Adequate image quality with reduced radiation dose in prospectively triggered coronary CTA compared with retrospective techniques

作者: Elisabeth Arnoldi , Thorsten R. Johnson , Carsten Rist , Bernd J. Wintersperger , Wieland H. Sommer

DOI: 10.1007/S00330-009-1411-9

关键词:

摘要: The goal of our study was to compare a prospective triggering (PT) CT technique with retrospectively gated (RG) techniques in coronary computed tomographic angiograms (CCTA) respect image quality and radiation dose. Sixty consecutive patients were enrolled. CCTAs using the RG obtained dual-source 64-slice system 40 patients, ECG-triggered tube current modulation, either broad pulsing window at 30–80% RR interval (group RGb, 20 heart rate > 70 bpm) or small 70% RGs, < bpm). other underwent CCTA PT on 128-slice PT, All images evaluated by two observers for three-point scale, 1 being excellent 3 insufficient. effective dose calculated each patient. average score 1.5 ± 0.6 1.35 0.5 RGs 1.65 RGb. mean RGb 9 4 mSv, 7 mSv mSv. This represents 57% reduction compared 67% In conclusion, selected offers adequate significantly lower techniques.

参考文章(35)
Paul Stolzmann, Hans Scheffel, Thomas Schertler, Thomas Frauenfelder, Sebastian Leschka, Lars Husmann, Thomas G. Flohr, Borut Marincek, Philipp A. Kaufmann, Hatem Alkadhi, Radiation dose estimates in dual-source computed tomography coronary angiography European Radiology. ,vol. 18, pp. 592- 599 ,(2008) , 10.1007/S00330-007-0786-8
Bernd J. Wintersperger, Konstantin Nikolaou, Franz von Ziegler, Thorsten Johnson, Carsten Rist, Alexander Leber, Thomas Flohr, Andreas Knez, Maximilian F. Reiser, Christoph R. Becker, Image quality, motion artifacts, and reconstruction timing of 64-slice coronary computed tomography angiography with 0.33-second rotation speed. Investigative Radiology. ,vol. 41, pp. 436- 442 ,(2006) , 10.1097/01.RLI.0000202639.99949.C6
Sebastian Leschka, Hans Scheffel, Lotus Desbiolles, Andre Plass, Oliver Gaemperli, Ines Valenta, Lars Husmann, Thomas G. Flohr, Michele Genoni, Borut Marincek, Philipp A. Kaufmann, Hatem Alkadhi, Image quality and reconstruction intervals of dual-source CT coronary angiography: recommendations for ECG-pulsing windowing. Investigative Radiology. ,vol. 42, pp. 543- 549 ,(2007) , 10.1097/RLI.0B013E31803B93CF
Hatem Alkadhi, Paul Stolzmann, Hans Scheffel, Lotus Desbiolles, Stephan Baumüller, André Plass, Michele Genoni, Borut Marincek, Sebastian Leschka, Radiation dose of cardiac dual-source CT: The effect of tailoring the protocol to patient-specific parameters European Journal of Radiology. ,vol. 68, pp. 385- 391 ,(2008) , 10.1016/J.EJRAD.2008.08.015
Hicham T. Abada, Christophe Larchez, Béatrice Daoud, Anne Sigal-Cinqualbre, Jean-François Paul, MDCT of the Coronary Arteries: Feasibility of Low-Dose CT with ECG-Pulsed Tube Current Modulation to Reduce Radiation Dose American Journal of Roentgenology. ,vol. 186, ,(2006) , 10.2214/AJR.05.0216
Nobuhiko Hirai, Jun Horiguchi, Chikako Fujioka, Masao Kiguchi, Hideya Yamamoto, Noriaki Matsuura, Toshiro Kitagawa, Hiroki Teragawa, Nobuoki Kohno, Katsuhide Ito, Prospective versus retrospective ECG-gated 64-detector coronary CT angiography: assessment of image quality, stenosis, and radiation dose. Radiology. ,vol. 248, pp. 424- 430 ,(2008) , 10.1148/RADIOL.2482071804
Stephanie Busch, Thorsten R. C. Johnson, Konstantin Nikolaou, Franz von Ziegler, Andreas Knez, Maximilian F. Reiser, Christoph R. Becker, Visual and automatic grading of coronary artery stenoses with 64-slice CT angiography in reference to invasive angiography European Radiology. ,vol. 17, pp. 1445- 1451 ,(2007) , 10.1007/S00330-006-0512-Y
Thorsten R. C. Johnson, Konstantin Nikolaou, Stephanie Busch, Alexander W. Leber, Alexander Becker, Bernd J. Wintersperger, Carsten Rist, Andreas Knez, Maximilian F. Reiser, Christoph R. Becker, Diagnostic accuracy of dual-source computed tomography in the diagnosis of coronary artery disease. Investigative Radiology. ,vol. 42, pp. 684- 691 ,(2007) , 10.1097/RLI.0B013E31806907D0
Oliver Klass, Martin Jeltsch, Sebastian Feuerlein, Horst Brunner, Hans-Dieter Nagel, Matthew J. Walker, Hans-Juergen Brambs, Martin H. K. Hoffmann, Prospectively gated axial CT coronary angiography: preliminary experiences with a novel low-dose technique European Radiology. ,vol. 19, pp. 829- 836 ,(2009) , 10.1007/S00330-008-1222-4
Takeshi Nakaura, Kazuo Awai, Yumi Yauaga, Yoshiharu Nakayama, Seitaro Oda, Masahiro Hatemura, Yasuhiro Nagayoshi, Hisao Ogawa, Yasuyuki Yamashita, Contrast Injection Protocols for Coronary Computed Tomography Angiography Using a 64-Detector Scanner: Comparison Between Patient Weight-Adjusted- and Fixed Iodine-Dose Protocols Investigative Radiology. ,vol. 43, pp. 512- 519 ,(2008) , 10.1097/RLI.0B013E3181727505