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在多排螺旋CT上比较两种不同碘浓度的对比剂对主动脉、门静脉和肝脏密度的增强效果:一项随机研究。

Comparison of two contrast materials with different iodine concentrations in enhancing the density of the the aorta, portal vein and liver at multi-detector row CT: a randomized study.

作者信息

Suzuki Hiromasa, Oshima Hidekazu, Shiraki Norio, Ikeya Chisa, Shibamoto Yuta

机构信息

Department of Radiology, Nagoya City University Medical School, 1 Kawasumi, Mizuho-cho, Mizuho-ku, 467-8601 Nagoya, Japan.

出版信息

Eur Radiol. 2004 Nov;14(11):2099-104. doi: 10.1007/s00330-004-2439-5. Epub 2004 Aug 12.

Abstract

This work investigates differences in contrast enhancement of the aorta, portal vein and liver by two different concentrations of contrast materials using an automatic bolus tracking technique. Seventy patients were assigned randomly into one of two groups. Contrast materials with iodine concentrations of 300 and 370 mg/ml were administered to patients in groups A and B, respectively. The total iodine load (600 mg/kg) and injection time (30 s) were identical. Differences in the increase of the Hounsfield unit of the aorta, portal vein and liver between the two groups were examined by t-test. There were no significant differences between the two groups in any of the contrast enhancements of the aorta, portal vein and liver parenchyma at all phases, except for enhancement of the portal vein at the late arterial phase. Females showed better contrast enhancement of the aorta and portal vein than males. With the same iodine dose and injection time, the concentration of contrast materials did not seem to influence the efficacy of contrast enhancement of the aorta, portal vein and liver, except for the portal vein at the late arterial phase. Planning of protocols for contrast media injection may be made irrespective of the iodine concentrations.

摘要

本研究采用自动团注追踪技术,探讨两种不同浓度造影剂对主动脉、门静脉和肝脏的对比增强差异。70例患者被随机分为两组。A组和B组患者分别给予碘浓度为300和370mg/ml的造影剂。总碘负荷(600mg/kg)和注射时间(30秒)相同。采用t检验比较两组主动脉、门静脉和肝脏的亨氏单位增加值差异。除动脉晚期门静脉增强外,两组在主动脉、门静脉和肝实质各期的对比增强均无显著差异。女性主动脉和门静脉的对比增强效果优于男性。在相同碘剂量和注射时间下,除动脉晚期门静脉外,造影剂浓度似乎不影响主动脉、门静脉和肝脏的对比增强效果。造影剂注射方案的制定可不考虑碘浓度。

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