OBJECTIVE.The purpose of this study was to determine the relative effects of delay time, contrast agent concentration, and contrast agent volume on hepatic enhancement and on sortie and portal vein attenuation for contrast-enhanced spiral CT of the abdomen. The effect of delay time was evaluated by comparing two different delay times for each of three IV contrast media. Three different media were tested to
CONCLUSION.When IV contrast material was Injected with a low-flow-rate monophasic bolus, a delay time of 60 see, longer than that typically used for dynamic incremental scanning, provided greater hepatic enhancement in spiral CT. This result was significant for the three contrast media tested. Aortlc attenuation was significantly greater at shorter delay tImes when a smaller volume of contrast material was injected. Portal vein attenuation was greater at longer delay times, suggesting that the optimal delay time may be longer than 60 sec. Further work to determine the optimal scanning window for hepatic enhancement in spiral CT by use of time-density curves is Indicated.