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Acquisition Protocols for Thoracic CT

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Multidetector-Row CT of the Thorax

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Technical parameters for MDCT acquisitions of the thorax are quite numerous. These are usually set by default in acquisition protocols provided by the manufacturers. The aim of this chapter is to list and detail the parameters chosen for CT acquisitions of the chest and heart in order to adapt them accordingly to specific clinical conditions. A historical review of these protocols since the early 1980s is presented. Parameters influencing the radiation dose have been mentioned in this chapter but are detailed out further in another chapter of this edition.

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References

  • Amacker NA, Mader C, Alkadhi H, Leschka S, Frauenfelder T (2012) Routine chest and abdominal high-pitch CT: an alternative low dose protocol with preserved image quality. Eur J Radiol 81:e392–e397

    Article  PubMed  Google Scholar 

  • Brion JP, Depauw L, Kuhn G, de Fracquen P, Friberg J, Rocmans P, Struyven J (1985) Role of computed tomography and mediastinoscopy in preoperative staging of lung carcinoma. J Comput Assist Tomogr 9(3):480–484

    Article  CAS  PubMed  Google Scholar 

  • Diederichs CG, Keating DP, Glatting G, Oestmann JW (1996) Blurring of vessels in spiral CT angiography: effects of collimation width, pitch, viewing plane, and windowing in maximum intensity projection. J Comput Assist Tomogr 20:965–974

    Article  CAS  PubMed  Google Scholar 

  • Durand S, Paul JF (2014) Comparison of image quality between 70 kVp and 80 kVp: application to paediatric cardiac CT. Eur Radiol 24(12):3003–3009

    Google Scholar 

  • Fleischmann D (2003) High-concentration contrast media in MDCT angiography: principles and rationale. Eur Radiol 13(Suppl 3):N39–N43

    Article  PubMed  Google Scholar 

  • Frederick HM, Bernardino ME, Baron M, Colvin R, Mansour K, Miller J (1984) Accuracy of chest computerized tomography in detecting malignant hilar and mediastinal involvement by squamous cell carcinoma of the lung. Cancer 54:2390–2395

    Article  CAS  PubMed  Google Scholar 

  • Graves WG, Martinez MJ, Carter PL, Barry MJ, Clarke JS (1985) The value of computed tomography in staging bronchogenic carcinoma: a changing role for mediastinoscopy. Ann Thorac Surg 40:57–59

    Article  CAS  PubMed  Google Scholar 

  • Gordic S, Husarik DB, Desbiolles L, Leschka S, Frauenfelder T, Alkadhi H (2014) High-pitch coronary CT angiography with third generation dual-source CT: limits of heart rate. Int J Cardiovasc Imaging 30(6):1173–1179

    Article  PubMed  Google Scholar 

  • Henk CB, Grampp S, Linnau KF, Thurnher MM, Czerny C, Herold CJ, Mostbeck GH (2003) Suspected pulmonary embolism: enhancement of pulmonary arteries at deep-inspiration CT angiography—influence of patent foramen ovale and atrial-septal defect. Radiology 226:749–755

    Article  PubMed  Google Scholar 

  • Kang MJ, Park CM, Lee CH, Goo JM, Lee HJ (2010) Dual-energy CT : clinical applications in various. Radiographics 30:685–699

    Article  PubMed  Google Scholar 

  • Lemos AA, Pezzullo JC, Fasani P, Gullo M, Giannitto C, Lo Gullo R, Biondetti PR (2014) Can the unenhanced phase be eliminated from dual-phase CT angiography for chest pain? Implications for diagnostic accuracy in acute aortic intramural hematoma. AJR Am J Roentgenol 203:1171–1180

    Article  PubMed  Google Scholar 

  • Litmanovich DE, Tack D, Lee KS, Shahrzad M, Bankier AA (2014) Cardiothoracic imaging in the pregnant patient. J Thorac Imaging 29:38–49

    Article  PubMed  Google Scholar 

  • Mahabadi AA, Achenbach S, Burgstahler C, Dill T, Fischbach R, Knez A, Moshage W, Richartz BM, Ropers D, Schröder S, Silber S, Möhlenkamp S, Working group “Cardiac CT” of the German Cardiac Society (2010) Safety, efficacy, and indications of beta-adrenergic receptor blockade to reduce heart rate prior to coronary CT angiography. Radiology 257:614–623

    Article  PubMed  Google Scholar 

  • Mahesh M, Cody DD (2007) Physics of cardiac imaging with multiple-row detector CT. Radiographics 27:1495–1509

    Article  PubMed  Google Scholar 

  • Mayo JR, Webb WR, Gould R, Stein MG, Bass I, Gamsu G, Goldberg HI (1987) High-resolution CT of the lungs: an optimal approach. Radiology 163:507–510

    Article  CAS  PubMed  Google Scholar 

  • Meyer M, Haubenreisser H, Schoepf UJ, Vliegenthart R, Leidecker C, Allmendinger T, Lehmann R, Sudarski S, Borggrefe M, Schoenberg SO, Henzler T (2014) Closing in on the K edge: coronary CT angiography at 100, 80, and 70 kV-initial comparison of a second- versus a third-generation dual-source CT system. Radiology 273:373–382

    Article  PubMed  Google Scholar 

  • Meziane MA, Hruban RH, Zerhouni EA, Wheeler PS, Khouri NF, Fishman EK, Hutchins GM, Siegelman SS (1988) High resolution CT of the lung parenchyma with pathologic correlation. Radiographics 8:27–54

    Article  CAS  PubMed  Google Scholar 

  • Molinari F, Tack DM, Boiselle P, Ngo L, Mueller-Mang C, Litmanovich D, Bankier AA (2013) Radiation dose management in thoracic CT: an international survey. Diagn Interv Radiol 19(3):201–209

    Google Scholar 

  • Mulkens TH, Bellinck P, Baeyaert M, Ghysen D, Van Dijck X, Mussen E, Venstermans C, Termote JL (2005) Use of an automatic exposure control mechanism for dose optimization in multi-detector row CT examinations: clinical evaluation. Radiology 237:213–223

    Article  PubMed  Google Scholar 

  • Oda S, Weissman G, Vembar M, Weigold WG (2014) Iterative model reconstruction: improved image quality of low-tube-voltage prospective ECG-gated coronary CT angiography images at 256-slice CT. Eur J Radiol 83:1408–1415

    Article  PubMed  Google Scholar 

  • Pontana F, Pagniez J, Duhamel A, Flohr T, Faivre JB, Murphy C, Remy J, Remy-Jardin M (2013) Reduced-dose low-voltage chest CT angiography with sinogram-affirmed iterative reconstruction versus standard-dose filtered back projection. Radiology 267:609–618

    Article  PubMed  Google Scholar 

  • Puchner SB, Ferencik M, Maurovich-Horvat P, Nakano M, Otsuka F, Kauczor HU, Virmani R, Hoffmann U, Schlett CL (2014) Iterative image reconstruction algorithms in coronary CT angiography improve the detection of lipid-core plaque – a comparison with histology. Eur Radiol 25:15–23

    Google Scholar 

  • Remy-Jardin M, Remy J, Wattinne L, Giraud F (1992) Central pulmonary thromboembolism: diagnosis with spiral volumetric CT with the single-breath-hold technique – comparison with pulmonary angiography. Radiology 185:381–387

    Article  CAS  PubMed  Google Scholar 

  • Remy J, Remy-Jardin M, Giraud F, Wattinne L (1994) Angioarchitecture of pulmonary arteriovenous malformations: clinical utility of three-dimensional helical CT. Radiology 191:657–664

    Article  CAS  PubMed  Google Scholar 

  • Remy-Jardin M, Remy J, Giraud F, Marquette CH (1993) Pulmonary nodules: detection with thick-section spiral CT versus conventional CT. Radiology 187:513–520

    Article  CAS  PubMed  Google Scholar 

  • Remy-Jardin M, Remy J, Deschildre F, Artaud D, Beregi JP, Hossein-Foucher C, Marchandise X, Duhamel A (1996a) Diagnosis of pulmonary embolism with spiral CT: comparison with pulmonary angiography and scintigraphy. Radiology 200:699–706

    Article  CAS  PubMed  Google Scholar 

  • Remy-Jardin M, Remy J, Gosselin B, Copin MC, Wurtz A, Duhamel A (1996b) Sliding thin slab, minimum intensity projection technique in the diagnosis of emphysema: histopathologic-CT correlation. Radiology 200:665–671

    Article  CAS  PubMed  Google Scholar 

  • Revel MP, Faivre JB, Letourneau T, Henon H, Leys D, Delannoy-Deken V, Remy-Jardin M, Remy J (2008) Patent foramen ovale: detection with nongated multidetector CT. Radiology 249:338–345

    Article  PubMed  Google Scholar 

  • Schulz B, Jacobi V, Beeres M, Bodelle B, Gruber T, Lee C, Bauer R, Kerl M, Vogl T, Zangos S (2012) Quantitative analysis of motion artifacts in high-pitch dual-source computed tomography of the thorax. J Thorac Imaging 27:382–386

    Article  PubMed  Google Scholar 

  • Sigal-Cinqualbre AB, Hennequin R, Abada HT, Chen X, Paul JF (2004) Low-kilovoltage multi–detector row chest CT in adults: feasibility and effect on image quality and iodine dose. Radiology 231:169–174

    Article  PubMed  Google Scholar 

  • Silverman PM, Kalender WA, Hazle JD (2001) Common terminology for single and multislice helical CT. AJR Am J Roentgenol 176:1135–1136

    Article  CAS  PubMed  Google Scholar 

  • Singh S, Gilman MD, Shepard JO, Kalra MK, Hsieh J, Pien HH, Digumarthy SR (2011) Adaptive statistical iterative reconstruction technique for radiation dose reduction in chest CT: a pilot study. Radiology 259:565–573

    Article  PubMed  Google Scholar 

  • Wang Y, Bolen M, Sydow G, Kottha A, Bullen J, Kemper C, Sydow G (2014) Adaptation of contrast injection cardiovascular CT. AJR Am J Roentgenol 203:1181–1191

    Article  PubMed  Google Scholar 

  • Wikipedia – the free encyclopedia (2006) http://en.wikipedia.org/wiki/Willi_Kalender. Access on line on 8 Nov 2014

  • Zerhouni EA, Naidich DP, Stitik FP, Khouri NF, Siegelman SS (1985) Computed tomography of the pulmonary parenchyma. Part 2: interstitial disease. J Thorac Imaging 1:54–64

    Article  CAS  PubMed  Google Scholar 

  • Zhang LJ, Qi L, Wang J, Tang CX, Zhou CS, Ji XM, Spearman JV, De Cecco CN, Meinel FG, Schoepf UJ, Lu GM (2014) Feasibility of prospectively ECG-triggered high-pitch coronary CT angiography with 30 mL iodinated contrast agent at 70 kVp: initial experience. Eur Radiol 24:1537–1546

    Article  PubMed  Google Scholar 

  • Zwirewich CV, Terriff B, Müller NL (1989) High-spatial-frequency (bone) algorithm improves quality of standard CT of the thorax. AJR Am J Roentgenol 153:1169–1173

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Epicura – Hopital de la Madeleine, Rue Maria Thomée, 1, Ath, 7800, Belgium

    Denis Tack MD, PhD & Vartika Appiah MD

Authors
  1. Denis Tack MD, PhD
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  2. Vartika Appiah MD
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Correspondence to Denis Tack MD, PhD .

Editor information

Editors and Affiliations

  1. Department of Radiology and Radiological Science, Medical University of South Carolina, Charleston, South Carolina, USA

    U. Joseph Schoepf

  2. Institute for Clinical Radiology, Ludwig-Maximilians-University Hospital, Munich, Germany

    Felix G. Meinel

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© 2016 Springer International Publishing

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Tack, D., Appiah, V. (2016). Acquisition Protocols for Thoracic CT. In: Schoepf, U., Meinel, F. (eds) Multidetector-Row CT of the Thorax. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/978-3-319-30355-0_4

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  • DOI: https://doi.org/10.1007/978-3-319-30355-0_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-30353-6

  • Online ISBN: 978-3-319-30355-0

  • eBook Packages: MedicineMedicine (R0)

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