Assessment of optimization of computed tomography angiography protocols for follow-up type B aortic dissection patients by using a 3D-printed model

Abstract

Aim: This study aimed to investigate the optimal computed tomography angiography (CTA) scanning protocols in patients with aortic dissection following thoracic endovascular aortic repair. Materials & methods: A patient-specific aortic dissection model was CT scanned at different tube voltages (80, 100 and 120 kVp) and pitch values (1.2, 1.5, 2.0 and 2.5). Six radiologists and ten radiological technologists were invited to assess images in terms of both image quality and diagnostic value. Results & conclusion: The protocol of 80 kVp with 2.0 pitch resulted in highest subjective scores with lowest dose value compared with other protocols. This study concludes that low tube voltage with high pitch (CTA) using 3D-printed model produces adequate image quality while reducing radiation dose.