multidetector CT provides excellent images in the visualization of portosystemic collaterals. The images of collaterals produced by MD-CT are superior to those of transarterial portography. Among the three rendering techniques, MIP provides the best visualization of portosystemic collaterals.

Collateral Circulation↗