Increasing spiral CT benefits with postprocessing applications.

This paper reviews the current and future role of various postprocessing tools for epidemiologically important diseases. It introduces a generic business system for diagnosis and treatment using Spiral CT. Postprocessing of Spiral CT data should become a routine part of radiological practice. As viewing moves from film to monitor displays, interactive postprocessing tools support evaluation of CT studies and will in some cases also improve diagnostic accuracy. Track-ball controlled browsing through the volume data may be performed on axial images or on multiplanar reformats (MPR). These tools can be expected to become an integral part of most CT evaluations in the near future. Already now, MPR are important adjuncts for most orthopaedic applications. Presently, three-dimensional (3D) displays are used mainly in orthopaedic and trauma patients. In CT angiography, 3D surface displays and maximum intensity projections are routine display modalities. New volume rendering techniques (VRT) with interactive parameter changes will make 3D imaging of soft tissues feasible as well. The key input factor for many postprocessing applications will be Spiral CT data sets with high z-axis resolution (subsecond scanning, thin collimation, overlapping image reconstruction) and optimised application of contrast media. The most important benefit of postprocessing is the communication with the referring physician since 3D representations are becoming increasingly important for treatment planning and control. Postprocessing services will become a key ingredient of a successful radiological practice. If radiology does not provide it, the other physicians will do it themselves. For treatment simulation, virtual surgical instruments and tissue motion models are still in their infancy and will keep software architects and physicians busy for the next decade of Spiral-CT.

Coronary artery stenoses: three-dimensional imaging with electrocardiographically triggered, contrast agent-enhanced, electron-beam CT.

PURPOSE: To compare electron-beam computed tomography (CT) and coronary angiography for depiction of coronary artery stenoses. MATERIALS AND METHODS: In 27 patients (age range, 50-70 years), electrocardiographically triggered axial electron-beam CT scans of the heart were obtained during breath hold and intravenous administration of contrast agent. Coronary arteries were reconstructed three-dimensionally. Electron-beam CT and angiographic results were compared. RESULTS: Significant enhancement within the vessel lumen (P < .001) permitted selective reconstruction of the inner coronary artery lumen. Nine of 11 high-grade stenoses and all five occlusions in the proximal left anterior descending artery and three of five high-grade right coronary artery stenoses were clearly identified. Recognition of stenosis of the left circumflex artery was not reliable. Success after percutaneous transfemoral coronary angioplasty was documented in five of five patients by visualizing the increase in vessel diameter at repeat investigation. CONCLUSION: Contrast-enhanced electron-beam CT yields promising results concerning the visualization of coronary artery stenoses.

[Value and future of electron beam computed tomography]. / Intérêt et avenir de la tomodensitométrie à faisceau d'électrons.

Mecanic computed tomography would probably never reach the acquisition brevity obtained by EBT. This machine is the best for exploration of cardiovascular diseases, and non cooperative patients, and for cine and flow studies. Morever, there are never tube cooling delays or interruptions in any procedures. Its disadvantages are the price, the impossibility to tilt the gantry, and the computer which are to be improved. With "Evolution", Siemens proposes now improvements with the CVS mode and a computer release without increasing of the price.