CT angiography of the renal arteries: Comparison of lower-tube-voltage CTA with moderate-concentration iodinated contrast material and conventional CTA

American Journal of Roentgenology

Volumn 199, Issue 1, 2012, Pages 96-102

  Cho, Eun Suk ^a   Yu, Jeong Sik ^a   Ahn, Jhii Hyun ^a   Kim, Joo Hee ^a   Chung, Jae Joon ^a   Lee, Hyeon Kyeong ^b   Lee, Kyung Hee ^b  

^a Yonsei University College of Medicine   (South Korea)

^b Armed Forces Capital Hospital of Korea   (South Korea)

Author keywords

Angiography; Contrast media; CT angiography; Radiation; Renal artery; Renovascular hypertension

Indexed keywords

IODINATED CONTRAST MEDIUM; IOPROMIDE;

ADULT; ARTICLE; CLINICAL ARTICLE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CONCENTRATION (PARAMETERS); CONTRAST ENHANCEMENT; CONTROLLED STUDY; ELECTRIC POTENTIAL; FEASIBILITY STUDY; HUMAN; IMAGE PROCESSING; IMAGE QUALITY; INTERMETHOD COMPARISON; LOWER TUBE VOLTAGE COMPUTED TOMOGRAPHIC ANGIOGRAPHY; MULTIDETECTOR COMPUTED TOMOGRAPHY; PHANTOM; PRIORITY JOURNAL; PROSPECTIVE STUDY; QUALITY CONTROL; RADIATION ATTENUATION; RADIATION DOSE; RANDOMIZED CONTROLLED TRIAL; RENAL ARTERY; SIGNAL NOISE RATIO;

ADULT; ANGIOGRAPHY; CONTRAST MEDIA; DOSE-RESPONSE RELATIONSHIP, DRUG; FEASIBILITY STUDIES; FEMALE; HUMANS; IODINE; MALE; PHANTOMS, IMAGING; RADIOGRAPHIC IMAGE ENHANCEMENT; REFERENCE VALUES; RENAL ARTERY; TOMOGRAPHY, X-RAY COMPUTED; YOUNG ADULT;

EID: 84863651592     PISSN: 0361803X     EISSN: 15463141     Source Type: Journal    
DOI: 10.2214/AJR.11.7450     Document Type: Article

References (32)

1. Fleischmann D. Multiple detector-row CT angiography of the renal and mesenteric vessels. Eur JRadiol 2003; 45(suppl 1):S79-S87 (Pubitemid 36206505)
2. Rau MM, Setty BN, Blake MA, Ouellette-Piazzo K, Hahn PF, Sahani DV. Evaluation of renal transplant donors with 16-section multidetector CT angiography: comparison of contrast media with low and high iodine concentrations. J Vasc Interv Radiol 2007; 18:603-609 (Pubitemid 46661175)
3. Sahani DV, Kalva SP, Hahn PF, Saini S. 16-MDCT angiography in living kidney donors at various tube potentials: impact on image quality and radiation dose. AJR 2007; 188:115-120 (Pubitemid 46012497)
4. Türkvatan A, Ozdemir M, Cumhur T, Olçer T. Multidetector CT angiography of renal vasculature: normal anatomy and variants. Eur Radiol 2009; 19:236-244
5. Masui T, Katayama M, Kobayashi S, Sakahara H. Intravenous injection of high and medium concentrations of computed tomography contrast media and related heat sensation, local pain, and adverse reactions. J Comput Assist Tomogr 2005; 29:704-708 (Pubitemid 41395791)
6. Lell MM, Anders K, Uder M, et al. New techniques in CT angiography. RadioGraphics 2006; 26(suppl 1):S45-S62
7. Nagamoto M, Gomi T, Terada H, Terada S, Kohda E. Evaluation of the acute adverse reaction of contrast medium with high and moderate iodine concentration in patients undergoing computed tomography. Radiat Med 2006; 24:669-674 (Pubitemid 46212511)
8. Seeliger E, Flemming B, Wronski T, et al. Viscosity of contrast media perturbs renal hemodynamics. J Am Soc Nephrol 2007; 18:2912-2920 (Pubitemid 350058398)
9. Aspelin P, Aubry P, Fransson SG, Strasser R, Willenbrock R, Berg KJ. Nephrotoxic effects in highrisk patients undergoing angiography. N Engl J Med 2003; 348:491-499 (Pubitemid 36159884)
10. Heyman SN, Reichman J, Brezis M. Pathophysiology of radiocontrast nephropathy: a role for medullary hypoxia. Invest Radiol 1999; 34:685-691 (Pubitemid 29506070)
11. Liss P, Persson PB, Hansell P, Lagerqvist B. Renal failure in 57 925 patients undergoing coronary procedures using iso-osmolar or low-osmolar contrast media. Kidney Int 2006; 70:1811-1817 (Pubitemid 44684813)
12. Schindera ST, Graca P, Patak MA, et al. Thoracoabdominal-aortoiliac multidetector-row CT angiography at 80 and 100 kVp: assessment of image quality and radiation dose. Invest Radiol 2009; 44:650-655
13. Waaijer A, Prokop M, Velthuis BK, Bakker CJ, de Kort GA, van Leeuwen MS. Circle of Willis at CT angiography: dose reduction and image quality - reducing tube voltage and increasing tube current settings. Radiology 2007; 242:832-839
14. Schueller-Weidekamm C, Schaefer-Prokop CM, Weber M, Herold CJ, Prokop M. CT angiography of pulmonary arteries to detect pulmonary embolism: improvement of vascular enhancement with low kilovoltage settings. Radiology 2006; 241:899-907 (Pubitemid 46190558)
15. Menke J. Comparison of different body size parameters for individual dose adaptation in body CT of adults. Radiology 2005; 236:565-571 (Pubitemid 41023441)
16. Szucs-Farkas Z, Semadeni M, Bensler S, et al. Endoleak detection with CT angiography in an abdominal aortic aneurysm phantom: effect of tube energy, simulated patient size, and physical properties of endoleaks. Radiology 2009; 251: 590-598
17. Nakayama Y, Awai K, Funama Y, et al. Lower tube voltage reduces contrast material and radiation doses on 16-MDCT aortography. AJR 2006; 187:1266; [web]W490-W497
18. Danish Society of Radiology Website. www.drs.dk/guidelines/ct/quality/ htmlindex.htm. Bongartz G, Golding SJ, Jurik AG, et al. European Guidelines on quality criteria for computed tomography. Luxembourg, Luxembourg: European Commission, 2000:EUR 16262 EN. Accessed April 30, 2011
19. Helck A, Sommer WH, Klotz E, et al. Determination of glomerular filtration rate using dynamic CT-angiography: simultaneous acquisition of morphological and functional information. Invest Radiol 2010; 45:387-392
20. Macari M, Chandarana H, Schmidt B, Lee J, Lamparello P, Babb J. Abdominal aortic aneurysm: can the arterial phase at CT evaluation after endovascular repair be eliminated to reduce radiation dose? Radiology 2006; 241:908-914 (Pubitemid 46190559)
21. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977; 33:159-174 (Pubitemid 8054849)
22. Curry TSDJ, Murry RC. Basic interactions between X-rays and matter. In: Curry TS, Dowdey JE, Murry RC, eds. Christensen's physics of diagnostic radiology, 4th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 1990:61-69
23. Huda W, Scalzetti EM, Levin G. Technique factors and image quality as functions of patient weight at abdominal CT. Radiology 2000; 217:430-435
24. Bahner ML, Bengel A, Brix G, Zuna I, Kauczor HU, Delorme S. Improved vascular opacification in cerebral computed tomography angiography with 80 kVp. Invest Radiol 2005; 40:229-234 (Pubitemid 40393234)
25. Heinrich MC, Kuhlmann MK, Grgic A, Heckmann M, Kramann B, Uder M. Cytotoxic effects of ionic high-osmolar, nonionic monomeric, and nonionic iso-osmolar dimeric iodinated contrast media on renal tubular cells in vitro. Radiology 2005; 235:843-849 (Pubitemid 40695879)
26. Solomon R. The role of osmolality in the incidence of contrast-induced nephropathy: a systematic review of angiographic contrast media in high risk patients. Kidney Int 2005; 68:2256-2263 (Pubitemid 43117802)
27. Ribeiro L, de Assunção e Silva F, Kurihara RS, Schor N, Mieko E, Higa S. Evaluation of the nitric oxide production in rat renal artery smooth muscle cells culture exposed to radiocontrast agents. Kidney Int 2004; 65:589-596
28. Katzberg RW. Contrast medium-induced nephrotoxicity: which pathway? Radiology 2005; 235: 752-755 (Pubitemid 40695868)
29. Tumlin J, Stacul F, Adam A, et al.; CIN Consensus Working Panel. Pathophysiology of contrast-induced nephropathy. Am J Cardiol 2006; 98:14K-20K
30. Seeliger E, Becker K, Ladwig M, Wronski T, Persson PB, Flemming B. Up to 50-fold increase in urine viscosity with iso-osmolar contrast media in the rat. Radiology 2010; 256:406-414
31. Dawson P, Cosgrove DO, Grainger RG, eds. X-ray contrast media: physicochemical properties. In: Dawson P, Cosgrove DO, Grainger RG, eds. Textbook of contrast media. Oxford, England: Informa Health Care, 1999:35-46
32. Jakobs TF, Wintersperger BJ, Herzog P, et al. Ultra-low-dose coronary artery calcium screening using multislice CT with retrospective ECG gating. Eur Radiol 2003; 13:1923-1930 (Pubitemid 36949723)