Individualized post-trigger delay bolus tracking improves pancreatic CT enhancement versus fixed 20-second delay

Individualized post-trigger delay for pancreatic CT yielded higher attenuation (head 126 vs 86 HU, p<0.001; body 125 vs 93 HU) and better subjective quality (84% vs 30% excellent/good) in a prospective 100-patient study.

• Prospective, non-randomized comparison in 100 patients (50 individualized, 50 fixed).
• Post-trigger delays ranged 5–37 sec in the individualized group vs. fixed 20 sec.
• Limitation: non-randomized, single-center, image quality outcomes only; no diagnostic accuracy assessment.

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