A technique for the prediction of the time to peak hepatic enhancement
to optimize contrast-enhanced spiral CT has been developed. The proce
dures are (a) to inject a small amount of contrast medium rapidly via
the antecubital vein and measure aortic transit time (ATT) of the bolu
s by single slice dynamic CT; (b) to inject contrast medium at a high
rate: expecting peak hepatic enhancement to occur at ATT plus 8 second
s after the end of injection; (c) to perform spiral scanning of the li
ver using thin collimation and caudo-cranial table movement beginning
at ATT after the end of contrast medium injection.