The importance of end-systole for optimal reconstruction protocol of coronary angiography with 16-slice multidetector computed tomography.

Abstract:

OBJECTIVES:Multidetector-row computed tomography coronary images are usually analyzed in mid-diastole (MD). Because of slow coronary motion also in end-systole (ES), we evaluated the impact on image quality of including ES images and defined an efficient reconstruction protocol. MATERIAL AND METHODS:In 50 coronary multidetector-row computed tomography studies, 9 reconstructions (at 10% increments of the RR interval) were graded for image quality. Multiple combinations of reconstructions were compared. RESULTS:MD (60-70% of the RR interval) offered the best image quality. In 44% patients, the best reconstruction for >or=1 coronary was found in ES (20-30%). Their heart rate was higher (68.2+/-9.9 bpm vs. 59.2+/-8.8 bpm, P=0.0014). Combining ES and MD consistently offered superior image quality and less nonevaluable vessels than even larger numbers of diastolic reconstructions alone. A combination of 2-3 reconstructions was most efficient. Adding more reconstructions did not significantly improve results. CONCLUSIONS:Combining ES and MD reconstructions reduces nonevaluable coronary arteries, particularly with higher heart rates. A protocol including 2-3 reconstructions is the most efficient.

journal_name

Invest Radiol

journal_title

Investigative radiology

authors

Sanz J,Rius T,Kuschnir P,Fuster V,Goldberg J,Ye XY,Wisdom P,Poon M

doi

10.1097/01.rli.0000153930.34439.e4

keywords:

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

155-63

issue

3

eissn

0020-9996

issn

1536-0210

pii

00004424-200503000-00005

journal_volume

40

pub_type

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