Erturk S M, Ichikawa T, Sou H, Tsukamoto T, Motosugi U, Araki T
Department of Radiology, Sisli Etfal Hospital, Istanbul, Turkey.
Clin Radiol. 2008 Mar;63(3):263-71. doi: 10.1016/j.crad.2007.02.024. Epub 2007 Nov 19.
To investigate the effects of contrast material injection duration on peak enhancement times and attenuation values of the aorta, main portal vein, and liver at MDCT when the dose of contrast material is adjusted to patient weight.
Seventy-five patients were randomly assigned to one of five groups, with durations of injection of 25, 30, 35, 40, or 45 s. All patients were injected with 2 ml/kg iodine (300 mg/ml). Attenuation values and peak enhancement times for the aorta, main portal vein, and liver were determined. The relationship between patient weight and enhancement times and values, the differences regarding peak enhancement times, and the relationship between injection duration and enhancement values were investigated using Pearson correlation, analysis of variance (ANOVA), and Spearman rank correlation, respectively.
No significant correlations were seen between patient weight and peak enhancement times or values. Mean peak enhancement times for the aorta, main portal vein, and liver were 9-11 s, 18-22 s, and 30-34 s, respectively (p>0.05). The correlations between injection duration and peak enhancement values were significant and negative.
Regardless of patient weight and injection duration, peak enhancement times of aorta, main portal vein and liver were approximately 10, 20, and 30 s, respectively. The enhancement values tended to be higher for shorter injection durations.
在根据患者体重调整对比剂剂量的情况下,研究多层螺旋CT(MDCT)检查时对比剂注射持续时间对主动脉、门静脉主干和肝脏的峰值强化时间及衰减值的影响。
75例患者被随机分为五组,注射持续时间分别为25、30、35、40或45秒。所有患者均按2 ml/kg碘(300 mg/ml)进行注射。测定主动脉、门静脉主干和肝脏的衰减值及峰值强化时间。分别采用Pearson相关性分析、方差分析(ANOVA)和Spearman秩相关性分析,研究患者体重与强化时间及值之间的关系、峰值强化时间的差异以及注射持续时间与强化值之间的关系。
未观察到患者体重与峰值强化时间或值之间存在显著相关性。主动脉、门静脉主干和肝脏的平均峰值强化时间分别为9 - 11秒、18 - 22秒和30 - 34秒(p>0.05)。注射持续时间与峰值强化值之间的相关性显著且呈负相关。
无论患者体重和注射持续时间如何,主动脉、门静脉主干和肝脏的峰值强化时间分别约为10秒、20秒和30秒。注射持续时间越短,强化值往往越高。