Lian Yandong,Zeng Yiyong,Chen Zhaoqian,Pan Yuning,Li Aijing,Lan Wenting,Fu Fenfang,Huang Qiuli.Feasibility study of low concentration iso_osmolar contrast agent and low tube voltage for rabbit hepatic computed tomography perfusion scanning[J].Chinese Journal of Radiological Medicine and Protection,2017,37(8):630-634
Feasibility study of low concentration iso_osmolar contrast agent and low tube voltage for rabbit hepatic computed tomography perfusion scanning
Received:January 07, 2017  
DOI:10.3760/cma.j.issn.0254-5098.2017.08.015
KeyWords:Liver  Tomography,X-ray computer  Perfusion computed tomography  Radiation dose  Contrast
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Author NameAffiliationE-mail
Lian Yandong Department of Radiology, Ningbo First Hospital, Ningbo 315211, China  
Zeng Yiyong Medical School of Ningbo University, Ningbo 315211, China  
Chen Zhaoqian Department of Radiology, Ningbo First Hospital, Ningbo 315211, China  
Pan Yuning Department of Radiology, Ningbo First Hospital, Ningbo 315211, China panyuning@163.com 
Li Aijing Department of Radiology, Ningbo No
Hospital, Ningbo 315010, China 
 
Lan Wenting Department of Radiology, Ningbo First Hospital, Ningbo 315211, China  
Fu Fenfang Department of Radiology, Ningbo First Hospital, Ningbo 315211, China  
Huang Qiuli Department of Radiology, Ningbo First Hospital, Ningbo 315211, China  
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Abstract::
      Objective To investigate the feasibility of low-concentration iso_osmolar contrast agent together with low tube voltage and iterative reconstruction algorithm in rabbit liver computed tomography (CT) perfusion imaging. Methods A total of 15 healthy New Zealand rabbits were scanned twice of liver CT perfusion scans each with 24 hours interval. The first scan (routine group) was acquired at 100 kV and 100 mAs with ultravist (370 mg/ml), while the second ("double low" group) was acquired at 80 kV and 100 mAs with iodixanol (270 mg/ml) at 24 hours after the first scan. The obtained images were reconstructed with filtered back projection (FBP) and adaptive iterative dose reduction(AIDR-3D) algorithms in the controlled and experimental groups, respectively. The perfusion parameters including hepatic artery perfusion(HAP), portal vein perfusion(PVP), hepatic perfusion index(HPI), and total liver perfusion(TLP) and image quality as image quality score, average CT value of abdomen aorta, signal-to-noise ratio(SNR), carrier-to-noise ratio(CNR),and figure of merit(FOM)were compared used pair t-test or Mann-Whitney U-test between the two groups wherever appropriate. The effective radiation dose and iodine intake were also recorded and compared. Results The image quality and perfusion parameters had no significantly different between the two groups except for FOM. The effective radiation dose and iodine intake were 38.79% and 27.03% lower in the "double low" group. Conclusions Low concentration iso_osmolar contrast agent (iodixanol, 270 mg/ml) together with low tube voltage (80 kV) helps to reduce radiation dose and iodine intake without compromising perfusion parameters and image quality in liver CT perfusion imaging.
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