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Optimization of the contrast mixture ratio for simultaneous direct MR and CT arthrography: an in vitro study

Cited 12 time in Web of Science Cited 14 time in Scopus
Authors
Choi, Ja Young; Kang, Heung Sik; Hong, Sung Hwan; Lee, Joon Woo; Kim, Na Ra; Jun, Woo Sun; Moon, Sung Gyu; Choi, Jung Ah
Issue Date
2008-11-29
Publisher
Korean Radiological Society
Citation
Korean J Radiol 2008;9(6):520-525
Keywords
*ArthrographyContrast Media/*administration & dosageGadolinium/administration & dosage/*diagnostic useIohexol/administration & dosage/*analogs & derivatives/diagnostic use*Magnetic Resonance ImagingMeglumine/administration & dosage/*diagnostic useOrganometallic Compounds/administration & dosage/*diagnostic usePhantoms, Imaging*Tomography, X-Ray Computed
Abstract
OBJECTIVE: This study was designed to determine the optimal mixture ratio of gadolinium and iodinated contrast agent for simultaneous direct MR arthrography and CT arthrography. MATERIALS AND METHODS: An in vitro study was performed utilizing mixtures of gadolinium at six different concentrations (0.625, 1.25, 2.5, 5.0, 10 and 20 mmol/L) and iodinated contrast agent at seven different concentrations (0, 12.5, 25, 37.5, 50, 75 and 92-99.9%). These mixtures were placed in tissue culture plates, and were then imaged with CT and MR (with T1-weighted sequences, proton-density sequences and T2-weighted sequences). CT numbers and signal intensities were measured. Pearson's correlation coefficients were used to assess the correlations between the gadolinium/iodinated contrast agent mixtures and the CT numbers/MR signal intensities. Scatter diagrams were plotted for all gadolinium/iodinated contrast agent combinations and two radiologists in consensus identified the mixtures that yielded the optimal CT numbers and MR signal intensities. RESULTS: The CT numbers showed significant correlation with iodinated contrast concentrations (r = 0.976, p < 0.001), whereas the signal intensities as measured on MR images showed a significant correlation with both gadolinium and iodinated contrast agent concentrations (r = -484 to -0.719, p < 0.001). A review of the CT and MR images, graphs, and scatter diagram of 42 combinations of the contrast agent showed that a concentration of 1.25 mmol/L gadolinium and 25% iodinated contrast agent was the best combination for simultaneous CT and MR imaging. CONCLUSION: A mixture of 1.25 mmol/L gadolinium and 25% iodinated contrast agent was found to be optimal for simultaneous direct MR arthrography and CT arthrography.
ISSN
1229-6929 (Print)
Language
English
URI
https://hdl.handle.net/10371/62742
DOI
https://doi.org/10.3348/kjr.2008.9.6.520
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College of Medicine/School of Medicine (의과대학/대학원)Radiology (영상의학전공)Journal Papers (저널논문_영상의학전공)
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