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Evaluation of a proper cutoff value on quantitative dual-energy perfusion CT for the assessment of acute pulmonary thromboembolism

Research Project

Project/Area Number 26461794
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Radiation science
Research InstitutionYamaguchi University

Principal Investigator

KUNIHIRO Yoshie  山口大学, 医学部, 特別医学研究員 (30448310)

Co-Investigator(Kenkyū-buntansha) 松永 尚文  山口大学, 医学(系)研究科(研究院), 教授 (40157334)
岡田 宗正  山口大学, 医学部附属病院, 准教授 (70380003)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2016: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2015: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2014: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywordsdual-energy CT
Outline of Final Research Achievements

Dual-energy perfusion computed tomography (DEpCT) images were three-dimensionally reconstructed at the following attenuation ranges: 1-2 HU (V2) to 1-10 HU (V10), and 1-120 HU (V120). The ratios of low perfusion areas associated with each threshold range per V120 were also calculated, and the relative ratios were expressed as %V2 to %V10. These values were compared with factors indicating the severity of acute pulmonary thromboembolism (PTE), including the pulmonary arterial pressure, heart rate, CT angiographic obstruction index (CTOI), and right/left ventricular diameter ratio (RV/LV).
The area under the curve (AUC) of %V2 was highest (0.783) among these values based on the presence of intrapulmonary clots. The %V2 showed moderate correlations with CTOI (r=0.36, p=0.005) and RV/LV (r=0.36, p=0.004) in the patients with acute PTE. %V2 exhibit the best correlation with factors suggesting the severity of acute PTE.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (5 results)

All 2017 2015 2014

All Journal Article (3 results) (of which Peer Reviewed: 3 results) Presentation (2 results)

  • [Journal Article] Evaluation of a proper cutoff value on quantitative dual-energy perfusion CT for the assessment of acute pulmonary thromboembolism2017

    • Author(s)
      Yoshie Kunihiro, Munemasa Okada
    • Journal Title

      Acta Radiologica

      Volume: 印刷中 Issue: 9 Pages: 1061-1067

    • DOI

      10.1177/0284185116683577

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Added value of lung perfused blood volume images using dual-energy CT for assessment of acute pulmonary embolism.2015

    • Author(s)
      Okada M, Kunihiro Y, Nakashima Y, Nomura T, Kudomi S, Yonezawa T, Suga K, Matsunaga N.
    • Journal Title

      Eur J Radiol

      Volume: 84 Issue: 1 Pages: 172-7

    • DOI

      10.1016/j.ejrad.2014.09.009

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Pulmonary emphysema on dyal-energy perfusion CT: assessment with pulmonary functional tests and lung CT2014

    • Author(s)
      Yoshie Kunihiro, Munemasa Okada, Yoshiteru Nakashima, Naofumi Matsunaga
    • Journal Title

      Japanese Journal of Diagnostic Imaging

      Volume: 32 Pages: 109-118

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Presentation] The assessment of proper cut-off value for the severity of acute pulmonary embolism2015

    • Author(s)
      Yoshie Kunihiro, Munemasa Okada, Yoshiteru Nakashima, Takafumi Nomura, Sei Nakao, Naofumi Matsunaga
    • Organizer
      第51回日本医学放射線学会秋季臨床大会
    • Place of Presentation
      アイーナ、マリオス(岩手県盛岡市)
    • Year and Date
      2015-10-02
    • Related Report
      2015 Research-status Report
  • [Presentation] Added value of dual-energy perfusion CT for the evaluation of intrapulmonary clots using 64-slice dual-source CT2014

    • Author(s)
      Munemasa Okada, Yoshie Kunihiro, Yoshiteru Nakashima, Takafumi Nomura, Teppei Yonezawa, Shohei Kudomi, Yuichi Sano, Kazuyoshi Suga, Naofumi Matsunaga
    • Organizer
      The 73rd annual Meeting of the Japan Radiological Society
    • Place of Presentation
      パシフィコ横浜(神奈川県横浜市)
    • Year and Date
      2014-04-10 – 2014-04-13
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2018-03-22  

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