Feasibility of a fixed scan delay technique using a previous bolus tracking technique data for dynamic hepatic CT

Eur J Radiol. 2012 Nov;81(11):2996-3001. doi: 10.1016/j.ejrad.2012.02.022. Epub 2012 Jun 30.

Abstract

Objective: To compare the quality of contrast enhancement and hepatic CT images acquired using bolus tracking technique at two different time points and those acquired with fixed scan delay technique using a previous bolus tracking data.

Materials and methods: Fifty patients who underwent 3 different hepatic CT exams (25-s fixed injection of 600 mg iodine (I)/kg or 100mL of 370 mg I/mL nonionic contrast medium) were enrolled. The first and second exams were performed with a bolus tracking technique. The third exam was performed with a fixed scan delay technique using the first exam data. Differences in attenuation values in the abdominal organs were examined and evaluated visually on hepatic arterial phase images.

Results: There was no significant difference in the mean 50-HU threshold times between the first and second bolus tracking exams with intra-patient differences between them (1.3±0.9 s). No significant intra-patient differences were noted in organ attenuation and visual evaluation on hepatic arterial phase images between the 3 exams.

Conclusion: The fixed scan delay technique using a previous bolus tracking data is feasible for hepatic CT exams to follow up hepatocellular carcinoma.

MeSH terms

  • Algorithms*
  • Carcinoma, Hepatocellular / diagnostic imaging*
  • Contrast Media / administration & dosage
  • Feasibility Studies
  • Female
  • Humans
  • Iodine* / administration & dosage
  • Liver Neoplasms / diagnostic imaging*
  • Male
  • Radiographic Image Enhancement / methods*
  • Radiographic Image Interpretation, Computer-Assisted / methods*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Tomography, X-Ray Computed / methods*

Substances

  • Contrast Media
  • Iodine