Have a personal or library account? Click to login
Patient‑Tailored Contrast Medium Volume for Preoperative Computed Tomography Angiography of the Aorta Based on Patient’s Heart Rate and Body Surface Area Cover

Patient‑Tailored Contrast Medium Volume for Preoperative Computed Tomography Angiography of the Aorta Based on Patient’s Heart Rate and Body Surface Area

Open Access
|Dec 2025

References

  1. Garg I, Siembida J, Hedgire S, Priya S, Nagpal P. Computed tomography angiography for aortic diseases. Radiol Clin N Am. 2024;62(3):509525. 10.1016/j.rcl.2024.01.001.
  2. Chen C‑M, Chu S‑Y, Hsu M‑Y, Liao YL, Tsai HY. Low‑tube‑voltage (80 kVp) CT aortography using 320‑row volume CT with adaptive iterative reconstruction: Lower contrast medium and radiation dose. Eur Radiol. 2013;24(2):460468. 10.1007/s00330-013-3027-3.
  3. Nijhof WH, van der Vos CS, Anninga B, Stegehuis PL, Jager GJ, Rutten MJ. Reduced contrast medium in abdominal aorta CTA using a multiphasic injection technique. Eur J Radiol. 2012;82(2):252257. 10.1016/j.ejrad.2012.09.022.
  4. Nijhof WH, van der Vos CS, Anninga B, Jager GJ, Rutten MJ. Reduction of contrast medium volume in abdominal aorta CTA: Multiphasic injection technique versus a test bolus volume. Eur J Radiol. 2013;82:13731378. 10.1016/j.ejrad.2013.03.027.
  5. Carrascosa P, Capunay C, Rodriguez‑Granillo GA, Deviggiano A, Vallejos J, Leipsic JA. Substantial iodine volume load reduction in CT angiography with dual‑energy imaging: Insights from a pilot randomized study. Int J Cardiovasc Imaging. 2014;30(8):16131620. 10.1007/s10554-014-0501-1.
  6. Ippolito D, Talei Franzesi C, Fior D, Bonaffini PA, Minutolo O, Sironi S. Low kV settings CT angiography (CTA) with low dose contrast medium volume protocol in the assessment of thoracic and abdominal aortic disease: A feasibility study. Br J Radiol. 2015;88(1049):20140140. 10.1259/bjr.20140140.
  7. Nakayama Y, Awai K, Funama Y, et al. Lower tube voltages reduces contrast material and radiation doses on 16‑MDCT aortography. AJR Am J Roentgenol. 2006;187(5):W490497. 10.2214/AJR.05.0471.
  8. Diehm N, Pena C, Benenati JF, Tsoukas AI, Katzen BT. Adequacy of an early arterial phase low‑volume contrast protocol in 64‑detector computed tomography angiography for aortoiliac aneurysms. J Vasc Surg. 2008;47(3):492498. 10.1016/j.jvs.2007.11.004.
  9. Seehofnerová A, Kok M, Mihl C, et al. Feasibility of low contrast media volume in CT angiography of the aorta. Eur J Radiol Open. 2015;2:5865. 10.1016/j.ejro.2015.03.001.
  10. Platt JF, Reige KA, Ellis JH. Aortic enhancement during abdominal CT angiography: Correlation with test injections, flow rates, and patient demographics. AJR Am J Roentgenol. 1999;172(1):5356. 10.2214/ajr.172.1.9888738.
  11. Bae KT, Seeck BA, Hildebolt CF, et al. Contrast enhancement in cardiovascular MDCT: Effect of body weight, height, body surface area, body mass index, and obesity. AJR Am J Roentgenol. 2008;190(3):777784. 10.2214/AJR.07.2765.
  12. Bae KT. Intravenous contrast medium administration and scan timing at CT: Considerations and approaches. Radiology. 2010;256(1):3261. 10.1148/radiol.10090908.
  13. Puippe GD, Winklehner A, Hasenclever P, Plass A, Frauenfelder T, Baumueller S. Thoraco‑abdominal high‑pitch dual source CT angiography: Experimental evaluation of injection protocols with an anatomical human vascular phantom. Eur J Radiol. 2012;81(10):25922596. 10.1016/j.ejrad.2011.12.021.
  14. Yanaga Y, Awai K, Nakaura T, et al. Contrast material injection protocol with the dose adjusted to the body surface area for MDCT aortography. AJR Am J Roentgenol. 2010;194(4):903908. 10.2214/AJR.09.3460.
  15. Sodagari F, Wood CG, Agrawal R, Yaghmai V. Feasibility of sub‑second CT angiography of the abdomen and pelvis with very low volume of contrast media, low tube voltage, and high‑pitch technique, on a third‑generation dual‑source CT scanner. Clin Imaging. 2022;82:1520. 10.1016/j.clinimag.2021.10.011.
  16. Raymakers D, Dubbeldam A, Coudyzer W, Bosmans H, Maleux G. Contrast volume for preoperative CT angiography of the aorta based on patient heart rate and body surface area: A pilot study. J Belg Soc Radiol. 2019;103(1):57. 10.5334/JBSR.1714.
  17. Henning M, Aalokken T, Martinsen A, Pripp A, Johansen S. Impact of individually tailored contrast medium on vascular attenuation in chest CT: A randomized controlled trial. Acta Radiol 2025;66(1):7281. 10.1177/02841851241297531.
DOI: https://doi.org/10.5334/jbsr.4033 | Journal eISSN: 2514-8281
Language: English
Submitted on: Jun 27, 2025
Accepted on: Oct 20, 2025
Published on: Dec 5, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Miloud Dewilde, Walter Coudyzer, Annouschka Laenen, Hilde Bosmans, Geert Maleux, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.