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Somatom definition 64

Manufactured by Siemens
Sourced in Germany

The Somatom Definition 64 is a computed tomography (CT) scanner developed by Siemens. It features a 64-slice acquisition capability, enabling high-resolution imaging of the human body. The scanner's core function is to capture detailed cross-sectional images of the internal structures of the body for diagnostic purposes.

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9 protocols using somatom definition 64

1

CT Imaging Protocol for Lung Evaluation

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All CT features were performed with CT scanners (Somatom Sensation16 and Somatom Definition 64; Siemens Healthcare, Forchheim, Germany) in helical mode from the apex to the lung base. The patient was positioned in the supine position. Technical parameters were X-ray tube current 100 mA; tube voltage 120 kV; collimation 5 mm; rotation speed 0.5 s; matrix 512 × 512. All image data were interfaced directly to our picture archiving and communication system. Monitors were used to view both mediastinal and lung window images.
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2

Pulmonary Angiography CT Imaging Protocol

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All scans were performed on two machines (Somatom Definition 64, Siemens Healthcare, Erlangen, Germany, or lightspeed VCT, GE Healthcare, Milwaukee, WI, USA). All CTi were contrast-enhanced CT to analyze pulmonary arteries, with low degree of inspiration to avoid the Valsalva effect, from the bases to the apices, with a nominal slice thickness of 0.6 or 0.75 mm and reconstructions spaced at 0.7- to 1-mm intervals and a voltage of 100 kV. For CTf, inspiratory images were acquired in deep forced inspiration, from the bases to the apices, with a nominal slice thickness of 0.6 or 0.75 mm and reconstructions spaced at 0.7- to 1-mm intervals. Images were acquired with a voltage of 120 kV. All CT has automatic modulation for tube current (mA) and was reconstructed in mediastinal and parenchymal windows. Expiratory CT was performed at the end of the expiration with the same parameters and a 20-kV reduction of the tube voltage.
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3

Renal Blood Flow and Glomerular Filtration Rate Measurement using MDCT

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Stenotic-kidney RBF and GFR were measured using MDCT (Somatom Definition-64, Siemens Medical Solution, Forchheim, Germany), as previously described [25 (link), 26 (link)]. Briefly, multiple consecutive scans were performed following a central venous injection of iopamidol (0.5 mL/kg per 2 seconds), and images reconstructed and displayed with the Analyze™ software package (Biomedical Imaging Resource, Mayo Clinic, Rochester, MN, USA). Data were analyzed by selecting regions of interest from cross-sectional images from the aorta, renal cortex, and medulla, which generates tissue attenuation curves [27 (link)]. RBF was calculated as the sum of the products of cortical and medullary perfusions and corresponding volumes, whereas GFR was assessed from the cortical curve using the slope of the proximal tubular curve.
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4

Multimodal Assessment of Myocardial Oxygenation and Function

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BOLD‐MRI was performed to assess myocardial oxygenation, as we described.22 Briefly, pigs anesthetized with 1% to 2% isoflurane were positioned in the MRI scanner (3 Tesla, Signa Echo Speed; GE Medical Systems, Milwaukee, WI). Scans were performed during suspended respiration before and after a 5‐minute intravenous injection of adenosine (400 μg/kg per minute). The average relaxivity index R2*, a surrogate of myocardial hypoxia, was estimated in regions of interest traced in the septum in each slice, and images analyzed using MATLAB software (version 7.10; The MathWorks, Inc., Natick, MA).22Two days after BOLD‐MRI studies, 64‐slice MDCT (Somatom Definition‐64; Siemens Medical Solution, Forchheim, Germany) studies were performed before and during a 5‐minute intravenous infusion of adenosine (400 μg/kg per minute). The entire LV was scanned throughout the cardiac cycle to obtain cardiac systolic function, end‐diastolic volume (EDV), and LV muscle mass (LVMM).23 Early (E) and late (A) LV filling rates were obtained from the volume/time curve, and myocardial perfusion from time‐attenuation curves obtained from the anterior cardiac wall, as described.24 Images were analyzed with the Analyze software package (Biomedical Imaging Resource; Mayo Clinic, Rochester, MN).
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5

Multimodal Assessment of Body Composition

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CT scans were obtained on an MDCT scanner (Somatom definition64; Siemens, Erlangen, Germany; LightSpeed VCT XT; GE Healthcare, Milwaukee, WI, USA; or GE optima 660; GE Healthcare, WI, USA). The Siemens scanner was set to the following parameters: detector collimation, 24×1.2 mm; helical pitch, 1.0; section thickness/interval, 3 mm/3 mm; 120 kVp/250 mAs. The GE scanners were set to the following parameters: detector collimation, 64×0.625 mm; helical pitch, 0.984:1; section thickness/interval, 3.75 mm/3.75 mm; 120 kVp/100 to 380 mA. Intravenous contrast was injected at a rate of 3 mL/s with a total volume of 130 mL through the antecubital vein using a mechanical injector. Bolus tracking was not applied, and scanning started 5 minutes after the start of contrast injection. No oral contrast agent was applied. Scanning regularly covered the region from the dome of the liver to the lower urethra. Reformatted images were also created from the source CT dataset using coronal multiplanar reformation (MPR) and maximum intensity projection (MIP). For MPR and MIP images, the slice thickness/interval were 3 mm/3 mm and 10 mm/5 mm, respectively; window width/level was 400/40 and 800/300, respectively.
Standing and sitting height were measured in millimeters with a wall-mounted Harpenden stadiometer before the CT scan.
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6

Quantification of Renal Blood Flow and Stenosis

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A few days later after MRI studies, all pigs were again anesthetized and underwent renal angiography. Single-kidney renal blood flow (RBF), glomerular filtration (GFR) and the degree of renal artery stenosis were then evaluated using multidetector CT (MDCT, SOMATOM Definition-64; Siemens, Forchheim, Germany). MDCT images were analyzed with ANALYZE™ (Biomedical Imaging Resource, Mayo Clinic, MN). RBF was calculated by the sum of the products of cortical and medullary perfusions and volumes, and GFR was assessed from the cortical proximal-tubular curve.[17 (link)] The degree of stenosis was calculated as the decrease in renal arterial luminal area, as previously described.[2 (link)]
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7

CT Examination Protocol for Clinical Imaging

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CT examinations were performed via two CT scanners (Somatom Definition 64 and Somatom Sensation 16; Siemens Healthcare, Forchheim, Germany). Technical parameters were: automatic tube current adjustment technology, 100-350 mAs; tube voltage, 120 kV; slice interval, 0 mm; reconstructed section thickness, 1 mm. The original images were reconstructed using a standard soft-tissue algorithm.
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8

CT Imaging Protocols for Chest Scans

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All patients in this study underwent native or contrast-enhanced CT imaging of the chest. The scans were performed on either a SOMATOM Definition AS, SOMATOM Definition Flash or a SOMATOM Definition 64 (Siemens Healthcare GmbH, Erlangen, Germany). Depending on the history, clinical presentation and possible comorbidities, patients were scanned using one of the following protocols: Low-dose CT, routine non-contrast-enhanced CT, contrast-enhanced CT or CT pulmonary angiography. In total, 74.54% of scans were performed with contrast agents, of which 58.54% were performed as arterial phase CT. Imeron 300 (Bracco Imaging S.p.A., Milan, Italy) was used as a contrast agent in a dose adjusted for CT protocol and weight.
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9

Contrast-Enhanced Multi-Detector CT Scans

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The patients underwent contrast-enhanced multi-detector CT scans (Somatom Definition 64, and Somatom Definition Flash, Siemens Medical Solutions, Erlangen, Germany). A contrast agent was injected at a volume of 2 mL/kg of body weight (maximum 150 mL) through an 18-gauge peripheral venous access device at a flow rate of 4 mL/s and portal venous imaging was obtained one minute after achieving a 50 HU enhancement of the descending aorta.
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