Abstract
Objective
To evaluate the feasibility of using gadopentetate dimeglumine (Gd-DTPA) for dual-energy computed tomography pulmonary angiography (CTPA).
Methods
Sixty-six patients were randomly divided into three groups and underwent CTPA. Group A had a turbo flash scan using an iohexol injection, Group B had a turbo flash scan using Gd-DTPA, and Group C had a dual-energy scan using Gd-DTPA. The original images of Group C were linearly blended with a blending factor of 0.5 or reconstructed at 40, 50, 60, 70, 80, 90, 100, and 110 keV, respectively. The groups were compared in terms of pulmonary artery CT value, image quality, and radiation dose.
Results
The pulmonary artery CT values were significantly higher in Group C40keV than in Groups B and C, but lower than in Group A. There was no significant difference in the image noise of Groups C40keV, B, and C. Moreover, Group A had the largest beam hardening artifacts of the superior vena cava (SVC), followed by Groups B and C. Group C40keV showed better vascular branching than the other three groups, among which Group B was superior to Group A. The subjective score of the image quality of Groups A, B, and C showed no significant difference, but the score was significantly higher in Group C40keV than in Groups A and B. The radiation dose was significantly lower in Group B than in Groups A and C.
Conclusion
Gd-CTPA is recommended to patients who are unsuitable for receiving an iodine-based CTPA. Furthermore, a turbo flash scan could surpass a dual-energy scan without consideration for virtual monoenergetic imaging.
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The authors declare that there is no conflict of interest with any financial organization or corporation or individual that can inappropriately influence this work.
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This study was supported by grants from the Scientific Research Project of Hunan Health Commission in 2019 (No. B2019071) and the Scientific Research Project of Hunan Health Commission in 2020 (No. B20200059).
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Xie, A., Sun, Wj., Zeng, Yf. et al. Gadolinium Enhances Dual-energy Computed Tomography Scan of Pulmonary Artery. CURR MED SCI 42, 1310–1318 (2022). https://doi.org/10.1007/s11596-022-2621-5
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DOI: https://doi.org/10.1007/s11596-022-2621-5