Aortic and hepatic contrast medium enhancement at CT: Part II. Effect of reduced cardiac output in a porcine model

Kyongtae T. Bae, Jay Heiken, James A. Brink

Research output: Contribution to journalArticle

219 Citations (Scopus)

Abstract

PURPOSE: To investigate how reduction in cardiac output affects the magnitude and timing of aortic and hepatic contrast medium enhancement during abdominal computed tomography (CT). MATERIALS AND METHODS: Eight 20-30-kg pigs underwent CT before and after pharmacologic reduction of cardiac output (measured by means of thermodilution). Each CT study consisted of 53 dynamic images acquired every 5 seconds at a fixed level through the midliver after intravenous injection of contrast medium concentration, 282 mg of iodine per milliliter; dose 2 mL per kilogram of body weight, injection rate, 2 mL/sec). Curves of contrast medium enhancement versus time were measured. Changes in the magnitude and timing of aortic and hepatic enhancement were compared with the reduction in cardiac output. RESULTS: With reduction in cardiac output, the time from the injection start to the arrival of the contrast medium bolus in the aorta (P < .01) and the times form injection completion to peak aortic (P < .01) and peak hepatic (P < .01) enhancement increased. As cardiac output decreased, peak aortic enhancement increased proportionally (P < .01). Peak hepatic enhancement increased only slightly and correlated weakly with the decrease in cardiac output (P = .07). CONCLUSION: As cardiac output decreases, the times to the arrival of the contrast medium bolus in the aorta and to peak aortic and hepatic enhancement increase. Reduction in cardiac output results in a substantial increase in peak aortic enhancement but not in peak hepatic enhancement.

Original languageEnglish (US)
Pages (from-to)657-662
Number of pages6
JournalRadiology
Volume207
Issue number3
DOIs
StatePublished - Jan 1 1998
Externally publishedYes

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Cardiac Output
Contrast Media
Swine
Tomography
Liver
Injections
Aorta
Thermodilution
Intravenous Injections
Iodine
Body Weight

Keywords

  • Aorta, CT, 981.12912, 981.12915
  • Computed tomography (CT), contrast enhancement, 761.12112, 761.12115, 981.12915
  • Computed tomography (CT), helical, 761.12112, 761.12115, 981.12912, 981.12915
  • Heart, failure, 51.71
  • Liver, CT, 761.12112, 761.12115

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Aortic and hepatic contrast medium enhancement at CT : Part II. Effect of reduced cardiac output in a porcine model. / Bae, Kyongtae T.; Heiken, Jay; Brink, James A.

In: Radiology, Vol. 207, No. 3, 01.01.1998, p. 657-662.

Research output: Contribution to journalArticle

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N2 - PURPOSE: To investigate how reduction in cardiac output affects the magnitude and timing of aortic and hepatic contrast medium enhancement during abdominal computed tomography (CT). MATERIALS AND METHODS: Eight 20-30-kg pigs underwent CT before and after pharmacologic reduction of cardiac output (measured by means of thermodilution). Each CT study consisted of 53 dynamic images acquired every 5 seconds at a fixed level through the midliver after intravenous injection of contrast medium concentration, 282 mg of iodine per milliliter; dose 2 mL per kilogram of body weight, injection rate, 2 mL/sec). Curves of contrast medium enhancement versus time were measured. Changes in the magnitude and timing of aortic and hepatic enhancement were compared with the reduction in cardiac output. RESULTS: With reduction in cardiac output, the time from the injection start to the arrival of the contrast medium bolus in the aorta (P < .01) and the times form injection completion to peak aortic (P < .01) and peak hepatic (P < .01) enhancement increased. As cardiac output decreased, peak aortic enhancement increased proportionally (P < .01). Peak hepatic enhancement increased only slightly and correlated weakly with the decrease in cardiac output (P = .07). CONCLUSION: As cardiac output decreases, the times to the arrival of the contrast medium bolus in the aorta and to peak aortic and hepatic enhancement increase. Reduction in cardiac output results in a substantial increase in peak aortic enhancement but not in peak hepatic enhancement.

AB - PURPOSE: To investigate how reduction in cardiac output affects the magnitude and timing of aortic and hepatic contrast medium enhancement during abdominal computed tomography (CT). MATERIALS AND METHODS: Eight 20-30-kg pigs underwent CT before and after pharmacologic reduction of cardiac output (measured by means of thermodilution). Each CT study consisted of 53 dynamic images acquired every 5 seconds at a fixed level through the midliver after intravenous injection of contrast medium concentration, 282 mg of iodine per milliliter; dose 2 mL per kilogram of body weight, injection rate, 2 mL/sec). Curves of contrast medium enhancement versus time were measured. Changes in the magnitude and timing of aortic and hepatic enhancement were compared with the reduction in cardiac output. RESULTS: With reduction in cardiac output, the time from the injection start to the arrival of the contrast medium bolus in the aorta (P < .01) and the times form injection completion to peak aortic (P < .01) and peak hepatic (P < .01) enhancement increased. As cardiac output decreased, peak aortic enhancement increased proportionally (P < .01). Peak hepatic enhancement increased only slightly and correlated weakly with the decrease in cardiac output (P = .07). CONCLUSION: As cardiac output decreases, the times to the arrival of the contrast medium bolus in the aorta and to peak aortic and hepatic enhancement increase. Reduction in cardiac output results in a substantial increase in peak aortic enhancement but not in peak hepatic enhancement.

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