ArticleEuropean radiology experimental2026
Dual-energy CT fusion imaging improves ice-ball visualization in bone during spinal cryoablation in porcine cadavers.
Article in European radiology experimental, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveWe evaluated ex vivo feasibility of ice-ball visualization during bone cryoablation using dual-energy computed tomography (DECT). MATERIALS AND
methodsThis ex vivo study included three porcine cadavers on which cryoablation was performed on four vertebrae. Spectral DECT acquisitions were made at 0 and 10 min after ablation. Conventional images, virtual monoenergetic images (VMIs) at 50 keV, electron density (ED), effective atomic number (Z
resultsFor each pig, the ice-ball was visible in soft tissues on all spectral images except on Z
conclusionThe fusion of spectral ED and VNCa images could show potential in improving the visualization of the ice-ball during bone cryoablation. RELEVANCE STATEMENT: Fusion of electron density and virtual non-calcium images enhances the ice-ball visualization in bone during spinal cryoablation. KEY POINTS: The lack of visibility of the ice-ball in the bone during cryoablation represents a limitation for the safety of adjacent structures at risk. In bone, the ice-ball was detectable only on virtual non-calcium (VNCa) images, but the quality of its contour delineation was poorer. Electron density and VNCa fusion images improved ice-ball visualization and delineation in bone, as confirmed by comparison with MRI.
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