Contrast injection protocols for coronary computed tomography angiography using a 64-detector scanner: Comparison between patient weight-adjusted- and fixed iodine-dose protocols

Investigative Radiology

Volumn 43, Issue 7, 2008, Pages 512-519

  Nakaura, Takeshi ^a   Awai, Kazuo ^a   Yauaga, Yumi ^a   Nakayama, Yoshiharu ^a   Oda, Seitaro ^a   Hatemura, Masahiro ^a   Nagayoshi, Yasuhiro ^a   Ogawa, Hisao ^a   Yamashita, Yasuyuki ^a  

^a KUMAMOTO UNIVERSITY   (Japan)

Author keywords

Contrast media; Injection protocol; Multidetector computed tomography; Vessel enhancement

Indexed keywords

IODINE; IOPAMIDOL; IOPAMIRON 370; UNCLASSIFIED DRUG; CONTRAST MEDIUM; DIAGNOSTIC AGENT;

ADULT; AGED; ANGINA PECTORIS; ANGIOCARDIOGRAPHY; ARTICLE; ASCENDING AORTA; BODY WEIGHT; BOLUS INJECTION; CLINICAL PROTOCOL; CLINICAL TRIAL; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTED TOMOGRAPHY SCANNER; COMPUTER PROGRAM; CONTRAST ENHANCEMENT; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY DISEASE; DOSE CALCULATION; FEMALE; HEART LEFT VENTRICLE; HUMAN; IMAGE RECONSTRUCTION; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; MULTIDETECTOR COMPUTED TOMOGRAPHY; NOISE; PRIORITY JOURNAL; PULMONARY ARTERY; QUALITATIVE DIAGNOSIS; RADIATION ATTENUATION; RANDOMIZED CONTROLLED TRIAL; RIGHT CORONARY ARTERY; SINGLE BLIND PROCEDURE; SUPERIOR CAVA VEIN; COMPUTER ASSISTED TOMOGRAPHY; DRUG ADMINISTRATION; IMAGE QUALITY; INSTRUMENTATION; METHODOLOGY; MIDDLE AGED; RADIOGRAPHY; REPRODUCIBILITY; SENSITIVITY AND SPECIFICITY;

ADULT; AGED; AGED, 80 AND OVER; CONTRAST MEDIA; CORONARY ANGIOGRAPHY; CORONARY ARTERY DISEASE; DRUG ADMINISTRATION SCHEDULE; FEMALE; HUMANS; IOPAMIDOL; MALE; MIDDLE AGED; RADIOGRAPHIC IMAGE ENHANCEMENT; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED;

EID: 50949087072     PISSN: 00209996     EISSN: 15360210     Source Type: Journal    
DOI: 10.1097/RLI.0b013e3181727505     Document Type: Article

References (32)

1. Leber AW, Becker A, Knez A, et al. Accuracy of 64-slice computed tomography to classify and quantify plaque volumes in the proximal coronary system: a comparative study using intravascular ultrasound. J Am Coll Cardiol. 2006;47:672-677.
2. Maintz D, Seifarth H, Raupach R, et al. 64-slice multidetector coronary CT angiography: in vitro evaluation of 68 different stents. Eur Radiol. 2006;16:818-826.
3. Nishino M, Kubo T, Kataoka ML, Raptopoulos V, Hatabu H. Coronal reformations of the chest on 64-row multi-detector row CT: evaluation of image quality in comparison with 16-, 8- and 4-row multi-detector row CT. Eur J Radiol. 2006;59:231-237.
4. Pannu HK, Jacobs JE, Lai S, Fishman EK. Coronary CT angiography with 64-MDCT: assessment of vessel visibility. AJR Am J Roentgenol. 2006;187:119-126.
5. Rixe J, Achenbach S, Ropers D, et al. Assessment of coronary artery stent restenosis by 64-slice multi-detector computed tomography. Eur Heart J. 2006;27:2567-2572.
6. Cademartiri F, Mollet NR, Lemos PA, et al. Higher intracoronary attenuation improves diagnostic accuracy in MDCT coronary angiography. AJR Am J Roentgenol. 2006;187:W430-W433.
7. Cademartiri F, Mollet NR, van der Lugt A, et al. Intravenous contrast material administration at helical 16-detector row CT coronary angiography: effect of iodine concentration on vascular attenuation. Radiology. 2005;236:661-665.
8. Utsunomiya D, Awai K, Sakamoto T, et al. Cardiac 16-MDCT for anatomic and functional analysis: assessment of a biphasic contrast injection protocol. AJR Am J Roentgenol. 2006;187:638-644.
9. Rist C, Nikolaou K, Kirchin MA, et al. Contrast bolus optimization for cardiac 16-slice computed tomography: comparison of contrast medium formulations containing 300 and 400 milligrams of iodine per milliliter. Invest Radiol. 2006;41:460-467.
10. Cademartiri F, Nieman K, van der Lugt A, et al. Intravenous contrast material administration at 16-detector row helical CT coronary angiography: test bolus versus bolus-tracking technique. Radiology. 2004;233: 817-823.
11. Cademartiri F, Mollet N, van der Lugt A, et al. Non-invasive 16-row multislice CT coronary angiography: usefulness of saline chaser. Eur Radiol. 2004;14:178-183.
12. Cademartiri F, de Monye C, Pugliese F, et al. High iodine concentration contrast material for noninvasive multislice computed tomography coronary angiography: iopromide 370 versus iomeprol 400. Invest Radiol. 2006;41:349-353.
13. Funabashi N, Suzuki K, Terao M, et al. New acquisition method to exclusively enhance the left side of the heart by a small amount of contrast material achieved by multislice computed tomography with 64 data acquisition system. Int J Cardiol. 2007;l14:265-269.
14. Becker CR, Hong C, Knez A, et al. Optimal contrast application for cardiac 4-detector-row computed tomography. Invest Radiol. 2003;38: 690-694.
15. Bisdas S, Konstantinou GN, Gurung J, et al. Effect of the arterial input function on the measured perfusion values and infarct volumetric in acute cerebral ischemia evaluated by perfusion computed tomography. Invest Radiol. 2007;42:147-156.
16. Kloska SP, Fischer T, Nabavi DG, et al. Comparison of different iodine concentration contrast media in perfusion computed tomography of the brain: is high iodine concentration useful? Invest Radiol. 2007;42:564-568.
17. Utsunomiya D, Awai K, Tamura Y, et al. 16-MDCT aortography with a low-dose contrast material protocol. AJR Am J Roentgenol. 2006; 186: 374-378.
18. Awai K, Hiraishi K, Hori S. Effect of contrast material injection duration and rate on aortic peak time and peak enhancement at dynamic CT involving injection protocol with dose tailored to patient weight. Radiology. 2004;230:142-150.
19. Awai K, Hori S. Effect of contrast injection protocol with dose tailored to patient weight and fixed injection duration on aortic and hepatic enhancement at multidetector-row helical CT. Eur Radiol. 2003;13: 2155-2160.
20. Nakayama Y, Awai K, Funama Y, et al. Lower tube voltage reduces contrast material and radiation doses on 16-MDCT aortography. AJR Am J Roentgenol. 2006;187:W490-W497.
21. Yamamuro M, Tadamura E, Kanao S, et al. Coronary angiography by 64-detector row computed tomography using low dose of contrast material with saline chaser: influence of total injection volume on vessel attenuation. J Comput Assist Tomogr. 2007;31:272-280.
22. Sandstede JJ, Tschammler A, Beer M, Vogelsang C, Wittenberg G, Hahn D. Optimization of automatic bolus tracking for timing of the arterial phase of helical liver CT. Eur Radiol. 2001;l1:1396-1400.
23. Awai K, Nakayama Y, Nakaura T, et al. Prediction of aortic peak enhancement in monophasic contrast injection protocols at multidetector CT: phantom and patient studies. Radiat Med. 2007;25:14-21.
24. Kormano M, Partanen K, Soimakallio S, Kivimaki T. Dynamic contrast enhancement of the upper abdomen: effect of contrast medium and body weight. Invest Radiol. 1983;18:364-367.
25. Heiken JP, Brink JA, McClennan BL, Sagel SS, Crowe TM, Gaines MV. Dynamic incremental CT: effect of volume and concentration of contrast material and patient weight on hepatic enhancement. Radiology. 1995; 195:353-357.
26. Platt JF, Reige KA, Ellis JH. Aortic enhancement during abdominal CT angiography: correlation with test injections, flow rates, and patient demographics. AJR Am J Roentgenol. 1999;172:53-56.
27. Bae KT, Heiken JP, Brink JA. Aortic and hepatic contrast medium enhancement at CT. Part II. Effect of reduced cardiac output in a porcine model. Radiology. 1998;207:657-662.
28. Bae KT, Heiken JP, Brink JA. Aortic and hepatic contrast medium enhancement at CT. Part I. Prediction with a computer model. Radiology. 1998;207:647-655.
29. Cademartiri F, van der Lugt A, Luccichenti G, Pavone P, Krestin GP. Parameters affecting bolus geometry in CTA: a review. J Comput Assist Tomogr. 2002;26:598-607.
30. Bae KT. Peak contrast enhancement in CT and MR angiography: when does it occur and why? Pharmacokinetic study in a porcine model. Radiology. 2003;227:809-816.
31. Bae KT, Tran HQ, Heiken JP. Uniform vascular contrast enhancement and reduced contrast medium volume achieved by using exponentially decelerated contrast material injection method. Radiology. 2004;231: 732-736.
32. Lee CH, Goo JM, Bae KT, et al. CTA contrast enhancement of the aorta and pulmonary artery: the effect of saline chase injected at two different rates in a canine experimental model. Invest Radiol. 2007; 42:486-490.