Canadian Association of Radiologists Journal
Volume 61, Issue 1 , Pages 5-12 , February 2010

Abolition of Respiratory-Motion Artifact in Computed Tomography Coronary Angiography with Ultrafast Examinations: A Comparison Between 64-row and 320-row Multidetector Scanners

  • Felipe S. Torres, MD

      Affiliations

    • Division of Cardiothoracic Imaging, Department of Medical Imaging, Toronto General Hospital, Ontario, Canada
    • Corresponding Author InformationAddress for correspondence: Felipe S. Torres, MD, Division of Cardiothoracic Imaging, Department of Medical Imaging, Toronto General Hospital, 585 University Avenue, Toronto, Ontario M5G 2N2, Canada.
    • ,
  • Andrew M. Crean, MD, MRCP, FRCR

      Affiliations

    • Division of Cardiothoracic Imaging, Department of Medical Imaging, Toronto General Hospital, Ontario, Canada
    • ,
  • Elsie T. Nguyen, MD, FRCPC

      Affiliations

    • Division of Cardiothoracic Imaging, Department of Medical Imaging, Toronto General Hospital, Ontario, Canada
    • ,
  • Ravi Menezes, PhD

      Affiliations

    • Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada
    • CT and MRI Center, Lusi Wong Early Lung Cancer Screening Program, Toronto, Ontario, Canada
    • ,
  • Deirdre Doyle, MD

      Affiliations

    • Division of Cardiothoracic Imaging, Department of Medical Imaging, Toronto General Hospital, Ontario, Canada
    • ,
  • Anoop P. Ayyappan, MD

      Affiliations

    • Division of Cardiothoracic Imaging, Department of Medical Imaging, Toronto General Hospital, Ontario, Canada
    • ,
  • Sobhi Abadi, MD

      Affiliations

    • Division of Cardiothoracic Imaging, Department of Medical Imaging, Toronto General Hospital, Ontario, Canada
    • ,
  • Narinder Paul, MD, MRCP (UK), FRCR, FCPC

      Affiliations

    • Division of Cardiothoracic Imaging, Department of Medical Imaging, Toronto General Hospital, Ontario, Canada

References 

  1. Abdulla J, Abildstrom SZ, Gotzsche O, et al. 64-multislice detector computed tomography coronary angiography as potential alternative to conventional coronary angiography: a systematic review and meta-analysis. Eur Heart J. 2007;28:3042–3050
  2. Heffernan EJ, Dodd JD, Malone DE. Cardiac multidetector CT: technical and diagnostic evaluation with evidence-based practice techniques. Radiology. 2008;248:366–377
  3. Ferencik M, Nomura CH, Mauovich-Horvat P, et al. Quantitative parameters of image quality in 64-slice computed tomography angiography of the coronary arteries. Eur J Radiol. 2006;57:373–379
  4. Shim SS, Kim Y, Lim SM. Improvement of image quality with beta-blocker premedication on ECG-gated 16-MDCT coronary angiography. AJR Am J Roentgenol. 2005;184:649–654
  5. Garcia MJ, Lessick J, Hoffmann MH. Accuracy of 16-row multidetector computed tomography for the assessment of coronary artery stenosis. JAMA. 2006;296:403–411
  6. Choi HS, Choi BW, Choe KO, et al. Pitfalls, artifacts, and remedies in multi-detector row CT coronary angiography. Radiographics. 2004;24:787–800
  7. Torres FS, Crean AM, Paul N. Letter to the Editor re: body physique and heart rate variability determine the occurrence of stair-step artefacts in 64-slice CT coronary angiography with prospective ECG-triggering. Eur Radiol 2009 Jul 23 [Epub ahead of print].
  8. Rybicki FJ, Otero HJ, Steigner ML, et al. Initial evaluation of coronary images from 320-detector row computed tomography. Int J Cardiovasc Imaging. 2008;24:535–546
  9. Austen WG, Edwards JE, Frye RL, et al. A reporting system on patients evaluated for coronary artery disease. Report of the Ad Hoc Committee for Grading of Coronary Artery Disease, Council on Cardiovascular Surgery, American Heart Association. Circulation. 1975;51:5–40
  10. Shuman WP, Branch KR, May JM, et al. Prospective versus retrospective ECG gating for 64-detector CT of the coronary arteries: comparison of image quality and patient radiation dose. Radiology. 2008;248:431–437
  11. Leschka S, Alkadhi H, Plass A, et al. Accuracy of MSCT coronary angiography with 64-slice technology: first experience. Eur Heart J. 2005;26:1482–1487
  12. Bongartz G, Golding SJ, Jurik AG, et al. European guidelines for multislice computed tomography: Appendix C. Funded by the European Commission; Contract number FIGM-CT2000-20078-CT-TIP. March 2004. Available at: http://www.msct.eu/CT_Quality_Criteria.htm. Accessed July 14, 2009.
  13. Sun Z, Lin C, Davidson R, et al. Diagnostic value of 64-slice CT angiography in coronary artery disease: a systematic review. Eur J Radiol. 2008;67:78–84
  14. Husmann L, Gaemperli O, Schepis T, et al. Accuracy of quantitative coronary angiography with computed tomography and its dependency on plaque composition: plaque composition and accuracy of cardiac CT. Int J Cardiovasc Imaging. 2008;24:895–904
  15. Leber AW, Becker A, Knez A, et al. Accuracy of 64-slice computed tomography to classify and quantify plaque volumes in the proximal coronary system: a comparative study using intravascular ultrasound. J Am Coll Cardiol. 2006;47:672–677
  16. Herzog C, Nguyen SA, Savino G, et al. Does two-segment image reconstruction at 64-section CT coronary angiography improve image quality and diagnostic accuracy?. Radiology. 2007;244:121–129
  17. Cademartiri F, Mollet NR, Runza G, et al. Improving diagnostic accuracy of MDCT coronary angiography in patients with mild heart rhythm irregularities using ECG editing. AJR Am J Roentgenol. 2006;186:634–638
  18. Leschka S, Husmann L, Desbiolles LM, et al. Optimal image reconstruction intervals for non-invasive coronary angiography with 64-slice CT. Eur Radiol. 2006;16:1964–1972
  19. Nakanishi T, Kayashima Y, Inoue R, et al. Pitfalls in 16-detector row CT of the coronary arteries. Radiographics. 2005;25:425–438
  20. Pannu HK, Jacobs JE, Lai S, et al. Coronary CT angiography with 64-MDCT: assessment of vessel visibility. AJR Am J Roentgenol. 2006;187:119–126
  21. Husmann L, Herzog BA, Burkhard N, et al. Body physique and heart rate variability determine the occurrence of stair-step artefacts in 64-slice CT coronary angiography with prospective ECG-triggering. Eur Radiol. 2009;19:1698–1703
  22. Husmann L, Kaufmann PA. Reply to letter to the editor re: body physique and heart rate variability determine the occurrence of stair-step artefacts in 64-slice CT coronary angiography with prospective ECG-triggering. Eur Radiol 2009 Jun 11 [Epub ahead of print].
  23. Enzweiler CN, Kivelitz DE, Wiese TH, et al. Coronary artery bypass grafts: improved electron-beam tomography by prolonging breath holds with preoxygenation. Radiology. 2000;217:278–283
  24. Steigner ML, Otero HJ, Cai T, et al. Narrowing the phase window width in prospectively ECG-gated single heart beat 320-detector row coronary angiography. Int J Cardiovasc Imaging. 2009;25:85–90
  25. Leschka S, Wildermuth S, Boehm T, et al. Noninvasive coronary angiography with 64-section CT: effect of average heart rate and heart rate variability on image quality. Radiology. 2006;241:378–385
  26. Brodoefel H, Reimann A, Burgstahler C, et al. Noninvasive coronary angiography using 64-slice spiral computed tomography in an unselected patient collective: effect of heart rate, heart rate variability and coronary calcifications on image quality and diagnostic accuracy. Eur J Radiol. 2008;66:134–141

PII: S0846-5371(09)00151-X

doi: 10.1016/j.carj.2009.07.003

Canadian Association of Radiologists Journal
Volume 61, Issue 1 , Pages 5-12 , February 2010

Article Tools

* Image Usage & Resolution