論文

査読有り 国際誌
2020年11月

Dynamic contrast-enhanced computed tomography lymphangiography with intranodal injection of water-soluble iodine contrast media in microminipig: imaging protocol and feasibility.

European radiology
  • Yukichi Tanahashi
  • ,
  • Ryota Iwasaki
  • ,
  • Shinichi Shoda
  • ,
  • Hiroshi Kawada
  • ,
  • Tomohiro Ando
  • ,
  • Masaki Takasu
  • ,
  • Fuminori Hyodo
  • ,
  • Satoshi Goshima
  • ,
  • Takashi Mori
  • ,
  • Masayuki Matsuo

30
11
開始ページ
5913
終了ページ
5922
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s00330-020-07031-0

OBJECTIVES: To evaluate the optimal imaging protocol and the feasibility of intranodal dynamic contrast-enhanced computed tomography lymphangiography (DCCTL) in microminipigs. METHODS: The Committee for Animal Research and Welfare provided university approval. Five female microminipigs underwent DCCTL after inguinal lymph node injection of 0.1 mL/kg of iodine contrast media at a rate of 0.3 mL/min with three different iodine concentrations: group 1, 75 mgI/mL; group 2, 150 mgI/mL; and group 3, 300 mgI/mL. The CT values of the venous angle, thoracic duct (TD), cisterna chyli, iliac lymphatic duct, and iliac lymph node were measured; increases in CT values pre- to post-contrast were assessed as the contrast-enhanced index (CEI). Multi-detector row CT (MDCT) and volume rendering images showing the highest CEI were qualitatively evaluated. RESULTS: The CEI of all lymphatics peaked at 5-10 min. The mean CEI of TD at 10 min of group 2 (193.0 HU) and group 3 (201.5 HU) were significantly higher than that of group 1 (70.7 HU) (p = 0.024). The continuity and overall diagnostic acceptability of all lymphatic system components were better in group 3 (3.6 and 3.0, respectively) than group 1 (2.6 and 1.6) and group 2 (3.0 and 2.6) (p = 0.249 and 0.204). CONCLUSIONS: The optimal imaging protocol for intranodal DCCTL could be dual-phase imaging at 5 and 10 min after the injection of 300 mgI/mL iodinated contrast media. DCCTL provided good images of lymphatics and is potentially feasible in clinical settings. KEY POINTS: • Dynamic contrast-enhanced computed tomography lymphangiography with intranodal injection of water-soluble iodine contrast media showed the highest enhancement of all lymphatics at scan delays of 5 and 10 min. • The optimal iodine concentration for intranodal dynamic contrast-enhanced computed tomography lymphangiography might be 300 mgI/mL. • Intranodal dynamic contrast-enhanced computed tomography lymphangiography provided good images of all the lymphatic system components and is potentially feasible in clinical settings.

リンク情報
DOI
https://doi.org/10.1007/s00330-020-07031-0
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32591882
ID情報
  • DOI : 10.1007/s00330-020-07031-0
  • PubMed ID : 32591882

エクスポート
BibTeX RIS