Comparing feasibility of low-tube-voltage protocol with low-iodine-concentration contrast and high-tube-voltage protocol with high-iodine-concentration contrast in coronary computed tomography angiography

PloS One
Min Jae ChaYeon Hyeon Choe

Abstract

To investigate the feasibility of a low tube voltage (80 kVp) protocol with low concentration contrast media (CM) (iodixanol 320 mgl/ml) as compared with a high tube voltage (100 kVp) protocol with high concentration CM (iomeprol 400 mgl/ml) in coronary CT angiography (CCTA) for patients with body mass index less than 30. A total of 93 patients were randomly assigned into three groups and underwent CCTA as follows: Group A) 100 kVp, 100-350 mAs, 400 mgl/ml CM at 4ml/s, and reconstructed with filtered back projection; Group B and C) 80 kVp, 100-450 mAs, 320 mgl/ml CM at 4 ml/s and 5 ml/s, respectively and reconstructed with iterative reconstruction. Objective and subjective image quality (IQ) was analyzed. The image noise, intravascular attenuation, signal-to-noise ratio and contrast-to-noise ratio of major coronary arteries did not differ significantly among three groups. Subjective IQ analyses on vascular attenuation and image noise did not differ significantly, either (all of p > 0.05). Qualitative IQ of Group B and C was non-inferior to that of Group A. Substantial reduction of radiation exposure was achieved in group B (2.60 ± 0.48 mSv) and C (2.72 ± 0.54 mSv), compared with group A (3.58 ± 0.67 mSv) (p < 0.05). CCTA at 80 ...Continue Reading

References

Jun 17, 2006·Journal of Computer Assisted Tomography·Sanjeeva P KalvaSanjay Saini
Nov 17, 2007·Journal of Nuclear Medicine Technology·Lee W Goldman
Jun 20, 2008·AJR. American Journal of Roentgenology·Florian F BehrendtGeorg Mühlenbruch
Aug 24, 2010·AJR. American Journal of Roentgenology·Jonathon LeipsicJames P Earls
Mar 2, 2011·The International Journal of Cardiovascular Imaging·Jonathon LeipsicCameron Hague
Feb 14, 2015·Journal of Cardiovascular Computed Tomography·Seitaro OdaYasuyuki Yamashita
May 5, 2017·The British Journal of Radiology·Andrik J AschoffThomas Albrecht

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Methods Mentioned

BETA
percutaneous coronary angioplasty

Software Mentioned

PASW
MedCalc
SPSS
PACS

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