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56 protocols using aquilion 16

1

Radiological Imaging Protocol using MDCT

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The radiological images used in the study were obtained from supine CT images with a slice thickness of 2.0 mm by using a 16-slice MDCT device (Aquilion 16; Toshiba Medical Systems, Tokyo, Japan). Imaging protocol values were as tube voltage: 120 kV, gantry rotation time: 0.75 seconds and pitch: 1.0 mm.
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2

Liver CT Imaging Protocol

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CT studies were performed using a 4-, 16-, or 64-detector row CT scanner (Light Speed QX/I, LightSpeed Ultra, LightSpeed VCT, GE Medical Systems, Milwaukee, WI, USA) or a 16-detector row CT scanner (Aquilion 16, Toshiba Medical Systems Corp., Tochigi, Japan). The same clinical protocol was used: 120 kV, 180–280 mAs depending on body habitus, a matrix of 512, and a field of view of 350–400 mm. Non-contrast CT was performed using a 5-mm contiguous axial section to encompass the whole liver. Non-contrast CT was mostly performed as part of the contrast-enhanced study.
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3

Preoperative Imaging for Lumbar Surgery

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Before the lumbar surgery, the survey of compressive lesions at the cervical and thoracic level in lumbar degenerative disease was performed. Patients were placed in the prone position, with the neck in neutral position. After myelography, CT scans were obtained using a multislice scanner (Toshiba Aquilion 16, Toshiba Medical, Tochigi, Japan). Image data were obtained in 0.5-mm slices, from the level of the occiput to the sacrum.
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4

Noncontrast Lung CT Imaging Protocol

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Preoperatively, Aquilion 16 and Aquilion 64 (Toshiba Medical, Tokyo, Japan) were used to collect all noncontrast 3D CT images in the craniocaudal direction under the following conditions: X-ray tube voltage, 120 kVp; automatic tube current modulation, maximum of 500 mA; gantry rotation speed, 0.5 sec; and beam collimation, 1 mm or 0.5 mm. Using a high-spatial-frequency technique (FC 86 or FC52; Toshiba Medical), whole lung axial thin-section multidetector CT scans were reconstructed at the same increment with a section thickness of 1 or 0.5 mm.
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5

Toshiba Aquilion 16 CT Protocol

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CT was performed using Toshiba Aquilion 16.
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6

Computed Tomography Adipose Measurement

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The AF area was determined by a computed tomography scan (either an Aquilion™ 16 [Toshiba, Tokyo, Japan] or Somatom® AR.C [Siemens AG, Erlangen, Germany]) in which TAFA, visceral AF area (VAFA), and subcutaneous AF area (SAFA) were measured at the level of the umbilicus. Outcomes were calculated using a computer software program (FatScan; East Japan Institute of Technology Co., Ltd., Osaka, Japan). The intraclass correlations for repeated determinations in our laboratory were 0.99.
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7

High-Resolution Chest HRCT Protocol

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In the identification cohort, HRCT (Aquilion 16; Toshiba Medical Systems) of the chest without contrast was performed during end inspiration using 1–2-mm collimation at 1–2-mm intervals.
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8

Percutaneous Radiofrequency Ablation for Liver Tumors

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All patients gave informed consent prior to treatment. Percutaneous RFA was performed using ultrasound and/or CT guidance. In the European center, procedures were performed under general anesthesia. Local anesthesia and conscious sedation with midazolam and fentanyl were used in the Asian center.
Both centers used similar RFA equipment: either a single electrode was used (3-cm-exposed tip Cooltip (Covidien, Gosport Hamspire, UK) or multiple electrodes with a switch-control system (3- or 4-cm-exposed tip Cooltip). Ablation was performed for 12 (single Cooltip electrode) or 16–20 min (multiple Cooltip electrodes) using standard impedance controlled ablation. In the European center, CECT was performed immediately after ablation on a spiral CT (Aquilion 16, Toshiba, Tokyo, Japan). If this CT showed residual tumor enhancement, immediate re-ablation was performed. In the Asian center, CECT was performed 1 day after ablation (Aquillion 64, Toshiba, Tokyo, Japan). If the CECT showed residual tumor enhancement, re-ablation was performed during the same or subsequent admission, dependent on the patient’s preference.
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9

Cardiac CT Angiography Protocol with Landiolol

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CCTA was performed between 4 and 7 min after completion of study drug administration. The reason for this timing of CCTA is that heart rate was reported to be the lowest between 4 and 7 min after intravenous administration of landiolol hydrochloride [8 ]. The CT equipment used were SOMATOM Sensation 16 (Siemens), SOMATOM Sensation Cardiac 16 (Siemens), Aquilion® 16 (Toshiba Medical Systems Co.), LightSpeed Ultra 16 (GE Medical Systems, Inc.), and LightSpeed Pro 16 (GE Medical Systems, Inc.). Table 1 shows the imaging conditions for each type of CT equipment. The rotation speed of the X-ray tube was set to the maximum for each type of equipment. Iopamidol (370 mgI/mL), a non-ionic contrast medium, was rapidly injected intravenously at 3–4.5 mL/s using a 2-channel injector followed by infusion of 20–30 mL saline.

Imaging conditions for each type of computed tomography equipment

Imaging conditionSiemens (16-slice)GE (16-slice)Toshiba (16-slice)
Tube voltage (kv)120120120
Tube current770–850 mAs400–750 mA400–500 mA
Collimation (row × mm)16 × 0.7516 × 0.62516 × 0.5
Rotation speed of X-ray tube (s/rotation)0.3750.4–0.50.4
Helical pitch≤0.2≤0.3≤0.2
Field of view (mm)200200200
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10

Cervical Spondylotic Myelopathy: Imaging Evaluation

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Before cervical surgery, compressive lesions at the thoracic and lumbar levels in cervical spondylotic myelopathy were surveyed. Patients were placed in the prone position with the neck in a neutral position. After myelography, CT scans were obtained using a multi-slice scanner (Toshiba Aquilion 16, Toshiba Medical, Tochigi, Japan). Image data were obtained in 0.5-mm slices from the level of the occiput to the sacrum.
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