Image quality and radiation dose of a prospectively electrocardiography-triggered high-pitch data acquisition strategy for coronary CT angiography: The multicenter, randomized PROTECTION IV study

Journal of Cardiovascular Computed Tomography

Volumn 9, Issue 4, 2015, Pages 278-285

  Deseive, Simon ^a   Pugliese, Francesca ^b   Meave, Aloha ^c   Alexanderson, Erick ^c   Martinoff, Stefan ^d   Hadamitzky, Martin ^d   Massberg, Steffen ^a   Hausleiter, Jörg ^a  

^a LUDWIG MAXIMILIANS UNIVERSITY   (Germany)

^b LONDON CHEST HOSPITAL   (United Kingdom)

^c UNIVERSIDAD NACIONAL AUTÓNOMA DE MÉXICO   (Mexico)

^d TECHNICAL UNIVERSITY OF MUNICH   (Germany)

Author keywords

Coronary CT angiography; CT; Flash mode; High pitch helical; Radiation dose

Indexed keywords

AGED; ARTICLE; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; COMPUTED TOMOGRAPHY SCANNER; CONTRAST TO NOISE RATIO; CORONARY ARTERY OBSTRUCTION; ELECTROCARDIOGRAPHY; FEMALE; FOLLOW UP; HEART RATE; HUMAN; IMAGE QUALITY; MAJOR CLINICAL STUDY; MALE; MULTICENTER STUDY; NOISE; PITCH; PRIORITY JOURNAL; PROSPECTIVE STUDY; RADIATION DOSE; RANDOMIZED CONTROLLED TRIAL; CARDIAC GATED IMAGING; CLINICAL TRIAL; COMPUTER ASSISTED DIAGNOSIS; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; CORONARY ANGIOGRAPHY; CORONARY ARTERY DISEASE; IMAGE ENHANCEMENT; MIDDLE AGED; PROCEDURES; RADIATION PROTECTION; RADIOGRAPHY; REPRODUCIBILITY; SENSITIVITY AND SPECIFICITY;

AGED; CARDIAC-GATED IMAGING TECHNIQUES; CORONARY ANGIOGRAPHY; CORONARY ARTERY DISEASE; FEMALE; HUMANS; MALE; MIDDLE AGED; RADIATION DOSAGE; RADIATION PROTECTION; RADIOGRAPHIC IMAGE ENHANCEMENT; RADIOGRAPHIC IMAGE INTERPRETATION, COMPUTER-ASSISTED; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84930926705     PISSN: 19345925     EISSN: 1876861X     Source Type: Journal    
DOI: 10.1016/j.jcct.2015.03.001     Document Type: Article

References (23)

1. Budoff M.J., Dowe D., Jollis J.G., 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(21):1724-1732.
2. Guo S.L., Guo Y.M., Zhai Y.N., Ma B., Wang P., Yang K.H. Diagnostic accuracy of first generation dual-source computed tomography in the assessment of coronary artery disease: a meta-analysis from 24 studies. Int J Cardiovasc Imaging 2011, 27(6):755-771.
3. Menke J., Unterberg-Buchwald C., Staab W., Sohns J.M., Seif Amir Hosseini A., Schwarz A. Head-to-head comparison of prospectively triggered vs retrospectively gated coronary computed tomography angiography: meta-analysis of diagnostic accuracy, image quality, and radiation dose. Am Heart J 2013, 165(2):154-163.e3.
4. Mark D.B., Berman D.S., Budoff M.J., et al. ACCF/ACR/AHA/NASCI/SAIP/SCAI/SCCT 2010 expert consensus document on coronary computed tomographic angiography: a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. Circulation 2010, 121(22):2509-2543.
5. Hausleiter J., Martinoff S., Hadamitzky M., et al. Image quality and radiation exposure with a low tube voltage protocol for coronary CT angiography results of the PROTECTION II Trial. JACC Cardiovasc Imaging 2010, 3(11):1113-1123.
6. Hausleiter J., Meyer T., Hermann F., et al. Estimated radiation dose associated with cardiac CT angiography. JAMA 2009, 301(5):500-507.
7. Hausleiter J., Meyer T.S., Martuscelli E., et al. Image quality and radiation exposure with prospectively ECG-triggered axial scanning for coronary CT angiography: the multicenter, multivendor, randomized PROTECTION-III study. JACC Cardiovasc Imaging 2012, 5(5):484-493.
8. Brenner D.J., Hall E.J. Computed tomography-an increasing source of radiation exposure. N Engl J Med 2007, 357(22):2277-2284.
9. Halliburton S.S., Abbara S., Chen M.Y., et al. SCCT guidelines on radiation dose and dose-optimization strategies in cardiovascular CT. J Cardiovasc Comput Tomogr 2011, 5(4):198-224. Society of Cardiovascular Computed Tomography.
10. Prasad K.N., Cole W.C., Haase G.M. Radiation protection in humans: extending the concept of as low as reasonably achievable (ALARA) from dose to biological damage. Br J Radiol 2004, 77(914):97-99.
11. Hausleiter J., Bischoff B., Hein F., et al. Feasibility of dual-source cardiac CT angiography with high-pitch scan protocols. J Cardiovasc Comput Tomogr 2009, 3(4):236-242.
12. Achenbach S., Marwan M., Ropers D., et al. Coronary computed tomography angiography with a consistent dose below 1 mSv using prospectively electrocardiogram-triggered high-pitch spiral acquisition. Eur Heart J 2010, 31(3):340-346.
13. Hell M.M., Bittner D., Schuhbaeck A., et al. Prospectively ECG-triggered high-pitch coronary angiography with third-generation dual-source CT at 70 kVp tube voltage: feasibility, image quality, radiation dose, and effect of iterative reconstruction. J Cardiovasc Comput Tomogr 2014, 8(6):418-425.
14. Schuhbaeck A., Achenbach S., Layritz C., et al. Image quality of ultra-low radiation exposure coronary CT angiography with an effective dose <0.1 mSv using high-pitch spiral acquisition and raw data-based iterative reconstruction. Eur Radiol 2013, 23(3):597-606.
15. Yin W.H., Lu B., Hou Z.H., et al. Detection of coronary artery stenosis with sub-milliSievert radiation dose by prospectively ECG-triggered high-pitch spiral CT angiography and iterative reconstruction. Eur Radiol 2013, 23(11):2927-2933.
16. Neefjes L.A., Dharampal A.S., Rossi A., et al. Image quality and radiation exposure using different low-dose scan protocols in dual-source CT coronary angiography: randomized study. Radiology 2011, 261(3):779-786.
17. Neefjes L.A., Rossi A., Genders T.S., et al. Diagnostic accuracy of 128-slice dual-source CT coronary angiography: a randomized comparison of different acquisition protocols. Eur Radiol 2013, 23(3):614-622.
18. Bongartz G, Golding SJ, Jurik AG, et al. European Guidelines for Multislice Computed Tomography. Funded by the European Commission, Contract number FIGM-CT2000-20078-CT-TIP 2004. Available at: . Accessed April 7, 2010. http://www.msct.eu/CT_Quality_Criteria.htm.
19. American Association of Medical Physicists (AAPM) Task Group 23: CT dosimetry. The measurement, reporting and management of radiation dose in CT.
20. R-Development-Core-Team. A Language and Environment for Statistical Computing. Available at: . Accessed April 7, 2010. http://www.R-project.org.
21. Alkadhi H., Stolzmann P., Desbiolles L., et al. Low-dose, 128-slice, dual-source CT coronary angiography: accuracy and radiation dose of the high-pitch and the step-and-shoot mode. Heart 2010, 96(12):933-938.
22. Achenbach S., Goroll T., Seltmann M., et al. Detection of coronary artery stenoses by low-dose, prospectively ECG-triggered, high-pitch spiral coronary CT angiography. JACC Cardiovasc Imaging 2011, 4(4):328-337.
23. Weisbord S.D., Mor M.K., Resnick A.L., Hartwig K.C., Palevsky P.M., Fine M.J. Incidence and outcomes of contrast-induced AKI following computed tomography. Clin J Am Soc Nephrol 2008, 3(5):1274-1281.