Iodine images in dual energy CT: A monocentric study benchmarking quantitative iodine concentration values of the healthy liver

PLoS One. 2022 Jul 14;17(7):e0270805. doi: 10.1371/journal.pone.0270805. eCollection 2022.

Abstract

Dual energy computed tomography (DECT) allows the quantification of specific materials such as iodine contrast agent in human body tissue, potentially providing additional diagnostic data. Yet full diagnostic value can only be achieved if physiological normal values for iodine concentrations are known. We retrospectively evaluated abdominal DECT scans of 105 patients with healthy liver between March and August 2018 (age 17 to 86 years, 43 female and 62 male). The iodine concentrations within ROIs of the liver parenchyma as well as of the abdominal aorta and main portal vein were obtained. We evaluated the absolute iodine concentration and blood-normalized iodine concentrations relating the measured iodine concentration of the liver parenchyma to those of the supplying vessels. The influence of age and gender on the iodine uptake was assessed. The absolute iodine concentration was significantly different for the male and female cohort, but the difference was eliminated by the blood-normalized values. The average blood-normalized iodine concentrations were 2.107 mg/ml (+/- 0.322 mg/ml), 2.125 mg/ml (+/- 0.426 mg/ml) and 2.103 mg/ml (+/- 0.317 mg/ml) for the portal vein normalized, aorta normalized and mixed blood normalized iodine concentrations, respectively. A significant negative correlation between the patients' age and the iodine concentration was detected only for the blood-normalized values. A physiological range for iodine concentration in portal venous phase contrast enhanced DECT images can be defined for absolute and blood-normalized values. Deviations of blood-normalized iodine concentration values might be a robust biomarker for diagnostic evaluation. Patient age but not the gender influences the blood-normalized iodine concentrations in healthy liver parenchyma.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Benchmarking
  • Contrast Media
  • Female
  • Humans
  • Iodides
  • Iodine*
  • Liver / diagnostic imaging
  • Male
  • Middle Aged
  • Radiography, Dual-Energy Scanned Projection* / methods
  • Retrospective Studies
  • Tomography, X-Ray Computed / methods
  • Young Adult

Substances

  • Contrast Media
  • Iodides
  • Iodine

Grants and funding

SB and DP received funding by the Deutsche Forschungsgemeinschaft (www.DFG.de) under Grant No GRK2274. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. The other authors (LJ, DD, IR, AS and MRM) received no specific funding for this work.