Quantitative Aspects of Contrast Enhancement in Cranial Computed Tomography

Authors:
  • DNDavid Norman
    David Norman
  • ESEdwin A. Stevens
    Edwin A. Stevens
  • SWS. Douglas Wing
    S. Douglas Wing
  • VLVictor Levin
    Victor Levin
  • TNThomas H. Newton
    Thomas H. Newton

Abstract
The temporal relationship of blood iodine levels to tumor enhancement in cranial computed tomography was studied in a series of patients. Both the bolus and biphasic techniques were evaluated. Peak tumor intensity may not develop immediately, but may be more pronounced on a 20-minute scan. The low-density centers seen in malignant gliomas show delayed enhancement. These low-density centers represent a second compartment which equilibrates with the intravascular and interstitial contrast material at a much slower rate. Patients with malignant gliomas can be scanned up to one hour following contrast injection without significant loss of information.