scholarly journals Low contrast medium and radiation dose for hepatic computed tomography perfusion of rabbit VX2 tumor

2015 ◽  
Vol 21 (17) ◽  
pp. 5259 ◽  
Author(s):  
Cai-Yuan Zhang
Keyword(s):  
Computed Tomography ◽  
Radiation Dose ◽  
Contrast Medium ◽  
Low Contrast ◽  
Computed Tomography Perfusion ◽  
Vx2 Tumor ◽  
Low Contrast Medium

A Systematic Review of Double Low-dose CT Pulmonary Angiography in Pulmonary Embolism

2019 ◽  
Vol 15 (5) ◽  
pp. 453-460 ◽  
Author(s):  
Sultan Aldosari ◽  
Zhonghua Sun
Keyword(s):  
Systematic Review ◽  
Pulmonary Embolism ◽  
Image Quality ◽  
Radiation Dose ◽  
Contrast Medium ◽  
Low Dose ◽  
Pulmonary Angiography ◽  
Ct Pulmonary Angiography ◽  
Low Contrast ◽  
Low Contrast Medium

Background: The aim of this study is to perform a systematic review of the feasibility and clinical application of double low-dose CT pulmonary angiography (CTPA) in the diagnosis of patients with suspected pulmonary embolism. Discussion: A total of 13 studies were found to meet selection criteria reporting both low radiation dose (70 or 80 kVp versus 100 or 120 kVp) and low contrast medium dose CTPA protocols. Lowdose CTPA resulted in radiation dose reduction from 29.6% to 87.5% in 12 studies (range: 0.4 to 23.5 mSv), while in one study, radiation dose was increased in the dual-energy CT group when compared to the standard 120 kVp group. CTPA with use of low contrast medium volume (range: 20 to 75 ml) was compared to standard CTPA (range: 50 to 101 ml) in 12 studies with reduction between 25 and 67%, while in the remaining study, low iodine concentration was used with 23% dose reduction achieved. Quantitative assessment of image quality (in terms of signal-to-noise ratio and contrast-to-noise ratio) showed that low-dose CTPA was associated with higher, lower and no change in image quality in 3, 3 and 6 studies, respectively when compared to the standard CTPA protocol. The subjective assessment indicated similar image quality in 11 studies between low-dose and standard CTPA groups, and improved image quality in 1 study with low-dose CTPA. Conclusion: This review shows that double low-dose CTPA is feasible in the diagnosis of pulmonary embolism with significant reductions in both radiation and contrast medium doses, without compromising diagnostic image quality.

Aortic dual-energy CT angiography with low contrast medium injection rate

2014 ◽  
Vol 22 (5) ◽  
pp. 689-696 ◽  
Author(s):  
Jie Liu ◽  
Pei-Jie Lv ◽  
Runze Wu ◽  
Yong-Gao Zhang ◽  
Li-Li Hu ◽  
...  
Keyword(s):  
Contrast Medium ◽  
Ct Angiography ◽  
Dual Energy ◽  
Injection Rate ◽  
Dual Energy Ct ◽  
Low Contrast ◽  
Contrast Medium Injection ◽  
Low Contrast Medium

Single rotation CTA of extracranial carotids integrated with cerebral CTP provides sufficient quality for decision making in patients with ischaemic stroke

2020 ◽  
pp. 197140092097458
Author(s):  
Siong Chuong Wong ◽  
Klaus A Hausegger ◽  
Luca De Paoli
Keyword(s):  
Computed Tomography ◽  
Decision Making ◽  
Image Quality ◽  
Ischaemic Stroke ◽  
Contrast Medium ◽  
Computed Tomography Angiography ◽  
Hounsfield Units ◽  
Computed Tomography Perfusion ◽  
Symptomatic Carotid ◽  
Cerebral Computed Tomography

Purpose Large volume computed tomography scanners with 16 cm Z-axis single rotation coverage enable joggle-mode scanning of cerebral computed tomography perfusion and single rotation computed tomography angiography of cervical arteries. Our study aims to evaluate the feasibility of scanning cervical arteries, acquired with single rotation computed tomography angiography during computed tomography perfusion in ischaemic stroke patients. Materials and methods A total of 143 patients were scanned with a single contrast medium injection of 60 ml. Hounsfield units of the cervical arteries and veins were objectively measured and carotid bifurcations were subjectively reviewed. The incidence of artefacts and supra-aortic vessel coverage was recorded. Results Single rotation computed tomography angiography of the neck demonstrated supra-aortic vessels to their origins in 58 (40.6%) patients. Ninety-nine per cent (1140/1152) of arterial segments were adequately opacified (≥150 Hounsfield units). Arteries were adequately contrasted compared to veins in 81.3% (915/1126) of segments. However, the opacification was reversed in 14.0% (158/1126) of segments, indicating a delayed timing of acquisition; 95.5% (273/286) of carotid bifurcations were of good image quality. Measurement of internal carotid artery stenosis in single rotation computed tomography angiography according to the North American Symptomatic Carotid Endarterectomy Trial correlated well with digital subtraction angiography ( R=0.87, P<0.05). Significant artefacts resulted from metal/dental implants (10.5%), contrast in central veins (7.7%) and the shoulder region (4.9%). Conclusion Single rotation computed tomography angiography of the neck incorporated into cerebral computed tomography perfusion with single contrast medium administration revealed adequate image quality for further decision-making in our patient sample. The main drawbacks were inadequate coverage of supra-aortic arteries and possible delay in timing of the joggle.

scholarly journals Effect of Lowering Tube Potential and Increase Iodine Concentration of Contrast Medium on Radiation Dose and Image Quality in Computed Tomography Pulmonary Angiography Procedure: A Phantom Study

2021 ◽  
Vol 47 (3) ◽  
pp. 1211-1224
Author(s):  
Justin E Ngaile ◽  
Peter K Msaki ◽  
Evarist M Kahuluda ◽  
Furaha M Chuma ◽  
Jerome M Mwimanzi ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Image Quality ◽  
Radiation Dose ◽  
Contrast Medium ◽  
Iodine Concentration ◽  
Pulmonary Angiography ◽  
Computed Tomography Pulmonary Angiography ◽  
Iodinated Contrast ◽  
Tube Potential ◽  
Tube Current

The aim of the study was to examine the effect of lowering tube potential and increase iodine concentration on image quality and radiation dose in computed tomography pulmonary angiography procedure. The pulmonary arteries were simulated by three syringes. The syringes were filled with 1:10 diluted solutions of 300 mg, 350 mg and 370 mg of iodine per millilitre concentration in three water-filled phantoms simulating thin, intermediate and thick patients. The phantoms were scanned at 80 kVp, 110 kVp and 130 kVp and 0.6 second rotation time using a 16 slice computed tomography (CT) scanner. The tube current was either fixed at 80, 100, 200, 250 and 300 mA or automatically adjusted with quality reference tube current-time product (mAsQR). In comparison with 130 kVp, images acquired at 80 kVp and 110 kVp, respectively, showed 76.2% to 99% and 19% to 26% enhancement in CT attenuation of iodinated contrast material. A volume CT dose index (CTDIvol) reduction by 35.3% was attained in small phantom with the use of 80 kVp, while in the medium phantom, a CTDIvol reduction by 29.9% was attained with the use of 110 kVp instead of 130 kVp. In light of the above, lowering tube potential and increase iodinated CM could substantially reduce the dose to small-sized adults and children. Keywords: Angiography; Computed tomography; Low tube potential; Iodinated contrast medium; Radiation dose

Image quality in coronary computed tomography angiography: influence of adaptive statistical iterative reconstruction at various radiation dose levels

2018 ◽  
Vol 59 (10) ◽  
pp. 1194-1202 ◽  
Author(s):  
Helle Precht ◽  
Oke Gerke ◽  
Jesper Thygesen ◽  
Kenneth Egstrup ◽  
Søren Auscher ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Image Quality ◽  
Radiation Dose ◽  
Iterative Reconstruction ◽  
Quality Criteria ◽  
Left Ventricular ◽  
Reconstruction Algorithms ◽  
Adaptive Statistical Iterative Reconstruction ◽  
Low Contrast ◽  
Statistical Iterative Reconstruction

Background Computed tomography (CT) technology is rapidly evolving and software solution developed to optimize image quality and/or lower radiation dose. Purpose To investigate the influence of adaptive statistical iterative reconstruction (ASIR) at different radiation doses in coronary CT angiography (CCTA) in detailed image quality. Material and Methods A total of 160 CCTA were reconstructed as follows: 55 scans with filtered back projection (FBP) (650 mA), 51 scans (455 mA) with 30% ASIR (ASIR30), and 54 scans (295 mA) with 60% ASIR (ASIR60). For each reconstruction, subjective image quality was assessed by five independent certified cardiologists using a visual grading analysis (VGA) with five predefined image quality criteria consisting of a 5-point scale. Objective measures were contrast, noise, and contrast-to-noise ratio (CNR). Results The CTDIvol resulted in 10.3 mGy, 7.4 mGy, and 4.6 mGy for FBP, ASIR30, and ASIR60, respectively. Homogeneity of the left ventricular lumen was the sole aspect in which reconstruction algorithms differed with a decreasing effect for ASIR60 compared to FBP (estimated odds ratio [OR] = 0.49 [95% confidence interval (CI) = 0.32–0.76; P = 0.001]). Decreased sharpness and spatial- and low-contrast resolutions were observed when using ASIR instead of FBP, but differences were not statistically significant. Concerning objective measurements, noise increased significantly for ASIR30 (OR = 1.08; 95% CI = 1.02–1.14; P = 0.006) and ASIR60 (OR = 1.06; 95% CI = 1.01–1.12; P = 0.034) compared to FBP. Conclusion ASIR significantly decreased the subjectively assessed homogeneity of the left ventricular lumen and increased the objectively measured noise compared to FBP. Considering these results, ASIR at a reduced radiation dose should be implemented with caution.

scholarly journals Feasibility of Four-Dimensional Similarity Filter For Radiation Dose Reduction in Dynamic Myocardial Computed Tomography Perfusion Imaging

2021 ◽  
Author(s):  
Yuta Yamamoto ◽  
Yuki Tanabe ◽  
Akira Kurata ◽  
Shuhei Yamamoto ◽  
Tomoyuki Kido ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Radiation Dose ◽  
Dose Reduction ◽  
Signal To Noise Ratio ◽  
Radiation Dose Reduction ◽  
Computed Tomography Perfusion ◽  
Significant Difference ◽  
Noise Ratio ◽  
The Impact ◽  
Simulated Images

Abstract Purpose: We aimed to evaluate the impact of four-dimensional noise reduction filtering using a similarity algorithm (4D-SF) on image noise during dynamic myocardial computed tomography perfusion (CTP) to simulate the reduction of radiation dose.Methods: A total of 43 patients who underwent dynamic myocardial CTP using 320-row CT were included in the study. The original images were reconstructed using iterative reconstruction (IR); three different CTP datasets with simulated noise, which corresponded to 25%, 50%, and 75% reduction of the original dose (= 300mA), were reconstructed using a combination of IR and 4D-SF. The signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were assessed, and CT-derived myocardial blood flow (CT-MBF) was quantified. The results were compared between the original and simulated images with radiation dose reduction.Results: The original, 25%-, 50%-, and 75%-dose reduced images with 4D-SF showed an SNR of 8.3 (6.5–10.2), 16.5 (11.9–21.7), 15.6 (11.0–20.1), and 12.8 (8.8–18.1) and a CNR of 4.4 (3.2–5.8), 6.7 (4.6–10.3), 6.6 (4.3–10.1), and 5.5 (3.5–9.1), respectively. Compared to the original images, the 25%-, 50%-, and 75%-dose reduced-simulated images showed significant improvement in both SNR and CNR with 4D-SF. There was no significant difference in CT-MBF between the original and 25%- or 50%-dose reduced-simulated images with 4D-SF, however, there was a significant difference in CT-MBF between the original and 75%-dose reduced-simulated images.Conclusion: 4D-SF has the potential to reduce the radiation dose associated with dynamic myocardial CTP imaging by half, without impairing the robustness of MBF quantification.

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