Novel connecting tube for saline chaser in contrast-enhanced CT: the effect of spiral flow of saline on contrast enhancement.
Eur Radiol
; 23(11): 3213-8, 2013 Nov.
Article
en En
| MEDLINE
| ID: mdl-23756959
ABSTRACT
OBJECTIVE:
To evaluate the effect of a newly developed connecting tube, which generates a spiral flow of saline, on aortic and hepatic contrast enhancement during hepatic-arterial phase (HAP) and portal venous phase (PVP) computed tomography (CT).METHODS:
Eighty patients were randomly assigned to one of two protocols with a new or a conventional tube. The contrast material (600 mgI/kg) was delivered over 30 s; this was followed by the administration of 25 ml saline solution delivered at the same injection rate as the contrast material. Unenhanced and contrast-enhanced CT images of the upper abdomen were obtained. We calculated the changes in the CT number (∆HU) for the aorta during HAP and PVP, and for the liver during PVP. We compared ∆HU between protocols.RESULTS:
The mean ∆HU for the abdominal aorta during HAP was significantly higher with the new tube protocol than with the conventional tube protocol (322 ± 53 vs. 290 ± 53, P < 0.01). There were no significant differences in the mean ∆HU for the abdominal aorta and liver during PVP between the two protocols (P > 0.05).CONCLUSION:
The new connecting tube increased the effect of a saline chaser and significantly improved aortic enhancement during HAP. KEY POINTS ⢠Optimal administration of intravenous contrast material is essential for optimal CT quality. ⢠A new connecting tube can generate spiral flow, which improves intravenous administration. ⢠The new connecting tube improved aortic contrast enhancement during the hepatic-arterial phase. ⢠The new connecting tube increased the effect of a saline chaser.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Aorta Abdominal
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Cloruro de Sodio
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Intensificación de Imagen Radiográfica
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Tomografía Computarizada por Rayos X
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Medios de Contraste
Tipo de estudio:
Clinical_trials
/
Observational_studies
Límite:
Adult
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Aged
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Aged80
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
Eur Radiol
Asunto de la revista:
RADIOLOGIA
Año:
2013
Tipo del documento:
Article