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Optiray

Manufactured by Mallinckrodt
Sourced in Germany, Canada, United States, United Kingdom

Optiray is a line of iodinated contrast media products used for various radiological imaging procedures. The core function of Optiray is to enhance the visibility of organs, blood vessels, and other structures during diagnostic imaging tests, such as computed tomography (CT) scans, angiography, and other radiographic examinations.

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9 protocols using optiray

1

Myelographic Evaluation of Cervical Spine

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The cadavers were positioned prone and a mini-incision surgery was performed to expose dural sac in upper thoracic spine via posterior approach. A subarachnoid space puncture was performed and a tube was placed cranially. Contrast medium (Optiray, 300 mg/ml, Mallinckrodt, Germany) was pump injected through the tube into dural sac. Myelography under video fluoroscopy (Veradius C-Arm, Philips, Netherlands) was used (Fig 1B) to directly measure the real-time changes of the dural sac’s width during the procedure of applying a cervical collar. Thus, myelography provides clear information about dural sac compression caused by soft tissues or bony structures [53 (link), 54 (link)].
During fluoroscopy, distance of the C-Arm to the cadavers’ cervical spine was set to 30 cm. Central ray orientation was standardized and a measuring reference was fixed at every cadaver.
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2

Contrast Media Use in Multiphasic CT

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Various CT protocols involving a 128-slice scanner (SOMATOM Definition Flash, Siemens Healthcare) were used to examine the enrolled patients. All CT scans were performed using one of five types of nonionic low-osmolality ICM: iobitridol 350 (Xenetix®; Guerbet), ioversol 320 (Optiray®; Mallinckrodt Medical), iohexol 350 (Omnipaque®; GE Healthcare), iomeprol 400 (Iomeron®; Bracco), and iopamidol 370 (Pamiray®; Dongkook Pharmaceutical Co., Ltd.). At our institution, each type of ICM was used for a different type of CT examination. The total dose and injection rate of ICM were determined based on the patient's body weight and CT protocol. For multiphasic CT with the arterial phase, a 1.7 mL/kg dose of ICM was administered over 25–30 seconds (minimum injection rate of 0.7 mL/s), followed by a saline chaser of up to 20 mL. For single-venous phase enhanced CT, a 1.7 mL/kg dose of ICM was administered over 50 seconds, followed by a saline chase of up to 20 mL. For cardiac CT, a 1.5–2 mL/kg dose of ICM was administered at a rate of 1–3 mL/s, followed by a saline chase injected at the same rate. We classified multiphasic and cardiac CT examinations as rapid injection rate examinations and single-phase CT examinations as routine injection rate examinations.
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3

Cardiac MDCT Imaging Protocol

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The hearts were evaluated with an ECG-gated, 64-slice MDCT scanner (Brilliance CT, 64-slice, Philip, Amsterdam, Netherlands). Participants underwent a CT scan during sinus rhythm. We administered 80 mL of the nonionic contrast medium iohexol (350 mg of iodine per milliliter [Optiray, Mallinckrodt, Canada]) followed by 20 mL of normal saline through the patient's antecubital vein using a power injector at a rate of 5.5 mL/s. We used the bolus tracing technique to monitor the signal intensity at the predefined region of interest (ROI) in the ascending aorta. When the CT number of the ROI reached the pre-set threshold (Hounsfield unit [HU]: 150), the scan automatically started and the patients were instructed to hold their breath during the acquisition of the images, which covered the area from the aortic arch to the cardiac apex (collimation 64 × 0.625 mm, gantry rotation time 400 ms, table speed 19 mm/s, tube voltage 120 kV, effective tube current 500–600 mA). The acquisition time was 12 to 14.5 s, depending on the heart rate.
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4

Dynamic CT Perfusion Imaging Protocol

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The shuttle-mode scans were acquired 5s after a 50mL nonionic contrast agent bolus (ioversol [Optiray], 320mg of iodine per milliliter; Mallinckrodt, Inc., St Louis, Mo) was administered using an automatic injector (MCT/MCT Plus; Medrad, Pittsburg, Pa) at a rate of 7mL/s. Ten phases of cine scans were acquired where each phase of the CT perfusion scan (120 kVp, 220 mA, 8.42 mGy) was 2.8s long with a 1.4s lag between table position scans as shown in the timeline of the acquisition in Figure 1. The figure also illustrates that the two table position scans were acquired from non-overlapping volumes, such that there was a 5mm z-axis distance between the most inferior table position 1 slice and the most superior table position 2 slice. The images were reconstructed to eight slices per table position with a 5 mm thickness resulting in a total coverage of 80 mm along the cranio-caudal (z) direction considering both table position scans. A 27s breath hold was imposed to minimize breathing motion during the scan.
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5

Gastric Wall Evaluation with CT Imaging

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CT scans were performed in a 16-channel multidetector scanner (Brilliance Big
Bore; Philips Healthcare, Cleveland, OH, USA), in an axial plane volumetric
acquisition with 1.25 mm collimation. For a better evaluation of the gastric
wall, we used a stomach protocol with the following specifications: an 8-h fast;
intravenous administration of an antispasmodic agent 10 min prior to the
examination; and ingestion of two effervescent salt envelopes, diluted in 10 mL
of water, immediately prior to image acquisition.
After images of the upper abdomen had been acquired in the pre-contrast phase, a
dynamic study was performed with the following parameters: intravenous injection
of nonionic iodinated contrast (Optiray; Mallinckrodt Inc., Raleigh, NC, USA),
at a volume of 85-100 mL (depending on patient weight) and a flow velocity of
2.5-3.0 mL/s; images of the upper abdomen acquired in the arterial phase; images
of the upper abdomen and pelvis acquired in the portal phase; and images of the
upper abdomen and pelvis acquired in the equilibrium phase.
In the equilibrium phase, images should be acquired in the supine position that
which ensures the best distension of the stomach portion where the lesion is
located (dorsal, right oblique, or left oblique).
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6

Multimodal Neuroimaging of Mouse Brain

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PET and CT data of each animal was acquired within 24 h of the MR scans. The mice were anesthetized with 2 % isoflurane and positioned in a microPET Focus 220 (Siemens, Knoxville, TN). Dynamic PET data was acquired for 60 min following a retro-orbital administration of ~ 18 MBq/0.2 ml [18F]VUIIS1008. The dynamic data were binned into the following variable length frames: twelve 5-s frames, four 60-s frames, one 5-min frame, and five 10-min frames. The MAP algorithm was used to reconstruct the data into 128 × 128 × 95 slices with a voxel size of 0.095 × 0.095 × 0.08 cm3 at a beta value of 0.01. CT scans were next acquired to facilitate anatomic co-registration of the PET and MRI data. Mice were imaged in an Inveon CT (Siemens preclinical, Knoxville TN) following an IP injection of ~ 0.2 ml of the contrast agent Optiray (Mallinckrodt Inc., St. Louis, MO), which enables visualization of the bladder. Note that TSPO ligands are not cleared via the kidneys [13 (link)]. The CT data was collected using the following parameters: beam intensity = 180 mAs, tube voltage = 80 kVp, reconstructed image matrix = 512 × 512 × 512, and voxel size = 0.1 × 0.1 × 0.1 mm3.
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7

Chest CT Imaging Protocols for Nodule Analysis

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The area covered by the chest CT examination extended from the apex to the base of the lung, including the chest wall and axillary fossa. The first dataset, which consisted of preoperative and postoperative CT scans of 122 nodules, was acquired using a 64-MDCT system (GE LightSpeed VCT or GE Discovery CT750 HD, GE Healthcare), with use of the following parameters: section width, 1.25 mm; reconstruction interval, 1.25 mm; pitch, 0.984; tube voltage, 120 kV; tube current, 250 mA; display FOV, 28 × 28 cm to 36 × 36 cm; matrix size, 512 × 512; and pixel size, 0.55–0.7 mm. All patients received a bolus of 80–100 mL of IV contrast medium (350 mg I/mL; Optiray, Mallinckrodt) administered at a rate of 3–4 mL/s with the use of a power injector via an 18- or 20-gauge cannula in an antecubital vein. The postoperative CT scan was acquired 60 seconds after the administration of contrast medium. Both standard and high-resolution reconstruction kernels were used for image reconstructions. The second dataset, which consisted only of unenhanced CT images of 126 nodules, was acquired using either a 16-MDCT system (Sensation 16, Siemens Healthcare) with use of a section width of 1 mm, a reconstruction interval of 1 mm, pitch of 1, tube voltage of 120 kV, and tube current of 150 mA or a 64-MDCT system (GE Discovery CT750 HD, GE Healthcare) with use of the same parameters used for preoperative CT.
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8

Non-Contrast and Contrast-Enhanced CT Scans

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CT examinations were performed with one of the two scanners: GE Discovery CT750 HD scanner (GE Healthcare, USA) and Somatom Definition flash (Siemens Medical Solutions). All patients were asked to hold the breath at the end of inspiration. NCECT images were acquired in the supine position. The details of the scanning parameters were as follows: tube voltage 120kVp, tube current 120-200 mA, collimation 0.6 or 0.625 mm*64, rotation time 0.33 or 0.5 s/rot, SFOV 50 cm, slice thickness of reconstruction 1or 1.25 mm, slice interval of reconstruction 1or 1.25 mm, reconstruction algorithm STND and Medium sharp, matrix 512 × 512. After NCECT scanning, a dose of 80–100 ml non-ionic IV contrast material (350 mg iodine/ ml, Optiray, Mallinckrodt) was injected into the antecubital vein at a rate of 3.0–4.0 ml/s using a powerful automated injector. The CECT scanning was performed at 35 to 60 s after the injection.
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9

Comparative Evaluation of CTA and ICA

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CTA and ICA were performed at the same hospital 4 weeks apart, and CTA was always performed before ICA. CTA scans were performed on a dual-source scanner (Somatom Definition Flash; Siemens, Munich, Germany) using a fixed contrast dose of intravenous ioversol (Optiray; 350 mg/mL; Mallinckrodt, Chesterfield, UK). A spiral acquisition protocol was applied to evaluate the coronary arteries. An additional high-pitch scan was performed for evaluation of the aorta and iliac arteries using the same contrast injection. ICA was performed using standard techniques. Intra-arterial administration of iodixanol (Visipaque; 320 mg/mL; GE Healthcare, Little Chalfont, UK) was used in all patients, with variable dosing depending on the individual requirements. According to local guidelines, all patients received oral acetylcysteine (600 mg) on the day before and on the days of the CTA and ICA procedures. Angiotensinconverting enzyme inhibitors, angiotensin II receptor blockers and nonsteroidal anti-inflammatory drugs were withheld on the morning of the contrast examination. Dehydration was avoided by discontinuation of diuretic medication on the day before and on the days of the study, and good oral hydration was ensured; in a few patients, this was supplemented by administration of intravenous fluids.
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