Journal articleChest · July 21, 2026
Pulmonary embolism (PE), defined as blockage of the pulmonary arteries, is a common and serious condition that requires accurate diagnosis and standardized reporting. Noninvasive imaging is well established for the diagnosis and management of PE and is inc ...
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Journal articleJ Cardiovasc Comput Tomogr · 2023
Since the emergence of cardiac computed tomography (Cardiac CT) at the turn of the 21st century, there has been an exponential growth in research and clinical development of the technique, with contributions from investigators and clinicians from varied ba ...
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Journal articleJ Cardiovasc Comput Tomogr · 2022
Coronary Artery Disease Reporting and Data System (CAD-RADS) was created to standardize reporting system for patients undergoing coronary CT angiography (CCTA) and to guide possible next steps in patient management. The goal of this updated 2022 CAD-RADS 2 ...
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Journal articleJ Cardiovasc Comput Tomogr · 2019
Coronary artery calcium (CAC) is a strong predictor for future cardiovascular events. Traditionally CAC has been quantified using the Agatston score, which was developed in the late 1980s for electron beam tomography (EBT). While EBT has been completely re ...
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Journal articleJ Am Coll Radiol · November 2018
Chronic chest pain (CCP) of a cardiac etiology is a common clinical problem. The diagnosis and classification of the case of chest pain has rapidly evolved providing the clinician with multiple cardiac imaging strategies. Though scintigraphy and rest echoc ...
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Journal articleJ Am Coll Radiol · November 2018
While there is no single diagnostic test for heart failure (HF), imaging plays a supportive role beginning with confirmation of HF, especially by detecting ventricular dysfunction (Variant 1). Ejection fraction (EF) is important in HF classification, and i ...
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Journal articleJ Comput Assist Tomogr · 2018
Bioprosthetic valve (BPV) thrombosis can be challenging to diagnose with cardiac computed tomography owing to metal artifacts of the BPV. In this case report, an optimized metal artifact reduction protocol using a third-generation dual-source multidetector ...
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Journal articleAJR Am J Roentgenol · December 2017
OBJECTIVE: The purpose of this study was to assess the noninferiority of dual-source high-pitch CT angiography (CTA) performed with high-concentration (iopamidol 370) low-volume (60 mL) iodinated contrast material at low voltage (100 kVp) in comparison wit ...
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Journal articleJ Am Coll Radiol · November 2017
Aortic stenosis is a common valvular condition with increasing prevalence in aging populations. When severe and symptomatic, the downstream prognosis is poor without surgical or transcatheter aortic valve replacement. Transcatheter aortic valve replacement ...
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Journal articleTop Magn Reson Imaging · August 2017
Magnetic resonance imaging is increasingly being used to evaluate the lymphatic system. Advances in magnetic resonance (MR) software and hardware allow improved visualization of lymph nodes and lymphatic vessels. We describe how MR lymphangiography can be ...
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Journal articleTop Magn Reson Imaging · August 2017
While imaging of the central venous system has traditionally been performed with conventional venography, MR venography (MRV) has emerged as an important modality as techniques and validation studies have evolved over time. While magnetic resonance angiogr ...
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Journal articleRadiology · May 2017
Purpose To develop, in a phantom environment, a method to obtain multidetector computed tomographic (CT) data sets at multiple radiation exposure levels within the same patient and to validate its use for potential dose reduction by using different image r ...
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Journal articleJ Am Coll Radiol · May 2017
This article discusses imaging guidelines for five dyspnea variants: (1) dyspnea due to heart failure, ischemia not excluded; (2) dyspnea due to suspected nonischemic heart failure, ischemia excluded; (3) dyspnea due to suspected valvular heart disease, is ...
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Journal articleAJR Am J Roentgenol · April 2017
OBJECTIVE: Five percent of cardiac implantable electric devices (CIEDs) are removed each year. Percutaneous extraction is preferred but can be complicated if the leads adhere to the vasculature or perforate. The goal of this study is to assess the frequenc ...
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Journal articleAnn Thorac Surg · March 2017
BACKGROUND: Current guidelines for imaging surveillance after proximal aortic repair are not evidence based. This study sought to characterize the incidence and causes of reintervention after proximal aortic operations to provide data to guide the frequenc ...
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Journal articleCardiovasc Interv Ther · January 2017
A 76-year-old woman presented with progressive heart failure and transfusion-dependent hemolytic anemia due to severe paravalvular aortic regurgitation 4 years after bioprosthetic aortic valve replacement. She was deemed not to be a candidate for redo card ...
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Journal articleUndersea Hyperb Med · 2017
Arterial gas embolism (AGE) can be clinically devastating, and is most often associated with exposure to changes in ambient pressure, medical procedure or congenital malformation. Here we report a case of AGE in a 78-year-old male without these traditional ...
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Journal articleMed Phys · October 2016
PURPOSE: To develop and validate an automated technique for evaluating the spatial resolution characteristics of clinical computed tomography (CT) images. METHODS: Twenty one chest and abdominopelvic clinical CT datasets were examined in this study. An alg ...
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Journal articleRadiology · July 2016
Purpose To investigate the feasibility of deformable, motion-coherent modeling based on electrocardiography-gated multidetector computed tomographic (CT) angiography of the thoracic aorta and to evaluate whether quantifiable information on aortic wall stre ...
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Journal articleAJR Am J Roentgenol · February 2016
OBJECTIVE: The objective of our study was to assess whether the degree and distribution of iliac artery calcifications as determined by a CT-based calcium scoring system correlates with outcomes after renal transplant. MATERIALS AND METHODS: A retrospectiv ...
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Journal articleAJR Am J Roentgenol · October 2015
OBJECTIVE: The purpose of this study was to investigate, both in a phantom experiment and a within-patient clinical study the relationships among radiation dose, image noise, pitch, and body size in MDCT angiography of the thoracoabdominal aorta, with the ...
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Journal articleJ Interv Card Electrophysiol · June 2015
PURPOSE: While the accuracy of roentography for evaluation of lead tip position compared with three-dimensional imaging techniques has been well described, there remains considerable variability in the interpretation of the reproducibility of standard x-ra ...
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Journal articleAm J Cardiol · June 1, 2015
This study sought to compare the accuracy of 2-dimensional transesophageal echocardiography (TEE) and computed tomography angiography (CTA) for noninvasive aortic annular sizing as required for transcatheter aortic valve implantation (TAVI). Direct intraop ...
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Journal articleRadiology · January 2015
PURPOSE: To determine the effectiveness of radiologists' search, recognition, and acceptance of lung nodules on computed tomographic (CT) images by using eye tracking. MATERIALS AND METHODS: This study was performed with a protocol approved by the institut ...
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Journal articleJ Comput Assist Tomogr · 2015
PURPOSE: The aim of the study was to assess the image quality of multi-detector-row computed tomography (CT) angiographic images of the thoracic aorta reconstructed with filtered back projection (FBP), adaptive statistical iterative reconstruction, and mod ...
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Journal articleJ Comput Assist Tomogr · 2015
PURPOSE: This study aimed to assess vascular contrast opacification and homogeneity using single-bolus contrast administration with hybrid thoracic and abdominopelvic computed tomographic angiography in patients with severe aortic valve stenosis. MATERIALS ...
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Journal articlePacing Clin Electrophysiol · October 2014
BACKGROUND: Preprocedural multidetector computed tomography (MDCT) may identify patients at risk for mechanical complications during lead extraction. METHODS: To describe the use and feasibility of computed tomography scanning for preprocedural planning of ...
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Journal articleEur Radiol · May 2014
OBJECTIVES: This retrospective study assessed whether dual-source high-pitch computed tomographic angiography (CTA) offered advantages over single-source standard-pitch techniques in the evaluation of the ascending aorta. METHODS: Twenty patients who recei ...
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Journal articleJ Thorac Cardiovasc Surg · January 2014
OBJECTIVES: Although frailty has recently been examined in various populations as a predictor of morbidity and mortality, its effect on thoracic aortic surgery outcomes has not been studied. The objective of the present study was to evaluate the role of fr ...
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Journal articleCurr Cardiol Rep · June 2013
Aortic stenosis affects many people worldwide with a significant impact on morbidity and mortality with uncorrected, symptomatic aortic valve stenosis carrying mortality of 50% at one year. Degenerative calcific pathology, the most common cause of aortic s ...
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Journal articleJ Digit Imaging · February 2013
A biplane correlation (BCI) imaging system obtains images that can be viewed in stereo, thereby minimizing overlapping structures. This study investigated whether using stereoscopic visualization provides superior lung nodule detection compared to standard ...
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Journal articleRadiographics · 2013
Advances in computed tomography (CT) scanners and electrocardiographic gating techniques have resulted in superior image quality of the ascending aorta and increased the use of CT angiography for evaluating the postoperative ascending aorta. Several abnorm ...
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Journal articleJ Digit Imaging · August 2012
Under typical dark chest radiography reading room conditions, a radiologist's pupils contract and dilate as their visual focus intermittently shifts between the high luminance monitor and the darker background wall, resulting in increased visual fatigue an ...
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Journal articleAJR Am J Roentgenol · July 2012
OBJECTIVE: The purpose of this study was to assess the radiation dose distribution and image quality for organ-based dose modulation during adult thoracic MDCT. MATERIALS AND METHODS: Organ doses were measured using an anthropomorphic adult female phantom ...
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Journal articleAJR Am J Roentgenol · May 2012
OBJECTIVE: The purpose of this study was to assess the difference in absorbed organ dose and image quality for MDCT neck protocols using automatic tube current modulation alone compared with organ-based dose modulation and in-plane thyroid bismuth shieldin ...
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Journal articleAJR Am J Roentgenol · March 2012
OBJECTIVE: The purpose of this study was to assess the effect of peak kilovoltage on radiation dose and image quality in adult neck MDCT. MATERIALS AND METHODS: An anthropomorphic phantom with metal oxide semiconductor field effect transistor detectors was ...
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Journal articleRadiology · February 2012
BACKGROUND: Pulmonary embolism (PE) is a leading cause of maternal mortality in the developed world. Along with appropriate prophylaxis and therapy, prevention of death from PE in pregnancy requires a high index of clinical suspicion followed by a timely a ...
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Journal articleClin Imaging · 2012
The purpose of this study was to investigate gray-scale inversion in nodule detection on chest radiography. Simulated nodules were superimposed randomly onto normal chest radiographs. Six radiologists interpreted 144 chest radiographs during three reading ...
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Journal articleAm J Respir Crit Care Med · November 15, 2011
BACKGROUND: Pulmonary embolism (PE) is a leading cause of maternal mortality in the developed world. Along with appropriate prophylaxis and therapy, prevention of death from PE in pregnancy requires a high index of clinical suspicion followed by a timely a ...
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Journal articleAJR Am J Roentgenol · November 2011
OBJECTIVE: The purpose of this study was to identify an optimal cross-sectional neck diameter that correlates with image quality and radiation exposure in MDCT examinations of the neck performed with automatic tube current modulation. MATERIALS AND METHODS ...
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Journal articleAJR Am J Roentgenol · October 2011
OBJECTIVE: The purpose of this article is to compare the radiation dose of conventional fluoroscopy-guided lumbar epidural steroid injections (ESIs) and CT fluoroscopy (CTF)-guided lumbar ESI using both clinical data and anthropomorphic phantoms. MATERIALS ...
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Journal articleAJR Am J Roentgenol · September 2011
OBJECTIVE: The purpose of this article is to assess whether iopamidol-370 provides superior vascular contrast of the coronaries and depiction of anatomic detail without affecting heart rate and beat-to-beat variability during coronary dual-source MDCT comp ...
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Journal articleRadiographics · 2011
Inflammatory disorders of the cardiovascular system can affect the myocardium, pericardium, or vessel walls. Patients with myocardial and pericardial disease may present with chest pain, palpitations, and shortness of breath, symptoms resembling myocardial ...
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Journal articleAm J Cardiol · December 1, 2010
The effects of the nondominant or secondary ventricle on the Fontan circulation are not known. The present study used cardiac magnetic resonance imaging to investigate the relations between secondary ventricular size and global cardiac performance. The Fon ...
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Journal articleAcad Radiol · November 2009
RATIONALE AND OBJECTIVES: The aim of this study was to measure the radiation dose of dual-energy and single-energy multidetector computed tomographic (CT) imaging using adult liver, renal, and aortic imaging protocols. MATERIALS AND METHODS: Dual-energy CT ...
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Journal articleAm J Cardiol · August 1, 2009
Assessment of the size and function of a functional single ventricle (FSV) is a key element in the management of patients after the Fontan procedure. Measurement variability of ventricular mass, volume, and ejection fraction (EF) among observers by echocar ...
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Journal articleCardiol Young · August 2009
BACKGROUND: Despite improvements in outcomes after completion of the Fontan circulation, long-term functional state varies. We sought to identify pre- and postoperative characteristics associated with overall function. METHODS AND RESULTS: We analyzed data ...
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Journal articleAJR Am J Roentgenol · February 2009
OBJECTIVE: The objective of our study was to review expected findings and complications after thoracic endovascular aortic repair on CT angiography (CTA). CONCLUSION: Luminal and extraluminal changes to the thoracic aorta occur after endovascular stent-gra ...
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Journal articleAJR Am J Roentgenol · January 2009
OBJECTIVE: The purpose of this article is to review open thoracic aortic surgical techniques and to describe the range of postoperative findings on CT angiography (CTA). CONCLUSION: An understanding of surgical thoracic aortic procedures will allow appropr ...
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Journal articleJ Comput Assist Tomogr · 2009
UNLABELLED: This study sought to extract information on individual patient habitus from scout imaging and to correlate radiograph tube current settings with enhancement of the coronaries as a function of patient profiles for coronary multidetector computed ...
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Journal articleAJR Am J Roentgenol · January 2009
OBJECTIVE: The purpose of this study was to assess whether radiation dose savings using a lower peak kilovoltage (kVp) setting, bismuth breast shields, and automatic tube current modulation could be achieved while preserving the image quality of MDCT scans ...
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Journal articleNucl Med Commun · July 2008
BACKGROUND: Coronary artery disease is a leading cause of morbidity and mortality. Multiple imaging modalities are used to screen for significant coronary artery disease. We report the concordance between coronary computed tomography angiography (CTA) and ...
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Journal articleAJR Am J Roentgenol · April 2008
OBJECTIVE: The objective of our study was to correlate the estimated fetal absorbed radiation dose derived by directly measured uterine doses in the early first trimester and the volume CT dose index (CTDI(vol)) for 16-MDCT of the maternal chest, abdomen, ...
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Journal articleJ Comput Assist Tomogr · 2008
OBJECTIVE: New medications are available for prophylaxis of deep venous thrombosis, the treatment of venous thromboembolism, and also to reduce the risk of acute coronary syndrome and stroke. The purpose of this review is to provide the radiologist a pract ...
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Journal articleRadiology · December 2007
PURPOSE: To measure prospectively and directly both organ dose and effective dose (ED) for adult cardiac and pulmonary computed tomographic (CT) angiography by using current clinical protocols for 64-detector CT in an anthropomorphic female phantom and to ...
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Journal articleAJR Am J Roentgenol · September 2007
OBJECTIVE: The purpose of this article is to illustrate the common congenital cardiac lesions that are characterized by right-sided heart enlargement that may be seen on routine thoracic or cardiac imaging. CONCLUSION: A systematic approach to the evaluati ...
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Journal articleAJR Am J Roentgenol · July 2007
OBJECTIVE: The purpose of our study was to determine a dose range for cardiac-gated CT angiography (CTA) in children. MATERIALS AND METHODS: ECG-gated cardiac CTA simulating scanning of the heart was performed on an anthropomorphic phantom of a 5-year-old ...
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Journal articleAm Heart J · February 2007
This report describes a review of the available scientific evidence through 2005 on direct noninvasive imaging tests (NITs) for coronary artery disease. In particular, the report addresses 6 key questions provided by the Agency for Healthcare Research and ...
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Journal articleCirculation · January 16, 2007
BACKGROUND: An ultrafast, delayed contrast-enhancement cardiovascular magnetic resonance technique that can acquire subsecond, "snapshot" images during free breathing (subsecond) is becoming widely available. This technique provides myocardial infarction ( ...
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Journal articleJ Comput Assist Tomogr · 2007
PURPOSE: To determine the organ doses and total body effective dose (ED) delivered to an anthropomorphic phantom by multidetector array computed tomography (MDCT) when using standard clinical adult body imaging protocols. MATERIALS AND METHODS: Metal oxide ...
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Journal articleAJR Am J Roentgenol · June 2006
OBJECTIVE: The objective of our study was to determine the radiation dose to the female breast from current 16-MDCT body examinations. MATERIALS AND METHODS: Metal oxide semiconductor field effect transistor (MOSFET) detectors were placed in four quadrants ...
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Journal articleAJR Am J Roentgenol · March 2006
OBJECTIVE: The purpose of our study was to determine radiation dose to the fetus at early gestation when contemporary MDCT scanners are used for common clinical indications. MATERIALS AND METHODS: Anthropomorphic phantoms were constructed to reflect a preg ...
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Journal articleNeuroradiology · March 2001
Previously reported methods of dynamic, contrast-enhanced, CT perfusion imaging in acute stroke have been promising but substantially limited by their dependence on very rapid rates of injection (typically 10-20 ml/s in an arm vein). Newly available deconv ...
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Journal articleChem Biol · October 1997
The overexpression of specific transport proteins in the membrane of many cancer cells renders these cells resistant to many therapeutic drugs. Some lipid-modified cysteine compounds inhibit one drug-transporting protein, indicating the potential of develo ...
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Journal articleAm J Physiol · January 1992
We have investigated the role of the intracellular Ca2+ pool in regulating Ca2+ entry into vascular endothelial cells. The intracellular Ca2+ pool was mobilized using either thapsigargin (TG) or 2',5'-di(tert-butyl)-1,4-benzohydroquinone (BHQ), inhibitors ...
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