Assessment of Contrast Media Volume Injected and Image Contrast in Abdominal Pelvic CT Scan and Related Factors in Referral Hospitals in Mazandaran, Iran

Background and purpose: Computed tomography scan (CT) is highly capable of diagnosing abdominal and pelvic lesions. Injection of contrast media at appropriate concentration and volume provides the least side effects and the highest image quality. This study aimed at investigating the volume of contr...

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Main Author: Gholamreza Fallah Mohammadi
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2021-02-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://jmums.mazums.ac.ir/article-1-15787-en.html
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author Gholamreza Fallah Mohammadi
author_facet Gholamreza Fallah Mohammadi
author_sort Gholamreza Fallah Mohammadi
collection DOAJ
description Background and purpose: Computed tomography scan (CT) is highly capable of diagnosing abdominal and pelvic lesions. Injection of contrast media at appropriate concentration and volume provides the least side effects and the highest image quality. This study aimed at investigating the volume of contrast medium injected and the level of image contrast compared to the standard model, in the imaging department of referral hospitals in Mazandaran province, Iran. Materials and methods: In this quantitative descriptive study, CT scan imaging protocols in abdominal examinations and physical characteristics of the patients were recorded The difference in the volume injected of contrast media were compared between conventional method and standard method. Several CT scan images with different contrast levels were divided into four image quality groups by two experienced radiologists based on the ratio of contrast to image noise (CNR) of the organs. The percentage of adherence of the centers to the standard method and the percentage of each image quality group was calculated using descriptive statistics. Results: The CT scan imaging centers showed low adherence (37%) to the standard method (weight-based injection). Among the images investigated, 51.6% had excellent and good contrast levels. There was no correlation between patients’ weight and the volume of contrast medium injected (P<0.05). The CNR of the organs increased as the amount of iodine injected per unit mass increased.  Conclusion: Imaging centers should select the volume of the contrast medium based on patient's weight. The image quality is a function of the amount of iodine injected per unit weight of the patient, therefore, the concentration of contrast agent must be correctly selected.
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spelling doaj.art-ec6acab279a64929b9e398baef626bdd2023-01-25T05:09:44ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792021-02-01301946270Assessment of Contrast Media Volume Injected and Image Contrast in Abdominal Pelvic CT Scan and Related Factors in Referral Hospitals in Mazandaran, IranGholamreza Fallah Mohammadi0 Assistant Professor, Department of Radiology, Faculty of Allied Medicine, Mazandaran University of Medical Sciences, Sari, Iran Background and purpose: Computed tomography scan (CT) is highly capable of diagnosing abdominal and pelvic lesions. Injection of contrast media at appropriate concentration and volume provides the least side effects and the highest image quality. This study aimed at investigating the volume of contrast medium injected and the level of image contrast compared to the standard model, in the imaging department of referral hospitals in Mazandaran province, Iran. Materials and methods: In this quantitative descriptive study, CT scan imaging protocols in abdominal examinations and physical characteristics of the patients were recorded The difference in the volume injected of contrast media were compared between conventional method and standard method. Several CT scan images with different contrast levels were divided into four image quality groups by two experienced radiologists based on the ratio of contrast to image noise (CNR) of the organs. The percentage of adherence of the centers to the standard method and the percentage of each image quality group was calculated using descriptive statistics. Results: The CT scan imaging centers showed low adherence (37%) to the standard method (weight-based injection). Among the images investigated, 51.6% had excellent and good contrast levels. There was no correlation between patients’ weight and the volume of contrast medium injected (P<0.05). The CNR of the organs increased as the amount of iodine injected per unit mass increased.  Conclusion: Imaging centers should select the volume of the contrast medium based on patient's weight. The image quality is a function of the amount of iodine injected per unit weight of the patient, therefore, the concentration of contrast agent must be correctly selected.http://jmums.mazums.ac.ir/article-1-15787-en.htmlct scancontrast mediaimage qualitypatient weight
spellingShingle Gholamreza Fallah Mohammadi
Assessment of Contrast Media Volume Injected and Image Contrast in Abdominal Pelvic CT Scan and Related Factors in Referral Hospitals in Mazandaran, Iran
Journal of Mazandaran University of Medical Sciences
ct scan
contrast media
image quality
patient weight
title Assessment of Contrast Media Volume Injected and Image Contrast in Abdominal Pelvic CT Scan and Related Factors in Referral Hospitals in Mazandaran, Iran
title_full Assessment of Contrast Media Volume Injected and Image Contrast in Abdominal Pelvic CT Scan and Related Factors in Referral Hospitals in Mazandaran, Iran
title_fullStr Assessment of Contrast Media Volume Injected and Image Contrast in Abdominal Pelvic CT Scan and Related Factors in Referral Hospitals in Mazandaran, Iran
title_full_unstemmed Assessment of Contrast Media Volume Injected and Image Contrast in Abdominal Pelvic CT Scan and Related Factors in Referral Hospitals in Mazandaran, Iran
title_short Assessment of Contrast Media Volume Injected and Image Contrast in Abdominal Pelvic CT Scan and Related Factors in Referral Hospitals in Mazandaran, Iran
title_sort assessment of contrast media volume injected and image contrast in abdominal pelvic ct scan and related factors in referral hospitals in mazandaran iran
topic ct scan
contrast media
image quality
patient weight
url http://jmums.mazums.ac.ir/article-1-15787-en.html
work_keys_str_mv AT gholamrezafallahmohammadi assessmentofcontrastmediavolumeinjectedandimagecontrastinabdominalpelvicctscanandrelatedfactorsinreferralhospitalsinmazandaraniran