Cost reduction in abdominal CT by weight-adjusted dose

European Journal of Radiology

Volumn 70, Issue 3, 2009, Pages 507-511

  Arana, Estanislao ^a   Martí Bonmatí, Luis ^a   Tobarra, Eva ^a   Sierra, Consuelo ^a  

^a HOSPITAL QUIRÓN   (Spain)

Author keywords

Abdomen, CT; Computed tomography (CT), contrast enhancement; Computed tomography (CT), helical technology; Cost savings; Health Care Economics and Organizations

Indexed keywords

ABDOMEN, CT; ABDOMINAL AORTA; ATTENUATION ,; COMPUTED TOMOGRAPHY; COMPUTED TOMOGRAPHY (CT), CONTRAST ENHANCEMENT; COMPUTED TOMOGRAPHY (CT), HELICAL TECHNOLOGY; CONTRAST MATERIAL; COST SAVINGS; DIAGNOSTIC QUALITY; GROUP STUDY; INJECTION VOLUME; NONIONIC; STATISTICAL ANALYSIS;

BLOOD VESSELS; COSTS; HEALTH CARE; WEIGHING;

COMPUTERIZED TOMOGRAPHY;

IODIXANOL; NONIONIC CONTRAST MEDIUM;

ABDOMINAL AORTA; ADULT; AGED; ARTICLE; BODY WEIGHT; CLINICAL TRIAL; CONTRAST ENHANCEMENT; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; COST CONTROL; COST EFFECTIVENESS ANALYSIS; DRUG DOSE REDUCTION; DRUG DOSE REGIMEN; FEMALE; HUMAN; IMAGE ANALYSIS; IMAGE QUALITY; INFERIOR CAVA VEIN; LIVER; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SPIRAL COMPUTER ASSISTED TOMOGRAPHY; STATISTICAL ANALYSIS;

ADULT; AGED; BODY BURDEN; CONTRAST MEDIA; COST SAVINGS; FEMALE; HEALTH CARE COSTS; HUMANS; MALE; MIDDLE AGED; RADIATION DOSAGE; RADIOGRAPHY, ABDOMINAL; SPAIN; TOMOGRAPHY, X-RAY COMPUTED; YOUNG ADULT;

EID: 67349089615     PISSN: 0720048X     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ejrad.2008.01.048     Document Type: Article

References (19)

1. Schoellnast H., Tillich M., Deutschmann H.A., et al. Improvement of parenchymal and vascular enhancement using saline flush and power injection for multiple-detector-row abdominal CT. Eur Radiol 14 (2004) 659-664
2. Schoellnast H., Tillich M., Deutschmann H.A., et al. Abdominal multidetector row computed tomography: reduction of cost and contrast material dose using saline flush. J Comput Assist Tomogr 27 (2003) 847-853
3. Yamashita Y., Komohara Y., Takahashi M., et al. Abdominal helical CT: evaluation of optimal doses of intravenous contrast material-a prospective randomized study. Radiology 216 (2000) 718-723
4. Awai K., Inoue M., Yagyu Y., et al. Moderate versus high concentration of contrast material for aortic and hepatic enhancement and tumor-to-liver contrast at multi-detector row CT. Radiology 233 (2004) 682-688
5. Herman S. Computed tomography contrast enhancement principles and the use of high-concentration contrast media. J Comput Assist Tomogr 28 Suppl. 1 (2004) S7-S11
6. Tatsugami F., Matsuki M., Kani H., et al. Effect of saline pushing after contrast material injection in abdominal multidetector computed tomography with the use of different iodine concentrations. Acta Radiol 47 (2006) 192-197
7. Kalra M.K., Maher M.M., Prasad S.R., et al. Correlation of patient weight and cross-sectional dimensions with subjective image quality at standard dose abdominal CT. Korean J Radiol 4 (2003) 234-238
8. Awai K., Hiraishi K., and 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 230 (2004) 142-150
9. Nyman U., Almen T., Aspelin P., et al. Contrast-medium-induced nephropathy correlated to the ratio between dose in gram iodine and estimated GFR in ml/min. Acta Radiol 46 (2005) 830-842
10. Briggs A.H., and Gray A.M. Handling uncertainty when performing economic evaluation of healthcare interventions. Health Technol Assess 3 (1999) 1-134
11. Wood M. Statistical inference using bootstrap confidence intervals. Significance 1 (2004) 180-182
12. Thompson S.G., and Barber J.A. How should cost data in pragmatic randomised trials be analysed?. Br Med J 320 (2000) 1197-1200
13. Marti-Bonmati L., Arana E., Tobarra E., et al. Low-high and high-low biphasic injection forms in computed tomography examinations of the upper abdomen. Acta Radiol 47 (2006) 10-14
14. Megibow A.J., Jacob G., Heiken J.P., et al. Quantitative and qualitative evaluation of volume of low osmolality contrast medium needed for routine helical abdominal CT. AJR Am J Roentgenol 176 (2001) 583-589
15. Brink J.A., Heiken J.P., Forman H.P., et al. Hepatic spiral CT: reduction of dose of intravenous contrast material. Radiology 197 (1995) 83-88
16. Baker M.E., Beam C., Leder R., et al. Contrast material for combined abdominal and pelvic CT: can cost be reduced by increasing the concentration and decreasing the volume?. AJR Am J Roentgenol 160 (1993) 637-641
17. Awai K., Imuta M., Utsunomiya D., et al. Contrast enhancement for whole-body screening using multidetector row helical CT: comparison between uniphasic and biphasic injection protocols. Radiat Med 22 (2004) 303-309
18. Eurostat. Health statistics-key data on health 139-140 (2002), Office for Official Publications of the European Communities, Luxembourg p. 197
19. Han J.K., Kim A.Y., Lee K.Y., et al. Factors influencing vascular and hepatic enhancement at CT: experimental study on injection protocol using a canine model. J Comput Assist Tomogr 24 (2000) 400-406