ZHU Jing-yu,LI Hui-min,CHEN Zhao-xue,DING Ming,XUE Jian-ping,CAI Jing,FAN Neng,ZHU Li-bi,WENG Ya-fang.Feasibility of MSCT portal vein imaging with 80 kV combined iterative method[J].Chinese Journal of Radiological Medicine and Protection,2013,33(5):551-554
Feasibility of MSCT portal vein imaging with 80 kV combined iterative method
Received:January 15, 2013  
DOI:10.3760/cma.j.issn.0254-5098.2013.05.027
KeyWords:Portal vein  Radiation dose  Angiography  Tomography  Iterative reconstruction
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Author NameAffiliationE-mail
ZHU Jing-yu School of Medical Instrument and Food Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China  
LI Hui-min 上海交通大学医学院附属新华医院放射科 lihuiminphd@163.com 
CHEN Zhao-xue School of Medical Instrument and Food Engineering, University of Shanghai for Science and Technology, Shanghai 200093, China  
DING Ming 上海交通大学医学院附属新华医院放射科  
XUE Jian-ping 上海交通大学医学院附属新华医院放射科  
CAI Jing 上海交通大学医学院附属新华医院放射科  
FAN Neng 上海交通大学医学院附属新华医院放射科  
ZHU Li-bi 上海交通大学医学院附属新华医院放射科  
WENG Ya-fang 上海交通大学医学院附属新华医院放射科  
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Abstract::
      Objective To explore the feasibility and image quality of MSCT portal vein (PV) imaging with low-voltage. Methods The consecutive 31 patients were enrolled in the study. Ninety milliliter omnipaque (350 mg I/ml) with the rate of 3 ml/s was administrated through the median cubital vein. The arterial (120 kV,150 mAs) and PV (80 kV,120 mAs) phase scans were undertaken with a Philips Brilliance iCT scanner. The CTDIvol and DLP were stored and the effective dose (E) was calculated. Four PV image series were reconstructed with (A) FBP+smooth, (B) FBP+ standard, (C) iDose4-4+standard, and (D) iDose4-6+standard algorithm. The maximum intensity projection, volume rendering and multiplanar reformation of portal vein were conducted on a workstation. The CT values of ROI of the aorta, PV, and liver parenchyma were measured, and the SD was considered as the noise. Two experienced radiologists and one technician together reviewed the images. Results The DLP and E was significantly smaller in PV phases than that in arterial phases [low-dose:(81.23±7.46)mGy·cm,(1.22±0.11)mSv;routine dose: (353.45±31.46) mGy·cm,(5.30±0.47)mSv, F=2197.23,P<0.05). The noises were different among the groups with that smallest in group D and largest in group B. All PV images were sufficient for diagnosis but those in the group C and D were better. Conclusions The hybrid low-dose MSCT PV imaging with 80 kV combined iterative method would be feasible.
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