ArticleEuropean radiology2024
A novel method of carotid artery wall imaging: black-blood CT.
Article in European radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 10 citations in OpenAlex.
- A radiomics model based on CTA subtraction imaging for differentiating symptomatic and asymptomatic carotid plaques: a retrospective study.BMC cardiovascular disorders · 2026Article
- Enhancing vascular wall assessment in computed tomography: image quality optimization via small-field-of-view vascular wall spectral images.Quantitative imaging in medicine and surgery · 2026Article
- Black-blood computed tomography with contrast-enhancement boost for optimized portal vein imaging and segmentation: a feasibility study.Quantitative imaging in medicine and surgery · 2026Article
- Superiority of black-blood computed tomography over conventional computed tomography angiography in the identification of soft plaques: a prospective study.Quantitative imaging in medicine and surgery · 2025Article
- Feasibility Study of Triple-low CCTA for Coronary Artery Disease Screening Combining Contrast Enhancement Boost and Deep Learning Reconstruction.Reviews in cardiovascular medicine · 2025Article
- Carotid plaque characteristics by computed Tomography: A diagnostic accuracy systematic review.International journal of cardiology. Heart & vasculature · 2025Review
- Qualitative and quantitative reproducibility of 3D MERGE and SNAP sequences for carotid vessel wall imaging across Siemens and Philips 3T scanners.Quantitative imaging in medicine and surgery · 2025Article
- Association between descending aorta wall thickness or wall area and cardiovascular disease risk factors in cardiovascular disease-free patients: a study based on water-calcium material decomposition and subtraction-based computed tomography dark-blood imaging.Quantitative imaging in medicine and surgery · 2025Article
- Assessment of vascular invasion of pancreatic ductal adenocarcinoma based on CE-boost black blood CT technique.Insights into imaging · 2024Article
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9 authors at 2 institutions in 1 country.
Funding
Abstract
objectivesTo evaluate the application of black-blood CT (BBCT) in carotid artery wall imaging and its accuracy in disclosing stenosis rate and plaque burden of carotid artery.
methodsA total of 110 patients underwent contrast-enhanced CT scan with two phases, and BBCT images were obtained using contrast-enhancement (CE)-boost technology. Two radiologists independently scored subjective image quality on black-blood computerized tomography (BBCT) images using a 4-point scale and then further analyzed plaque types. The artery stenosis rate on BBCT was measured and compared with CTA. The plaque burden on BBCT was compared with that on high-resolution intracranial vessel wall MR imaging (VW-MR imaging). The kappa value and intraclass correlation coefficient (ICC) were used for consistency analysis. The diagnostic accuracy of BBCT for stenosis rate and plaque burden greater than 50% was evaluated by AUC.
resultsThe subjective image quality scores of BBCT had good consistency between the two readers (ICC = 0.836, p < 0.001). BBCT and CTA had a good consistency in the identification of stenosis rate (p < 0.001). There was good consistency between BBCT and VW-MR in diagnosis of plaque burden (p < 0.001). As for plaque burden over 50%, BBCT had good sensitivity (93.10%) and specificity (73.33%), with an AUC of 0.950 (95%CI 0.838-0.993). Compared with CTA, BBCT had higher consistency with VW-MR in disclosing low-density plaques and mixed plaques (ICC = 0.931 vs 0.858, p < 0.001).
conclusionsBBCT can not only display the carotid artery wall clearly but also accurately diagnose the stenosis rate and plaque burden of carotid artery. CLINICAL RELEVANCE STATEMENT: Black-blood CT, as a novel imaging technology, can assist clinicians and radiologists in better visualizing the structure of the vessel wall and plaques, especially for patients with contraindication to MRI. KEY POINTS: • Black-blood CT can clearly visualize the carotid artery wall and plaque burden. • Black-blood CT is superior to conventional CTA with more accurate diagnosis of the carotid stenosis rate and plaque burden features.
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