Document Detail


Novel connecting tube for saline chaser in contrast-enhanced CT: the effect of spiral flow of saline on contrast enhancement.
MedLine Citation:
PMID:  23756959     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the effect of a newly developed connecting tube, which generates a spiral flow of saline, on aortic and hepatic contrast enhancement during hepatic-arterial phase (HAP) and portal venous phase (PVP) computed tomography (CT). METHODS: Eighty patients were randomly assigned to one of two protocols: with a new or a conventional tube. The contrast material (600 mgI/kg) was delivered over 30 s; this was followed by the administration of 25 ml saline solution delivered at the same injection rate as the contrast material. Unenhanced and contrast-enhanced CT images of the upper abdomen were obtained. We calculated the changes in the CT number (∆HU) for the aorta during HAP and PVP, and for the liver during PVP. We compared ∆HU between protocols. RESULTS: The mean ∆HU for the abdominal aorta during HAP was significantly higher with the new tube protocol than with the conventional tube protocol (322 ± 53 vs. 290 ± 53, P < 0.01). There were no significant differences in the mean ∆HU for the abdominal aorta and liver during PVP between the two protocols (P > 0.05). CONCLUSION: The new connecting tube increased the effect of a saline chaser and significantly improved aortic enhancement during HAP. KEY POINTS : • Optimal administration of intravenous contrast material is essential for optimal CT quality. • A new connecting tube can generate spiral flow, which improves intravenous administration. • The new connecting tube improved aortic contrast enhancement during the hepatic-arterial phase. • The new connecting tube increased the effect of a saline chaser.
Authors:
Masafumi Kidoh; Takeshi Nakaura; Kazuo Awai; Koji Yuba; Takayuki Kobayashi; Young-Kwang Park; Takanobu Yagi; Kazunori Harada; Yasuyuki Yamashita
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-6-12
Journal Detail:
Title:  European radiology     Volume:  -     ISSN:  1432-1084     ISO Abbreviation:  Eur Radiol     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-6-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur 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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