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Article: Contrast bolus optimization for cardiac 16-slice computed tomography: Comparison of contrast medium formulations containing 300 and 400 milligrams of iodine per milliliter

TitleContrast bolus optimization for cardiac 16-slice computed tomography: Comparison of contrast medium formulations containing 300 and 400 milligrams of iodine per milliliter
Authors
KeywordsCardiac CT
Contrast density
Contrast media
Multidetector row CT
Test bolus
Issue Date2006
Citation
Investigative Radiology, 2006, v. 41, n. 5, p. 460-467 How to Cite?
AbstractOBJECTIVES: The aims of our study were to compare contrast injection protocols with contrast media containing 300 and 400 mg iodine per milliliter for optimal contrast enhancement in cardiac multidector row computed tomography (CT) and to evaluate the correlation of test bolus curve parameters with the final contrast density of the main bolus. MATERIALS AND METHODS: Sixty patients with known or suspected coronary artery disease were included in a prospective double-blind study. Patients were randomized to 2 groups. Group 1 received 83 mL of a contrast medium (CM) containing 300 mg of iodine (Iomeron 300, Bracco Imaging SpA, Milan, Italy) at a flow rate of 3.3 mL/s, whereas group 2 received 63 mL of the same agent containing 400 mg of iodine (Iomeron 400) at a flow rate of 2.5 mL/s. The test bolus volumes were 20 mL and 15 mL, respectively. Imaging was performed using a 16-slice CT system (16DCT; Somatom Sensation 16, Siemens Medical Solutions, Forchheim, Germany). Contrast densities (Hounsfield Units [HU]) were determined in the cardiac chambers and in the main coronary arteries. The peak density and area under the curve of the test bolus were calculated for each patient. RESULTS: The mean contrast densities of the coronary arteries were 259.1 ± 46.7 HU for group 1 and 251.6 ± 51.0 HU, for group 2. No noteworthy differences between groups were noted for density measurements in the cardiac chambers or for the ratio of right-to-left ventricle density. Whereas a positive correlation was noted for both groups between the area under the curve of the test bolus and the mean density of the main bolus, a positive correlation between peak density of the test bolus and mean density of the main bolus was noted only for group 1. CONCLUSION: Equivalent homogenous enhancement of the ventricular cavities and coronary arteries to that obtained using a CM with standard iodine concentration (Iomeron 300) can be achieved with lower overall volumes of administered CM and reduced injection flow rates when a CM with high iodine concentration (Iomeron 400) is used. Copyright © 2006 by Lippincott Williams & Wilkins.
Persistent Identifierhttp://hdl.handle.net/10722/315973
ISSN
2023 Impact Factor: 7.0
2023 SCImago Journal Rankings: 2.458
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorRist, Carsten-
dc.contributor.authorNikolaou, Konstantin-
dc.contributor.authorKirchin, Miles A.-
dc.contributor.authorVan Gessel, Roland-
dc.contributor.authorTy Bae, Kyongtae-
dc.contributor.authorVon Ziegler, Franz-
dc.contributor.authorKnez, Andreas-
dc.contributor.authorWintersperger, Bernd J.-
dc.contributor.authorReiser, Maximilian F.-
dc.contributor.authorBecker, Christoph R.-
dc.date.accessioned2022-08-24T15:48:47Z-
dc.date.available2022-08-24T15:48:47Z-
dc.date.issued2006-
dc.identifier.citationInvestigative Radiology, 2006, v. 41, n. 5, p. 460-467-
dc.identifier.issn0020-9996-
dc.identifier.urihttp://hdl.handle.net/10722/315973-
dc.description.abstractOBJECTIVES: The aims of our study were to compare contrast injection protocols with contrast media containing 300 and 400 mg iodine per milliliter for optimal contrast enhancement in cardiac multidector row computed tomography (CT) and to evaluate the correlation of test bolus curve parameters with the final contrast density of the main bolus. MATERIALS AND METHODS: Sixty patients with known or suspected coronary artery disease were included in a prospective double-blind study. Patients were randomized to 2 groups. Group 1 received 83 mL of a contrast medium (CM) containing 300 mg of iodine (Iomeron 300, Bracco Imaging SpA, Milan, Italy) at a flow rate of 3.3 mL/s, whereas group 2 received 63 mL of the same agent containing 400 mg of iodine (Iomeron 400) at a flow rate of 2.5 mL/s. The test bolus volumes were 20 mL and 15 mL, respectively. Imaging was performed using a 16-slice CT system (16DCT; Somatom Sensation 16, Siemens Medical Solutions, Forchheim, Germany). Contrast densities (Hounsfield Units [HU]) were determined in the cardiac chambers and in the main coronary arteries. The peak density and area under the curve of the test bolus were calculated for each patient. RESULTS: The mean contrast densities of the coronary arteries were 259.1 ± 46.7 HU for group 1 and 251.6 ± 51.0 HU, for group 2. No noteworthy differences between groups were noted for density measurements in the cardiac chambers or for the ratio of right-to-left ventricle density. Whereas a positive correlation was noted for both groups between the area under the curve of the test bolus and the mean density of the main bolus, a positive correlation between peak density of the test bolus and mean density of the main bolus was noted only for group 1. CONCLUSION: Equivalent homogenous enhancement of the ventricular cavities and coronary arteries to that obtained using a CM with standard iodine concentration (Iomeron 300) can be achieved with lower overall volumes of administered CM and reduced injection flow rates when a CM with high iodine concentration (Iomeron 400) is used. Copyright © 2006 by Lippincott Williams & Wilkins.-
dc.languageeng-
dc.relation.ispartofInvestigative Radiology-
dc.subjectCardiac CT-
dc.subjectContrast density-
dc.subjectContrast media-
dc.subjectMultidetector row CT-
dc.subjectTest bolus-
dc.titleContrast bolus optimization for cardiac 16-slice computed tomography: Comparison of contrast medium formulations containing 300 and 400 milligrams of iodine per milliliter-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/01.rli.0000208239.34723.5d-
dc.identifier.pmid16625109-
dc.identifier.scopuseid_2-s2.0-33746700916-
dc.identifier.volume41-
dc.identifier.issue5-
dc.identifier.spage460-
dc.identifier.epage467-
dc.identifier.isiWOS:000237100600006-

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