Dr. Peter Quagliano

CT
Contrast-mixing protocol improves GI opacification on CT
Many imaging facilities have developed different protocols for opacification of the gastrointestinal (GI) tract before CT of the abdomen or pelvis. In this article, Dr. Peter Quagliano offers his formula for diluting and administering ionic iodinated contrast for optimal performance in these scans.
July 18, 2013
2013 07 18 14 47 36 591 Quagliano Contrast 400 20130718215157
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Contrast-enhanced T1 weSPGR images of the knee of a patient from the GAE group at the level of the suprapatellar recess. The baseline image (left) shows a marked synovial enhancement. There was no change one month after treatment (middle image) and four months after treatment (right image).
Interventional
GAE benefits may just be ‘placebo effect’
Patients who received either genicular artery embolization (GAE) or a sham procedure experienced equal pain improvements.
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GAE benefits may just be ‘placebo effect’
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Patients who received either genicular artery embolization (GAE) or a sham procedure experienced equal pain improvements.
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Contrast-enhanced T1 weSPGR images of the knee of a patient from the GAE group at the level of the suprapatellar recess. The baseline image (left) shows a marked synovial enhancement. There was no change one month after treatment (middle image) and four months after treatment (right image).
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Two representative cases demonstrate the performance of PlaqueSegNet for coronary plaque segmentation. (A–D) Coronary CT angiography (CCTA) and intravascular US (IVUS) images in a 65-year-old male patient with chest pain for two months show plaque. (A) Cross-sectional IVUS image shows a lipid-rich plaque (hypoechoic, arrows). (B) Axial and (C) cross-sectional CCTA images show the same plaque (low-attenuation area, yellow line and arrows) in the proximal left anterior descending artery. (D) PlaqueSegNet segmentation of the noncalcified plaque (yellow shading) and coronary lumen (green shading) in the cross-sectional image. (E–G) CCTA images in a 57-year old female patient with chest pain for three months show multiple plaques. (E) Volume-rendered CCTA image of the coronary tree shows PlaqueSegNet plaque segmentation (yellow) in the right and left coronary arteries. (F, G) PlaqueSegNet segmentation delineates a mixed plaque (yellow shading) and coronary lumen (green shading) in the left main artery and proximal-to-mid left anterior descending artery.
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A 65-y-old man with HCC and liver cirrhosis confirmed by MRI. Ga-68 FAPI-46 PET/CT demonstrates increased focal uptake (SUVmax, 13.26, and TBRmax, 2.89) in liver, whereas F-18 FDG-PET/CT scans showed non–F-18 FDG-avid lesion (SUVmax, 3.24, and TBRmax, 1.43), indicated by solid arrows. Additionally, histologically proven adenocarcinoma in colon transversum was identified as pathologic with Ga-68 FAPI-46 alone (dashed arrows).
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