Literature DB >> 29072853

Dual-region-of-interest bolus-tracking technique for coronary computed tomographic angiography on a 320-row scanner: reduction in the interpatient variability of arterial contrast enhancement.

Noriyuki Kai1, Seitaro Oda2, Daisuke Utsunomiya2, Takeshi Nakaura2, Yoshinori Funama3, Masafumi Kidoh2, Narumi Taguchi2, Yuji Iyama2, Yasunori Nagayama2, Kenichiro Hirata2, Hideaki Yuki2, Daisuke Sakabe1, Masahiro Hatemura1, Yasuyuki Yamashita2.   

Abstract

OBJECTIVE: We compared the effect of a dual-region-of-interest (ROI) bolus-tracking technique on interpatient variability of arterial contrast enhancement with that of the conventional bolus-tracking technique in coronary computed tomographic angiography (CTA) on a 320-row scanner.
METHODS: This study included 100 patients who underwent coronary CTA using one of two protocols: (1) 50 patients underwent scanning using a conventional single-ROI bolus-tracking technique (P-single) with an ROI placed in the ascending aorta, and (2) 50 patients underwent scanning using a dual-ROI technique (P-dual) with two ROIs placed in the pulmonary trunk and the ascending aorta. CT attenuation in the ascending aorta and coronary arteries, and the interpatient variability were compared between the two scanning protocols.
RESULTS: The mean CT attenuation of the ascending aorta and coronary arteries tended to be higher for P-dual than for P-single, but the difference was not significant (p = 0.08-0.30). The interpatient variability of contrast enhancement (SD of the CT attenuation) was significantly smaller for P-dual than for P-single (p < 0.01).
CONCLUSION: The dual-ROI bolus-tracking technique can reduce interpatient variability of arterial contrast enhancement in coronary CTA on a 320-row scanner. Advances in knowledge: The use of a dual-ROI bolus-tracking technique can provide sufficient and consistent arterial enhancement of coronary CTA.

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Year:  2017        PMID: 29072853      PMCID: PMC5966218          DOI: 10.1259/bjr.20170541

Source DB:  PubMed          Journal:  Br J Radiol        ISSN: 0007-1285            Impact factor:   3.039


  18 in total

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  2 in total

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