Diagnostic image quality of a comprehensive high-pitch dual-spiral cardiothoracic CT protocol in patients with undifferentiated acute chest pain

European Journal of Radiology

Volumn 81, Issue 12, 2012, Pages 3697-3702

  Bamberg, Fabian ^a   Marcus, Roy ^a   Sommer, Wieland ^a   Schwarz, Florian ^a   Nikolaou, Konstantin ^a   Becker, Christoph R ^a   Reiser, Maximilian F ^a   Johnson, Thorsten R C ^a  

^a LUDWIG MAXIMILIANS UNIVERSITY   (Germany)

Author keywords

Aortic dissection; Chest pain; Computed tomography; Coronary artery disease; Coronary stenosis

Indexed keywords

ADULT; AGE; AGED; AORTA DISSECTION; ARTICLE; ASCENDING AORTA; BODY MASS; CARDIOVASCULAR RISK; CLINICAL EVALUATION; CLINICAL PROTOCOL; COLLIMATOR; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTED TOMOGRAPHY SCANNER; CORONARY ARTERY; CORONARY ARTERY OBSTRUCTION; DESCENDING AORTA; DIABETES MELLITUS; ECHOCARDIOGRAPHY; FEMALE; GENDER; HEART RATE; HEART RATE VARIABILITY; HUMAN; HYPERLIPIDEMIA; HYPERTENSION; IMAGE QUALITY; LUNG BLOOD VESSEL; LUNG EMBOLISM; MAJOR CLINICAL STUDY; MALE; MEDICAL HISTORY; PRIORITY JOURNAL; RADIATION DOSE; RADIATION EXPOSURE; SIGNAL NOISE RATIO; SMOKING; THORAX PAIN;

ACUTE DISEASE; ALGORITHMS; ANGIOGRAPHY; CHEST PAIN; FEMALE; HUMANS; MALE; MIDDLE AGED; RADIOGRAPHIC IMAGE ENHANCEMENT; RADIOGRAPHY, THORACIC; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, SPIRAL COMPUTED;

EID: 84869874088     PISSN: 0720048X     EISSN: 18727727     Source Type: Journal    
DOI: 10.1016/j.ejrad.2010.11.032     Document Type: Article

References (28)

1. E. Braunwald, E.M. Antman, and J.W. Beasley ACC/AHA 2002 guideline update for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction - summary article: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (Committee on the Management of Patients With Unstable Angina) J Am Coll Cardiol 40 7 2002 1366 1374
2. M.J. Kruip, M. Sohne, and M. Nijkeuter A simple diagnostic strategy in hospitalized patients with clinically suspected pulmonary embolism J Intern Med 260 5 2006 459 466
3. S. Yoshida, H. Akiba, and M. Tamakawa Thoracic involvement of type A aortic dissection and intramural hematoma: diagnostic accuracy - comparison of emergency helical CT and surgical findings Radiology 228 2 2003 430 435
4. C.S. White, D. Kuo, and M. Kelemen Chest pain evaluation in the emergency department: can MDCT provide a comprehensive evaluation? AJR Am J Roentgenol 185 2 2005 533 540
5. P.K. Vanhoenacker, M.H. Heijenbrok-Kal, R. Van Heste, I. Decramer, L.R. Van Hoe, W. Wijns, and M.G. Hunink Diagnostic performance of multidetector CT angiography for assessment of coronary artery disease: meta-analysis Radiology 244 2 2007 419 428
6. Z. Sun, and A.M. Almutairi Diagnostic accuracy of 64 multislice CT angiography in the assessment of coronary in-stent restenosis: a meta-analysis Eur J Radiol 73 2 2010 266 273 Epub 2008 Dec 3
7. B. Janne d'Othée, U. Siebert, R. Cury, H. Jadvar, E.J. Dunn, and U. Hoffmann A systematic review on diagnostic accuracy of CT-based detection of significant coronary artery disease Eur J Radiol 65 3 2008 449 461 Epub 2007 Jun 27
8. U. Hoffmann, F. Bamberg, and C.U. Chae Coronary computed tomography angiography for early triage of patients with acute chest pain: the ROMICAT (Rule Out Myocardial Infarction using Computer Assisted Tomography) trial J Am Coll Cardiol 53 18 2009 1642 1650
9. T.R. Johnson, K. Nikolaou, and B.J. Wintersperger ECG-gated 64-MDCT angiography in the differential diagnosis of acute chest pain AJR Am J Roentgenol 188 1 2007 76 82
10. A.J. Einstein, K.W. Moser, R.C. Thompson, M.D. Cerqueira, and M.J. Henzlova Radiation dose to patients from cardiac diagnostic imaging Circulation 116 11 2007 1290 1305
11. W.H. Sommer, J.C. Schenzle, and C.R. Becker Saving dose in triple-rule-out computed tomography examination using a high-pitch dual spiral technique Invest Radiol 45 2 2010 64 71
12. W. Huda, K.M. Ogden, and M.R. Khorasani Converting dose-length product to effective dose at CT Radiology 248 3 2008 995 1003
13. J.R. Mayo, J. Aldrich, and N.L. Muller Radiation exposure at chest CT: a statement of the Fleischner Society Radiology 228 1 2003 15 21
14. E.J. Halpern Triple-rule-out CT angiography for evaluation of acute chest pain and possible acute coronary syndrome Radiology 252 2 2009 332 345
15. F. Bamberg, S. Abbara, C.L. Schlett, R.C. Cury, Q.A. Truong, I.S. Rogers, J.T. Nagurney, T.J. Brady, and U. Hoffmann Predictors of image quality of coronary computed tomography in the acute care setting of patients with chest pain Eur J Radiol 74 1 2010 182 188
16. S. Leschka, S. Wildermuth, and T. Boehm Noninvasive coronary angiography with 64-section CT: effect of average heart rate and heart rate variability on image quality Radiology 241 2 2006 378 385
17. T.R. Johnson, K. Nikolaou, and B.J. Wintersperger Optimization of contrast material administration for electrocardiogram-gated computed tomographic angiography of the chest J Comput Assist Tomogr 31 2 2007 265 271
18. M.D. Shapiro, J.D. Dodd, and S. Kalva A comprehensive electrocardiogram-gated 64-slice multidetector computed tomography imaging protocol to visualize the coronary arteries, thoracic aorta, and pulmonary vasculature in a single breath hold J Comput Assist Tomogr 33 2 2009 225 232
19. E.J. Halpern, D.C. Levin, S. Zhang, and K.M. Takakuwa Comparison of image quality and arterial enhancement with a dedicated coronary CTA protocol versus a triple rule-out coronary CTA protocol Acad Radiol 16 9 2009 1039 1048
20. W.H. Sommer, J.C. Schenzle, C.R. Becker, K. Nikolaou, A. Graser, G. Michalski, K. Neumaier, M.F. Reiser, and T.R. Johnson Saving dose in triple-rule-out computed tomography examination using a high-pitch dual spiral technique Invest Radiol 45 2 2010 64 71
21. Goetti R, Leschka S, Baumuller S, et al. Low dose high-pitch spiral acquisition 128-slice dual-source computed tomography for the evaluation of coronary artery bypass graft patency. Invest Radiol;45(6):324-30.
22. M. Lell, F. Hinkmann, and K. Anders High-pitch electrocardiogram- triggered computed tomography of the chest: initial results Invest Radiol 44 11 2009 728 733
23. M.S. Lauer Elements of danger - the case of medical imaging N Engl J Med 361 9 2009 841 843
24. T.R. Johnson, K. Nikolaou, and A. Becker Dual-source CT for chest pain assessment Eur Radiol 18 4 2008 773 780
25. U. Hoffmann, and F. Bamberg Is computed tomography coronary angiography the most accurate and effective noninvasive imaging tool to evaluate patients with acute chest pain in the emergency department? CT coronary angiography is the most accurate and effective noninvasive imaging tool for evaluating patients presenting with chest pain to the emergency department Circ Cardiovasc Imaging 2 3 2009 251 263 [discussion 63]
26. D. Fleischmann Use of high concentration contrast media: principles and rationale-vascular district Eur J Radiol 45 Suppl. 1 2003 S88 S93
27. U.J. Schoepf, N. Holzknecht, and T.K. Helmberger Subsegmental pulmonary emboli: improved detection with thin-collimation multi-detector row spiral CT Radiology 222 2 2002 483 490
28. J.K. Willmann, D. Weishaupt, and M. Lachat Electrocardiographically gated multi-detector row CT for assessment of valvular morphology and calcification in aortic stenosis Radiology 225 1 2002 120 128