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5 protocols using somatom definition flash

1

Multi-Modal CT Imaging Protocol

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The patients were scanned with a first-generation dual-source CT (Somatom Definition Flash, Siemens Healthcare, Forchheim, Germany), or a second-generation dual-source CT (Somatom Definition Flash); or 640-slice CT (Toshiba Aquilion ONE, Toshiba, Otawara, Japan), with corresponding 20 patients (40%) for 64-slice CT, 15 patients (30%) for 128-slice CT, and 15 patients (30%) for 640-slice CT, respectively. The imaging protocol has been previously described in detail.21 (link) Intravenous contrast medium (Iopromide 370, Bayer Schering Pharma, Guangzhou, China) was administered during each scan with details described in our previous study.21 (link) Images were reconstructed with a slice thickness of 0.6 to 0.75 mm and a reconstruction interval of 0.5 to 0.6 mm for the first- and second-generation dual-source CT, slice thickness of 0.5 mm and reconstruction interval of 0.25 mm for 640-slice CT, respectively.
Although data were acquired with different CT scanners, our previous study did not show any significant difference in the diagnostic value between different multislice CT vendors.21 (link) Therefore, this study analysis is considered comparable between the different vendors.
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2

Multi-vendor CT Scanner Protocols

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HDCT scans were performed on 15 different scanners of 4 different CT manufacturers: 5 General Electric scanners (a Brightspeed, a Lightspeed Plus, a Lightspeed VCT, a Optima CT520 series, and a Optima CT660), 5 Siemens scanners (a Somatom Definition Flash, a Sensation 16 and a Scope), 2 Toshiba scanner (a Aquilion and a Asteion), and 2 Philips scanner (a Brilliance 64 and a Brilliance 16). The acquisition parameters were: tube voltage settings were selected 100, 120 and 130 kV and tube current in a range of values from 65 to 389 mAs (mean 150). The CT images were reconstructed using a 512 × 512 matrix and standard filter. Contrast enhancements venous phase images were used for the measurements in 35 examinations, while in the remaining 55 cases not-enhanced images were selected. The main technical features are resumed in Supplementary Table 1.
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3

Atrial Mechanics Imaging in Swine

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Under general anesthesia, domestic swine (female sex, 20–30kg, n=8) underwent a baseline CT scan during sinus rhythm using either a dual-source 128-slice CT scanner (Siemens SOMATOM Definition Flash, n=5) or a single-source 320-slice CT scanner (Toshiba Aquilion ONE, n=3). Multi-cycle reconstruction was used to maximize the essential temporal resolution (up to 37 ms and 58 ms in the dual-source and single-source scanner, respectively). IV contrast iodixanol was infused at a rate of 2–5 ml/sec for a total of 60–100 ml. Ventilation was suspended at the end of expiration and imaging performed using a retrospective ECG gating with no tube-current modulation. After the animal was allowed to recover for at least 36–48 hours to clear IV contrast from the system, the animal was brought to the surgical suite and underwent median sternotomy under general anesthesia (n=6). Fifteen to thirty radiopaque glass beads (3-mm diameter) were sutured to both the atria such that they were evenly spread over the atrial surface (Figure 2A). The chest cavity was approximated to maintain the normal geometry of the thorax. Post-operatively, the animal received another CT scan during sinus rhythm with the same imaging protocol as the baseline CT scan as described above. After the scan was completed, the animal was euthanized with IV barbiturate overdose followed by KCl injection.
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4

Acute CT Imaging Protocol Comparison

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Acute CT imaging was performed using either 64-, 128-, or 320- detector scanners (GE Lightspeed, Siemens Definition Flash dual source, Philips Brilliance iCT, Siemens sensation 64, Siemens Somatom Definition Flash and Toshiba Aquilion One).
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5

Gated CTA for Coronary Stenosis Detection

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Electrocardiogram-gated CTA had been performed on CT scanners with at least 64 detector rows (10 (link)). “Advanced” scanners were defined as each manufacturer’s most advanced model available during the trial (General Electric HD 750, Phillips Brilliance iCT, Siemens SOMATOM Definition Flash, Toshiba Aquilion One). CTA was interpreted for stenosis by local physicians who made all clinical decisions. Severe stenosis, defined as an anatomic stenosis of ≥50% in the left main or ≥70% in other major epicardial coronary arteries, constituted a per-patient “positive” CTA result.
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