Prospective versus retrospective ECG-gated 64-detector coronary CT angiography: assessment of image quality, stenosis, and radiation dose.

Abstract:

PURPOSE:To show that prospective electrocardiographically (ECG)-triggered coronary computed tomographic (CT) angiography (hereafter, prospective CT angiography) is at least as effective as retrospective ECG-gated coronary CT angiography (hereafter, retrospective CT angiography). MATERIALS AND METHODS:Institutional review committee approval and informed consent were obtained. Sixty patients with heart rates of less than 75 beats per minute who were referred for coronary CT angiography were enrolled. Both prospective and retrospective CT angiography were performed with a 64-detector scanner. Data acquisition times were recorded. Two independent cardiac radiologists evaluated subjective image quality (1, excellent; 4, poor) and severity of stenosis (0% occlusion, 1%-49% occlusion, 50%-75% occlusion, and >75% occlusion) with the 17-segment American Heart Association classification model. Discrepancies were settled by consensus. Effective radiation doses of prospective and retrospective CT angiography were calculated with volume CT dose index. Data regarding acquisition time and radiation exposure for prospective and retrospective CT angiography were compared. The Student t test was performed, and kappa statistics were calculated. RESULTS:Mean data acquisition time of prospective CT angiography was shorter than that of retrospective CT angiography (5.6 seconds +/- 1.1 [standard deviation] vs 6.7 seconds +/- 1.1, respectively; P < .01). Consensus-determined image quality in coronary artery branches was similar between prospective CT angiography and retrospective CT angiography (1.15 vs 1.13, respectively; P = .992). Excellent agreement between prospective CT angiography and retrospective CT angiography was observed in the detection of significant (>or=50% occlusion) coronary artery stenoses per segment (kappa = 0.882) and in the grading of stenoses per patient (kappa = 0.829). Calculated effective dose with prospective CT angiography was 79% lower than that with retrospective CT angiography (4.1 mSv +/- 1.8 vs 20.0 mSv +/- 3.5, respectively; P < .001). CONCLUSION:Prospective CT angiography can reduce radiation dose below that of retrospective CT angiography with dose modulation, while maintaining image quality and the ability to assess luminal obstructions in patients with heart rates of less than 75 beats per minute.

journal_name

Radiology

journal_title

Radiology

authors

Hirai N,Horiguchi J,Fujioka C,Kiguchi M,Yamamoto H,Matsuura N,Kitagawa T,Teragawa H,Kohno N,Ito K

doi

10.1148/radiol.2482071804

subject

Has Abstract

pub_date

2008-08-01 00:00:00

pages

424-30

issue

2

eissn

0033-8419

issn

1527-1315

pii

2482071804

journal_volume

248

pub_type

杂志文章,随机对照试验
  • In vivo MR spectroscopic imaging with P-31. Work in progress.

    abstract::Magnetic resonance imaging techniques were applied to in vivo spectroscopic analysis of spatially resolved phosphorus spectra in the cat brain to determine whether changes associated with stroke could be detected. Two-dimensional images of separate phosphorus-containing compounds, as well as spectra arising from spati...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.153.3.6494470

    authors: Maudsley AA,Hilal SK,Simon HE,Wittekoek S

    更新日期:1984-12-01 00:00:00

  • The long-term follow-up of 195 patients with renal failure: a preliminary report.

    abstract::Radiographic and bone mineral (BM) data were collected over a three-year period on 195 patients with chronic renal failure. Most women maintained BM on dyalysis, whereas 44% of the men lost BM (p less than 0.05). Following transplantation, 86% of the patients either maintained or restored BM. After parathyroidectomy, ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/122.3.643

    authors: Griffiths HJ,Zimmerman RE,Lazarus M,Lowrie E,Gottlieb MN,Phillips E,Pomerantz K

    更新日期:1977-03-01 00:00:00

  • Ultrasonography of peritoneal tumors.

    abstract::Peritoneal masses arising from different types of primary carcinoma were studied ultrasonographically in 34 patients as well as with computed tomography in 3 patients. In shape, the masses were nodular, mantle- or sheetlike, or irregular. The peritoneal line was usually obliterated unless the mass was very small. When...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/133.2.419

    authors: Yeh HC

    更新日期:1979-11-01 00:00:00

  • Fungal sinusitis: diagnosis with CT and MR imaging.

    abstract::Of 293 patients who underwent computed tomography (CT), surgery, and pathologic examination for chronic sinusitis, 25 had a diagnosis of fungal sinusitis at pathologic examination. Of these, 22 had foci of increased attenuation at CT (in four patients the mean representative CT number [Hounsfied unit] was 122.2 HU [SD...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.169.2.3174990

    authors: Zinreich SJ,Kennedy DW,Malat J,Curtin HD,Epstein JI,Huff LC,Kumar AJ,Johns ME,Rosenbaum AE

    更新日期:1988-11-01 00:00:00

  • Computed tomography and bone scintigraphy in the evaluation of tarsal coalition.

    abstract::Three cases of talocalcaneal coalition were evaluated with routine radiography, conventional tomography, 99mTc-MDP bone scintigraphy, and computed tomography (CT). Routine radiography was normal in 1 case and demonstrated secondary findings suggesting coalition in 2. Conventional tomography confirmed the coalition in ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.144.1.6211690

    authors: Deutsch AL,Resnick D,Campbell G

    更新日期:1982-07-01 00:00:00

  • Pediatric radiologists in the United States and Canada: involvement with newer imaging modalities.

    abstract::A survey of the members of the Society for Pediatric Radiology indicates that currently the majority of pediatric radiologists do not perform or interpret examinations using radionuclides, ultrasound, or computed tomography (CT). A decisive factor determining involvement with these techniques is the type of institutio...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.138.1.7455090

    authors: Leonidas JC,McCauley RG,Faerber EN

    更新日期:1981-01-01 00:00:00

  • Neonatal brain: color Doppler imaging. Part I. Technique and vascular anatomy.

    abstract::Color Doppler imaging (CDI) can demonstrate the relative direction and velocity of blood flow in color, superimposed on a conventional gray-scale ultrasound image that depicts stationary tissue. Twenty-five infants were studied with portable CDI in the coronal, sagittal, and axial planes. Bilateral antegrade flow was ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.167.2.3282250

    authors: Mitchell DG,Merton D,Needleman L,Kurtz AB,Goldberg BB,Levy D,Rifkin MD,Pennell RG,Vilaro M,Baltarowich O

    更新日期:1988-05-01 00:00:00

  • Gastrointestinal tract focal mass lesions: role of CT and barium evaluations.

    abstract::Fifty-eight patients with focal mass lesions involving the gastrointestinal tract were studied retrospectively. The diagnostic value of CT scans was seen by assessing the barium studies alone, then by combined review of radiographs and CT scans. Patient management decision making was similarly evaluated. CT scanning a...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.158.3.3753800

    authors: Coscina WF,Arger PH,Levine MS,Herlinger H,Cohen S,Coleman BG,Mintz MC

    更新日期:1986-03-01 00:00:00

  • Breast cancer imaging with In-111 human IgM monoclonal antibodies: preliminary studies.

    abstract::Detection of specific tumor sites was studied with scintigraphy and radiolabeled human IgM monoclonal antibodies (MoAbs). Ten patients with metastatic breast cancer received an infusion of one of three indium-111-labeled anti-breast carcinoma MoAbs. The time of infusion ranged from 30 minutes to 2 hours. Three patient...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.167.1.3347750

    authors: Ryan KP,Dillman RO,DeNardo SJ,DeNardo GL,Beauregard J,Hagan PL,Amox DG,Clutter ML,Burnett KG,Rulot CM

    更新日期:1988-04-01 00:00:00

  • Quantification of Myocardial Extracellular Volume Fraction with Cardiac MR Imaging in Thalassemia Major.

    abstract::Purpose To quantify myocardial extracellular volume (ECV) by using cardiac magnetic resonance (MR) imaging in thalassemia major and to investigate the relationship between ECV and myocardial iron overload. Materials and Methods With institutional review board approval and informed consent, 30 patients with thalassemia...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2015150341

    authors: Hanneman K,Nguyen ET,Thavendiranathan P,Ward R,Greiser A,Jolly MP,Butany J,Yang IY,Sussman MS,Wintersperger BJ

    更新日期:2016-06-01 00:00:00

  • A molded acrylic applicator guiding the peroral X-ray beam.

    abstract::An intraoral acrylic mold technique to guide and maintain beam direction during oral roentgen therapy is described. It is used in combination with the treatment cone and a lead tube and protective diaphragm for collimation of the beam. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/118.2.471

    authors: Pantoja E,Rodriguez-Ibanez I

    更新日期:1976-02-01 00:00:00

  • Brain scintigraphy in recurrent medulloblastoma.

    abstract::Twenty-three patients with previously treated medulloblastoma had brain scintigrams revealed posterior fossa recurrence in 15 patients and supratentorial metastases in 9; only 1 of the latter was clinically suspected. Two subdural hematomas and one calvarial metastasis were also detected. Comparison with other diagnos...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/119.3.633

    authors: Clark EE,Hattner RS

    更新日期:1976-06-01 00:00:00

  • Thrombolytic therapy with recombinant human tissue-type plasminogen activator: a comparison of two doses.

    abstract::The efficacy and safety of two doses of recombinant human tissue-type plasminogen activator (rt-PA) were compared. Forty patients with peripheral arterial occlusions were treated with intraarterial rt-PA. Group A (n = 21) received 0.1 mg/kg/h, and group B (n = 19) received 0.05 mg/kg/h. Infusion durations varied from ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.164.2.3110860

    authors: Risius B,Graor RA,Geisinger MA,Zelch MG,Lucas FV,Young JR

    更新日期:1987-08-01 00:00:00

  • Hemolytic-uremic syndrome: intrarenal arterial Doppler patterns as a useful guide to therapy.

    abstract::Seventeen children with acute renal failure due to the hemolytic-uremic syndrome were examined with duplex Doppler ultrasound. Serial measurements of intrarenal arterial pulsatility were obtained by means of the Pourcelot index. These were compared with daily urine volume, both during the phase of renal failure (durin...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.172.3.2672090

    authors: Patriquin HB,O'Regan S,Robitaille P,Paltiel H

    更新日期:1989-09-01 00:00:00

  • The interface sign: a computed tomographic sign for distinguishing pleural and intra-abdominal fluid.

    abstract::On computed tomographic scans of the upper abdomen the interface sign can help distinguish pleural and intra-abdominal fluid readily and accurately. A hazy interface between the fluid and liver or spleen is characteristic of pleural fluid. A sharp interface is characteristic of ascites. The interface sign has proved t...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.144.2.7089290

    authors: Teplick JG,Teplick SK,Goodman L,Haskin ME

    更新日期:1982-07-01 00:00:00

  • Septic arthritis: a complication of rheumatoid arthritis.

    abstract::Eighteen cases of long-standing rheumatoid arthritis and superimposed pyarthrosis were reviewed to determine the most distinguishing radiographic features. Soft-tissue changes allowed earlier diagnosis in the knee and ankle joints and consisted of large asymmetrical joint effusion and fat-pad edema. Bony articular cha...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/122.1.17

    authors: Gelman MI,Ward JR

    更新日期:1977-01-01 00:00:00

  • Three-dimensional Deep Convolutional Neural Networks for Automated Myocardial Scar Quantification in Hypertrophic Cardiomyopathy: A Multicenter Multivendor Study.

    abstract::Background Cardiac MRI late gadolinium enhancement (LGE) scar volume is an important marker for outcome prediction in patients with hypertrophic cardiomyopathy (HCM); however, its clinical application is hindered by a lack of measurement standardization. Purpose To develop and evaluate a three-dimensional (3D) convolu...

    journal_title:Radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1148/radiol.2019190737

    authors: Fahmy AS,Neisius U,Chan RH,Rowin EJ,Manning WJ,Maron MS,Nezafat R

    更新日期:2020-01-01 00:00:00

  • The influence of hypoxia and acidity on the hyperthermic response of malignant cells in vitro.

    abstract::Colony formation of JB-1-E tumor cells was studied after hyperthermic treatment (42.5 degrees C) at a pH of 6.4 or 7.2 under hypoxic and euoxic conditions. At a pH of 7.2 and normal oxygen tension, there was a moderate decrease in colony formation with increasing duration of hyperthermic treatment (To = 65 min.). This...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/123.2.511

    authors: Overgaard J,Bichel P

    更新日期:1977-05-01 00:00:00

  • Composition of mammographic phantom materials.

    abstract:PURPOSE:To determine the composition of a breast phantom that is most suitable for phototimer testing. MATERIALS AND METHODS:Kilovolt peak and milliampere second values were analyzed for phototimed exposures of phantoms containing 0%, 30%, 50%, 70%, and 100% simulated glandular material at thicknesses of 2, 4, 6, and ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.198.2.8596830

    authors: Geise RA,Palchevsky A

    更新日期:1996-02-01 00:00:00

  • Detection of Prostate Cancer: Quantitative Multiparametric MR Imaging Models Developed Using Registered Correlative Histopathology.

    abstract::Purpose To develop multiparametric magnetic resonance (MR) imaging models to generate a quantitative, user-independent, voxel-wise composite biomarker score (CBS) for detection of prostate cancer by using coregistered correlative histopathologic results, and to compare performance of CBS-based detection with that of s...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2015151089

    authors: Metzger GJ,Kalavagunta C,Spilseth B,Bolan PJ,Li X,Hutter D,Nam JW,Johnson AD,Henriksen JC,Moench L,Konety B,Warlick CA,Schmechel SC,Koopmeiners JS

    更新日期:2016-06-01 00:00:00

  • The sonographically patent umbilical vein in portal hypertension.

    abstract::A patent umbilical vein is a sonographic sign of portal hypertension. The specificity of the sign is not known. In a review of 12 patients with sonographically demonstrated patency of the umbilical vein, we found two patients in whom no clinical evidence existed to suggest the presence of portal hypertension. In six o...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.145.2.7134450

    authors: Saddekni S,Hutchinson DE,Cooperberg PL

    更新日期:1982-11-01 00:00:00

  • Collaborative radiologic and histopathologic assessment of fibrotic lung disease.

    abstract::The idiopathic interstitial pneumonias (IIPs) are a seemingly disconnected collection of diseases usually associated with the presence of pulmonary fibrosis. Categorization of the IIPs continues to be problematic despite recent attempts to refine the diagnostic criteria and suggests that rather than separate diseases,...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.10090717

    authors: Galvin JR,Frazier AA,Franks TJ

    更新日期:2010-06-01 00:00:00

  • Achilles tendon: US diagnosis of pathologic conditions. Work in progress.

    abstract::Twenty-three patients were prospectively examined with ultrasound (US) for acute or recurrent Achilles tendon symptoms. Three types of pathologic conditions of the Achilles tendon were found: tendinitis/tenosynovitis, acute tendon trauma, and postoperative changes. US appears to enable differentiation of these conditi...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.159.3.3517960

    authors: Blei CL,Nirschl RP,Grant EG

    更新日期:1986-06-01 00:00:00

  • Xeroradiography of axillary lymph node disease.

    abstract::Xeroradiographic evaluation of the axillary lymph nodes permits differentiation of characteristic patterns, including normal nodes and those enlarged as the result of fatty infiltration, inflammation, metastases from a breast primary, or primary nodal disease such as lymphoma or hyperplasia. The author describes his e...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/115.1.67

    authors: Kalisher L

    更新日期:1975-04-01 00:00:00

  • Orthotopic pleural mesothelioma in mice: SPECT/CT and MR imaging with HER1- and HER2-targeted radiolabeled antibodies.

    abstract:PURPOSE:To evaluate the potential of anti-human epidermal growth factor receptor (HER)1- and anti-HER2-targeted radiolabeled antibodies and magnetic resonance (MR) imaging for imaging of orthotopic malignant pleural mesothelioma (MPM) in mouse models. MATERIALS AND METHODS:Animal studies with 165 mice were performed i...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.12121021

    authors: Nayak TK,Bernardo M,Milenic DE,Choyke PL,Brechbiel MW

    更新日期:2013-04-01 00:00:00

  • Cartilage MR imaging at 3.0 versus that at 1.5 T: preliminary results in a porcine model.

    abstract:PURPOSE:To compare 1.5- and 3.0-T magnetic resonance (MR) images of porcine knee specimens containing artificial cartilage lesions in terms of accuracy of lesion depiction, image quality, and signal-to-noise ratio (SNR). MATERIALS AND METHODS:This Health Insurance Portability and Accountability Act-compliant study had...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2361040747

    authors: Masi JN,Sell CA,Phan C,Han E,Newitt D,Steinbach L,Majumdar S,Link TM

    更新日期:2005-07-01 00:00:00

  • The Meckel cave: computed tomographic study. Part I: Normal anatomy; Part II: Pathology.

    abstract::A formalin-fixed cadaver head with air filling the cisternal and ventricular spaces was scanned by high-resolution computed tomography (CT) in multiple planes (axial, coronal, and sagittal) through the Meckel cave. Correlation of the CT appearance of the Meckel cave was made with an anatomic dissection and whole-head ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.152.2.6739810

    authors: Kapila A,Chakeres DW,Blanco E

    更新日期:1984-08-01 00:00:00

  • Renal arteries in patients at risk of renal arterial stenosis: multicenter evaluation of the echo-enhancer SH U 508A at color and spectral Doppler US. Levovist Renal Artery Stenosis Study Group.

    abstract:PURPOSE:To assess SH U 508A in the diagnosis of suspected renal arterial stenosis by means of ultrasonography (US) and to confirm the safety of SH U 508A in a clinical setting. MATERIALS AND METHODS:A randomized crossover study was performed in 198 patients from 14 European centers who were referred for renal arterial...

    journal_title:Radiology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1148/radiology.214.3.r00fe02739

    authors: Claudon M,Plouin PF,Baxter GM,Rohban T,Devos DM

    更新日期:2000-03-01 00:00:00

  • Calculation of T2 values versus phase imaging for the distinction between flow and thrombus in MR imaging.

    abstract::In magnetic resonance (MR) imaging the distinction between vascular signal from flowing blood and thrombus of any nature is often difficult. Even though there are qualitative criteria to identify intravascular signal as coming from flowing blood, these can fail, and no definitive statement can be made on the nature of...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.164.2.3602400

    authors: von Schulthess GK,Augustiny N

    更新日期:1987-08-01 00:00:00

  • Can noise reduction filters improve low-radiation-dose chest CT images? Pilot study.

    abstract::Effect of noise reduction filters on chest computed tomographic (CT) images acquired with 50% radiation dose reduction was evaluated. Two sets of images were acquired with multi-detector row CT at standard (220-280 mA) and 50% reduced (110-140 mA) tube current at the level of the carina. After postprocessing with six ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2281020606

    authors: Kalra MK,Wittram C,Maher MM,Sharma A,Avinash GB,Karau K,Toth TL,Halpern E,Saini S,Shepard JA

    更新日期:2003-07-01 00:00:00