Document Detail


Compact-bolus dynamic CT protocol with a test bolus technique in 64-MDCT coronary angiography: comparison of fixed injection rate and duration protocol.
MedLine Citation:
PMID:  23196822     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: We compared the fixed injection rate protocol (P2) with the fixed injection duration protocol (P1) for coronary CT angiography using the test bolus technique. MATERIALS AND METHODS: We randomly assigned 100 patients to one of two protocols. In P1, they received 0.7 mL/kg Iohexol-350 in an injection duration of 9 s, and we selected a delay of 3 s after peak enhancement of test bolus scan. In P2, they received 0.7 mL/kg Iohexol-350 at an injection rate of 5 mL/s, and we selected a delay after peak enhancement of test bolus scan using the following formula: TID/2-2 s, where TID is the injection duration of full bolus. We compared attenuation values in the ascending aorta and coronary arteries and patient-to-patient enhancement variability at each segment. RESULTS: At all segments, CT attenuations of P2 were significantly greater than those of P1 (ascending aorta 400 ± 64 vs. 368 ± 60, P = 0.01; left main trunk 399 ± 67 vs. 369 ± 55, P = 0.02; proximal-RCA 393 ± 66 vs. 363 ± 56, P = 0.01). There was no significant difference in patient-to-patient enhancement variability at all segments between the two groups (P > 0.05). CONCLUSION: P2 yielded superior vessel enhancement and comparable patient-to-patient enhancement variability compared with P1 in thin patients.
Authors:
Masafumi Kidoh; Takeshi Nakaura; Kazuo Awai; Daisuke Utsunomiya; Naritsugu Sakaino; Kazunori Harada; Shouzaburou Uemura; Yasuyuki Yamashita
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-30
Journal Detail:
Title:  Japanese journal of radiology     Volume:  -     ISSN:  1867-108X     ISO Abbreviation:  Jpn J Radiol     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101490689     Medline TA:  Jpn J Radiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Diagnostic Radiology, Amakusa Medical Center, Kameba 854-1, Amakusa, Kumamoto, 863-0046, Japan, masafkidoh@yahoo.co.jp.
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