Low radiation dose ECG-gated chest CT angiography on a 256-slice multidetector CT scanner

International Journal of Cardiovascular Imaging

Volumn 25, Issue SUPPL. 2, 2009, Pages 267-278

  Hameed, Tariq A ^a   Teague, Shawn D ^a   Vembar, Mani ^b   Dharaiya, Ekta ^b   Rydberg, Jonas ^a  

^a INDIANA UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b PHILIPS HEALTHCARE   (United States)

Author keywords

256 slice MDCT; Aorta; Chest; Computed tomography; CTangiography; ECG gated imaging; Prospectively gated axial CT imaging

Indexed keywords

ABDOMINAL AORTA ANEURYSM; ANGIOCARDIOGRAPHY; AORTA; CLINICAL EVALUATION; CLINICAL PROTOCOL; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTED TOMOGRAPHY SCANNER; CONTRAST ENHANCEMENT; DIAGNOSTIC IMAGING; DOSIMETRY; ELECTROCARDIOGRAM; GATED IMAGING; HEART MOVEMENT; HUMAN; IMAGE QUALITY; IMAGE RECONSTRUCTION; LOW ENERGY RADIATION; MULTIDETECTOR COMPUTED TOMOGRAPHY; RADIATION DOSE; RADIATION EXPOSURE; REVIEW; THORACIC AORTA ANEURYSM; THORAX RADIOGRAPHY;

EID: 67849083236     PISSN: 15695794     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10554-009-9428-3     Document Type: Review

References (36)

1. Rubin G (1997) Helical CT angiography if the thoracic aorta. J Thorac Imaging 12:128-149
2. Remy-Jardin M, Remy J (1999) Spiral CT angiography of the pulmonary circulation. Radiology 212:615-636
3. Schoepf U, Holzknecht N, Helmberger T et al (2002) Subsegmental pulmonary emboli: Improved detection with thin-collimation multi-detector row spiral CT. Radiology 222:483-490. doi: 10.1148/ radiol.2222001802
4. Willoteaux S, Lions C, Gaxotte V et al (2004) Imaging of aortic dissection by helical computed tomography. Eur Radiol 14:1999-2008. doi: 10.1007/s00330-004-2441-y
5. Hartnell GG (2001) Imaging of aortic aneurysms and dissection: CT and MRI. J Thorac Imaging 16:35-46. doi: 10.1097/00005382-200101000-00006
6. Mirvis SE, Shanmuganathan K (2007) Diagnosis of blunt traumatic aortic injury 2007: Still a nemesis. Eur J Radiol 64(1):27-40
7. Teutelink A, Rutten A, Muhs B et al (2006) Pilot study of dynamic cine CT angiography for the evaluation of abdominal aortic aneurysms: implications for endograft treatment. J Endovasc Ther 13(2):139-144
8. Willman JK, Weishaupt D, Lachat M et al (2002) Electrocardiographically gated multi-detector row CT for Assessment of valvular morphology and calcification in aortic stenosis. Radiology 225:120-128. doi: 10.1148/ radiol.2251011703
9. Qanadli SD, El Hajjam M, Mesurolle B et al (1999) Motion artifacts of the aorta simulating aortic dissection on spiral CT. J Comput Assist Tomogr 23:1-6. doi: 10.1097/00004728-199901000-00001
10. Duvernoy O, Coulden R, Ytterberg C (1995) Aortic motion: A potential pitfall in CT imaging of dissection in the ascending aorta. J Comput Assist Tomogr 19:569-572. doi: 10.1097/00004728-199507000-00012
11. Morgan-Hughes GJ, Owens PE, Marshall AJ et al (2003) Thoracic aorta at multi-detector row CT: Motion artifact with various reconstruction windows. Radiology 228:583-588. doi: 10.1148/radiol.2282020873
12. White CS, Kuo D, Kelemen M (2005) Chest pain evaluation in the emergency department: Can MDCT provide a comprehensive evaluation? AJR 185:533-540
13. Takakuwa KM, Halpern E (2008) Evaluation of a "Triple Rule-Out" coronary CT angiography protocol: Use of 64-section CT in low-to-moderate risk emergency department patients suspected of having acute coronary syndrome. Radiology 248(2):438-446. doi: 10.1148/ radiol.2482072169
14. Ohnesorge B, Flohr T, Becker C et al (2000) Cardiac imaging by means of electrocardiographically gated multisection spiral CT - Initial experience. Radiology 217:564-571
15. Runza G, Alaimo V, La Grutta L et al (2007) Can ECG-gated MDCT be considered an obligatory step to plan and manage a new chest-pain unit? Eur J Radiol 64:48-53. doi: 10.1016/j.ejrad.2007.06.021
16. Hoffmann U, Pena AJ, Cury RC et al (2006) Cardiac CT in emergency department patients with acute chest pain. RadioGraphics 26:963-978. doi: 10.1148/rg.264055709
17. Coles DR, Smail MA, Negus IS et al (2006) Comparison of radiation doses from multislice computed tomography coronary angiography and conventional diagnostic angiography. J Am Coll Cardiol 47(9):1840-1845. doi: 10.1016/j.jacc.2005.11.078
18. Raptopoulos VD, Boiselle PB, Michailidis N et al (2006) MDCT angiography of acute chest pain: Evaluation of ECG-gated and nongated techniques. AJR 186:S346-S356. doi: 10.2214/AJR.04.1882
19. Hsieh J, Londt J, Vass M, Li J, Tang X, Okerlund D (2006) Step-and-shoot data acquisition and reconstruction for cardiac X-ray computed tomography. Med Phys 33:4236-4248. doi: 10.1118/1.2361078
20. Poll LW, Cohnen M, Brachten S et al (2002) Dose reduction in multi-slice CT of the heart by use of ECG-controlled tube current modulation ("ECG pulsing"): Phantom measurements. Rofo 174:1500-1505
21. Jakobs TF, Becker CR, Ohnesorge B et al (2002) Multislice helical CT of the heart with retrospective ECG gating: Reduction of radiation exposure by ECG-controlled tube current modulation. Eur Radiol 12:1081-1086. doi: 10.1007/s00330-001-1278-x
22. Earls JP, Berman EL, Urban BA et al (2008) Prospectively gated transverse coronary CT angiography versus retrospectively gated helical technique: Improved image quality and reduced radiation dose. Radiology 246(3):742-753. doi: 10.1148/radiol.2463070989
23. Shuman WP, Branch KR, May JM et al (2008) Prospective versus retrospective ECG gating for 64-detector CT of the coronary arteries: comparison of image quality and patient radiation dose. Radiology 248(2):431-437. doi: 10.1148/radiol.2482072192
24. Husmann L, Valenta I, Gaemperli O et al (2007) Feasibility of low-dose coronary CT angiography: First experience with prospective ECG-gating. Eur Heart J 29(2):191-197. doi: 10.1093/eurheartj/ehm613
25. Stolzmann P, Leschka S, Scheffel H et al (2008) Dual-source CT in step-and-shoot mode: Noninvasive coronary angiography with low radiation dose. Radiology 249(1):71-80. doi: 10.1148/radiol.2483072032
26. Scheffel H, Alkadhi H, Leschka S et al (2008) Low-dose CT coronary angiography in the step-and-shoot mode: Diagnostic performance. Heart 94:1132-1137. doi: 10.1136/hrt.2008.149971
27. Hirai N, Horiguchi J, Fujioka C et al (2008) Prospective versus retrospective ECG-gated 64-detector coronary CT angiography: Assessment of image quality, stenosis, and radiation dose. Radiology 248(2):424-430. doi: 10.1148/radiol.2482071804
28. Klass O, Jeltsch M, Feuerlein S et al (2009) Prospectively gated axial CT coronary angiography: Preliminary experiences with a novel low-dose technique. Eur Radiol (in press)
29. Rybicki FJ, Otero HJ, Steigner ML et al (2008) Initial evaluation of coronary images from 320-detector row computed tomography. Int J Cardiovasc Imaging 24(5):535-546. doi: 10.1007/s10554-008-9308-2
30. Heuscher DJ, Chandra S (2003) Multi-phase cardiac imager. US Patent 6,510,337
31. Vembar M, Garcia MJ, Heuscher DJ et al (2003) A dynamic approach to identifying desired physiological phases for cardiac imaging using multislice spiral CT. Med Phys 30:1683-1693.doi: 10.1118/1.1582812
32. Manzke R, Grass M, Nielsen T et al (2003) Adaptive temporal resolution optimization in helical cardiac cone beam CT reconstruction. Med Phys 30:3072-3080. doi: 10.1118/1.1624756
33. Morin R, Gerber T, McCollough C (2003) Radiation dose in computed tomography of the heart. Circulation 107:917-922. doi: 10.1161/ 01.CIR.0000048965.56529.C2
34. Ganten M, Weber T, Tengg-Kobligk H, Böckler D, Stiller W, Geisbüsch P, Kauffman G et al (2008) Motion characterization of aortic wall and intimal flap by ECG-gated CT in patients with chronic B-dissection. Eur J Radiol 10:1016-1024
35. Shrimpton PC (2004) Assessment of patient dose in CT. NRPB-PE/1/2004. Chilton, National Radiological Protection Board, March 2004. Also published as Appendix C of the 2004 CT quality criteria (MSCT, 2004) (Online). Available: http://www.msct.eu/PDF_FILES/EC. CA Report D5-Dosimetry.pdf . Accessed 26 Sept 2008
36. American Association of Physicists in Medicine (2008) The measurement, reporting, and management of radiation dose in CT: Report of AAPM Task Group 23, CT Dosimetry Diagnostic Imaging Council CT Committee. AAPM report no. 96, American Association of Physicists in Medicine, College Park, MD, January 2008 (Online). Available: http://www.aapm.org/pubs/ reports/rpt_96.pdf. Accessed 26 Sept 2008