Intravenous Contrast Material Administration at High-pitch Dual-source CT Coronary Angiography: Bolus-tracking Technique with Shortened Time of Respiratory Instruction Versus Test Bolus Technique<sup>△</sup>

Kai Sun; Guo-rong Liu; Yue-chun Li; Rui-juan Han; Li-fang Cui; Li-jun Ma; Li-gang Li; Chang-yong Li

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Intravenous Contrast Material Administration at High-pitch Dual-source CT Coronary Angiography: Bolus-tracking Technique with Shortened Time of Respiratory Instruction Versus Test Bolus Technique^△

中国医学科学杂志（英文版） 2012年第4期页码：225-231

• Original Article • | Updated：2024-04-10

- Intravenous Contrast Material Administration at High-pitch Dual-source CT Coronary Angiography: Bolus-tracking Technique with Shortened Time of Respiratory Instruction Versus Test Bolus Technique^△
- Affiliations：
  
  1. Department of Radiology
  2. Department of Cardiology, Baotou Central Hospital,Baotou,China,014040
  3. CT BM Clinic Marketing, Siemens Healthcare,Beijing,China,100102
  4. ,China
  5. Department of Physiology, School of Basic Medical Sciences, Wuhan University,Wuhan,China,430071
- Author bio：
- Funds：
- DOI：
  中图分类号：
- 网络出版日期：2013-01-07，
  
  纸质出版日期：2012
- Accepted：
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Kai Sun, Guo-rong Liu, Yue-chun Li, 等. Intravenous Contrast Material Administration at High-pitch Dual-source CT Coronary Angiography: Bolus-tracking Technique with Shortened Time of Respiratory Instruction Versus Test Bolus Technique^△[J]. 中国医学科学杂志（英文版）, 2012,(4):225-231.

Kai Sun, Guo-rong Liu, Yue-chun Li, et al. Intravenous Contrast Material Administration at High-pitch Dual-source CT Coronary Angiography: Bolus-tracking Technique with Shortened Time of Respiratory Instruction Versus Test Bolus Technique[J]. Null, 2012, (4): 225-231.
Kai Sun, Guo-rong Liu, Yue-chun Li, 等. Intravenous Contrast Material Administration at High-pitch Dual-source CT Coronary Angiography: Bolus-tracking Technique with Shortened Time of Respiratory Instruction Versus Test Bolus Technique^△[J]. 中国医学科学杂志（英文版）, 2012,(4):225-231. DOI：

Kai Sun, Guo-rong Liu, Yue-chun Li, et al. Intravenous Contrast Material Administration at High-pitch Dual-source CT Coronary Angiography: Bolus-tracking Technique with Shortened Time of Respiratory Instruction Versus Test Bolus Technique[J]. Null, 2012, (4): 225-231. DOI：

摘要

Objective To investigate the feasibility of acquiring the similar homogeneous enhancement using bolus-tracking techniques with shortened respiratory time in prospectively electrocardiogram-gated high-pitch spiral acquisition mode (Flash mode) coronary computed tomography angiography (CCTA) compared with test bolus technique. Methods One hundred and eighty-four consecutive patients with mean heart rate ≤65 beats per minute undergoing CCTA were prospectively included in this study. The patients were randomly divided into two groups. Patients in the group A (n=92) instructed to shorten respiratory time received CCTA using bolus-tracking technique with high-pitch spiral acquisition mode (Flash mode)

while those in the group B (n=92) underwent CCTA with test bolus technique. The attenuation in the ascending aorta

image noise

contrast-to-noise ratio and radiation doses of the two groups were assessed. Results There were no significant differences in the mean attenuation values in the ascending aorta (483.18±59.07 HU vs. 498.7±83.51 HU

P=0.183)

image noise (21.4±4.5 HU vs. 20.9±4.3 HU

P=0.414)

contrast-to-noise ratio (12.1±4.2 vs. 13.8±5.1

P=0.31) between the groups A and B. There were no significant differences in the radiation dose of dynamic monitoring scans (0.056±0.026 mSv vs. 0.062±0.018 mSv

P=0.068) and radiation dose of angiography (0.94±0.07 mSv vs. 0.96±0.15 mSv

P=0.926) between the two groups

while 15 mL less contrast material volume was administered in the group A than the group B. Conclusion Bolus-tracking technique with shortened time of respiratory in Flash mode of dual-source CT yields the similar homogeneous enhancement with less contrast material in comparison to the test bolus technique.

Abstract

while those in the group B (n=92) underwent CCTA with test bolus technique. The attenuation in the ascending aorta

image noise

P=0.183)

image noise (21.4±4.5 HU vs. 20.9±4.3 HU

P=0.414)

contrast-to-noise ratio (12.1±4.2 vs. 13.8±5.1

P=0.31) between the groups A and B. There were no significant differences in the radiation dose of dynamic monitoring scans (0.056±0.026 mSv vs. 0.062±0.018 mSv

P=0.068) and radiation dose of angiography (0.94±0.07 mSv vs. 0.96±0.15 mSv

P=0.926) between the two groups

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