Document Detail


Reduction of contrast material dose and artifacts by a saline flush using a double power injector in helical CT of the thorax.
MedLine Citation:
PMID:  10749248     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Our objective was to evaluate a combined method of contrast material bolus followed by saline solution flush for thoracic helical CT and statistical comparison with a uniphasic injection protocol. MATERIALS AND METHODS: Fifty patients underwent helical CT of the thorax using 60 ml of contrast material (370 mg I/ml) followed by flushing with 30 ml of physiologic saline solution. These 50 patients had been examined before using our previous protocol, 75 ml of the same contrast material without a subsequent saline solution. Mean attenuation values for both protocols were measured in the superior vena cava, the pulmonary trunk, and the ascending aorta. Image artifacts and mediastinal and hilar depiction were graded and compared. RESULTS: Mean attenuation values in the superior vena cava were considerably higher in the regimen without saline solution flush (459 H versus 352 H) and in the pulmonary trunk and the ascending aorta were almost identical for both protocols. Injection of saline solution diminished surrounding artifacts (p = 0.001). Grading results for the evaluation of mediastinal and hilar structures were not significantly different in the two protocols (p = 0.564). CONCLUSION: Injection of contrast material followed by a saline solution bolus using a double power injector when performing thoracic helical CT allows a 20% reduction of contrast material volume to 60 ml with a similar degree of enhancement. In addition, perivenous artifacts in the superior vena cava are significantly reduced.
Authors:
P Haage; T Schmitz-Rode; D Hübner; W Piroth; R W Günther
Related Documents :
15271368 - Kidney transplantation: evaluation of donors and recipients.
10751468 - Four multidetector-row helical ct: image quality and volume coverage speed.
20631368 - Overranging at multisection ct: an underestimated source of excess radiation exposure.
11786608 - Emergence of modern human behavior: middle stone age engravings from south africa.
22036278 - Subluxation of the distal radioulnar joint as a predictor of foveal triangular fibrocar...
10362208 - The mitral regurgitation index: an echocardiographic guide to severity.
Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  174     ISSN:  0361-803X     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-04-28     Completed Date:  2000-04-28     Revised Date:  2008-02-15    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1049-53     Citation Subset:  AIM; IM    
Affiliation:
Department of Diagnostic Radiology, University of Technology, Aachen, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Artifacts*
Contrast Media / administration & dosage*
Female
Humans
Irrigation
Male
Middle Aged
Radiography, Thoracic / methods*
Sodium Chloride*
Thoracic Neoplasms / surgery*
Tomography, X-Ray Computed / methods*
Chemical
Reg. No./Substance:
0/Contrast Media; 7647-14-5/Sodium Chloride

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Pulmonary embolism revealed on helical CT angiography: comparison with ventilation-perfusion radionu...
Next Document:  Fractal analysis of nuclear medicine images for the diagnosis of pulmonary emphysema: interpretation...