TY - JOUR
T1 - Assessment of image quality and radiation dose of prospectively ECG-triggered adaptive dual-source coronary computed tomography angiography (cCTA) with arrhythmia rejection algorithm in systole versus diastole
T2 - A retrospective cohort study
AU - Lee, Ashley M.
AU - Beaudoin, Jonathan
AU - Engel, Leif Christopher
AU - Sidhu, Manavjot S.
AU - Abbara, Suhny
AU - Brady, Thomas J.
AU - Hoffmann, Udo
AU - Ghoshhajra, Brian B.
PY - 2013/8/1
Y1 - 2013/8/1
N2 - In this study, we sought to evaluate the image quality and effective radiation dose of prospectively ECGtriggered adaptive systolic (PTA-systolic) dual-source CTA versus prospectively triggered adaptive diastolic (PTA-diastolic) dual-source CTA in patients of unselected heart rate and rhythm. This retrospective cohort study consisted of 41 PTA-systolic and 41 matched PTA-diastolic CTA patients whom underwent clinically indicated 128-slice dual source CTA between December 2010 to June 2012. Image quality and motion artifact score (both on a Likert scale 1-4 with 4 being the best), effective dose, and CTDIvol were compared. The effect of heart rate (HR) and heart rate variability [HRV] on imagemotion artifact score and CTDIvol was analyzedwith Pearson's correlation coefficient. All 82 exams were considered diagnostic with 0 non-diagnostic segments. PTA-systolic CTA patients had a higher maximum HR, wider HRV, were less likely to be in sinus rhythm, and received less beta-blocker vs. PTA-diastolic CTA patients. No difference in effective dose was observed (PTA-systolic vs. PTA-diastolic CTA: 2.9 vs. 2.2 mSv, p = 0.26). Image quality score (3.3 vs. 3.5, p<0.05) and motion artifact score (3.5 vs. 3.8, p<0.05) were lower in PTA-systolic CTAs than in PTA-diastolic CTAs. For PTA-systolic CTAs, an increase in HR was not associated with a negative impact onmotion artifact score nor CTDI vol. For PTA-diastolic CTA, an increase in HR was associated with increased motion artifacts and CTDI vol. HRV demonstrated no correlation with motion artifact and CTDI vol for both PTA-systolic and PTA-diastolic CTAs. In conclusion, both PTA-diastolic CTA and PTA-systolic CTA yielded diagnostic examinations at unselected heart rates and rhythms with similar effective radiation, but PTA-systolic CTA resulted in more consistent radiation exposure and image quality across a wide range of rates and rhythms.
AB - In this study, we sought to evaluate the image quality and effective radiation dose of prospectively ECGtriggered adaptive systolic (PTA-systolic) dual-source CTA versus prospectively triggered adaptive diastolic (PTA-diastolic) dual-source CTA in patients of unselected heart rate and rhythm. This retrospective cohort study consisted of 41 PTA-systolic and 41 matched PTA-diastolic CTA patients whom underwent clinically indicated 128-slice dual source CTA between December 2010 to June 2012. Image quality and motion artifact score (both on a Likert scale 1-4 with 4 being the best), effective dose, and CTDIvol were compared. The effect of heart rate (HR) and heart rate variability [HRV] on imagemotion artifact score and CTDIvol was analyzedwith Pearson's correlation coefficient. All 82 exams were considered diagnostic with 0 non-diagnostic segments. PTA-systolic CTA patients had a higher maximum HR, wider HRV, were less likely to be in sinus rhythm, and received less beta-blocker vs. PTA-diastolic CTA patients. No difference in effective dose was observed (PTA-systolic vs. PTA-diastolic CTA: 2.9 vs. 2.2 mSv, p = 0.26). Image quality score (3.3 vs. 3.5, p<0.05) and motion artifact score (3.5 vs. 3.8, p<0.05) were lower in PTA-systolic CTAs than in PTA-diastolic CTAs. For PTA-systolic CTAs, an increase in HR was not associated with a negative impact onmotion artifact score nor CTDI vol. For PTA-diastolic CTA, an increase in HR was associated with increased motion artifacts and CTDI vol. HRV demonstrated no correlation with motion artifact and CTDI vol for both PTA-systolic and PTA-diastolic CTAs. In conclusion, both PTA-diastolic CTA and PTA-systolic CTA yielded diagnostic examinations at unselected heart rates and rhythms with similar effective radiation, but PTA-systolic CTA resulted in more consistent radiation exposure and image quality across a wide range of rates and rhythms.
KW - Coronary computed tomography angiography
KW - Radiation dosage
KW - Systole
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U2 - 10.1007/s10554-013-0208-8
DO - 10.1007/s10554-013-0208-8
M3 - Article
C2 - 23526082
AN - SCOPUS:84893712981
SN - 1569-5794
VL - 29
SP - 1361
EP - 1370
JO - International Journal of Cardiovascular Imaging
JF - International Journal of Cardiovascular Imaging
IS - 6
ER -