Current contrast media delivery strategies for cardiac and pulmonary multidetector-row computed tomography angiography.

J Thorac Imaging

Department of Radiology and Radiological Science, Division of Cardiology, Medical University of South Carolina, Charleston, SC 29401, USA.

Published: November 2010

AI Article Synopsis

  • Recent advances in multidetector-row computed tomography (MDCT) have significantly enhanced coverage, speed, and image resolution for thoracic and cardiac angiography.
  • These advancements also introduce challenges in optimizing contrast medium use and scan strategies, necessitating a deeper understanding of contrast media dynamics.
  • The article focuses on the physiological and delivery factors affecting contrast quality, highlighting necessary adjustments to enhance the effectiveness of MDCT angiography with contemporary scanners.

Article Abstract

Recent advances in multidetector-row computed tomography (MDCT) have led to substantial improvements in coverage area, acquisition speed, and temporal/spatial resolution, which have strengthened the performance of thoracic and cardiac MDCT angiography but have also imposed new challenges for optimization of contrast medium enhancement and scan acquisition strategies. Understanding contrast media dynamics is fundamental for the design of scan acquisition and injection protocols. This article examines the fundamentals of the physiological and contrast delivery factors that determine the quality of contrast enhancement, emphasizing the modifications required in contrast delivery protocols for optimizing cardiothoracic MDCT angiography with modern-era MDCT scanners.

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http://dx.doi.org/10.1097/RTI.0b013e3181efe8b0DOI Listing

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