1.AN INVESTIGATION OF MEASURING METHOD FOR DIAGNOSIS OF SCOLIOSIS
KENJI KOYAMA ; KATSUMI MITA ; KYONOSUKE YABE ; KOJI OKI ; TUTOMU KASAI ; SHUNJI MURACHI ; TSUCHIYA KAZUO
Japanese Journal of Physical Fitness and Sports Medicine 1984;33(3):142-147
The Cobb's and Ferguson's methods are widely used in order to measure scoliotic angle using the X-ray photograph. Since the scoliotic angle is detected on the bases of the positions of only two and three spines, the measured value includes various kinds of errors. Thus, the present study was designed to examine accuracy and reliability of the Cobb's and Ferguson's methods. The scoliotic angle corresponding to the Cobb's and Ferguson's method were computed using the least square approximating curve that was obtained on the basis of the positions of spines from thoracic to lumbar vertebrae.
As a result, it was found that the scoliotic angle by means of the clinical Cobb's method was closely correlated to that by the least square method with positive correlation coefficient of 0.98. On the other hands, the Ferguson's method showed less relation to the least square method. Thus, it was confirmed that the Cobb's method was more reliable for diagonsis of the scoliosis.
2.Development and Validation of Generalized Linear Regression Models to Predict Vessel Enhancement on Coronary CT Angiography.
Takanori MASUDA ; Takeshi NAKAURA ; Yoshinori FUNAMA ; Tomoyasu SATO ; Toru HIGAKI ; Masao KIGUCHI ; Yoriaki MATSUMOTO ; Yukari YAMASHITA ; Naoyuki IMADA ; Kazuo AWAI
Korean Journal of Radiology 2018;19(6):1021-1030
OBJECTIVE: We evaluated the effect of various patient characteristics and time-density curve (TDC)-factors on the test bolus-affected vessel enhancement on coronary computed tomography angiography (CCTA). We also assessed the value of generalized linear regression models (GLMs) for predicting enhancement on CCTA. MATERIALS AND METHODS: We performed univariate and multivariate regression analysis to evaluate the effect of patient characteristics and to compare contrast enhancement per gram of iodine on test bolus (ΔHUTEST) and CCTA (ΔHUCCTA). We developed GLMs to predict ΔHUCCTA. GLMs including independent variables were validated with 6-fold cross-validation using the correlation coefficient and Bland–Altman analysis. RESULTS: In multivariate analysis, only total body weight (TBW) and ΔHUTEST maintained their independent predictive value (p < 0.001). In validation analysis, the highest correlation coefficient between ΔHUCCTA and the prediction values was seen in the GLM (r = 0.75), followed by TDC (r = 0.69) and TBW (r = 0.62). The lowest Bland–Altman limit of agreement was observed with GLM-3 (mean difference, −0.0 ± 5.1 Hounsfield units/grams of iodine [HU/gI]; 95% confidence interval [CI], −10.1, 10.1), followed by ΔHUCCTA (−0.0 ± 5.9 HU/gI; 95% CI, −11.9, 11.9) and TBW (1.1 ± 6.2 HU/gI; 95% CI, −11.2, 13.4). CONCLUSION: We demonstrated that the patient's TBW and ΔHUTEST significantly affected contrast enhancement on CCTA images and that the combined use of clinical information and test bolus results is useful for predicting aortic enhancement.
Angiography*
;
Body Weight
;
Cardiac Output
;
Heart
;
Humans
;
Iodine
;
Linear Models*
;
Multivariate Analysis
3.Effect of Patient Characteristics on Vessel Enhancement at Lower Extremity CT Angiography.
Takanori MASUDA ; Takeshi NAKAURA ; Yoshinori FUNAMA ; Tomoyasu SATO ; Toru HIGAKI ; Masao KIGUCHI ; Yukari YAMASHITA ; Naoyuki IMADA ; Kazuo AWAI
Korean Journal of Radiology 2018;19(2):265-271
OBJECTIVE: To evaluate the effect of patient characteristics on popliteal aortic contrast enhancement at lower extremity CT angiography (LE-CTA) scanning. MATERIALS AND METHODS: Prior informed consent to participate was obtained from all 158 patients. All were examined using a routine protocol; the scanning parameters were tube voltage 100 kVp, tube current 100 mA to 770 mA (noise index 12), 0.5-second rotation, 1.25-mm detector row width, 0.516 beam pitch, and 41.2-mm table movement, and the contrast material was 85.0 mL. Cardiac output (CO) was measured with a portable electrical velocimeter within 5 minutes of starting the CT scan. To evaluate the effects of age, sex, body size, CO, and scan delay on the CT number of popliteal artery, the researchers used multivariate regression analysis. RESULTS: A significant positive correlation was seen between the CT number of the popliteal artery and the patient age (r = 0.39, p < 0.01). A significant inverse correlation was observed between the CT number of the popliteal artery and the height (r = −0.48), total body weight (r = −0.52), body mass index (r = −0.33), body surface area (BSA) (r = −0.56), lean body weight (r = −0.56), and CO (r = −0.35) (p < 0.001 for all). There was no significant correlation between the enhancement and the scan delay (r = 0.06, p = 0.47). The BSA, CO, and age had significant effects on the CT number (standardized regression: BSA −0.42, CO −0.22, age 0.15; p < 0.05, respectively). CONCLUSION: The BSA, CO, and age are significantly correlated with the CT number of the popliteal artery on LE-CTA.
Angiography*
;
Body Mass Index
;
Body Size
;
Body Surface Area
;
Body Weight
;
Cardiac Output
;
Humans
;
Informed Consent
;
Lower Extremity*
;
Popliteal Artery
;
Tomography, X-Ray Computed