Multidetector-row computed tomographic angiography of thoracic and abdominal aortic aneurysms: comparison of arterial enhancement with 3 different doses of contrast material.

Abstract:

OBJECTIVE:To compare the quality of multidetector-row computed tomographic angiography in patients with and without aortic aneurysms by 3 different amounts of contrast media (CM). METHODS:A total of 115 patients with aortic aneurysms were divided into 3 groups: group A, 100 mL CM; group B, 75 mL CM with 20 mL saline flush (SF); and group C, 50 mL CM with 20 mL SF. Twenty-five patients without aortic aneurysms were also enrolled (group D, 50 mL CM with 20 mL SF). Quantitative and qualitative analyses were performed by measuring attenuation in thoracoabdominal/aortoiliac lumen, aneurysmal lumen, and superior vena cava. RESULTS:In group C, attenuation was lower in distal than those in proximal and middle areas (P < 0.05). Contrast enhancement in abdominal aneurysmal lumen was more inhomogeneous in group C (P = 0.003). Visual analysis showed contrast enhancement was more nonuniform in group C (P = 0.004), and perivenous artifacts were more conspicuous in group A (P < 0.0001). CONCLUSIONS:Seventy-five milliliters CM followed by 20 mL SF can produce optimal contrast enhancement at systemic multidetector-row computed tomographic angiography in patients with aortic aneurysms.

journal_name

J Comput Assist Tomogr

authors

Kubo S,Tadamura E,Yamamuro M,Kanao S,Kataoka ML,Takahashi M,Kimura T,Kita T,Komeda M,Togashi K

doi

10.1097/01.rct.0000237819.64419.d2

subject

Has Abstract

pub_date

2007-05-01 00:00:00

pages

422-9

issue

3

eissn

0363-8715

issn

1532-3145

pii

00004728-200705000-00017

journal_volume

31

pub_type

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