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ORIGINAL ARTICLE Material Density Hepatic Steatosis Quantification on Intravenous Contrast-Enhanced Rapid Kilovolt (Peak)–Switching Single-Source Dual-Energy Computed Tomography Bhavik N. Patel, MD,* Rekha Anjali Kumbla, MD,† Lincoln L. Berland, MD,‡ Naomi S. Fineberg, PhD,§ and Desiree E. Morgan, MD‡ children in the United States with prevalence of 25% and Purpose: The purpose of this study was to evaluate intravenous (IV) 1–3 10%, respectively. The severity of hepatic steatosis and the contrast-enhanced single-source rapid kilovolt (peak)–switching dual- quantification of fat within the liver are important in assessing energy (RSDE) multidetector computed tomography (CT) material density hepatomegaly and the risk for developing cirrhosis as well as assessment of hepatic steatosis compared to conventional unenhanced determining liver transplantation and hepatic resection out- (CU) Multidetector computed tomography (MDCT). 4,5 comes. In most cases, a steatotic liver remains free of inflam- Materials and Methods: This is an institutional review board– mation; however, in 10% to 20% of cases, inflammation will approved intrapatient study of 363 consecutive adults (189 men, 174 women; develop, leading to nonalcoholic steatohepatitis (NASH), a mean age, 59 years) evaluated with multiphasic IV abdominal RSDE. term initially coined by Ludwig et al. Nonalcoholic steato- Material density virtual unenhanced water and fat hepatic
Journal of Computer Assisted Tomography – Wolters Kluwer Health
Published: Nov 1, 2013
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