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Low-tube-voltage (80 kVp) CT aortography using 320-row volume CT with adaptive iterative reconstruction: lower contrast medium and radiation dose.
MedLine Citation:
PMID:  24081645     Owner:  NLM     Status:  Publisher    
OBJECTIVES: To evaluate CT aortography at reduced tube voltage and contrast medium dose while maintaining image quality through iterative reconstruction (IR).
METHODS: The Institutional Review Board approved a prospective study of 48 patients who underwent follow-up CT aortography. We performed intra-individual comparisons of arterial phase images using 120 kVp (standard tube voltage) and 80 kVp (low tube voltage). Low-tube-voltage imaging was performed on a 320-detector CT with IR following injection of 40 ml of contrast medium. We assessed aortic attenuation, aortic attenuation gradient, image noise, contrast-to-noise ratio (CNR), volume CT dose index (CTDIvol), and figure of merit (FOM) of image noise and CNR. Two readers assessed images for diagnostic quality, image noise, and artefacts.
RESULTS: The low-tube-voltage protocol showed 23-31 % higher mean aortic attenuation and image noise (both P < 0.01) than the standard-tube-voltage protocol, but no significant difference in the CNR and aortic attenuation gradients. The low-tube-voltage protocol showed a 48 % reduction in CTDIvol and an 80 % increase in FOM of CNR. Subjective diagnostic quality was similar for both protocols, but low-tube-voltage images showed greater image noise (P = 0.01).
CONCLUSIONS: Application of IR to an 80-kVp CT aortography protocol allows radiation dose and contrast medium reduction without affecting image quality.
KEY POINTS: • CT aortography at 80 kVp allows a significant reduction in radiation dose. • Addition of iterative reconstruction reduces image noise and improves image quality. • The injected contrast medium dose can be substantially reduced at 80 kVp. • Aortic enhancement is uniform despite a reduced volume of contrast medium.
Chien-Ming Chen; Sung-Yu Chu; Ming-Yi Hsu; Ying-Lan Liao; Hui-Yu Tsai
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-10-2
Journal Detail:
Title:  European radiology     Volume:  -     ISSN:  1432-1084     ISO Abbreviation:  Eur Radiol     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-10-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital Linkou, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
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