Usefulness of a saline chaser to reduce contrast material dose in abdominal CT of normal dogs

J Vet Sci. 2019 Jul;20(4):e38. doi: 10.4142/jvs.2019.20.e38.

Abstract

Use of a saline chaser has been reported to allow reduction of contrast dose and artifacts during computed tomography (CT) examination in humans. This study assesses the extent of contrast dose by using a saline chaser in abdominal CT scans of normal dogs. Five beagles underwent abdominal CT scans. Three protocols were applied: 600 mg I/kg iohexol without saline chaser (protocol 1), 30% lower dose of iohexol (420 mg I/kg) followed by a 10 mL saline chaser (protocol 2), and 40% lower dose of iohexol (360 mg I/kg) followed by a 10 mL saline chaser (protocol 3). Attenuation values were obtained from aorta, portal vein, and liver parenchyma. The maximum enhancement values (MEVs) in protocol 2 were significantly higher than those in protocols 1 and 3 in the aorta; no difference was seen in the portal vein in all protocols. The liver parenchymal MEVs in protocols 1 and 2 were significantly higher than those obtained in protocol 3. In this study, the use of a saline chaser and a reduced dose of contrast material did not affect vessel enhancement. In conclusion, use of a saline chaser for abdominal CT of dogs is recommended because it allows a 30% reduction of contrast dose without decreasing vascular and hepatic parenchymal enhancement.

Keywords: Abdomen; computed tomography; contrast material; dog; saline chaser.

MeSH terms

  • Animals
  • Contrast Media / administration & dosage
  • Contrast Media / analysis*
  • Dogs
  • Iohexol / administration & dosage
  • Iohexol / analysis*
  • Radiography, Abdominal / methods
  • Radiography, Abdominal / veterinary*
  • Sodium Chloride / administration & dosage*
  • Sodium Chloride / analysis
  • Tomography, X-Ray Computed / methods
  • Tomography, X-Ray Computed / veterinary*

Substances

  • Contrast Media
  • Iohexol
  • Sodium Chloride