Literature DB >> 18562738

Intraindividual comparison of contrast media concentrations for combined abdominal and thoracic MDCT.

Florian F Behrendt1, Andreas H Mahnken, Sven Stanzel, Peter Seidensticker, Edgar Jost, Rolf W Günther, Georg Mühlenbruch.   

Abstract

OBJECTIVE: The purpose of this study was an intraindividual comparison of the degrees of MDCT contrast enhancement achieved with agents containing 300 and 370 mg I/mL. SUBJECTS AND METHODS: Seventy-five patients underwent baseline and follow-up MDCT of the chest and abdomen with contrast media containing a high concentration of iodine (iopromide 370 mg I/mL) and standard iodine concentration (iopromide 300 mg I/mL). The total iodine load (37 g) and the iodine delivery rate (1.29 g/s) were identical for the two protocols. Contrast enhancement in the chest (right and left ventricles, pulmonary trunk, descending aorta) and the abdomen (aorta, inferior vena cava, portal vein, and liver) was determined. Results were compared by use of paired Student's t tests, and p was adjusted with Bonferroni correction for multiple comparisons (p <or= 0.0056).
RESULTS: Contrast enhancement was significantly higher for the 300 mg I/mL protocol than for the 370 mg I/mL protocol at all anatomic sites in the chest except the left ventricle (right ventricle, 359 +/- 100 H vs 320 +/- 102 H, p = 0.003; pulmonary trunk, 334 +/- 96 H vs 303 +/- 89 H, p = 0.003; left ventricle, 310 +/- 54 H vs 300 +/- 51 H, p = 0.036; descending aorta, 300 +/- 63 H vs 277 +/- 57 H, p = 0.0002). No statistically significant differences were found in the abdomen (all p > 0.0056).
CONCLUSION: Given equivalent iodine load and delivery rate, the use of 300 mg I/mL contrast medium results in better contrast enhancement than use of 370 mg I/mL contrast medium in CT of the chest. For the portal venous phase of CT of the abdomen, there was no significant difference in contrast enhancement for the two concentrations of iodine.

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Year:  2008        PMID: 18562738     DOI: 10.2214/AJR.07.3176

Source DB:  PubMed          Journal:  AJR Am J Roentgenol        ISSN: 0361-803X            Impact factor:   3.959


  9 in total

Review 1.  Contrast medium administration and image acquisition parameters in renal CT angiography: what radiologists need to know.

Authors:  Charbel Saade; Ibrahim Alsheikh Deeb; Maha Mohamad; Hussain Al-Mohiy; Fadi El-Merhi
Journal:  Diagn Interv Radiol       Date:  2016 Mar-Apr       Impact factor: 2.630

2.  Effect of varying contrast material iodine concentration and injection technique on the conspicuity of hepatocellular carcinoma during 64-section MDCT of patients with cirrhosis.

Authors:  A Guerrisi; D Marin; R C Nelson; G De Filippis; M Di Martino; H Barnhart; R Masciangelo; I Guerrisi; R Passariello; C Catalano
Journal:  Br J Radiol       Date:  2011-08       Impact factor: 3.039

3.  Intra-individual comparison of different contrast media concentrations (300 mg, 370 mg and 400 mg iodine) in MDCT.

Authors:  Florian F Behrendt; Hubertus Pietsch; Gregor Jost; Martin A Sieber; Sebastian Keil; Cedric Plumhans; Peter Seidensticker; Rolf W Günther; Andreas H Mahnken
Journal:  Eur Radiol       Date:  2010-02-24       Impact factor: 5.315

4.  Contrast medium injection protocol adjusted for body surface area in combined PET/CT.

Authors:  Florian F Behrendt; Marilou Rebière; Andreas Goedicke; Hubertus Pietsch; Karin Palmowski; Christiane K Kuhl; Felix M Mottaghy; Frederik A Verburg
Journal:  Eur Radiol       Date:  2013-02-20       Impact factor: 5.315

5.  A comparison of the use of contrast media with different iodine concentrations for multidetector CT of the kidney.

Authors:  Seung Chai Jung; Seung Hyup Kim; Jeong Yeon Cho
Journal:  Korean J Radiol       Date:  2011-09-27       Impact factor: 3.500

6.  Biphasic contrast medium injection in cardiac CT: moderate versus high concentration contrast material at identical iodine flux and iodine dose.

Authors:  Annemarieke Rutten; Matthijs F L Meijs; Alexander M de Vos; Peter R Seidensticker; Mathias Prokop
Journal:  Eur Radiol       Date:  2010-03-20       Impact factor: 5.315

7.  Pulmonary 64-MDCT angiography with 50 mL of iodinated contrast material in an unselected patient population: a feasible protocol.

Authors:  Henrique Simão Trad; Gustavo Santos Boasquevisque; Tiago Rangon Giacometti; Catherine Yang Trad; Orlando Salomão Zoghbi Neto; Clovis Simão Trad
Journal:  Radiol Bras       Date:  2016 Mar-Apr

8.  Arterial attenuation in individualized computed tomography pulmonary angiography injection protocol adjusted based on the patient's body mass index.

Authors:  Leila Jamali; Babak Alikhani; Tobias Getzin; Kristina Imeen Ringe; Frank K Wacker; Hans-Jürgen Raatschen
Journal:  J Res Med Sci       Date:  2020-10-28       Impact factor: 1.852

9.  Comparison of enhancement and image quality: different iodine concentrations for liver on 128-slice multidetector computed tomography in the same chronic liver disease patients.

Authors:  Byoung Goo Jo; Yun Gyu Song; Sang Goon Shim; Young Wook Kim
Journal:  Korean J Intern Med       Date:  2015-12-23       Impact factor: 2.884

  9 in total

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