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  • Computed Tomography
  • Spectral
  • Clinical Gallery
  • Aquilion ONE / PRISM Edition
    • Head & Neck
    • Chest
    • Body
    • Musculoskeletal

    Hypervascular liver lesion

    Aquilion ONE / PRISM Edition

    This patient presented to the hospital for a pre-transplant assessment. A spectral arterial scan was performed with an iodine contrast injection of 100ml of 270 mgI/ml, a contrast reduction of 32.5% relative to the site's single energy protocol.

    Reducing the contrast load to the patient is made possible by the reliance on low keV energy to enhance the iodine conspicuity. The hypervascular lesion can be better defined on the low keV image and further visualized on the iodine map and Effective Z image.

    View Scan Parameters
    Scan Mode Spectral Helical
    Collimation 0.5 mm x 80
    kVp 80/135
    mAs SUREExposure
    Rotation Time 1 s
    CTDIvol 12.6 mGy
    DLP 937.6 mGy-cm
    Effective Dose 14 mSv
    k-factor 0.015 (AAPM Report 96)

    Kidney tumor

    Aquilion ONE / PRISM Edition

    An elderly patient presented to the hospital for an assessment of a right renal tumor before a possible partial nephrectomy. A spectral CT scan was performed. Spectral DLR using both qualitative and quantitative methods can confidently differentiate the enhancing lesion from the non-enhancing lesion.
    The blue ROI is placed in the enhancing lesion with an iodine concentration of 2.50 mg/ml where curve shows increased enhancement at low keV. The yellow ROI is placed in the non-enhancing lesion and the spectral curve shows little to no change in attenuation values across the keV spectrum.

    View Scan Parameters
    Scan Mode Spectral Helical
    Collimation 0.5 mm x 80
    kVp 80/135
    mAs SUREExposure
    Rotation Time 1 s
    CTDIvol 12.6mGy
    DLP 642.50 mGy-cm
    Effective Dose 9.6 mSv
    k-factor 0.015 (AAPM Report 96)

    Aorta CTA with reduced contrast dose

    Aquilion ONE / PRISM Edition

    An elderly patient presented to the hospital for a routine follow-up CT after placement of an endoluminal stent graft. The patient has a medical history of decreased glomerular filtration rate (GFR).
    To minimize the amount of iodinated contrast administered a spectral CT scan was performed. Utilizing the low keV range of spectral energy to increase iodine conspicuity allowed a 32.5% reduction of iodine load compared to the single energy equivalent.

    View Scan Parameters
    Scan Mode Spectral Helical
    Collimation 0.5 mm x 80
    kVp 80/135
    mAs SUREExposure
    Rotation Time 1 s
    CTDIvol 12.6 mGy
    DLP 812.1 mGy-cm
    Effective Dose 12.18 mSv
    k-factor 0.015 (AAPM Report 96)

    Spectral with metal artifact reduction

    Aquilion ONE / PRISM Edition

    Deep Learning Spectral CT can combine metal artifact reduction with spectral energy. Metal artifact reduction with high keV imaging is especially useful for reducing artifacts from small complex metal structures in the body for better soft tissue evaluation.

    View Scan Parameters
    Scan Mode Spectral Helical
    Collimation 0.5 mm x 80
    kVp 80/135
    mAs SUREExposure
    Rotation Time 1s
    CTDIvol 12.6 mGy
    DLP 1058 mGy-cm
    Effective Dose 15.8 mSv
    k-factor 0.015 (AAPM Report 96)

    ⁠Kidney Stone Analysis

    Aquilion ONE / PRISM Edition

    Deep Learning volumetric Spectral CT enables a fast, quantitative assessment to evaluate the composition of renal stones.

    The composition of kidney stones is represented both graphically and as color overlay on 2D images using Vitrea Advanced Visualization.

    View Scan Parameters
    Scan Mode Spectral Helical
    Collimation 0.5 mm x 280
    kVp 80/135
    mAs 245
    Rotation Time 0.5 s
    Scan Range 140.0 mm
    CTDIvol 10.3 mGy
    DLP 130.3 mGy·cm
    Effective Dose 1.95 mSv
    k-factor 0.015 (AAPM Report 96)

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