Choi Moon-Hyung, Lee Young-Joon, Jung Seung-Eun
Department of Radiology, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, Korea.
Diagnostics (Basel). 2022 Mar 19;12(3):752. doi: 10.3390/diagnostics12030752.
Purpose: To evaluate the difference between CT examinations using 240 mgI/mL contrast material (CM) and 320 mgI/mL CM in the contrast enhancement of the abdominal organs and the diagnostic performance for focal hepatic lesions. Materials and methods: This retrospective study included 422 CT examinations, using 240 mgI/mL iohexol (Group A, 206 examinations) and 320 mgI/mL ioversol (Group B, 216 examinations), performed between April 2019 and May 2020. Two CT scanners (single-source CT (machine A) and dual-source CT (machine B)) were used to obtain CT images. Two radiologists independently drew regions of interest (ROIs) in the liver, pancreas, spleen, kidney, aorta, portal vein, and paraspinal muscle. The signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were calculated for each organ. They evaluated the degree of subjective enhancement of the organs and detected/differentiated focal hepatic lesions. Results: The SNR, CNR, and subjective enhancement of most organs were significantly higher in Group B than in Group A (p < 0.05). The sensitivity and specificity for cysts and malignancy were higher than 85.0% in both groups. The sensitivity for hemangioma was lower in Group B (<75%) than in Group A. In Group A, the SNR and CNR were significantly higher in most organs with machine B than with machine A. Conclusion: Although the SNR and CNR of the abdominal organs were lower with 240 mgI/mL CM than with 320 mgI/mL CM, 240 mgI/mL CM was feasible for evaluating the liver. A CT scanner with more advanced specifications may be beneficial for examinations with 240 mgI/mL CM by using lower tube voltage.
评估使用240 mgI/mL对比剂(CM)和320 mgI/mL CM进行CT检查时腹部器官的对比增强情况以及对肝脏局灶性病变的诊断性能。材料与方法:这项回顾性研究纳入了2019年4月至2020年5月期间进行的422例CT检查,其中使用240 mgI/mL碘海醇的有206例(A组),使用320 mgI/mL碘克沙醇的有216例(B组)。使用两台CT扫描仪(单源CT(A机器)和双源CT(B机器))获取CT图像。两名放射科医生独立在肝脏、胰腺、脾脏、肾脏、主动脉、门静脉和椎旁肌中绘制感兴趣区域(ROI)。计算每个器官的信噪比(SNR)和对比噪声比(CNR)。他们评估器官的主观增强程度并检测/鉴别肝脏局灶性病变。结果:B组中大多数器官的SNR、CNR和主观增强明显高于A组(p < 0.05)。两组中囊肿和恶性肿瘤的敏感性和特异性均高于85.0%。B组中血管瘤的敏感性低于A组(<75%)。在A组中,大多数器官使用B机器时的SNR和CNR明显高于使用A机器时。结论:尽管240 mgI/mL CM时腹部器官的SNR和CNR低于320 mgI/mL CM,但240 mgI/mL CM对肝脏评估是可行的。具有更先进规格的CT扫描仪通过使用更低的管电压可能有利于使用240 mgI/mL CM的检查。