Step-and-shoot prospectively ECG-gated vs. retrospectively ECG-gated with tube current modulation coronary CT angiography using 128-slice MDCT patients with chest pain: Diagnostic performance and radiation dose

Acta Radiologica

Volumn 52, Issue 8, 2011, Pages 860-865

  Kim, Jeong Su ^a   Choo, Ki Seok ^a   Jeong, Dong Wook ^a   Chun, Kook Jin ^a   Park, Yong Hyun ^a   Song, Sung Gook ^a   Park, Ju Hyun ^a   Kim, June Hong ^a   Kim, Jun ^a   Han, Dongcheul ^a   Lim, Soo Jin ^b  

^a Pusan National University Yangsan Hospital   (South Korea)

^b Department of Cardiology   (South Korea)

Author keywords

Accuracy; Computed tomography angiography; Coronary artery disease; Radiation dose

Indexed keywords

ACCURACY; CHEST PAIN; COMPUTED TOMOGRAPHY ANGIOGRAPHY; CORONARY ANGIOGRAPHY; CORONARY ARTERIES; CORONARY ARTERY DISEASE; CT ANGIOGRAPHY; DIAGNOSTIC ACCURACY; DIAGNOSTIC PERFORMANCE; HEART RATES; LOW DOSE; LOW RADIATION; MULTIDETECTOR COMPUTED TOMOGRAPHY; NEGATIVE PREDICTIVE VALUE; POSITIVE PREDICTIVE VALUES; RADIATION DOSE; RADIATION EXPOSURE; SMALL SIZE; STEP-AND-SHOOT; TUBE CURRENTS;

ANGIOCARDIOGRAPHY; BLOOD VESSELS; DISEASES; DOSIMETRY; ELECTROCARDIOGRAPHY; HEART; RADIATION; SENSITIVITY ANALYSIS; TOMOGRAPHY;

COMPUTERIZED TOMOGRAPHY;

ANGIOCARDIOGRAPHY; ARTICLE; CARDIAC GATED IMAGING; CHI SQUARE DISTRIBUTION; COMPARATIVE STUDY; COMPUTER ASSISTED DIAGNOSIS; COMPUTER ASSISTED TOMOGRAPHY; CORONARY ARTERY DISEASE; FEMALE; HEART RATE; HUMAN; MALE; METHODOLOGY; MIDDLE AGED; PREDICTIVE VALUE; RADIATION DOSE; RADIOGRAPHY; RETROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY; THORAX PAIN;

CARDIAC-GATED IMAGING TECHNIQUES; CHEST PAIN; CHI-SQUARE DISTRIBUTION; CORONARY ANGIOGRAPHY; CORONARY DISEASE; FEMALE; HEART RATE; HUMANS; MALE; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; RADIATION DOSAGE; RADIOGRAPHIC IMAGE INTERPRETATION, COMPUTER-ASSISTED; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED;

EID: 83155164704     PISSN: 02841851     EISSN: 16000455     Source Type: Journal    
DOI: 10.1258/ar.2011.110006     Document Type: Article

References (26)

1. Fine J, Hopkins C, Ruff N, et al. Comparison of accuracy of 64-slice cardiovascular computed tomography with coronary angiography in patients with suspected coronary artery disease. Am J Cardiol 2006;97:173-4
2. Miller JM, Rochitte CE, Dewey M, et al. Diagnostic performance of coronary angiography by 64-row CT. N Engl J Med 2008;359:2324-36
3. Budoff MJ, Dowe D, Jollis JG, et al. Diagnostic performance of 64-multidetector row coronary computed tomographic angiography for evaluation of coronary artery stenosis in individuals without known coronary artery disease: results from the prospective multicenter ACCURACY (Assessment by Coronary Computed Tomographic Angiography of Individuals Undergoing Invasive Coronary Angiography) trial. J Am Coll Cardiol 2008;52:1724-32
4. Leschka S, Alkadhi H, Plass A, et al. Accuracy of MSCT coronary angiography with 64-slice technology: first experience. Eur Heart J 2005;26:1482-7
5. Muhlenbruch G, Seyfarth T, Soo CS, et al. Diagnostic value of 64-slice multi-detector row cardiac CTA in symptomatic patients. Eur Radiol 2007;17:603-9
6. Taylor AJ, Cerqueira M, Hodgson JM, et al. ACCF/SCCT/ACR/AHA/ASE/ASNC/ NASCI/SCAI/SCMR 2010 Appropriate Use Criteria for Cardiac Computed Tomography. A Report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, the Society of Cardiovascular Computed Tomography, the American College of Radiology, the American Heart Association, the American Society of Echocardiography, the American Society of Nuclear Cardiology, the North American Society for Cardiovascular Imaging, the Society for Cardiovascular Angiography and Interventions, and the Society for Cardiovascular Magnetic Resonance. Circulation 2010;122:e525-55
7. Paul JF, Abada HT. Strategies for reduction of radiation dose in cardiac multislice CT. Eur Radiol 2007;17:2028-37
8. Hausleiter J, Meyer T, Hadamitzky M, et al. Radiation dose estimates from cardiac multislice computed tomography in daily practice: impact of different scanning protocols on effective dose estimates. Circulation 2006;113:1305-10
9. Abada HT, Larchez C, Daoud B, et al. MDCT of the coronary arteries: feasibility of low-dose CT with ECG-pulsed tube current modulation to reduce radiation dose. Am J Roentgenol 2006;186:S387-90
10. Hsieh J, Londt J, Vass M, et al. Step-and-shoot data acquisition and reconstruction for cardiac x-ray computed tomography. Med Phys 2006;33:4236-48
11. Jeong DW, Choo KS, Baik SK, et al. Step-and-shoot prospectively ECG-gated versus retrospectively ECG-gated with tube current modulation coronary CT angiography using the 128-slice MDCT: comparison of image quality and radiation dose. Acta Radiol 2011;52:155-60
12. Einstein AJ, Henzlova MJ, Rajagopalan S. Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography. JAMA 2007;298:317-23
13. Arnoldi E, Ramos-Duran I, Abro JA, et al. Coronary CT angiography using prospective ECG triggering: high diagnostic accuracy with low radiation dose. Radiologe 2010;50:500-6
14. Lim SJ, Choo KS, Park YH, et al. Assessment of Left Ventricular Function and Volume in Patients Undergoing 128-Slice Coronary CT Angiography with ECG-Based Maximum Tube Current Modulation: a Comparison with Echocardiography. Korean J Radiol 2011;12:156-62
15. Austen WG, Edwards JE, Frye RL, et al. 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 1975;51:5-40
16. Morin RL, Gerber TC, McCollough CH. Physics and dosimetry in computed tomography. Cardiol Clin 2003;21:515-20
17. Shuman W, Branch K, May J, et al. Prospective versus retrospective ECG gating for 64-detector CT of the coronary arteries: comparison of image quality and patient radiation dose. Radiology 2008;248:431-7
18. Ropers D, Rixe J, Anders K, et al. Usefulness of multidetector row spiral computed tomography with 64-× 0.6-mm collimation and 330-ms rotation for the noninvasive detection of significant coronary artery stenoses. Am J Cardiol 2006;97:343-8
19. Mowatt G, Cook JA, Hillis GS, et al. 64-Slice computed tomography angiography in the diagnosis and assessment of coronary artery disease: systematic review and meta-analysis. Heart 2008;94:1386-93
20. Sun Z, Lin C, Davidson R, et al. Diagnostic value of 64-slice CT angiography in coronary artery disease: a systematic review. Eur J Radiol 2008;67:78-84
21. Hamon M, Morello R, Riddell JW. Coronary arteries: diagnostic performance of 16-versus 64-section spiral CT compared with invasive coronary angiography-meta-analysis. Radiology 2007;245:720-31
22. Pontone G, Andreini D, Bartorelli A, et al. Diagnostic accuracy of coronary computed tomography angiography: a comparison between prospective and retrospective electrocardiogram triggering. J Am Coll Cardiol 2009;54:346-55
23. Mollet NR, Cademartiri F, van Mieghem CA, et al. High-resolution spiral computed tomography coronary angiography in patients referred for diagnostic conventional coronary angiography. Circulation 2005;112:2318-23
24. Husmann L, Valenta I, Gaemperli O, et al. Feasibility of low-dose coronary CT angiography: first experience with prospective ECG-gating. Eur Heart J 2008;29:191-7
25. Arnoldi E, Johnson T, Rist C, et al. Adequate image quality with reduced radiation dose in prospectively triggered coronary CTA compared with retrospective techniques. Eur Radiol 2009;19:2147-55
26. Coles DR, Smail MA, Negus IS, et al. Comparison of radiation doses from multislice computed tomography coronary angiography and conventional diagnostic angiography. J Am Coll Cardiol 2006;47:1840-5