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16 protocols using isovue 300

1

CT Imaging Protocol for Detailed Visualization

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CT examinations were performed with 64-detector row CT scanners (LightSpeed VCT [GE Healthcare, Milwaukee, WI] LightSpeed Xtra [GE Healthcare, Milwaukee, WI]), or IQon [Philips Healthcare, Best, Netherlands]. Axial CT Images were acquired with the following parameters: 120 kVp; mAs 200–650 adjusted according to patient size; section thickness of 0.625 mm, table speed of 13.75 mm per rotation, pitch of 1.375. All images were reconstructed with a section thickness of 2.5–5 mm. Multiplanar reconstructed images were created in sagittal and coronal planes, with reconstructed section thickness of 3 mm. For contrast-enhanced studies, 90–120 mL of iopamidol (300 mg iodine per milliliter [Isovue 300] or 370 mg iodine per milliliter [Isovue 300]; Bracco Diagnostics, Monroe Township, NJ) was injected at a rate of 2–4 mL/s. Bolus-tracking software was used for image timing, depending on the protocol.
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2

Cerebral Perfusion Imaging in Rats

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CTP studies were performed at pre-surgery baseline, 30 min, 60 min, 1 week and 4 weeks post-surgery on rats which were anesthetized with 1.5% isoflurane during the scans. Each CTP study started with an injection of iodinated contrast agent (Isovue-300, Bracco Diagnostics, Princeton, NJ) at a dose of 2.5 mL/kg body weight into a tail vein at an infusion rate of 8 mL/min while a clinical CT scanner (GE Healthcare, Waukesha, WI) continuously scanned coronal sections of the rat brain using the high resolution mode. The technical parameters used were FOV of 10 cm, 80 kVp, 300 mA and 0.4 s per rotation of the gantry. Each CTP acquisition consisted of two phases: 24 scans acquired every 1 second, and 12 scans acquired every 14.6 seconds. Sixteen image slices (1.25 mm thick/slice) were scanned for each study. CBF and CBV maps were generated with the CT Perfusion software (GE Healthcare, Waukesha, WI) [31] (link).
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3

Imaging Protocol for Cerebrovascular CTA

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Axial NCCT examinations were obtained with 5-mm slice thickness reconstruction. CTA was performed as part of standard clinical care by scanning from the base of the skull base to the vertex using an axial technique, 0.5 section pitch, 1.25-mm collimation, kVp 120 – 140. Prior publications of an overlapping cohort described that CTA scans at our institution were typically acquired at either 235 or 350 mA14 (link),15 (link). On detailed review we found that a wide range of mA (80 to 630) was used in clinical practice. Intravenous iodinated contrast material (65 to 85 mL), was administered by power injector with an infusion rate of 4-5 mL/s with Smart-Prep, a semiautomatic contrast bolus triggering technique. The contrast materials used were IsoVue 370 and IsoVue 300 (iopamidal, Bracco Diagnostics Inc, Milan, Italy). Volumetric Computed Tomography Dose Index (CTDI-vol) ranged from 34.7 to 89.4 mGy (mean 60.9, SD 16.6) and Dose-Length Product (DLP) ranged from 628.7 to 3763.4 mGy–cm (mean 1923.6, SD 957.5).
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4

Iodine Contrast Detection in Water Phantom

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A cylindrical water phantom (30 cm diameter, 35 cm length) with a 13 cm open bore was used to simulate the attenuation of a standard patient. A 3D-printed holder was used to suspend test vials along the center axis of the bore. Ten vials containing iodinated contrast media in deionized water with concentrations of 0.125, 0.25, 0.5, 0.75, 1.0, 1.25, 1.5, 2.0, 4.0 and 8.0 mg I/mL (Isovue 300, Bracco Diagnostics, Melville, NY) and total volume 5 mL and a vial with distilled water were all placed in the holder within the phantom. The phantom was scanned at all four dose levels. The thicker 2 mm slice thickness was used to reflect common clinical applications.
ROIs (36.5 × 6.4 × 9.0 mm3, volume of 2.1 cm3) were drawn in each vial and the mean and standard deviation of pixel values were calculated. The ROI dimensions were selected to include as much of the solution in the vial as possible. The mean values in each iodine vial were used to calculate contrast while the standard deviation of the water vial was used to calculate noise. CNR was evaluated by dividing these quantities. The Rose criterion (22 , 23 ), which provides a CNR value of five as needed to distinguish features, was applied with 2.5 as a as reference level for iodine detectability.
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5

Imaging Decellularized Heart Perfusion

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Decellularized hearts were imaged using a Toshiba mobile C-arm (Surginix SXT-2000A) system. Images were obtained in the cranial, caudal, RAO and LAO planes. Perfusion of the coronary sinus was imaged using a 14Fr Edwards Lifesciences Retrograde Cardioplegia Catheter (Edward Lifesciences Services GmbH, Germany) with Isovue-300 (Iopamidol Injection 61%, molecular weight: 777.08 g/mol) for contrast media (Bracco Diagnostics Inc, BIPSO GmbH, Germany). Subsequent fluoroscopy images were taken of the left and right main coronaries using a 2.1 mm right angle Coronary Artery Perfusion Cannula with a self-inflating 5.0 mm balloon (Vitalcor, Westmont Illinois). A 25 G PrecisionGlide Needle (Becton Dickinson & CO, Franklin Lakes NJ) was used for epicardial injections into the apex of the left ventricle. Digital angiography videos were obtained for each injection route. The optimized 3% SDS decellularization method was used for these hearts at a flow rate of roughly 120 mmHg.
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6

Iohexol and Iopamidol Contrast Effects

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RC refers primarily to iohexol (Omnipaque 300; GE Healthcare; Princeton, NJ) which is categorized as a low osmolality (672 mOsm/kg water), nonionic, iodinated (300 mg/iodine/ml) contrast medium. A second RC iopamidol (Isovue 300; Bracco Diagnostics; Monroe Township, NJ) which is in the same category as iohexol, was used to verify key findings from the study, and its use is specified in the text. NFAT-luciferase (Qiagen; Valencia, CA), NF-κB-luciferase (Vector Biolabs; Philadelphia PA), and constitutively active calcineurin (ΔCn) adenoviruses were constructed as previously described 10 (link)–12 (link). All other reagents were purchased from Sigma-Aldrich (St. Louis, MO), unless specified otherwise. Male Swiss Webster mice (Jackson Laboratories, Bar Harbor, ME) weighing 22–28 g were fed standard laboratory chow and given free access to water. CnAβ−/− mice were of the B6129J/F1 strain and were generated by Dr. J. Molkentin 13 (link). Age-, sex-, and strain-matched control mice were used as wild-type (WT) controls. All animal experiments were performed using a protocol approved by the University of Pittsburgh Institutional Animal Care and Use Committee.
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7

Dual-Energy CT Imaging of Head and Neck Cancer

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All patients were scanned using the same 64-section rapid-kVp-switching dual-energy scanner (Discovery CT750 HD; GE Healthcare, Milwaukee, Wisconsin) following injection of 80 mL of iopamidol (Isovue 300; Bracco, Princeton, New Jersey) at a rate of 2 mL/s, with a delay of 65 s. Scans were acquired in dual-energy rapid 80 to 140 kVp switching mode [31 (link),32 (link)] and images were reconstructed into 1.25 mm sections in a 25 cm display FOV and 512 × 512 matrix without iterative reconstruction and using a standard kernel (see Supplemental Material for additional details). In order to attempt to take advantage of the energy-dependent changes in tissue attenuation possible with DECT as demonstrated in different studies evaluating head and neck cancer [18 ,19 (link),[31] (link), [32] (link), [33] (link)], multi-energy VMIs were reconstructed from de-identified scans, ranging from 40 to 140 keV in 5 keV increments at the GE Advantage workstation (4.6; GE Healthcare, Milwaukee, WI). This resulted in 21 different reconstructions per case for multi-energy VMI analysis.
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8

Retrospective Analysis of Aortic TEVAR

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Patients from a single-institution who underwent descending aortic TEVAR to treat acute or chronic Type-B aortic dissections or chronic thoracic aortic aneurysm (recruited during July 2012 ∼ March 2015) were selected for analysis based on having retrospective cardiac-gated CTA both before and after TEVAR [13 ]. Informed consent was obtained from each patient for image access, analysis, and publishing. Retrospective use of images was approved by institutional review board with waiver of patient consent. Each patient underwent CTAs using either a single-source (LightSpeed VCT; GE Healthcare, Waukesha, WI) or a dual-source CT scanner (SOMATOM Definition; Siemens Healthcare, Erlangen, Germany). All CTAs were gated with retrospective electrocardiogram gating. Nonionic contrast medium was injected at a rate of 4−5 mL/s (Isovue 300 or 370, Bracco Diagnostics, Princeton, NJ). The tube potential was 120 kVp, field of view was 30 × 30–40 × 40 cm2, and axial slice thickness was 1.00–1.25 mm. The cardiac cycle was resolved to ten cardiac frames from 10 % to 100 % of the R-R interval, where 10 % corresponds to the beginning of systole and 100 % corresponds to the end of diastole. All CT scans utilized in this study were obtained as part of routine clinical care.
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9

Intraductal Injection of Contrast Agents in Mice

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FVB/NJ (n = 3–5 per time point and per solution; jax.org stock 001800) or FVB-Tg-C3(1)-TAg (n = 6–13 per solution; jax.org stock 013591) females, 9–12 weeks old, were administered 5 mg/kg of carprofen in drinking water (0.067 mg/mL of carprofen in 5% sucrose-supplemented sterile water). Then, isoflurane-anesthetized mice were injected intraductally as described [29 ] with either PBS or EtOH (30 to 70%) that included up to 1% of blue dye (Evans Blue injected at 0.2–0.5% [w/v]) and up to 29% of CT contrast agent (Isovue-300 injected at 87 mg iodine/mL, Bracco Diagnostics, or tantalum oxide (TaOx) nanocrystals (NCs) injected at 60 mM of tantalum). Detailed preparation and characterization of TaOx NCs used in this study are provided in supplemental materials. Mice were injected up to 30 μL of a solution into cervical (#1, #6) or inguinal (#5, #10) glands and up to 50 μl into thoracic (#2, #3, #7, #8) or abdominal (#4, #9). All experiments were conducted under protocols approved by Institutional Animal Care and Use Committee at Van Andel Research Institute and/or Michigan State University.
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10

Carotid Artery CT Angiography Protocol

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The CTA studies of the carotid arteries were performed on 16- or 64-slice computed tomography scanners (GE Healthcare, Milwaukee, Illinois) and (Siemens Healthcare, Erlangen, Germany) in helical mode. The carotid artery CTA, covering the midchest to the vertex of the brain, was collimated at 1 to 1.25 mm using 120 kVp and 240 mAs, and a rotation time of 0.6 to 0.8 second. A bolus of 70 to 80 mL of Isovue 300 or 370 (lopamidol; Bracco Diagnostics Inc, Monroe Township, NJ) was injected into an antecubital vein with a power injector at a rate of 4 to 5 mL/s. SmartPrep protocol was applied to monitor the contrast enhancement and trigger the CTA acquisition. Effective dose associated with the carotid artery CTA protocol was 5 to 7 mSv.
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