Radiology 2003; 226:231-234.
Kozuka T, Johkoh T, Hamada S, Naito H, Tomiyama N, Koyama M, Mihara N, Honda O, Nakamura H, Kudo M.
PURPOSE: To determine the effect of changing pitch and collfmation on depiction of pulmonary metastases on scans of 5-mm section thickness obtained with multi-detector row computed tomography (CT) compared with those obtained with single-detector row CT.
MATERIALS AND METHODS: In five autopsy lungs, 1,013 metastatic 0.5-30.0-mm nodules were detected at helical CT with 1-mm collimation and histopathologically diagnosed as metastases. Each nodule was numbered, and its localization was recorded as the standard for subsequent studies. Four types of scans of 5-mm section thickness were obtained with multi-detector row CT and four sets of helical pitch and table speed, respectively, as follows: set A, 3:1 and 7.5 mm per rotation; set B, 6:1 and 15 mm per rotation; set C, 6:1 and 30 mm per rotation; set D, conventional and 5-mm interval. Conventional helical CT scans (set E) were obtained with 5-mm collimation at single-detector row CT. Two independent observers evaluated the five sets of CT scans.
RESULTS: Acquisition times for sets A-D, respectively, were 1.9, 3.8, 7.5, and 1.5 times faster than they were for set E. The mean numbers of detected nodules were 671 (66%) in set A, 661 (65%) in set B, 678 (67%) in set C, 654 (65%) in set D, and 656 (65%) in set E; there was no significant difference in the number of detected nodules among the five sets (P = .997, McNemar test and Bonferroni equation).
CONCLUSION: Regardless of varying pitch or detector collimation, multi- and single-detector row CT scans obtained with 5-mm section thickness have almost the same ability to depict pulmonary metastases and are equivalent.