DECT Numbers in Upper Abdominal Organs for Differential Diagnosis: A Feasibility Study
Evaluating the similarity between two entities such as primary and suspected metastatic lesions using quantitative dual-energy computed tomography (DECT) numbers may be useful. However, the criteria for the similarity between two entities based on DECT numbers remain unclear. We therefore considered...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-11-01
|
| Series: | Tomography |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2379-139X/8/6/225 |
| _version_ | 1827636818653216768 |
|---|---|
| author | Fumihito Toshima Norihide Yoneda Kanako Terada Dai Inoue Toshifumi Gabata |
| author_facet | Fumihito Toshima Norihide Yoneda Kanako Terada Dai Inoue Toshifumi Gabata |
| author_sort | Fumihito Toshima |
| collection | DOAJ |
| description | Evaluating the similarity between two entities such as primary and suspected metastatic lesions using quantitative dual-energy computed tomography (DECT) numbers may be useful. However, the criteria for the similarity between two entities based on DECT numbers remain unclear. We therefore considered the possibility that a similarity in DECT numbers within the same organ could provide suitable standards. Thus, we assumed that the variation in DECT numbers within a single organ is sufficiently minimal to be considered clinically equivalent. Therefore, the purpose of this preliminary study is to investigate the differences in DECT numbers within upper abdominal organs. This retrospective study included 30 patients with data from hepatic protocol DECT scans. DECT numbers of the following parameters were collected: (a, b) 70 and 40 keV CT values, (c) slope, (d) effective Z, and (e, f) iodine and water concentration. The agreement of DECT numbers obtained from two regions of interest in the same organ (liver, spleen, and kidney) were assessed using Bland–Altman analysis. The diagnostic ability of each DECT parameter to distinguish between the same or different organs was also assessed using receiver operating characteristic analysis. The 95% limits of agreement within the same organ exhibited the narrowest value range on delayed phase (DP) CT [(c) −11.2–8.3%, (d) −2.0–1.5%, (e) −11.3–8.4%, and (f) −0.59–0.62%]. The diagnostic ability was notably high when using differences in DECT numbers on portal venous (PVP) and DP images (the area under the curve of DP: 0.987–0.999 in (c)–(f)). Using the variability in DECT numbers in the same organ as a criterion for defining similarity may be helpful in making a differential diagnosis by comparing the DECT numbers of two entities. |
| first_indexed | 2024-03-09T15:47:55Z |
| format | Article |
| id | doaj.art-a8d021ca696e49909ab644ddd4e87655 |
| institution | Directory Open Access Journal |
| issn | 2379-1381 2379-139X |
| language | English |
| last_indexed | 2024-03-09T15:47:55Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Tomography |
| spelling | doaj.art-a8d021ca696e49909ab644ddd4e876552023-11-24T18:23:55ZengMDPI AGTomography2379-13812379-139X2022-11-01862698270810.3390/tomography8060225DECT Numbers in Upper Abdominal Organs for Differential Diagnosis: A Feasibility StudyFumihito Toshima0Norihide Yoneda1Kanako Terada2Dai Inoue3Toshifumi Gabata4Department of Radiology, Kanazawa University Graduate School of Medical Sciences, 13-1, Takara-Machi, Kanazawa 920-8641, Ishikawa, JapanDepartment of Radiology, Kanazawa University Graduate School of Medical Sciences, 13-1, Takara-Machi, Kanazawa 920-8641, Ishikawa, JapanDepartment of Radiology, Kanazawa University Graduate School of Medical Sciences, 13-1, Takara-Machi, Kanazawa 920-8641, Ishikawa, JapanDepartment of Radiology, Kanazawa University Graduate School of Medical Sciences, 13-1, Takara-Machi, Kanazawa 920-8641, Ishikawa, JapanDepartment of Radiology, Kanazawa University Graduate School of Medical Sciences, 13-1, Takara-Machi, Kanazawa 920-8641, Ishikawa, JapanEvaluating the similarity between two entities such as primary and suspected metastatic lesions using quantitative dual-energy computed tomography (DECT) numbers may be useful. However, the criteria for the similarity between two entities based on DECT numbers remain unclear. We therefore considered the possibility that a similarity in DECT numbers within the same organ could provide suitable standards. Thus, we assumed that the variation in DECT numbers within a single organ is sufficiently minimal to be considered clinically equivalent. Therefore, the purpose of this preliminary study is to investigate the differences in DECT numbers within upper abdominal organs. This retrospective study included 30 patients with data from hepatic protocol DECT scans. DECT numbers of the following parameters were collected: (a, b) 70 and 40 keV CT values, (c) slope, (d) effective Z, and (e, f) iodine and water concentration. The agreement of DECT numbers obtained from two regions of interest in the same organ (liver, spleen, and kidney) were assessed using Bland–Altman analysis. The diagnostic ability of each DECT parameter to distinguish between the same or different organs was also assessed using receiver operating characteristic analysis. The 95% limits of agreement within the same organ exhibited the narrowest value range on delayed phase (DP) CT [(c) −11.2–8.3%, (d) −2.0–1.5%, (e) −11.3–8.4%, and (f) −0.59–0.62%]. The diagnostic ability was notably high when using differences in DECT numbers on portal venous (PVP) and DP images (the area under the curve of DP: 0.987–0.999 in (c)–(f)). Using the variability in DECT numbers in the same organ as a criterion for defining similarity may be helpful in making a differential diagnosis by comparing the DECT numbers of two entities.https://www.mdpi.com/2379-139X/8/6/225dual-energy computed tomographycomputed tomography attenuation curveeffective Ziodine concentrationwater concentrationDECT numbers |
| spellingShingle | Fumihito Toshima Norihide Yoneda Kanako Terada Dai Inoue Toshifumi Gabata DECT Numbers in Upper Abdominal Organs for Differential Diagnosis: A Feasibility Study Tomography dual-energy computed tomography computed tomography attenuation curve effective Z iodine concentration water concentration DECT numbers |
| title | DECT Numbers in Upper Abdominal Organs for Differential Diagnosis: A Feasibility Study |
| title_full | DECT Numbers in Upper Abdominal Organs for Differential Diagnosis: A Feasibility Study |
| title_fullStr | DECT Numbers in Upper Abdominal Organs for Differential Diagnosis: A Feasibility Study |
| title_full_unstemmed | DECT Numbers in Upper Abdominal Organs for Differential Diagnosis: A Feasibility Study |
| title_short | DECT Numbers in Upper Abdominal Organs for Differential Diagnosis: A Feasibility Study |
| title_sort | dect numbers in upper abdominal organs for differential diagnosis a feasibility study |
| topic | dual-energy computed tomography computed tomography attenuation curve effective Z iodine concentration water concentration DECT numbers |
| url | https://www.mdpi.com/2379-139X/8/6/225 |
| work_keys_str_mv | AT fumihitotoshima dectnumbersinupperabdominalorgansfordifferentialdiagnosisafeasibilitystudy AT norihideyoneda dectnumbersinupperabdominalorgansfordifferentialdiagnosisafeasibilitystudy AT kanakoterada dectnumbersinupperabdominalorgansfordifferentialdiagnosisafeasibilitystudy AT daiinoue dectnumbersinupperabdominalorgansfordifferentialdiagnosisafeasibilitystudy AT toshifumigabata dectnumbersinupperabdominalorgansfordifferentialdiagnosisafeasibilitystudy |