Low radiation and low-contrast dose pulmonary CT angiography: Comparison of 80 kVp/60 ml and 100 kVp/80 ml protocols

Clinical Radiology

Volumn 67, Issue 9, 2012, Pages 833-839

  Viteri Ramirez G ^a   Garcia Lallana A ^a   Simon Yarza I ^a   Broncano, J ^a   Ferreira, M ^a   Pueyo, J C ^a   Villanueva, A ^a   Bastarrika, G ^a  

^a UNIVERSITY CLINIC OF NAVARRA   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CONTRAST NOISE RATIO; FEMALE; HUMAN; IMAGE QUALITY; LUNG ARTERY; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; NOISE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RADIATION DOSE; SIGNAL NOISE RATIO;

ADULT; AGED; CLINICAL PROTOCOLS; CONTRAST MEDIA; DIAGNOSIS, DIFFERENTIAL; FEMALE; GUIDELINES AS TOPIC; HUMANS; IOHEXOL; MALE; MIDDLE AGED; OBSERVER VARIATION; PROSPECTIVE STUDIES; PULMONARY ARTERY; PULMONARY EMBOLISM; RADIATION DOSAGE; SIGNAL-TO-NOISE RATIO; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84864413787     PISSN: 00099260     EISSN: 1365229X     Source Type: Journal    
DOI: 10.1016/j.crad.2011.11.016     Document Type: Article

References (32)

1. M. Remy-Jardin, M. Pistolesi, and L.R. Goodman Management of suspected acute pulmonary embolism in the era of CT angiography: a statement from the Fleischner Society Radiology 245 2007 315 329 (Pubitemid 47612510)
2. A. Perrier, P.M. Roy, and O. Sanchez Multidetector-row computed tomography in suspected pulmonary embolism N Engl J Med 352 2005 1760 1768 (Pubitemid 40570924)
3. M. Righini, G. Le Gal, and D. Aujesky Diagnosis of pulmonary embolism by multidetector CT alone or combined with venous ultrasonography of the leg: a randomised non-inferiority trial Lancet 371 2008 1343 1352 (Pubitemid 351522315)
4. P.D. Stein, S.E. Fowler, and L.R. Goodman Multidetector computed tomography for acute pulmonary embolism N Engl J Med 354 2006 2317 2327 (Pubitemid 43801277)
5. P.D. Stein, and F. Matta Acute pulmonary embolism Curr Probl Cardiol 35 2010 314 376
6. W. Huda, J.G. Ravenel, and E.M. Scalzetti How do radiographic techniques affect image quality and patient doses in CT? Semin Ultrasound CT MR 23 2002 411 422 (Pubitemid 35477571)
7. W. Huda, E.M. Scalzetti, and G. Levin Technique factors and image quality as functions of patient weight at abdominal CT Radiology 217 2000 430 435
8. C.H. McCollough, M.R. Bruesewitz, and J.M. Kofler Jr. CT dose reduction and dose management tools: overview of available options RadioGraphics 26 2006 503 512 (Pubitemid 43515321)
9. C. Schueller-Weidekamm, C.M. Schaefer-Prokop, and M. Weber CT angiography of pulmonary arteries to detect pulmonary embolism: improvement of vascular enhancement with low kilovoltage settings Radiology 241 2006 899 907 (Pubitemid 46190558)
10. F. Holmquist, K. Hansson, and F. Pasquariello Minimizing contrast medium doses to diagnose pulmonary embolism with 80-kVp multidetector computed tomography in azotemic patients Acta Radiol 50 2009 181 193
11. F. Holmquist, and U. Nyman Eighty-peak kilovoltage 16-channel multidetector computed tomography and reduced contrast-medium doses tailored to body weight to diagnose pulmonary embolism in azotaemic patients Eur Radiol 16 2006 1165 1176
12. Z. Szucs-Farkas, L. Kurmann, and T. Strautz Patient exposure and image quality of low-dose pulmonary computed tomography angiography: comparison of 100- and 80-kVp protocols Invest Radiol 43 2008 871 876
13. A. Gottschalk, P.D. Stein, and L.R. Goodman Overview of prospective investigation of pulmonary embolism diagnosis II Semin Nucl Med 32 2002 173 182 (Pubitemid 34803590)
14. Z. Szucs-Farkas, T. Strautz, and M.A. Patak Is body weight the most appropriate criterion to select patients eligible for low-dose pulmonary CT angiography? Analysis of objective and subjective image quality at 80 kVp in 100 patients Eur Radiol 19 2009 1914 1922
15. T.G. Flohr, K. Stierstorfer, and S. Ulzheimer Image reconstruction and image quality evaluation for a 64-slice CT scanner with z-flying focal spot Med Phys 32 2005 2536 2547 (Pubitemid 41197191)
16. G. Bongartz, S.J. Golding, and A.J. Jurik European guidelines for multislice computed tomography: report EUR 16262 EN 2004 2004 European Commission Luxembourg
17. P.J. Dorio, F.T. Lee Jr., and K.P. Henseler Using a saline chaser to decrease contrast media in abdominal CT AJR Am J Roentgenol 180 2003 929 934 (Pubitemid 36363027)
18. P. Haage, T. Schmitz-Rode, and D. Hubner Reduction of contrast material dose and artifacts by a saline flush using a double power injector in helical CT of the thorax AJR Am J Roentgenol 174 2000 1049 1053 (Pubitemid 30180001)
19. D.J. Brenner, R. Doll, and D.T. Goodhead Cancer risks attributable to low doses of ionizing radiation: assessing what we really know Proc Natl Acad Sci U S A 100 2003 13761 13766 (Pubitemid 37499140)
20. D.J. Brenner, and E.J. Hall Computed tomography - an increasing source of radiation exposure N Engl J Med 357 2007 2277 2284 (Pubitemid 350190758)
21. R. Fazel, H.M. Krumholz, and Y. Wang Exposure to low-dose ionizing radiation from medical imaging procedures N Engl J Med 361 2009 849 857
22. Z. Szucs-Farkas, C. Schaller, and S. Bensler Detection of pulmonary emboli with CT angiography at reduced radiation exposure and contrast material volume: comparison of 80 kVp and 120 kVp protocols in a matched cohort Invest Radiol 44 2009 793 799
23. M.L. Bahner, A. Bengel, and G. Brix Improved vascular opacification in cerebral computed tomography angiography with 80 kVp Invest Radiol 40 2005 229 234 (Pubitemid 40393234)
24. Z. Szucs-Farkas, F.R. Verdun, and G. von Allmen Effect of x-ray tube parameters, iodine concentration, and patient size on image quality in pulmonary computed tomography angiography: a chest-phantom study Invest Radiol 43 2008 374 381 (Pubitemid 351769895)
25. K.T. Bae, B.A. Seeck, and C.F. Hildebolt Contrast enhancement in cardiovascular MDCT: effect of body weight, height, body surface area, body mass index, and obesity AJR Am J Roentgenol 190 2008 777 784 (Pubitemid 351304525)
26. K.T. Bae, C. Tao, and S. Gurel Effect of patient weight and scanning duration on contrast enhancement during pulmonary multidetector CT angiography Radiology 242 2007 582 589 (Pubitemid 46146211)
27. K.T. Bae Intravenous contrast medium administration and scan timing at CT: considerations and approaches Radiology 256 2010 32 61
28. S.E. Jones, and C. Wittram The indeterminate CT pulmonary angiogram: imaging characteristics and patient clinical outcome Radiology 237 2005 329 337 (Pubitemid 41346183)
29. A.R. Hunsaker, I.B. Oliva, and T. Cai Contrast opacification using a reduced volume of iodinated contrast material and low peak kilovoltage in pulmonary CT angiography: objective and subjective evaluation AJR Am J Roentgenol 195 2010 W118 W124
30. D. Tack, V. De Maertelaer, and W. Petit Multi-detector row CT pulmonary angiography: comparison of standard-dose and simulated low-dose techniques Radiology 236 2005 318 325 (Pubitemid 40853329)
31. P.S. Wells, D.R. Anderson, and M. Rodger Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer Ann Intern Med 135 2001 98 107 (Pubitemid 32661192)
32. R. Krissak, T. Henzler, and M. Reichert Enhanced visualization of lung vessels for diagnosis of pulmonary embolism using dual energy CT angiography Invest Radiol 45 2010 341 346