Intravenous Contrast Material for Cardiac Computed Tomography: Results From the Open-label Multicenter, Multivendor Italian Registry of Contrast Material Use in Cardiac Computed Tomography.
Journal
Journal of thoracic imaging
ISSN: 1536-0237
Titre abrégé: J Thorac Imaging
Pays: United States
ID NLM: 8606160
Informations de publication
Date de publication:
01 Mar 2023
01 Mar 2023
Historique:
entrez:
23
2
2023
pubmed:
24
2
2023
medline:
3
3
2023
Statut:
ppublish
Résumé
The Italian Registry of Contrast Material use in Cardiac Computed Tomography (iRCM-CCT) is a multicenter, multivendor, observational study on the use of contrast media (CM) in patients undergoing cardiac computed tomography (CCT). The aim of iRCM-CCT is to assess image quality and safety profile of intravenous CM compounds. iRCM-CCT enrolled 1842 consecutive patients undergoing CCT (≥50 per site) at 20 cluster sites with the indication of suspected coronary artery disease. Demographic characteristics, CCT, and CM protocols, clinical indications, safety markers, radiation dose reports, qualitative (ie, poor vascular enhancement) and quantitative (ie, HU attenuation values) image parameters were recorded. A centralized coordinating center collected and assessed all image parameters. The cohort included 891 men and 951 women (age: 63±14 y, body mass index: 26±4 kg/m2) studied with ≥64 detector rows computed tomography scanners and different iodinated intravenous CM protocols and compounds (iodixanol, iopamidol, iohexol, iobitridol, iopromide, and iomeprol). The following vascular attenuation was reported: 504±147 HU in the aorta, 451±146 HU in the right coronary artery, 474±146 HU in the left main, 451±146 HU in the left anterior descending artery, and 441±149 HU in the circumflex artery. In 4% of cases the image quality was not satisfactory due to poor enhancement. The following adverse reactions to CM were recorded: 6 (0.3%) extravasations and 17 (0.9%) reactions (11 mild, 4 moderate, 2 severe). In a multicenter registry on CM use during CCT the prevalence of CM-related adverse reactions was very low. The appropriate use of CM is a major determinant of image quality.
Identifiants
pubmed: 36821381
doi: 10.1097/RTI.0000000000000644
pii: 00005382-202303000-00008
doi:
Substances chimiques
Contrast Media
0
Types de publication
Observational Study
Multicenter Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
128-135Informations de copyright
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors declare no conflicts of interest.
Références
Nieman K, Oudkerk M, Rensing BJ, et al. Coronary angiography with multi-slice computed tomography. Lancet. 2001;357:599–603.
Pundziute G, Schuijf JD, Jukema JW, et al. Prognostic value of multislice computed tomography coronary angiography in patients with known or suspected coronary artery disease. J Am Coll Cardiol. 2007;49:62–70.
Becker CR, Nikolaou K, Muders M, et al. Ex vivo coronary atherosclerotic plaque characterization with multi-detector-row CT. Eur Radiol. 2003;13:2094–2098.
Cademartiri F, Mollet NR, van der Lugt A, et al. Intravenous contrast material administration at helical 16-detector row CT coronary angiography: effect of iodine concentration on vascular attenuation. Radiology. 2005;236:661–665.
Cademartiri F, van der Lugt A, Luccichenti G, et al. Parameters affecting bolus geometry in CTA: a review. J Comput Assist Tomogr. 2002;26:598–607.
Bae KT. Intravenous contrast medium administration and scan timing at CT: considerations and approaches. Radiology. 2010;256:32–61.
Wang R, Schoepf UJ, Wu R, et al. Image quality and radiation dose of low dose coronary CT angiography in obese patients: sinogram affirmed iterative reconstruction versus filtered back projection. Eur J Radiol. 2012;81:3141–3145.
van den Boogert TPW, Lopes RR, Lobe NHJ, et al. Patient-tailored contrast delivery protocols for computed tomography coronary angiography: lower contrast dose and better image quality. J Thorac Imaging. 2021;36:353–359.
Wang Y, Yu M, Wang M, et al. Application of artificial intelligence-based image optimization for computed tomography angiography of the aorta with low tube voltage and reduced contrast medium volume. J Thorac Imaging. 2019;34:393–399.
Wortman JR, Adduci AJ, Sodickson AD. Synergistic radiation dose reduction by combining automatic tube voltage selection and iterative reconstruction. J Thorac Imaging. 2016;31:111–118.
Lasser EC, Lyon SG, Berry CC. Reports on contrast media reactions: analysis of data from reports to the U.S. Food and Drug Administration. Radiology. 1997;203:605–610.
Katayama H, Yamaguchi K, Kozuka T, et al. Adverse reactions to ionic and nonionic contrast media. A report from the Japanese Committee on the Safety of Contrast Media. Radiology. 1990;175:621–628.
Cademartiri F, Di Cesare E, Francone M, et al. Italian Registry of Cardiac Computed Tomography. Radiol Med. 2015;120:919–929.
Taylor AJ, Cerqueira M, Hodgson JM, et al. ACCF/SCCT/ACR/AHA/ASE/ASNC/NASCI/SCAI/SCMR 2010 Appropriate Use Criteria for Cardiac Computed Tomography. A Report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the Society of Cardiovascular Computed Tomography, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the American Society of Nuclear Cardiology, the North American Society for Cardiovascular Imaging, the Society for Cardiovascular Angiography and Interventions, and the Society for Cardiovascular Magnetic Resonance. J Cardiovasc Comput Tomogr. 2010;4:407.e1–33.
Fleischmann D, Kamaya A. Optimal vascular and parenchymal contrast enhancement: the current state of the art. Radiol Clin North Am. 2009;47:13–26.
Bae KT, Heiken JP, Brink JA. Aortic and hepatic contrast medium enhancement at CT. Part II. Effect of reduced cardiac output in a porcine model. Radiology. 1998;207:657–662.
Kok M, Turek J, Mihl C, et al. Low contrast media volume in pre-TAVI CT examinations. Eur Radiol. 2016;26:2426–2435.
de Monyé C, Cademartiri F, de Weert TT, et al. Sixteen-detector row CT angiography of carotid arteries: comparison of different volumes of contrast material with and without a bolus chaser. Radiology. 2005;237:555–562.
Alkadhi H, Schindera ST. State of the art low-dose CT angiography of the body. Eur J Radiol. 2011;80:36–40.
Iezzi R, Santoro M, Marano R, et al. Low-dose multidetector CT angiography in the evaluation of infrarenal aorta and peripheral arterial occlusive disease. Radiology. 2012;263:287–298.
Singh S, Kalra MK, Hsieh J, et al. Abdominal CT: comparison of adaptive statistical iterative and filtered back projection reconstruction techniques. Radiology. 2010;257:373–383.
Choi JH, Min JK, Labounty TM, et al. Intracoronary transluminal attenuation gradient in coronary CT angiography for determining coronary artery stenosis. JACC Cardiovasc Imaging. 2011;4:1149–1157.
ASCI CCT & CMR Guideline Working Group, Jinzaki M, Kitagawa K, Tsai IC, et al. ASCI 2010 contrast media guideline for cardiac imaging: a report of the Asian Society of Cardiovascular Imaging cardiac computed tomography and cardiac magnetic resonance imaging guideline working group. Int J Cardiovasc Imaging. 2010;26(suppl 2):203–212.
Becker CR, Hong C, Knez A, et al. Optimal contrast application for cardiac 4-detector-row computed tomography. Invest Radiol. 2003;38:690–694.
Rengo M, Dharampal A, Lubbers M, et al. Impact of iodine concentration and iodine delivery rate on contrast enhancement in coronary CT angiography: a randomized multicenter trial (CT-CON). Eur Radiol. 2019;29:6109–6118.
Wang CL, Cohan RH, Ellis JH, et al. Frequency, management, and outcome of extravasation of nonionic iodinated contrast medium in 69 657 intravenous injections. Radiology. 2007;243:80–87.
Lubbers MM, Kock M, Niezen A, et al. Iodixanol versus iopromide at coronary CT angiography: lumen opacification and effect on heart rhythm-the randomized IsoCOR trial. Radiology. 2018;286:71–80.
Mihl C, Kok M, Wildberger JE, et al. Coronary CT angiography using low concentrated contrast media injected with high flow rates: feasible in clinical practice. Eur J Radiol. 2015;84:2155–2160.
Fleischmann U, Pietsch H, Korporaal JG, et al. Impact of contrast media concentration on low-kilovolt computed tomography angiography: a systematic preclinical approach. Invest Radiol. 2018;53:264–270.
Symons R, Choi Y, Cork TE, et al. Optimized energy of spectral coronary CT angiography for coronary plaque detection and quantification. J Cardiovasc Comput Tomogr. 2018;12:108–114.
Flohr TG, Klotz E, Allmendinger T, et al. Pushing the envelope: new computed tomography techniques for cardiothoracic imaging. J Thorac Imaging. 2010;25:100–111.
Solomon J, Wilson J, Samei E. Characteristic image quality of a third generation dual-source MDCT scanner: noise, resolution, and detectability. Med Phys. 2015;42:4941–4953.
Caruso D, De Santis D, Biondi T, et al. Half-dose coronary artery calcium scoring: impact of iterative reconstruction. J Thorac Imaging. 2019;34:18–25.
Budoff MJ, Cohen MC, Garcia MJ, et al. ACCF/AHA clinical competence statement on cardiac imaging with computed tomography and magnetic resonance: a report of the American College of Cardiology Foundation/American Heart Association/American College of Physicians Task Force on Clinical Competence and Training. J Am Coll Cardiol. 2005;46:383–402.
La Grutta L, Galia M, Gentile G, et al. Comparison of iodinated contrast media for the assessment of atherosclerotic plaque attenuation values by CT coronary angiography: observations in an ex vivo model. Br J Radiol. 2013;86:20120238.
Matsumoto H, Watanabe S, Kyo E, et al. Standardized volumetric plaque quantification and characterization from coronary CT angiography: a head-to-head comparison with invasive intravascular ultrasound. Eur Radiol. 2019;29:6129–6139.