Prediction of optimal injection protocol for tumor detection in contrast-enhanced dynamic hepatic CT using simulation of lesion-to-liver contrast difference

Comput Med Imaging Graph. 2000 Sep-Oct;24(5):317-27. doi: 10.1016/s0895-6111(00)00028-8.

Abstract

The detection of hepatic lesions in computed tomography (CT) is improved when a contrasting material is administered intravenously, but it depends considerably on how this agent is injected. In this study, we constructed a compartment model for a liver containing a hepato-cellular carcinoma (HCC), and simulated the difference in lesion-to-liver contrast enhancement. Using this model, we simulated the effects of various injection factors on the detectability of a lesion and searched for the optimal injection protocol for detecting tumors in contrast-enhanced dynamic hepatic CTs. We found that the mass injection rate, or k-value (in mg/s), (which is the volume injection rate, in ml/s, multiplied by the contrast agent concentration, in mg/ml) plays a critical role in the injection protocol optimized for tumor detection, and has a unique value for a given body weight independent of the total injection dose.

MeSH terms

  • Adult
  • Aged
  • Carcinoma, Hepatocellular / diagnostic imaging*
  • Computer Simulation
  • Contrast Media / administration & dosage*
  • Female
  • Humans
  • Image Processing, Computer-Assisted
  • Injections, Intravenous
  • Iohexol / administration & dosage
  • Iohexol / analogs & derivatives*
  • Liver Neoplasms / diagnostic imaging*
  • Male
  • Mathematics
  • Middle Aged
  • Tomography, X-Ray Computed*

Substances

  • Contrast Media
  • Iohexol
  • iopromide