High-pitch dual-source CT coronary angiography with low volumes of contrast medium
Objectives To assess the effect of lower volumes of contrast medium (CM) on image quality in high-pitch dual-source computed tomography coronary angiography (CTCA). Methods One-hundred consecutive patients (body weight 65–85 kg, stable heart rate ≤65 bpm, cardiac index ≥2.5 L/min/$ m^{2} $) referred for CTCA were prospectively enrolled. Patients were randomly assigned to one of five groups of different CM volumes ($ G_{30} $, 30 mL; $ G_{40} $, 40 mL; $ G_{50} $, 50 mL; $ G_{60} $, 60 mL; $ G_{70} $, 70 mL; flow rate 5 mL/s each, iodine content 370 mg/mL). Attenuation within the proximal and distal coronary artery segments was analysed. Results Mean attenuation for men and women ranged from 345.0 and 399.1 HU in $ G_{30} $ to 478.2 and 571.8 HU in $ G_{70} $. Mean attenuation values were higher in groups with higher CM volumes (P < 0.0001) and higher in women than in men (P < 0.0001). The proportions of segments with attenuation of at least 300 HU in $ G_{30} $, $ G_{40} $, $ G_{50} $, $ G_{60} $ and $ G_{70} $ were 89 %, 95 %, 98 %, 98 % and 99 %. CM volume of 30 mL in women and 40 mL in men proved to be sufficient to guarantee attenuation of at least 300 HU. Conclusions In selected patients high-pitch dual-source CTCA can be performed with CM volumes of 40 mL in men or 30 mL in women. Key Points • High-pitch dual-source coronary angiography is feasible with low contrast media volumes. • Traditional injection rules still apply: higher volumes result in higher enhancement. • The patient’s gender is a co-factor determining the level of contrast enhancement. • Volumes can be reduced down to 30–40 mL in selected patients..
Medienart: |
Artikel |
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Erscheinungsjahr: |
2013 |
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Erschienen: |
2013 |
Enthalten in: |
Zur Gesamtaufnahme - volume:24 |
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Enthalten in: |
European radiology - 24(2013), 1 vom: 15. Aug., Seite 120-127 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Lembcke, Alexander [VerfasserIn] |
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Links: |
Volltext [lizenzpflichtig] |
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Themen: |
Cardiac-gated imaging techniques |
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Anmerkungen: |
© European Society of Radiology 2013 |
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doi: |
10.1007/s00330-013-2988-6 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
OLC2092266896 |
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520 | |a Objectives To assess the effect of lower volumes of contrast medium (CM) on image quality in high-pitch dual-source computed tomography coronary angiography (CTCA). Methods One-hundred consecutive patients (body weight 65–85 kg, stable heart rate ≤65 bpm, cardiac index ≥2.5 L/min/$ m^{2} $) referred for CTCA were prospectively enrolled. Patients were randomly assigned to one of five groups of different CM volumes ($ G_{30} $, 30 mL; $ G_{40} $, 40 mL; $ G_{50} $, 50 mL; $ G_{60} $, 60 mL; $ G_{70} $, 70 mL; flow rate 5 mL/s each, iodine content 370 mg/mL). Attenuation within the proximal and distal coronary artery segments was analysed. Results Mean attenuation for men and women ranged from 345.0 and 399.1 HU in $ G_{30} $ to 478.2 and 571.8 HU in $ G_{70} $. Mean attenuation values were higher in groups with higher CM volumes (P < 0.0001) and higher in women than in men (P < 0.0001). The proportions of segments with attenuation of at least 300 HU in $ G_{30} $, $ G_{40} $, $ G_{50} $, $ G_{60} $ and $ G_{70} $ were 89 %, 95 %, 98 %, 98 % and 99 %. CM volume of 30 mL in women and 40 mL in men proved to be sufficient to guarantee attenuation of at least 300 HU. Conclusions In selected patients high-pitch dual-source CTCA can be performed with CM volumes of 40 mL in men or 30 mL in women. Key Points • High-pitch dual-source coronary angiography is feasible with low contrast media volumes. • Traditional injection rules still apply: higher volumes result in higher enhancement. • The patient’s gender is a co-factor determining the level of contrast enhancement. • Volumes can be reduced down to 30–40 mL in selected patients. | ||
650 | 4 | |a Cardiac-gated imaging techniques | |
650 | 4 | |a Contrast media | |
650 | 4 | |a Coronary angiography | |
650 | 4 | |a Coronary artery disease | |
650 | 4 | |a Multidetector computed tomography | |
700 | 1 | |a Schwenke, Carsten |4 aut | |
700 | 1 | |a Hein, Patrick A. |4 aut | |
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700 | 1 | |a Durmus, Tahir |4 aut | |
700 | 1 | |a Hamm, Bernd |4 aut | |
700 | 1 | |a Huppertz, Alexander |4 aut | |
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