Image quality and radiation exposure with low-contrast-dose computed tomography angiography of the lower extremities

2020
journal article
article
cris.lastimport.wos2024-04-09T19:34:36Z
dc.abstract.enIntroduction: Multidetector computed tomography is the reference standard for the diagnosis of peripheral arterial disease (PAD). The aim of this study is to optimise the image quality of computed tomography (CT) scanning for the diagnosis of PAD with the lowest possible radiation and contrast volume. Material and methods: Seventy-two patients were referred for evaluation of suspected PAD with CT angiography. Patients were randomly assigned to an optimise care dose of kVp - group A, n = 36; 18 men, 18 women; mean age, 63 years with standard deviation 15; range, 20-88 years (contrast volume 80-85 ml was injected automatically with bolus tracking, and group B, n = 36; 18 men, 18 women; mean age, 61 years with standard deviation 16; range, 26-88 years (contrast volume 120-140 ml was injected automatically with bolus tracking). Other scanning parameters were kept constant. Lower extremities vessel enhancement and image noise were quantified, and the signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were calculated. Subjective vessel contrast was assessed by two radiologists in consensus. Result: A total of 16 cases of PAD (22.2%) were found in the evaluated of subjects (10 in group A, and six in group B). All PAD cases were detected by the two readers. There was no significant difference in the size or location of the PAD between the two groups; the average image noise was 19 HU for group A and 16 HU for group B. The difference was not statistically significant (p = 0.183). Overall, the SNR and CNR were slightly higher in group B (25.5 and 24.1, respectively) compared with group A (20 and 17.4, respectively), but those differences were not statistically significant (p = 061 and p = 0.38, respectively). Conclusions: All patients were evaluated by lower extremities CTA protocol allowing similar image quality to be achieved in both groups, with optimised care dose for both protocols, and contrast volume was reduced by 40% in the new protocol group compared to the conventional protocol group.pl
dc.contributor.authorAssi, Abed Al Nasserpl
dc.date.accessioned2020-04-21T15:20:28Z
dc.date.available2020-04-21T15:20:28Z
dc.date.issued2020pl
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. e172-e173pl
dc.description.physicale169-e173pl
dc.description.versionostateczna wersja wydawcy
dc.description.volume85pl
dc.identifier.doi10.5114/pjr.2020.94297pl
dc.identifier.eissn1899-0967pl
dc.identifier.issn1733-134Xpl
dc.identifier.urihttps://ruj.uj.edu.pl/xmlui/handle/item/154280
dc.languageengpl
dc.language.containerengpl
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa*
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl*
dc.share.typeotwarte czasopismo
dc.subject.enperipheral arterial diseasepl
dc.subject.enlower extremitiespl
dc.subject.ensignal to noise ratiopl
dc.subject.encontrast to noise ratiopl
dc.subject.encontrast volumepl
dc.subject.enimage qualitypl
dc.subtypeArticlepl
dc.titleImage quality and radiation exposure with low-contrast-dose computed tomography angiography of the lower extremitiespl
dc.title.journalPolish Journal of Radiologypl
dc.typeJournalArticlepl
dspace.entity.typePublication
cris.lastimport.wos
2024-04-09T19:34:36Z
dc.abstract.enpl
Introduction: Multidetector computed tomography is the reference standard for the diagnosis of peripheral arterial disease (PAD). The aim of this study is to optimise the image quality of computed tomography (CT) scanning for the diagnosis of PAD with the lowest possible radiation and contrast volume. Material and methods: Seventy-two patients were referred for evaluation of suspected PAD with CT angiography. Patients were randomly assigned to an optimise care dose of kVp - group A, n = 36; 18 men, 18 women; mean age, 63 years with standard deviation 15; range, 20-88 years (contrast volume 80-85 ml was injected automatically with bolus tracking, and group B, n = 36; 18 men, 18 women; mean age, 61 years with standard deviation 16; range, 26-88 years (contrast volume 120-140 ml was injected automatically with bolus tracking). Other scanning parameters were kept constant. Lower extremities vessel enhancement and image noise were quantified, and the signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were calculated. Subjective vessel contrast was assessed by two radiologists in consensus. Result: A total of 16 cases of PAD (22.2%) were found in the evaluated of subjects (10 in group A, and six in group B). All PAD cases were detected by the two readers. There was no significant difference in the size or location of the PAD between the two groups; the average image noise was 19 HU for group A and 16 HU for group B. The difference was not statistically significant (p = 0.183). Overall, the SNR and CNR were slightly higher in group B (25.5 and 24.1, respectively) compared with group A (20 and 17.4, respectively), but those differences were not statistically significant (p = 061 and p = 0.38, respectively). Conclusions: All patients were evaluated by lower extremities CTA protocol allowing similar image quality to be achieved in both groups, with optimised care dose for both protocols, and contrast volume was reduced by 40% in the new protocol group compared to the conventional protocol group.
dc.contributor.authorpl
Assi, Abed Al Nasser
dc.date.accessioned
2020-04-21T15:20:28Z
dc.date.available
2020-04-21T15:20:28Z
dc.date.issuedpl
2020
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additionalpl
Bibliogr. s. e172-e173
dc.description.physicalpl
e169-e173
dc.description.version
ostateczna wersja wydawcy
dc.description.volumepl
85
dc.identifier.doipl
10.5114/pjr.2020.94297
dc.identifier.eissnpl
1899-0967
dc.identifier.issnpl
1733-134X
dc.identifier.uri
https://ruj.uj.edu.pl/xmlui/handle/item/154280
dc.languagepl
eng
dc.language.containerpl
eng
dc.rights*
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri*
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.subject.enpl
peripheral arterial disease
dc.subject.enpl
lower extremities
dc.subject.enpl
signal to noise ratio
dc.subject.enpl
contrast to noise ratio
dc.subject.enpl
contrast volume
dc.subject.enpl
image quality
dc.subtypepl
Article
dc.titlepl
Image quality and radiation exposure with low-contrast-dose computed tomography angiography of the lower extremities
dc.title.journalpl
Polish Journal of Radiology
dc.typepl
JournalArticle
dspace.entity.type
Publication

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