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KMID : 1131320140160020057
Journal of Korean Society of Computed Tomographic Technology
2014 Volume.16 No. 2 p.57 ~ p.67
To compare diagnostic Accuracy and dose reduction with Brain CT Angiography Subtraction and Automatic Bone Remove Techniques in Cerebral aneurysmal Patients
Kim Hyun-Young

Lee Jong-Min
Park Guan-Jung
Bae Gyung-Deok
Dae Chang-Min
Min Kwan-Hong
Abstract
Purpose : The study was to compare image quality and dose reduction with Brain CT Angiography subtraction and Automatic Bone Remove techniques in Cerebral aneurysmal patients.

Materials and Methods : Cerebral aneurysmal patients 60 people are included who underwent TFCA and Brain CT Angiography since January 1st, 2012 to January 1st, 2013. Three 64-slice MDCT and one 256-slice MDCT are used. Diagnosis of aneurysm, size measurement and aneurysm morphology are evaluated. Dose report and Conversion Factor 0.0021 from ICRP 102 are used for dose evaluation.

Results : In Aneurysm diagnosis section, sensitivity 97.8% and specificity 100% were measured by comparing between TFCA and Brain CT Angiography subtraction. Also, Sensitivity 96.8% and specificity 100% was measured with Automatic Bone Remove technique. Brain CT Angiography subtraction¡¯s aneurysm size measurement score was Excellent 71.6%, Good 25.0%, Normal 3.4%, Bad 0%. In Automatic Bone Remove, score was Excellent 70.5%, Good 26.7%, Normal 2.8%, Bad 0%. In Aneurysm morphology section, Subtraction represent Saccular 93.3%, Fusiform 5.0%, Dissecting 1.7% and Automatic Bone Remove represent Saccular 90.0%, Fusiform 8.3%, Dissecting 1.7%. For Automatic Bone Remove, 50% lower dose were used than Brain CT Angiography.

Conclusions : For Cerebral aneurysmal Brain CT Angiography, Automatic Bone Remove technique is not only reduce exposure dose but also maintain diagnostic quality of Images.
KEYWORD
Cerebral Aneurysm, Brain CT Angiography, Subtraction Technique, Automatic Bone Remove Technique, Dose reduction
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