Low-tube voltage computed tomography during hepatic arterial phase: The effect of body habitus on image quality

Yang Shin Park, Chang Hee Lee, Jongmee Lee, Jae Woong Choi, Kyeong Ah Kim, Cheol Min Park

Research output: Contribution to journalArticlepeer-review


Purpose: This study aimed to evaluate the impact of body habitus factors on image quality of low-tube voltage computed tomography (CT) during the hepatic arterial phase. Materials and Methods: Ninety-seven patients (66 men, 31 women; age range, 26-78 years) who underwent clinically indicated liver dynamic CTexamination were enrolled in the study. Analysis with 80-kVp CT and intermediate tube current (277-337 mA) was performed in the late hepatic arterial phase using a 320-detector row scanner with adaptive iterative dose reduction 3-dimensional reconstruction. Patient body habitus was measured using body weight (BW), body mass index (BMI), lateral width (LW) of the abdomen, and muscle volume (MV) of the abdominalwall. On hepatic arterial phase, the mean image noise and contrast-to-noise ratio (CNR) for the aorta and liver were assessed. The correlations between body habitus factors and image quality parameters were evaluated. Results: In all patients, MV showed the strongest correlation with image noise, followed by BWand LW(r = 0.684, 0.570, and 0.555, respectively). The BMI showed the fourth strongest correlation with image noise among all body habitus factors (r = 0.377). With respect to CNR of the aorta, MV and BWshowed the strongest inverse correlation (r = 0.590 and 0.600, respectively), followed by LWand BMI (r = 0.557 and 0.423, respectively). Regarding the CNR of the liver,MVshowed the strongest inverse correlation (r = 0.279), although the correlation efficiency was weak compared with other correlations. Conclusions: Among various body habitus factors, MV showed the strongest association with image noise and CNR in the hepatic arterial phase using 80-kVp CT.

Original languageEnglish
Pages (from-to)401-406
Number of pages6
JournalJournal of Computer Assisted Tomography
Issue number3
Publication statusPublished - 2017
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2016 Wolters Kluwer Health, Inc. All rights reserved.


  • Arterial phase
  • Body mass index
  • Body size
  • Computed tomography
  • Image quality
  • Liver
  • Low tube voltage
  • Muscle volume

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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