Prospective Comparison of 70-kVp Single-Energy CT versus Dual-Energy CT: Which is More Suitable for CT Angiography with Low Contrast Media Dosage?

Publication date: Available online 16 September 2019Source: Academic RadiologyAuthor(s): Morikatsu Yoshida, Takeshi Nakaura, Takada Sentaro, Shota Tanoue, Hatsuki Inada, Daisuke Utsunomiya, Naritsugu Sakaino, Kazunori Harada, Yasuyuki YamashitaRationale and ObjectivesTo compare the objective and subjective image qualities between single-energy computed tomography (CT) at 70 kVp and virtual monoenergetic imaging (VMI) of dual-source dual-energy CT for CT angiography with 180 mgI/kg.Materials and MethodsTotal 63 patients scanned with 180 mgI/kg were randomly divided into two groups: Group A (32 patients) underwent CT angiography at 70-kVp, and Group B (31 patients) underwent dual-energy CT. VMI sets were generated at 10-keV increments between 40 and 100 keV. We calculated aortic attenuation, contrast-to-noise-ratio (CNR), signal-to-noise-ratio, figure of merit of CNR, and effective dose for each protocol. Three radiologists scored overall image quality and various arteries’ visibility using a four-point scale. Quantitative and qualitative comparisons between 70 kVp and VMI with the highest CNR were performed with the two-tailed t test or Kruskal–Wallis test.ResultsThe 40-keV images offered the highest CNR among VMIs. Aortic attenuation at 70 kVp was significantly lower than that at 40 keV (p
Source: Academic Radiology - Category: Radiology Source Type: research

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