Introduction of an individually optimized protocol for the injection of contrast medium for coronary CT angiography

European Radiology

Volumn 19, Issue 10, 2009, Pages 2373-2382

  Seifarth, Harald ^a   Puesken, Michael ^a   Kalafut, John F ^b   Wienbeck, Susanne ^a   Wessling, Johannes ^a   Maintz, David ^a   Heindel, Walter ^a   Juergens, Kai Uwe ^a  

^a UNIVERSITY OF MÜNSTER   (Germany)

^b Medrad Inc   (United States)

Author keywords

Cardiac CT; Contrast injection; Vascular attenuation

Indexed keywords

IOPROMIDE;

ADULT; ARTICLE; BODY MASS; BODY WEIGHT; CLINICAL TRIAL; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CONCENTRATION RESPONSE; CONTRAST ENHANCEMENT; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY DISEASE; FLOW RATE; HEART MUSCLE; HEART RATE; HUMAN; IMAGE ANALYSIS; IMAGE QUALITY; INTERMETHOD COMPARISON; LEFT ANTERIOR DESCENDING CORONARY ARTERY; MAJOR CLINICAL STUDY; PRACTICE GUIDELINE; PRIORITY JOURNAL; PROCESS OPTIMIZATION; RADIOCARDIOGRAPHY; RIGHT CORONARY ARTERY;

CONTRAST MEDIA; CORONARY ARTERY DISEASE; FEMALE; HUMANS; INJECTIONS, INTRA-ARTERIAL; IOHEXOL; MALE; MIDDLE AGED; RADIOGRAPHIC IMAGE ENHANCEMENT; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED;

EID: 70349876516     PISSN: 09387994     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00330-009-1421-7     Document Type: Article

References (44)

1. Achenbach S, Ropers D, Kuettner A, Flohr T, Ohnesorge B, Bruder H, Theessen H, Karakaya M, Daniel WG, Bautz W, Kalender WA, Anders K (2006) Contrast-enhanced coronary artery visualization by dual-source computed tomography - initial experience. Eur J Radiol. 57:331-335
2. Herzog C, Zwerner PL, Doll JR, Nielsen CD, Nguyen SA, Savino G, Vogl TJ, Costello P, Schoepf UJ (2007) Significant coronary artery stenosis: comparison on per-patient and per-vessel or per-segment basis at 64-section CT angiography. Radiology 244:112-120
3. Heuschmid M, Burgstahler C, Reimann A, Brodoefel H, Mysal I, Haeberle E, Tsiflikas I, Claussen CD, Kopp AF, Schroeder S (2007) Usefulness of noninvasive cardiac imaging using dual-source computed tomography in an unselected population with high prevalence of coronary artery disease. Am J Cardiol 100:587-592
4. Leschka S, Wildermuth S, Boehm T, Desbiolles L, Husmann L, Plass A, Koepfli P, Schepis T, Marincek B, Kaufmann PA, Alkadhi H (2006) Noninvasive coronary angiography with 64-section CT: Effect of average heart rate and heart rate variability on image quality. Radiology 241:378-385
5. Meijboom WB, Weustink AC, Pugliese F, van Mieghem CA, Mollet NR, van Pelt N, Cademartiri F, Nieman K, Vourvouri E, Regar E, Krestin GP, de Feyter PJ (2007) Comparison of diagnostic accuracy of 64-slice computed tomography coronary angiography in women versus men with angina pectoris. Am J Cardiol 100:1532-1537
6. Raff GL, Gallagher MJ, O'Neill WW, Goldstein JA (2005) Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. J Am Coll Cardiol 46:552-557
7. Schoepf UJ, Zwerner PL, Savino G, Herzog C, Kerl JM, Costello P (2007) Coronary CT angiography. Radiology 244:48-63
8. Seifarth H, Wienbeck S, Püsken M, Juergens KU, Maintz D, Vahlhaus C, Heindel W, Fischbach R (2007) Optimal systolic and diastolic reconstruction windows for coronary CT angiography using dual-source CT. AJR 189:1317-1323
9. Weustink AC, Meijboom WB, Mollet NR, Otsuka M, Pugliese F, van Mieghem C, Malago R, van Pelt N, Dijkshoorn ML, Cademartiri F, Krestin GP, de Feyter PJ (2007) Reliable high-speed coronary computed tomography in symptomatic patients. J Am Coll Cardiol 50:786-794
10. Dewey M, Hoffmann H, Hamm B (2007) CT coronary angiography using 16 and 64 simultaneous detector rows: Intraindividual comparison. RoFo 179:581-586
11. Leber AW, Johnson T, Becker A, von Ziegler F, Tittus J, Nikolaou K, Reiser M, Steinbeck G, Becker CR, Knez A (2007) Diagnostic accuracy of dual-source multi-slice CT-coronary angiography in patients with an intermediate pretest likelihood for coronary artery disease. Eur Heart J 28:2354-2360
12. Nakaura T, Awai K, Yauaga Y, Nakayama Y, Oda S, Hatemura M, Nagayoshi Y, Ogawa H, Yamashita Y (2008) Contrast injection protocols for coronary computed tomography angiography using a 64-detector scanner: Comparison between patient weight-adjusted- and fixed iodine-dose protocols. Invest Radiol 43:512-519
13. Fleischmann D, Hittmair K (1999) Mathematical analysis of arterial enhancement and optimization of bolus geometry for CT angiography using the discrete Fourier transform. J Comput Assist Tomogr 23:474-484
14. Hittmair K, Fleischmann D (2001) Accuracy of predicting and controlling time-dependent aortic enhancement from a test bolus injection. J Comput Assist Tomogr 25:287-294
15. Mahnken AH, Rauscher A, Klotz E, Mühlenbruch G, Das M, Günther RW, Wildberger JE (2007) Quantitative prediction of contrast enhancement from test bolus data in cardiac MSCT. Eur Radiol 17:1310-1319
16. Rist C, Becker CR, Kirchin MA, Johnson TR, Busch S, Bae KT, Leber AW, Reiser MF, Nikolaou K (2008) Optimization of cardiac MSCT contrast injection protocols: Dependency of the main bolus contrast density on test bolus parameters and patients' body weight. Acad Radiol 15:49-57
17. Brodoefel H, Burgstahler C, Tsiflikas I, Reimann A, Schroeder S, Claussen CD, Heuschmid M, Kopp AF (2008) Dual-source CT: Effect of heart rate, heart rate variability, and calcification on image quality and diagnostic accuracy. Radiology 247:346-355
18. Rixe J, Rolf A, Conradi G, Elsaesser A, Moellmann H, Nef H, Bachmann G, Hamm C, Dill T (2008) Image quality on dual-source computed-tomographic coronary angiography. Eur Radiol 18:1857-1862
19. Kerl JM, Ravenel JG, Nguyen SA, Suranyi P, Thilo C, Costello P, Bautz W, Schoepf UJ (2008) Right heart: Split-bolus injection of diluted contrast medium for visualization at coronary CT angiography. Radiology 247:356-364
20. Bae KT, Heiken JP, Brink JA (1998) Aortic and hepatic contrast medium enhancement at CT. Part I. Prediction with a computer model. Radiology 207:647-655
21. Flohr TG, McCollough CH, Bruder H, Petersilka M, Gruber K, Suss C, Grasruck M, Stierstorfer K, Krauss B, Raupach R, Primak AN, Kuttner A, Achenbach S, Becker C, Kopp A, Ohnesorge BM (2006) First performance evaluation of a dual-source CT (DSCT) system. Eur Radiol 16:256-268
22. Achenbach S, Anders K, Kalender WA (2008) Dual-source cardiac computed tomography: Image quality and dose considerations. Eur Radiol 18:1188-1198
23. Cademartiri F, Maffei E, Palumbo AA, Malagò R, La Grutta L, Meiijboom WB, Aldrovandi A, Fusaro M, Vignali L, Menozzi A, Brambilla V, Coruzzi P, Midiri M, Kirchin MA, Mollet NR, Krestin GP (2008) Influence of intra-coronary enhancement on diagnostic accuracy with 64-slice CT coronary angiography. Eur Radiol 18:576-583
24. Leber A (2003) Composition of coronary atherosclerotic plaques in patients with acute myocardial infarction and stable angina pectoris determined by contrast-enhanced multislice computed tomography. Am J Cardiol 91:714-718
25. Schroeder S, Kuettner A, Leitritz M, Janzen J, Kopp AF, Herdeg C, Heuschmid M, Burgstahler C, Baumbach A, Wehrmann M, Claussen CD (2004) Reliability of differentiating human coronary plaque morphology using contrast-enhanced multislice spiral computed tomography: A comparison with histology. J Comput Assist Tomogr 28:449-454
26. Cademartiri F, La Grutta L, Runza G, Palumbo A, Maffei E, Mollet NR, Bartolotta TV, Somers P, Knaapen M, Verheye S, Midiri M, Hamers R, Bruining N (2007) Influence of convolution filtering on coronary plaque attenuation values: Observations in an ex vivo model of multislice computed tomography coronary angiography. Eur Radiol 17:1842-1849
27. Awai K, Hiraishi K, Hori S (2004) 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 230:142-150
28. Bae K, Seeck B, Hildebolt C, Tao C, Zhu F, Kanematsu M, Woodard P (2008) Contrast enhancement in cardiovascular MDCT: Effect of body weight, height, body surface area, body mass index, and obesity. AJR 190:777-784
29. Husmann L, Leschka S, Boehm T, Desbiolles L, Schepis T, Koepfli P, Gaemperli O, Marincek B, Kaufmann P, Alkadhi H (2006) Influence of body mass index on coronary artery opacification in 64-slice CT angiography. RoFo 178:1007-1013
30. Husmann L, Alkadhi H, Boehm T, Leschka S, Schepis T, Koepfli P, Desbiolles L, Marincek B, Kaufmann PA, Wildermuth S (2006) Influence of cardiac hemodynamic parameters on coronary artery opacification with 64-slice computed tomography. Eur Radiol 16:1111-1116
31. Platt JF, Reige KA, Ellis JH (1999) Aortic enhancement during abdominal CT angiography: Correlation with test injections, flow rates, and patient demographics. AJR 172:53-56
32. Bae KT, Tao C, Gürel S, Hong C, Zhu F, Gebke TA, Milite M, Hildebolt CF (2007) Effect of patient weight and scanning duration on contrast enhancement during pulmonary multidetector CT angiography. Radiology 242:582-589
33. Heiken JP, Brink JA, McClennan BL, Sagel SS, Crowe TM, Gaines MV (1995) Dynamic incremental CT: Effect of volume and concentration of contrast material and patient weight on hepatic enhancement. Radiology 195:353-357
34. Yamashita Y, Komohara Y, Takahashi M, Uchida M, Hayabuchi N, Shimizu T, Narabayashi I (2000) Abdominal helical CT: Evaluation of optimal doses of intravenous contrast material - a prospective randomized study. Radiology 216:718-723
35. Johnson TR, Nikolaou K, Wintersperger BJ, Fink C, Rist C, Leber AW, Knez A, Reiser MF, Becker CR (2007) Optimization of contrast material administration for electrocardiogram-gated computed tomographic angiography of the chest. J Comput Assist Tomogr 31:265-271
36. Rist C, Nikolaou K, Kirchin MA, van Gessel R, Bae KT, von Ziegler F, Knez A, Wintersperger BJ, Reiser MF, Becker CR (2006) 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 41:460-467
37. Cademartiri F, de Monye C, Pugliese F, Mollet NR, Runza G, van der Lugt A, Midiri M, de Feyter PJ, Lagalla R, Krestin GP (2006) High iodine concentration contrast material for noninvasive multislice computed tomography coronary angiography: Iopromide 370 versus iomeprol 400. Invest Radiol 41:349-353
38. Cademartiri F, van der Lugt A, Luccichenti G, Pavone P, Krestin GP (2002) Parameters affecting bolus geometry in CTA: A review. J Comput Assist Tomogr 26:598-607
39. Awai K, Hatcho A, Nakayama Y, Kusunoki S, Liu D, Hatemura M, Funama Y, Denbo M, Sato N, Yamashita Y (2006) Simulation of aortic peak enhancement on MDCT using a contrast material flow phantom: Feasibility study. AJR 186:379-385
40. Johnson TR, Nikolaou K, Busch S, Leber AW, Becker A, Wintersperger BJ, Rist C, Knez A, Reiser MF, Becker CR (2007) Diagnostic accuracy of dual-source computed tomography in the diagnosis of coronary artery disease. Invest Radiol 42:684-691
41. Becker CR, Hong C, Knez A, Leber A, Bruening R, Schoepf UJ, Reiser MF (2003) Optimal contrast application for cardiac 4-detector-row computed tomography. Invest Radiol 38:690-694
42. Bae KT (2003) Peak contrast enhancement in CT and MR angiography: When does it occur and why? Pharmacokinetic study in a porcine model. Radiology 227:809-816
43. Kim DJ, Kim TH, Kim SJ, Kim DP, Oh CS, Ryu YH, Kim YJ, Choi BW (2008) Saline flush effect for enhancement of aorta and coronary arteries at multidetector CT coronary angiography. Radiology 246:110-115
44. Cademartiri F, Nieman K, van der Lugt A, Raaijmakers RH, Mollet N, Pattynama PM, de Feyter PJ, Krestin GP (2004) Intravenous contrast material administration at 16-detector row helical CT coronary angiography: Test bolus versus bolus-tracking technique. Radiology 233:817-823