Skip to main content
Top
Published in: European Radiology 11/2004

01-11-2004 | Contrast Media

Comparison of two contrast materials with different iodine concentrations in enhancing the density of the the aorta, portal vein and liver at multi-detector row CT: a randomized study

Authors: Hiromasa Suzuki, Hidekazu Oshima, Norio Shiraki, Chisa Ikeya, Yuta Shibamoto

Published in: European Radiology | Issue 11/2004

Login to get access

Abstract

This work investigates differences in contrast enhancement of the aorta, portal vein and liver by two different concentrations of contrast materials using an automatic bolus tracking technique. Seventy patients were assigned randomly into one of two groups. Contrast materials with iodine concentrations of 300 and 370 mg/ml were administered to patients in groups A and B, respectively. The total iodine load (600 mg/kg) and injection time (30 s) were identical. Differences in the increase of the Hounsfield unit of the aorta, portal vein and liver between the two groups were examined by t-test. There were no significant differences between the two groups in any of the contrast enhancements of the aorta, portal vein and liver parenchyma at all phases, except for enhancement of the portal vein at the late arterial phase. Females showed better contrast enhancement of the aorta and portal vein than males. With the same iodine dose and injection time, the concentration of contrast materials did not seem to influence the efficacy of contrast enhancement of the aorta, portal vein and liver, except for the portal vein at the late arterial phase. Planning of protocols for contrast media injection may be made irrespective of the iodine concentrations.
Literature
1.
go back to reference Catalano C, Fraioli F, Danti M, Napoli A, Votta V, Lanciotti K, Bertoletti L, Passariello R (2003) MDCT of the abdominal aorta: basics, technical improvements, and clinical applications. Eur Radiol 13(Suppl 3):N53–N58PubMed Catalano C, Fraioli F, Danti M, Napoli A, Votta V, Lanciotti K, Bertoletti L, Passariello R (2003) MDCT of the abdominal aorta: basics, technical improvements, and clinical applications. Eur Radiol 13(Suppl 3):N53–N58PubMed
2.
go back to reference Kopp AF, Heuschmid M, Claussen CD (2002) Multidetector helical CT of the liver for tumor detection and characterization. Eur Radiol 12:745–752CrossRefPubMed Kopp AF, Heuschmid M, Claussen CD (2002) Multidetector helical CT of the liver for tumor detection and characterization. Eur Radiol 12:745–752CrossRefPubMed
3.
go back to reference Prokesch RW, Schima W, Chow LC, Jeffrey RB (2003) Multidetector CT of pancreatic adenocarcinoma: diagnostic advances and therapeutic relevance. Eur Radiol 13:2147–2154CrossRefPubMed Prokesch RW, Schima W, Chow LC, Jeffrey RB (2003) Multidetector CT of pancreatic adenocarcinoma: diagnostic advances and therapeutic relevance. Eur Radiol 13:2147–2154CrossRefPubMed
4.
go back to reference Itoh S, Ikeda M, Achiwa M, Ota T, Satake H, Ishigaki T (2003) Multiphase contrast-enhanced CT of the liver with a multislice CT scanner. Eur Radiol 13:1085–1094PubMed Itoh S, Ikeda M, Achiwa M, Ota T, Satake H, Ishigaki T (2003) Multiphase contrast-enhanced CT of the liver with a multislice CT scanner. Eur Radiol 13:1085–1094PubMed
5.
go back to reference Fleischmann D (2003) Use of high-concentration contrast media in multiple-detector-row CT: principles and rationale. Eur Radiol 13(Suppl 5):M14–M20PubMed Fleischmann D (2003) Use of high-concentration contrast media in multiple-detector-row CT: principles and rationale. Eur Radiol 13(Suppl 5):M14–M20PubMed
6.
go back to reference Pacella CM, Bizzarri G, Anelli V, Valle D, Fabbrini R, Bianchini A, Fenderico P, Rossi Z (1998) Evaluation of the vascular pattern of hepatocellular carcinoma with dynamic computed tomography and its use in identifying optimal temporal windows for helical computed tomography. Eur Radiol 8:30–35CrossRefPubMed Pacella CM, Bizzarri G, Anelli V, Valle D, Fabbrini R, Bianchini A, Fenderico P, Rossi Z (1998) Evaluation of the vascular pattern of hepatocellular carcinoma with dynamic computed tomography and its use in identifying optimal temporal windows for helical computed tomography. Eur Radiol 8:30–35CrossRefPubMed
7.
go back to reference Raptopoulos VD, Blake SP, Weisinger K, Atkins MB, Keogan MT, Kruskal JB (2001) Multiphase contrast-enhanced helical CT of liver metastases from renal cell carcinoma. Eur Radiol 11:2504–2509CrossRefPubMed Raptopoulos VD, Blake SP, Weisinger K, Atkins MB, Keogan MT, Kruskal JB (2001) Multiphase contrast-enhanced helical CT of liver metastases from renal cell carcinoma. Eur Radiol 11:2504–2509CrossRefPubMed
8.
go back to reference Ward J, Robinson PJ (2002) How to detect hepatocellular carcinoma in cirrhosis. Eur Radiol 12:2258–2272PubMed Ward J, Robinson PJ (2002) How to detect hepatocellular carcinoma in cirrhosis. Eur Radiol 12:2258–2272PubMed
9.
go back to reference Zandrino F, Curone P, Benzi L, Musante F (2003) Value of an early arteriographic acquisition for evaluating the splanchnic vessels as an adjunct to biphasic CT using a multislice scanner. Eur Radiol 13:1072–1079PubMed Zandrino F, Curone P, Benzi L, Musante F (2003) Value of an early arteriographic acquisition for evaluating the splanchnic vessels as an adjunct to biphasic CT using a multislice scanner. Eur Radiol 13:1072–1079PubMed
10.
go back to reference Awai K, Takada K, Onishi H, Hori S (2002) Aortic and hepatic enhancement and tumor-to-liver contrast: analysis of the effect of different concentrations of contrast material at multi-detector row helical CT. Radiology 224:757–763PubMed Awai K, Takada K, Onishi H, Hori S (2002) Aortic and hepatic enhancement and tumor-to-liver contrast: analysis of the effect of different concentrations of contrast material at multi-detector row helical CT. Radiology 224:757–763PubMed
11.
go back to reference Han JK, Kim AY, Lee KY, Seo JB, Kim TK, Choi BI, Lhee CS, Han MC (2000) Factors influencing vascular and hepatic enhancement at CT: experimental study on injection protocol using a canine model. J Comput Assist Tomogr 24:400–406CrossRefPubMed Han JK, Kim AY, Lee KY, Seo JB, Kim TK, Choi BI, Lhee CS, Han MC (2000) Factors influencing vascular and hepatic enhancement at CT: experimental study on injection protocol using a canine model. J Comput Assist Tomogr 24:400–406CrossRefPubMed
12.
go back to reference Hanninen EL, Vogl TJ, Felfe R, Pegios W, Balzer J, Clauss W, Felix R (2000) Detection of focal liver lesions at biphasic spiral CT: randomized double-blind study of the effect of iodine concentration in contrast materials. Radiology 216:403–409PubMed Hanninen EL, Vogl TJ, Felfe R, Pegios W, Balzer J, Clauss W, Felix R (2000) Detection of focal liver lesions at biphasic spiral CT: randomized double-blind study of the effect of iodine concentration in contrast materials. Radiology 216:403–409PubMed
13.
go back to reference Heiken JP, Brink JA, McClennan BL, Sagel SS, Crowe TM, Gaines MV (1995) Dynamic incremental CT: effect of volume and concentration of contrast material and patient weight on hepatic enhancement. Radiology 195:353–357PubMed Heiken JP, Brink JA, McClennan BL, Sagel SS, Crowe TM, Gaines MV (1995) Dynamic incremental CT: effect of volume and concentration of contrast material and patient weight on hepatic enhancement. Radiology 195:353–357PubMed
14.
go back to reference Fleischmann D (2003) High-concentration contrast media in MDCT angiography: principles and rationale. Eur Radiol 13(Suppl 3):N39–N43PubMed Fleischmann D (2003) High-concentration contrast media in MDCT angiography: principles and rationale. Eur Radiol 13(Suppl 3):N39–N43PubMed
15.
go back to reference Valentine A, Jakobsen JA, Klaveness AJ (1997) Iopentol (Imagopaque 350) compared with diatrizoate (Urografin 370) in cerebral CT. A clinical trial assessing immediate and late (7 days) adverse events and diagnostic information (visualization quality and Hounsfield unit measurements). Eur Radiol 7(Suppl 4):S145–S148PubMed Valentine A, Jakobsen JA, Klaveness AJ (1997) Iopentol (Imagopaque 350) compared with diatrizoate (Urografin 370) in cerebral CT. A clinical trial assessing immediate and late (7 days) adverse events and diagnostic information (visualization quality and Hounsfield unit measurements). Eur Radiol 7(Suppl 4):S145–S148PubMed
16.
go back to reference Dinkel HP, Fieger M, Knupffer J, Moll R, Schindler G (1998) Optimizing liver contrast in helical liver CT: value of a real-time bolus-triggering technique. Eur Radiol 8:1608–1612CrossRefPubMed Dinkel HP, Fieger M, Knupffer J, Moll R, Schindler G (1998) Optimizing liver contrast in helical liver CT: value of a real-time bolus-triggering technique. Eur Radiol 8:1608–1612CrossRefPubMed
17.
go back to reference Kickuth R, Kirchner J, Laufer U, Liermann D (2000) Real-time bolus-triggering technique in helical CT: efficacy in identifying inflow vein thrombosis. Eur Radiol 10:1033CrossRefPubMed Kickuth R, Kirchner J, Laufer U, Liermann D (2000) Real-time bolus-triggering technique in helical CT: efficacy in identifying inflow vein thrombosis. Eur Radiol 10:1033CrossRefPubMed
18.
go back to reference Mehnert F, Pereira PL, Trubenbach J, Kopp AF, Claussen CD (2001) Automatic bolus tracking in monophasic spiral CT of the liver: liver-to-lesion conspicuity. Eur Radiol 11:580–584CrossRefPubMed Mehnert F, Pereira PL, Trubenbach J, Kopp AF, Claussen CD (2001) Automatic bolus tracking in monophasic spiral CT of the liver: liver-to-lesion conspicuity. Eur Radiol 11:580–584CrossRefPubMed
19.
go back to reference Mehnert F, Pereira PL, Trubenbach J, Kopp AF, Claussen CD (2001) Biphasic spiral CT of the liver: automatic bolus tracking or time delay? Eur Radiol 11:427–431CrossRefPubMed Mehnert F, Pereira PL, Trubenbach J, Kopp AF, Claussen CD (2001) Biphasic spiral CT of the liver: automatic bolus tracking or time delay? Eur Radiol 11:427–431CrossRefPubMed
20.
go back to reference Sandstede JJ, Tschammler A, Beer M, Vogelsang C, Wittenberg G, Hahn D (2001) Optimization of automatic bolus tracking for timing of the arterial phase of helical liver CT. Eur Radiol 11:1396–1400CrossRefPubMed Sandstede JJ, Tschammler A, Beer M, Vogelsang C, Wittenberg G, Hahn D (2001) Optimization of automatic bolus tracking for timing of the arterial phase of helical liver CT. Eur Radiol 11:1396–1400CrossRefPubMed
21.
go back to reference Awai K, Hori S (2003) Effect of contrast injection protocol with dose tailored to patient weight and fixed injection duration on aortic and hepatic enhancement at multidetector-row helical CT. Eur Radiol 13:2155–2160CrossRefPubMed Awai K, Hori S (2003) Effect of contrast injection protocol with dose tailored to patient weight and fixed injection duration on aortic and hepatic enhancement at multidetector-row helical CT. Eur Radiol 13:2155–2160CrossRefPubMed
22.
go back to reference Tanaka T, Uemura K, Takahashi M, Takehara S, Fukaya T, Tokuyama T, Satoh A, Ryu H (1993) Compression of the left brachiocephalic vein: cause of high signal intensity of the left sigmoid sinus and internal jugular vein on MR images. Radiology 188:355–361PubMed Tanaka T, Uemura K, Takahashi M, Takehara S, Fukaya T, Tokuyama T, Satoh A, Ryu H (1993) Compression of the left brachiocephalic vein: cause of high signal intensity of the left sigmoid sinus and internal jugular vein on MR images. Radiology 188:355–361PubMed
23.
go back to reference Mitsuzaki K, Yamashita Y, Ogata I, Nishiharu T, Urata J, Takahashi M (1996) Multiple-phase helical CT of the liver for detecting small hepatomas in patients with liver cirrhosis: contrast-injection protocol and optimal timing. Am J Roentgenol 167:753–757 Mitsuzaki K, Yamashita Y, Ogata I, Nishiharu T, Urata J, Takahashi M (1996) Multiple-phase helical CT of the liver for detecting small hepatomas in patients with liver cirrhosis: contrast-injection protocol and optimal timing. Am J Roentgenol 167:753–757
24.
go back to reference Foley WD, Mallisee TA, Hohenwalter MD, Wilson CR, Quiroz FA, Taylor AJ (2000) Multiphase hepatic CT with a multirow detector CT scanner. Am J Roentgenol 175:679–685 Foley WD, Mallisee TA, Hohenwalter MD, Wilson CR, Quiroz FA, Taylor AJ (2000) Multiphase hepatic CT with a multirow detector CT scanner. Am J Roentgenol 175:679–685
25.
go back to reference Murakami T, Kim T, Takamura M, Hori M, Takahashi S, Federle MP, Tsuda K, Osuga K, Kawata S, Nakamura H, Kudo M (2001) Hypervascular hepatocellular carcinoma: detection with double arterial phase multi-detector row helical CT. Radiology 218:763–767PubMed Murakami T, Kim T, Takamura M, Hori M, Takahashi S, Federle MP, Tsuda K, Osuga K, Kawata S, Nakamura H, Kudo M (2001) Hypervascular hepatocellular carcinoma: detection with double arterial phase multi-detector row helical CT. Radiology 218:763–767PubMed
26.
go back to reference Silverman PM, O’Malley J, Tefft MC, Cooper C, Zeman RK (1995) Conspicuity of hepatic metastases on helical CT: effect of different time delays between contrast administration and scanning. Am J Roentgenol 164:619–623 Silverman PM, O’Malley J, Tefft MC, Cooper C, Zeman RK (1995) Conspicuity of hepatic metastases on helical CT: effect of different time delays between contrast administration and scanning. Am J Roentgenol 164:619–623
27.
go back to reference Brink JA (2003) Contrast optimization and scan timing for single and multidetector-row computed tomography. J Comput Assist Tomogr 27(Suppl 1):S3–S8PubMed Brink JA (2003) Contrast optimization and scan timing for single and multidetector-row computed tomography. J Comput Assist Tomogr 27(Suppl 1):S3–S8PubMed
28.
go back to reference Brink JA (2003) Use of high concentration contrast media (HCCM): principles and rationale—body CT. Eur J Radiol 45 (Suppl 1):S53–S58CrossRefPubMed Brink JA (2003) Use of high concentration contrast media (HCCM): principles and rationale—body CT. Eur J Radiol 45 (Suppl 1):S53–S58CrossRefPubMed
29.
go back to reference Bae KT (2003) Peak contrast enhancement in CT and MR angiography: when does it occur and why? Pharmacokinetic study in a porcine model. Radiology 227:809–816PubMed Bae KT (2003) Peak contrast enhancement in CT and MR angiography: when does it occur and why? Pharmacokinetic study in a porcine model. Radiology 227:809–816PubMed
30.
go back to reference Schoellnast H, Tillich M, Deutschmann HA, Stessel U, Deutschmann MJ, Schaffler GJ, Schoellnast R, Uggowitzer MM (2004) Improvement of parenchymal and vascular enhancement using saline flush and power injection for multiple-detector-row abdominal CT. Eur Radiol 14:659–664CrossRefPubMed Schoellnast H, Tillich M, Deutschmann HA, Stessel U, Deutschmann MJ, Schaffler GJ, Schoellnast R, Uggowitzer MM (2004) Improvement of parenchymal and vascular enhancement using saline flush and power injection for multiple-detector-row abdominal CT. Eur Radiol 14:659–664CrossRefPubMed
31.
go back to reference Platt JF, Reige KA, Ellis JH (1999) Aortic enhancement during abdominal CT angiography: correlation with test injections, flow rates, and patient demographics. Am J Roentgenol 172:53–56 Platt JF, Reige KA, Ellis JH (1999) Aortic enhancement during abdominal CT angiography: correlation with test injections, flow rates, and patient demographics. Am J Roentgenol 172:53–56
Metadata
Title
Comparison of two contrast materials with different iodine concentrations in enhancing the density of the the aorta, portal vein and liver at multi-detector row CT: a randomized study
Authors
Hiromasa Suzuki
Hidekazu Oshima
Norio Shiraki
Chisa Ikeya
Yuta Shibamoto
Publication date
01-11-2004
Publisher
Springer-Verlag
Published in
European Radiology / Issue 11/2004
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-004-2439-5

Other articles of this Issue 11/2004

European Radiology 11/2004 Go to the issue