title: [Dual energy CT angiography of the carotid arteries: quality, bone subtraction, and radiation dosage using tube voltage 80/140 kV versus 100/140 kV].
abstract: OBJECTIVE
  To study the differences in vascular image quality, bone subtraction, and dose of radiation of dual energy CT angiography of the supraaortic trunks using different tube voltages.
  
  
  METHODS
  We reviewed the CT angiograms of the supraaortic trunks in 46 patients acquired with a 128-slice dual source CT scanner using two voltage protocols (80/140 kV and 100/140 kV). The "head bone removal" tool was used for postprocessing. We divided the arteries into 15 segments. In each segment, we evaluated the image quality of the vessels and the effectiveness of bone removal in multiplanar reconstructions (MPR) and in maximum intensity projections (MIP) with each protocol, analyzing the trabecular and cortical bones separately. We also evaluated the dose of radiation received.
  
  
  RESULTS
  Of the 46 patients, 13 were studied using 80/140 kV and 33 with 100/140 kV. There were no significant differences between the two groups in age or sex. Image quality in four segments was better in the group examined with 100/140 kV. Cortical bone removal in MPR and MIP and trabecular bone removal in MIP were also better in the group examined with 100/140 kV. The dose of radiation received was significantly higher in the group examined with 100/140 kV (1.16 mSv with 80/140 kV vs. 1.59 mSv with 100/140 kV).
  
  
  CONCLUSIONS
  Using 100/140 kV increases the dose of radiation but improves the quality of the study of arterial segments and bone subtraction.
authors.affiliation: Servicio de Radiodiagnóstico, Hospital Povisa, Vigo, Pontevedra, España. Electronic address: esantosar@gmail.com.
authors.forename: E
authors.initials: E
authors.lastname: Santos Armentia
authors.affiliation: Servicio de Radiodiagnóstico, Hospital Povisa, Vigo, Pontevedra, España.
authors.forename: G
authors.initials: G
authors.lastname: Tardáguila de la Fuente
authors.affiliation: Servicio de Radiodiagnóstico, Hospital Povisa, Vigo, Pontevedra, España.
authors.forename: D
authors.initials: D
authors.lastname: Castellón Plaza
authors.affiliation: Servicio de Radiodiagnóstico, Hospital Povisa, Vigo, Pontevedra, España.
authors.forename: C
authors.initials: C
authors.lastname: Delgado Sánchez-Gracián
authors.affiliation: Servicio de Radiodiagnóstico, Hospital Povisa, Vigo, Pontevedra, España.
authors.forename: R
authors.initials: R
authors.lastname: Prada González
authors.affiliation: Servicio de Radiodiagnóstico, Hospital Povisa, Vigo, Pontevedra, España.
authors.forename: L
authors.initials: L
authors.lastname: Fernández Fernández
authors.affiliation: Servicio de Radiodiagnóstico, Hospital Povisa, Vigo, Pontevedra, España.
authors.forename: F
authors.initials: F
authors.lastname: Tardáguila Montero
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015901:Angiography, Digital Subtraction / Q000295:instrumentation; D002339:Carotid Arteries / Q000000981:diagnostic imaging*; D002574:Cervical Vertebrae; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011829:Radiation Dosage; D012189:Retrospective Studies; D019291:Skull Base; D014057:Tomography, X-Ray Computed / Q000295:instrumentation; D055815:Young Adult