To evaluate the accuracy of digital videodensitometric technique in di
rectly quantitating concentration of contrast medium, iohexol 300 mg I
/ml was injected into a 2-mm-diameter plastic tube, in which clean wat
er was circulated at a 190 ml/min flow, for digital subtraction angiog
raphy. Altogether 27 injections were performed with 3, 4 and 5 ml volu
mes at 3-, 4- and 5-ml/s flows of the contrast medium. A time-density
curve was achieved by selecting a ''vessel'' region of interest (ROI)
and a background ROI. Then, a frame corresponding to the maximum opaci
fication of the contrast medium could be calculated. Finally, the aver
age density and the time to peak density of the contrast medium were o
btained. The average density was statistically higher (p<0.01) with 5
ml/s flow than with 4- and 3-ml/s flows. Times to peak density reduced
as injection flows or volumes increased. The results support the conc
lusion that digital videodensitometric technique is an accurate method
for quantitation of contrast medium concentration during angiography.
The angiographic opacification may be improved by injecting the iodin
e contrast medium with higher flows or larger volumes.