@article{oai:showa.repo.nii.ac.jp:00000487, author = {YAMANA, Keita and OHGIYA, Yoshimitsu and TASHIRO, Yuki and KURODA, Hanako and TOYOFUKA, Kosuke and GOKAN, Takehiko}, issue = {1}, journal = {The Showa University journal of medical sciences}, month = {2018-03, 2019-07-26}, note = {Deep vein thrombosis (DVT) was evaluated using virtual monochromatic imaging (VMI) with dual-energy analysis. We used data from 29 patients who were imaged at Showa University Hospital using the pulmonary embolism (PE)/DVT protocol and evaluated based on the diagnostic utility of VMI with dual-energy analysis. By VMI, we compared the computed tomography (CT) values of the femoral veins on both sides and the surrounding muscle tissues at 40keV and conventional imaging; two radiologists performed the visual evaluation in three stages. We also evaluated the CT values of thrombi for cases with DVT. We conducted a retrospective cohort study on 29 patients (18 males and 11 females) with a mean age of 66.8 (range: 31?86) years. DVT was confirmed in four of the subjects (13.7%). Visual evaluation confirmed a significant difference between the CT values at 40keV and with conventional imaging (2.76 vs. 1.81;?P<0.05). CT values in the femoral vein were 274.67 (range: 186.35?63.31) Hounsfield units (HU) at 40keV and 109.46 (range: 74.54?155.66) HU with conventional imaging (P<0.05). Contrast-to-noise ratios (CNRs) [(femoral vein CT value?adductor muscle CT value)/adductor muscle standard deviation (SD)] were 11.77 (range: 3.93?26.33) HU at 40keV and 9.87 (range: 1.28?27.56) HU with conventional imaging (P<0.05). The thrombus/femoral vein ratio (CT value) was 0.34 at 40keV and 0.59 with conventional imaging, while the CNR was 17.52 at 40keV and 4.32 with conventional imaging; both differences were significant. Low-voltage contrast CT is beneficial for enhancing images of veins and it may also be very useful for detecting DVT.}, pages = {107--112}, title = {Evaluation of Deep Venous Thrombosis Using Dual-energy CT}, volume = {30}, year = {} }