Application of low-dose contrast agent combined with physiological saline in SOMATOM Definition Flash CT angiography for head and neck_West China Medical Journal

Authors：

LI Lei , ZHAO Fei , XIA Chunchao , LIU Lu ,  LI Zhenlin

Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

LI Zhenlin, Email: lzlcd01@126.com

Keywords：

Contrast media; Head and neck; Angiography; X-ray computed, tomography

DOI：

10.7507/1002-0179.201608324

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

ObjectiveTo explore the clinical value of low-dose contrast agnet in CT angiography (CTA) for head and neck by SOMATOM Definition Flash CT.MethodsSixty consecutive patients with head and neck vessel diseases examined by CTA in the head and neck were chosen from West China Hospital of Sichuan University from March to July 2015, and then were randomly divided into two groups (the experimental group: n=30, 30 mL contrast medium; the control group: n=30, 50 mL contrast medium). Imaging post processing techniques included curved plannar reconstruction, volume rendering, and maximal intensity projection. CT values of the different level of carotid arteries (aortic arch, carotid bifuracation, and M1 segment of middle cerebral artery) were measured. The artifact of the remaining contract in the jugular vein and overall quality of the image were observed by two senior doctors using double blind method.ResultsAll the patients in the two groups completed CTA for head and neck successfully. The image qualities of the two groups satisfid clinical diagnostic requirements, and there was no difference in the image qualities between the two groups (P>0.05). The evaluation of venous pollution in the experimental group was lighter than that in the control group (P<0.05). The CT values of aortic arch, carotid bifuracation, and M1 segment of middle cerebral artery in the experimental group [(341.3±89.5), (391.0±103.7), (305.0±62.0) HU] were slightly lower than those in the control group [(437.3±83.7), (532.5±113.3), (396.6±93.1) HU], which were statistically significant (P<0.05).ConclusionLow-dose contrast in CTA for head and neck by SOMATOM Definition Flash CT can satisfy the clinical diagnostic requirements, and reduce the dose of contrast agent and venous pollution, with a good clinical value.

Citation： LI Lei, ZHAO Fei, XIA Chunchao, LIU Lu, LI Zhenlin. Application of low-dose contrast agent combined with physiological saline in SOMATOM Definition Flash CT angiography for head and neck. West China Medical Journal, 2018, 33(8): 1015-1018. doi: 10.7507/1002-0179.201608324 Copy

1.	李飞飞, 金彪, 邹明, 等. 低剂量CT扫描技术在头颈部CTA中的应用价值研究. 中国临床医学影像杂志, 2013, 24(11): 761-764.
2.	姜保东, 冯晓源, 柳澄, 等. 颅颈联合多层螺旋CT血管造影扫描技术探讨. 中华放射学杂志, 2006, 40(9): 970-973.
3.	Ajami G, Derakhshan A, Amoozgar HA, et al. Risk of nephropathy after consumption of nonionic contrast media by children undergoing cardiac angiography: a prospective study. Pediatr Cardiol, 2010, 31(5): 668-673.
4.	Briguori C, Airoldi F, Morici N, et al. New pharmacological protocols to prevent or reduce contrast media nephropathy. Minerva Cardioangiol, 2005, 53(1): 49-58.
5.	李磊, 赵飞, 蒲钰镁, 等. 低浓度对比剂结合双低剂量在CT肺动脉血管成像中的临床应用. 四川大学学报: 医学版, 2018, 49(2): 239-242.
6.	王婕妤, 乔伟, 黎秋菊, 等. 低管电压结合低剂量对比剂在64层螺旋CT头颈部血管成像中的应用. 中国医学影像学杂志, 2015(7): 481-485.
7.	夏巍, 尹肖睿, 吴晶涛, 等. 低管电压结合低剂量对比剂在多层螺旋CT头颅动脉血管成像中应用的可行性研究. 中华放射学杂志, 2013, 47(11): 984-987.
8.	张保翠, 张玉东, 赵凯, 等. 静脉注射碘对比剂对不同人群肾功能的影响. 中华放射学杂志, 2013, 47(4): 335-339.
9.	李明利, 金征宇, 张云庆, 等. 多层螺旋CT头颈部低剂量对比剂血管成像的可行性研究. 临床放射学杂志, 2005, 24(3): 214-217.
10.	杨春燕, 侯新川, 梅友泉. 低剂量对比剂在64排CT头颈部血管联合成像中的应用. 中国医学影像学杂志, 2012(5): 352-354.
11.	曹东兴, 唐皓, 邓克学. 采用低剂量扫描条件和低剂量对比剂行128层螺旋CT头颈部动脉成像的可行性研究. 中国临床保健杂志, 2013, 16(6): 591-593, 679.
12.	陈黎丽, 潘为领, 王学廷, 等. 低剂量对比剂在256层CT头颈部血管成像中的应用. 医学影像学杂志, 2013, 23(5): 672-674.
13.	周存升, 马睿, 柳澄, 等. CTA对颅内动脉的显示及成像技术探讨. 中华放射学杂志, 1998(2): 55-56.
14.	Schoellnast H, Tillich M, Deutschmann MJ, et al. Aortoiliac enhancement during computed tomography angiography with reduced contrast material dose and saline solution flush - Influence on magnitude and uniformity of the contrast column. Invest Radiol, 2004, 39(1): 20-26.
15.	祁俊华, 吴焕阁, 于淑靖. 多层螺旋CT脑动脉成像的标准体位. 中国实用医药, 2007, 2(14): 13-15.

1. 李飞飞, 金彪, 邹明, 等. 低剂量CT扫描技术在头颈部CTA中的应用价值研究. 中国临床医学影像杂志, 2013, 24(11): 761-764.
2. 姜保东, 冯晓源, 柳澄, 等. 颅颈联合多层螺旋CT血管造影扫描技术探讨. 中华放射学杂志, 2006, 40(9): 970-973.
3. Ajami G, Derakhshan A, Amoozgar HA, et al. Risk of nephropathy after consumption of nonionic contrast media by children undergoing cardiac angiography: a prospective study. Pediatr Cardiol, 2010, 31(5): 668-673.
4. Briguori C, Airoldi F, Morici N, et al. New pharmacological protocols to prevent or reduce contrast media nephropathy. Minerva Cardioangiol, 2005, 53(1): 49-58.
5. 李磊, 赵飞, 蒲钰镁, 等. 低浓度对比剂结合双低剂量在CT肺动脉血管成像中的临床应用. 四川大学学报: 医学版, 2018, 49(2): 239-242.
6. 王婕妤, 乔伟, 黎秋菊, 等. 低管电压结合低剂量对比剂在64层螺旋CT头颈部血管成像中的应用. 中国医学影像学杂志, 2015(7): 481-485.
7. 夏巍, 尹肖睿, 吴晶涛, 等. 低管电压结合低剂量对比剂在多层螺旋CT头颅动脉血管成像中应用的可行性研究. 中华放射学杂志, 2013, 47(11): 984-987.
8. 张保翠, 张玉东, 赵凯, 等. 静脉注射碘对比剂对不同人群肾功能的影响. 中华放射学杂志, 2013, 47(4): 335-339.
9. 李明利, 金征宇, 张云庆, 等. 多层螺旋CT头颈部低剂量对比剂血管成像的可行性研究. 临床放射学杂志, 2005, 24(3): 214-217.
10. 杨春燕, 侯新川, 梅友泉. 低剂量对比剂在64排CT头颈部血管联合成像中的应用. 中国医学影像学杂志, 2012(5): 352-354.
11. 曹东兴, 唐皓, 邓克学. 采用低剂量扫描条件和低剂量对比剂行128层螺旋CT头颈部动脉成像的可行性研究. 中国临床保健杂志, 2013, 16(6): 591-593, 679.
12. 陈黎丽, 潘为领, 王学廷, 等. 低剂量对比剂在256层CT头颈部血管成像中的应用. 医学影像学杂志, 2013, 23(5): 672-674.
13. 周存升, 马睿, 柳澄, 等. CTA对颅内动脉的显示及成像技术探讨. 中华放射学杂志, 1998(2): 55-56.
14. Schoellnast H, Tillich M, Deutschmann MJ, et al. Aortoiliac enhancement during computed tomography angiography with reduced contrast material dose and saline solution flush - Influence on magnitude and uniformity of the contrast column. Invest Radiol, 2004, 39(1): 20-26.
15. 祁俊华, 吴焕阁, 于淑靖. 多层螺旋CT脑动脉成像的标准体位. 中国实用医药, 2007, 2(14): 13-15.

West China Medical Journal

Application of low-dose contrast agent combined with physiological saline in SOMATOM Definition Flash CT angiography for head and neck

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content