A personalized iodine delivery rate-based injection protocol in coronary angiography on photon-counting CT - Summary - MDSpire

A personalized iodine delivery rate-based injection protocol in coronary angiography on photon-counting CT

  • By

  • Tim Busselot

  • Pierpaolo Giordano

  • Vincent Sneyers

  • Walter Coudyzer

  • Kwinten Torfs

  • Tom Adriaenssens

  • Hilde Bosmans

  • Steven Dymarkowski

  • March 6, 2026

  • 0 min

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Objective:

To propose a personalized iodine delivery rate (IDR)-based contrast formula for coronary CT angiography (cCTA) and investigate the impact of injection rate on coronary enhancement, highlighting its significance over existing methods.

Key Findings:
  • Personalized IDR can optimize vessel enhancement while minimizing total iodine dose, potentially improving clinical outcomes.
  • Standardized injection rates of 3.5 mL/s and 5.0 mL/s were tested for their impact on coronary enhancement.
  • No extravasation events were recorded in both study groups, indicating safety.
Interpretation:

The study suggests that personalized IDR protocols can improve coronary artery visualization in cCTA, potentially leading to better patient outcomes, particularly in diverse patient populations.

Limitations:
  • The study was conducted at a single center, which may limit generalizability.
  • Exclusion of patients with renal dysfunction or known hypersensitivity may affect the applicability of findings, potentially skewing results.
Conclusion:

The proposed personalized IDR-based contrast formula could enhance coronary imaging quality while reducing iodine exposure, warranting further validation in larger cohorts.

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