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Francesco Ria

Adjunct Assistant Professor in Radiology
Radiology
Department of Radiology, Durham, NC 27710
Department of Radiology, Durham, NC 27710

Scholarly Works - Conferences


Variability in patient CT radiation dose and image quality: the impact of positioning and body habitus via a virtual imaging trial study

Conference Progress in Biomedical Optics and Imaging Proceedings of SPIE · January 1, 2025 Computed tomography (CT) dose and image quality data exhibit a large variability even for the same patient size. That is so despite the tube current modulation (TCM) systems adjusting radiation exposure according to patient body habitus to achieve consiste ... Full text Cite

Performance assessment of photon counting versus energy integrated CT: concordance of in vivo and phantom measurements

Conference Progress in Biomedical Optics and Imaging Proceedings of SPIE · January 1, 2024 Photon-counting CT (PCCT) and energy-integrating CT (EICT) system offer differing image quality attributes, but it is uncertain if such attributes manifest themselves differently across phantom vs patients. This study investigated if image quality assessme ... Full text Cite

Comparison of photon-counting and energy-integrating detector CT systems for the characterization of cystic renal lesions on virtual noncontrast imaging

Conference · November 26, 2023 Purpose: The purpose of this study is to compare the absolute CT attenuation errors of cystic renal lesions and abdominal organs on virtual noncontrast images (VNC) between photon-counting (PCCT) and energy-integrating (EID) detector CT systems. Methods a ... Open Access Cite

Comparison of image quality of abdominal CT examinations and virtual noncontrast images between photon-counting and energy-integrating detector CT

Conference · November 26, 2023 Purpose: To compare image quality of portal venous phase (PVP) abdominal CT examinations and virtual non-contrast (VNC) images between photon-counting CT (PCCT) and energy-integratingDetector CT (EID). Methods and Materials: In this HIPAA compliant, IRB-a ... Open Access Cite

Clinical and radiation risk across one million patients in Computed Tomography: influence of age, size, and race

Conference · November 26, 2023 Purpose. We recently developed a mathematical model to balance radiation risk and clinical risk, namely the risk of misdiagnosis due to insufficient image quality. In this work, we applied this model to a population of one million CT imaging cases to evalu ... Open Access Cite

Development and Testing of a Clinical Tool to Predict and Optimize Liver Contrast-Enhanced CT Imaging

Conference https://aapm.onlinelibrary.wiley.com/doi/epdf/10.1002/mp.16525 · July 23, 2023 Achieving consistent and sufficient hepatic parenchyma contrast enhancement (HPCE) level can improve diagnostic performance and reduce enhancement variability; this raises the baseline image quality and optimize injection practices, both carries economic a ... Full text Open Access Link to item Cite

Accuracy of Noise Magnitude Measurements from Patient CT Images

Conference https://aapm.onlinelibrary.wiley.com/doi/epdf/10.1002/mp.16525 · July 23, 2023 Purpose Noise magnitude is a main CT image quality indicator. In vivo measurements emerged as a patient-specific methodology to assess and qualify CT noise, yet methods to do so vary. Current noise measurement methods in soft tissues and air surrounding t ... Full text Open Access Link to item Cite

Comparing two different noise magnitude estimation methods in CT using virtual imaging trials

Conference Progress in Biomedical Optics and Imaging Proceedings of SPIE · January 1, 2022 Several methods have been introduced over the years to measure CT image noise magnitudes in vivo applying different image segmentation strategies, HU thresholds, and regions of interests in which the noise is calculated. Therefore, it is impossible to dire ... Full text Open Access Cite

A mathematical framework to quantitatively balance clinical and radiation risk in Computed Tomography

Conference · December 1, 2021 Purpose: Risk in medical imaging is a combination of radiation risk and clinical risk, which is largely driven by the effective diagnosis. While radiation risk has traditionally been the main focus of Computed Tomography (CT) optimization, such a goal cann ... Open Access Cite

Organ-based and DLP-based effective dose as representations of radiation risk in a population of 8946 patients with cumulative effective dose greater than 100 mSv

Conference · December 1, 2021 Purpose. Recent studies have shown that it is not uncommon for a patient to undergo multiple CT exams resulting in high cumulative dose above 100 mSv, the radiation risk associated with which is not negligible. The purpose of this study was to compare the ... Open Access Cite

Justification of radiological procedures in COVID-19 pandemic based on radiation risk only

Conference · December 2, 2020 Purpose. Radiologic procedures are recommended based on benefit-to-risk justification. In X-ray imaging, while the benefit is often immediate for the patient, the associated radiation burden risk is a longer-term effect. Such a temporal gap can bias the ju ... Open Access Cite

Virtual Imaging Trials for Novel Coronavirus Disease (COVID-19)

Conference · December 2, 2020 PURPOSE Virtual imaging trial is a unique framework that can greatly facilitate the assessment and optimization of imaging, by emulating the experiments using representative models of patients and scanners. This study aimed to impalement and demonstrate a ... Cite

Total risk index: a mathematical model for decision making based on clinical and radiation risk assessment in CT

Conference · December 4, 2019 Purpose. Radiological risk is a combination of radiation and clinical risk (likelihood of not delivering a proper diagnosis), which together may be characterized as a total risk index (TRI). While many strategies have been developed to ascertain radiation ... Open Access Cite

Characterization of Radiation Risk across a Clinical CT Patient Population: Comparison across 12 Risks Metrics

Conference · November 27, 2018 PURPOSE Ascertaining radiological procedure radiation burden is essential for justification, optimization, and personalization of the procedure. While the exact radiation risk for an individual exam is unknowable, various risk-related figures have been use ... Cite

Effective Dose for Computed Tomography in Large, Clinical Populations

Conference · November 27, 2018 PURPOSE Effective dose can efficiently integrate multiple organ dose values into a singular scalar value of radiation dose. The effective dose can also be calculated using dose length product (DLP) to effective dose conversion coefficients. The purpose of ... Cite

A Data-Centric Strategy for Developing CT Dose and Noise Reference Levels from Clinical Patient Populations

Conference · November 27, 2018 PURPOSE To develop a data-centric strategy solution for developing CT dose and noise reference levels across large clinical patient populations and in CT scanners. METHOD AND MATERIALS This IRB-exempt study evaluated CT abdominopelvic (AP)-related examin ... Cite

CT Resolution, Noise, and Dose Reference Levels Across a Multi-Center Patient Population

Conference · November 26, 2018 PURPOSE The diagnostic reference level (DRL) is useful as a first-order tool to compare radiation exposures of one's imaging clinic against those of one's peers in computed tomography. Ria et al. have advocated for the addition of a Noise Reference Level ( ... Cite

A Novel Methodology for Automated Image Quality Assessment of Pediatric CT

Conference · November 25, 2018 PURPOSE To develop an effective and automated methodology for patient-specific image quality assessment of clinical pediatric body CT examinations. METHOD AND MATERIALS This IRB approved study evaluated 816 clinically performed (6/14-11/17), contrast-enh ... Cite

Beyond the DRL: Applying Automated Quality Metrics to Assess Pediatric CT Program Liver Lesion Detection Performance

Conference · November 25, 2018 PURPOSE To apply an automated program for evaluating pediatric body CT study quality which utilizes metrics of dose and image quality for optimization of liver lesion detection. METHOD AND MATERIALS With IRB approval, 880 clinical contrast-enhanced abdom ... Cite

Quantifying quality: correlation phantom and clinical scan CT noise levels to contruct a Quality Reference Level

Conference · November 26, 2017 Conclusion This study represents a proof of concept method to develop and refine a Noise Reference Level for a given protocol and scanner. This represents a first step in establishing an automated Performance Reference Level for a given scan protocol that ... Cite

Organ Dose Estimation in CT through Voxelized Phantoms and Monte Carlo Methods: Impact of Wrong Patient-Phantom Matching

Conference · November 26, 2017 PURPOSE The aim of this study was to assess the impact on organ dose estimation for Body CT examinations when the patient is matched to the wrong virtual phantom. METHODS AND MATERIALS Patient-specific organ dosimetry is estimated using a Monte Carlo fram ... Cite

Organ Dose Estimation for CT Localizer Images

Conference MEDICAL PHYSICS · June 1, 2017 Link to item Cite

Dose Manager: New Solutions for Old Issues

Conference MEDICAL PHYSICS · June 1, 2017 Link to item Cite

SU-F-I-48: Variability in CT Scanning Over-Range Across Clinical Operation.

Conference Med Phys · June 2016 PURPOSE: Inconsistency in the scan range for a given protocol can be a source of variability in patient dose. The purpose of this study was to determine the variability in the over-scan length in clinical CT operation for chest and abdominopelvic (A&P) pro ... Full text Link to item Cite

Monte Carlo-corrected GTV dose prescription on lung tumors treated with Cyberknife: A possible recipe

Conference Physica medica European Journal of Medical Physics · February 18, 2016 Link to item Cite

Application of the EUREF protocol for acceptance test of three digital breast tomosynthesis systems

Conference Physica Medica: International Journal of Medical Physics · February 18, 2016 Link to item Cite

CT Scan Dosimetric Parameters Routine Monitoring: First Results of Radiation Dose Optimization Strategies Promptly Provided by a Multidisciplinary Team

Conference · November 29, 2015 CONCLUSION Radiation dose reduction, while saving image quality could be easily implemented with this approach. Furthermore, the availability of a dosimetric data archive provides immediate feedbacks, related to the implemented optimization strategies. Ba ... Open Access Link to item Cite

STEREOTACTIC BODY RADIOTHERAPY FOR PROSTATE CANCER

Conference ANTICANCER RESEARCH · June 1, 2015 Link to item Cite

Study for the definition of the frequency for routine analytical control in radiolabelling process

Conference EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING · October 1, 2014 Open Access Link to item Cite

Laws versus Quality scheme: an opportunity to improve

Conference EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING · October 1, 2013 Link to item Cite