Reduction of the estimated radiation dose and associated patient risk with prospective ECG-gated 256-slice CT coronary angiography

Physics in Medicine and Biology

Volumn 54, Issue 17, 2009, Pages 5209-5222

  Efstathopoulos, E P ^a   Kelekis, N L ^a   Pantos, I ^a,b   Brountzos, E ^a   Argentos, S ^a   Greb, J ^c   Ziaka, D ^c   Katritsis, D G ^b   Seimenis, I ^c  

^a UNIVERSITY OF ATHENS MEDICAL SCHOOL   (Greece)

^b Athens Euroclinic ^*  (Greece)

^c Medical Diagnostic Center 'Ayios Therissos'   (Cyprus)

Author keywords

[No Author keywords available]

Indexed keywords

AXIAL SCANNING; CARDIAC ANATOMY; COMPUTED TOMOGRAPHY; CORONARY ANGIOGRAPHY; CT SCANNERS; CT TECHNOLOGY; DIAGNOSTIC ACCURACY; DUAL SOURCE; FATAL CANCERS; RADIATION DOSE; RADIATION EXPOSURE; REGIONS OF INTEREST; STATISTICALLY SIGNIFICANT DIFFERENCE; STEP-AND-SHOOT; SUBJECTIVE QUALITY;

ANGIOGRAPHY; COMPUTERIZED TOMOGRAPHY; DOSIMETRY; ELECTROCARDIOGRAPHY; ELECTROCHROMIC DEVICES; IMAGE QUALITY; RADIATION; RISK PERCEPTION; TOMOGRAPHY;

SCANNING;

ADULT; ANGIOCARDIOGRAPHY; ARTICLE; CANCER RISK; CLINICAL ARTICLE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CONTROLLED STUDY; ELECTROCARDIOGRAM; HUMAN; MALE; POPULATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; QUALITY CONTROL; RADIATION DOSE; RETROSPECTIVE STUDY; CLINICAL TRIAL; ELECTROCARDIOGRAPHY; GATED IMAGING; IMAGE PROCESSING; METHODOLOGY; MIDDLE AGED; RADIATION INJURY; RISK;

CARDIAC-GATED IMAGING TECHNIQUES; CORONARY ANGIOGRAPHY; ELECTROCARDIOGRAPHY; HUMANS; IMAGE PROCESSING, COMPUTER-ASSISTED; MALE; MIDDLE AGED; NEOPLASMS, RADIATION-INDUCED; PROSPECTIVE STUDIES; RADIATION DOSAGE; RETROSPECTIVE STUDIES; RISK;

EID: 70350508873     PISSN: 00319155     EISSN: 13616560     Source Type: Journal    
DOI: 10.1088/0031-9155/54/17/009     Document Type: Article

References (48)

1. Achenbach S et al 2006 Contrast-enhanced coronary artery visualization by dual-source computed tomography-initial experience Eur. J. Radiol. 57 331-5 (Pubitemid 43254911)
2. Austen W G, Edwards J E, Frye R L, Gensini G G, Gott V L, Griffith L S, McGoon D C, Murphy M L and Roe B B 1975 A reporting system on patients evaluated for coronary artery disease. Report of the Ad Hoc Committee for Grading of Coronary Artery Disease, Council on Cardiovascular Surgery, American Heart Association Circulation 51 5-40
3. Brenner D J and Hall E J 2007 Computed tomography-an increasing source of radiation exposure New Engl J. Med. 357 2277-84
4. Budoff M J et al 2006 Assessment of coronary artery disease by cardiac computed tomography: a scientific statement from the American Heart Association Committee on Cardiovascular Imaging and Intervention, Council on Cardiovascular Radiology and Intervention, and Committee on Cardiac Imaging, Council on Clinical Cardiology Circulation 114 1761-91
5. Choi S I, George R T, Schuleri K H, Chun E J, Lima J A and Lardo A C 2009 Recent developments in wide-detector cardiac computed tomography Int. J. Cardiovasc. Imaging 25 ((Suppl. 1)) 23-9
6. Coles D R, Smail M A, Negus I S, Wilde P, Oberhoff M, Karsch K R and Baumbach A 2006 Comparison of radiation doses from multislice computed tomography coronary angiography and conventional diagnostic angiography J. Am. Coll. Cardiol. 47 1840-5
7. Cordeiro M A and Lima J A 2006 Atherosclerotic plaque characterization by multidetector row computed tomography angiography J. Am. Coll. Cardiol. 47 C40-7
8. Deetjen A, Mollmann S, Conradi G, Rolf A, Schmermund A, Hamm C W and Dill T 2007 Use of automatic exposure control in multislice computed tomography of the coronaries: comparison of 16-slice and 64-slice scanner data with conventional coronary angiography Heart 93 1040-3
9. Earls J P, Berman E L, Urban B A, Curry C A, Lane J L, Jennings R S, McCulloch C C, Hsieh J and Londt J H 2008 Prospectively gated transverse coronary CT angiography versus retrospectively gated helical technique: improved image quality and reduced radiation dose Radiology 246 742-53
10. Einstein A J, Henzlova M J and Rajagopalan S 2007 Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography JAMA 298 317-23
11. Gopal A, Mao S S, Karlsberg D, Young E, Waggoner J, Ahmadi N, Pal R S, Leal J, Karlsberg R P and Budoff M J 2008 Radiation reduction with prospective ECG-triggering acquisition using 64-multidetector computed tomographic angiography Int. J. Cardiovasc. Imaging 4 405-16
12. Gutstein A et al 2008a Algorithm for radiation dose reduction with helical dual source coronary computed tomography angiography in clinical practice J. Cardiovasc. Comput. Tomogr. 2 311-22
13. Gutstein A et al 2008b Predicting success of prospective and retrospective gating with dual-source coronary computed tomography angiography: development of selection criteria and initial experience J. Cardiovasc. Comput. Tomogr. 2 81-90
14. Hamon M, Morello R, Riddell J W and Hamon M 2007 Coronary arteries: diagnostic performance of 16-versus 64-section spiral CT compared with invasive coronary angiography-meta-analysis Radiology 245 720-31
15. Hausleiter J, Meyer T, Hadamitzky M, Huber E, Zankl M, Martinoff S, Kastrati A and Schomig A 2006 Radiation dose estimates from cardiac multislice computed tomography in daily practice: impact of different scanning protocols on effective dose estimates Circulation 113 1305-10
16. Hausleiter J et al 2009 Estimated radiation dose associated with cardiac CT angiography JAMA 301 500-7
17. Hendel R C et al 2006 ACCF/ACR/SCCT/SCMR/ASNC/NASCI/SCAI/SIR 2006 appropriateness criteria for cardiac computed tomography and cardiac magnetic resonance imaging: a report of the American College of Cardiology Foundation Quality Strategic Directions Committee Appropriateness Criteria Working Group, American College of Radiology, Society of Cardiovascular Computed Tomography, Society for Cardiovascular Magnetic Resonance, American Society of Nuclear Cardiology, North American Society for Cardiac Imaging, Society for Cardiovascular Angiography and Interventions, and Society of Interventional Radiology J. Am. Coll. Cardiol. 48 1475-97
18. Herzog B A, Husmann L, Burkhard N, Gaemperli O, Valenta I, Tatsugami F, Wyss C A, Landmesser U and Kaufmann P A 2008 Accuracy of low-dose computed tomography coronary angiography using prospective electrocardiogram-triggering: first clinical experience Eur. Heart J. 29 3037-42
19. Hirai N, Horiguchi J, Fujioka C, Kiguchi M, Yamamoto H, Matsuura N, Kitagawa T, Teragawa H, Kohno N and Ito K 2008 Prospective versus retrospective ECG-gated 64-detector coronary CT angiography: assessment of image quality, stenosis, and radiation dose Radiology 248 424-30
20. Husmann L, Valenta I, Gaemperli O, Adda O, Treyer V, Wyss C A, Veit-Haibach P, Tatsugami F, von Schulthess G K and Kaufmann P A 2008 Feasibility of low-dose coronary CT angiography: first experience with prospective ECG-gating Eur. Heart J. 29 191-7
21. ICRP 2007a Managing patient dose in multi-detector computer tomography ICRP Publication 102 (Oxford: Pergamon)
22. ICRP 2007b The 2007 recommendations of the international commission on radiological protection ICRP Publication 103 (Oxford: Pergamon)
23. Kalra M K, Maher M M, Toth T L, Schmidt B, Westerman B L, Morgan H T and Saini S 2004 Techniques and applications of automatic tube current modulation for CT Radiology 233 649-57
24. Klass O, Jeltsch M, Feuerlein S, Brunner H, Nagel H D, Walker M J, Brambs H J and Hoffmann M H 2009 Prospectively gated axial CT coronary angiography: preliminary experiences with a novel low-dose technique Eur. Radiol. 19 829-36
25. Leber A W et al 2005 Quantification of obstructive and nonobstructive coronary lesions by 64-slice computed tomography: a comparative study with quantitative coronary angiography and intravascular ultrasound J. Am. Coll. Cardiol. 46 147-54
26. Maruyama T, Takada M, Hasuike T, Yoshikawa A, Namimatsu E and Yoshizumi T 2008 Radiation dose reduction and coronary assessability of prospective electrocardiogram-gated computed tomography coronary angiography: comparison with retrospective electrocardiogram-gated helical scan J. Am. Coll. Cardiol. 52 1450-5
27. McCollough C H et al 2008 The measurement, reporting, and management of radiation dose in CT Technical Report no 96 (College Park, MA: American Association of Physicists in Medicine)
28. Mollet N R, Cademartiri F, van Mieghem C A, Runza G, McFadden E P, Baks T, Serruys P W, Krestin G P and de Feyter P J 2005 High-resolution spiral computed tomography coronary angiography in patients referred for diagnostic conventional coronary angiography Circulation 112 2318-23
29. Mori S et al 2004 Physical performance evaluation of a 256-slice CT-scanner for four-dimensional imaging Med. Phys. 31 1348-56
30. Morin R L, Gerber T C and McCollough C H 2003 Radiation dose in computed tomography of the heart Circulation 107 917-22
31. Motoyama S, Anno H, Sarai M, Sato T, Sanda Y, Ozaki Y, Mochizuki T, Katada K and Hishida H 2008 Noninvasive coronary angiography with a prototype 256-row area detector computed tomography system: comparison with conventional invasive coronary angiography J. Am. Coll. Cardiol. 51 773-5
32. Nakayama Y et al 2005 Abdominal CT with low tube voltage: preliminary observations about radiation dose, contrast enhancement, image quality, and noise Radiology 237 945-51
33. Perisinakis K, Damilakis J, Tzedakis A, Papadakis A, Theocharopoulos N and Gourtsoyiannis N 2007 Determination of the weighted CT dose index in modern multi-detector CT scanners Phys. Med. Biol. 52 6485-95
34. Raff G L, Abidov A, Achenbach S, Berman D S, Boxt L M, Budoff M J, Cheng V, DeFrance T, Hellinger J C and Karlsberg R P 2009 SCCT guidelines for the interpretation and reporting of coronary computed tomographic angiography J. Cardiovasc. Comput. Tomogr. 3 122-36
35. Raff G L, Gallagher M J, O'Neill W W and Goldstein J A 2005 Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography J. Am. Coll. Cardiol. 46 552-7
36. Scheffel H et al 2008 Low-dose CT coronary angiography in the step-and-shoot mode: diagnostic performance Heart 94 1132-7
37. Scheffel H et al 2006 Accuracy of dual-source CT coronary angiography: first experience in a high pre-test probability population without heart rate control Eur. Radiol. 16 2739-47
38. Scott B R, Sanders C L, Mitchel R E J and Boreham D R 2008 CT scans may reduce rather than increase the risk of cancer J. Am. Physicians Surg. 13 8-11
39. Shechter G, Resar J R and McVeigh E R 2006 Displacement and velocity of the coronary arteries: cardiac and respiratory motion IEEE Trans. Med. Imaging 25 369-75
40. Shrimpton P C 2004 Assessment of patient dose in CT Technical Report NRPB-PE/1/2004 (Chilton: National Radiological Protection Board)
41. Shuman W P, Branch K R, May J M, Mitsumori L M, Lockhart D W, Dubinsky T J, Warren B H and Caldwell J H 2008 Prospective versus retrospective ECG gating for 64-detector CT of the coronary arteries: comparison of image quality and patient radiation dose Radiology 248 431-7
42. Sodickson A, Baeyens P F, Andriole K P, Prevedello L M, Nawfel R D, Hanson R and Khorasani R 2009 Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults Radiology 251 175-84
43. Steigner M L, Otero H J, Cai T, Mitsouras D, Nallamshetty L, Whitmore A G, Ersoy H, Levit N A, Di Carli M F and Rybicki F J 2009 Narrowing the phase window width in prospectively ECG-gated single heart beat 320-detector row coronary CT angiography Int. J. Cardiovasc. Imaging 25 85-90
44. Stolzmann P et al 2008 Dual-source CT in step-and-shoot mode: noninvasive coronary angiography with low radiation dose Radiology 249 71-80
45. Theocharopoulos N, Damilakis J, Perisinakis K and Gourtsoyiannis N 2007 Energy imparted-based estimates of the effect of z overscanning on adult and pediatric patient effective doses from multi-slice computed tomography Med. Phys. 34 1139-52
46. UNSCEAR 2000 Sources and effects of ionizing radiation United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR). 2000 Report to the General Assembly, with Scientific Annexes (New York: United Nations)
47. Weigold W G, Olszewski M E and Walker M J 2009 Low-dose prospectively gated 256-slice coronary computed tomographic angiography Int. J. Cardiovasc. Imaging 25 ((Suppl. 2)) 217-30
48. Wintersperger B J, Nikolaou K, von Ziegler F, Johnson T, Rist C, Leber A, Flohr T, Knez A, Reiser M F and Becker C R 2006 Image quality, motion artifacts, and reconstruction timing of 64-slice coronary computed tomography angiography with 0.33-second rotation speed Invest. Radiol. 41 436-42