scholarly journals Coronary computed tomography angiography and calcium scoring in routine clinical practice for identification of patients who require revascularization

2016 ◽  
Vol 109 (6-7) ◽  
pp. 412-421
Author(s):  
Grazina Urbonaviciene ◽  
Christin Isaksen ◽  
Sigitas Urbonavicius ◽  
Jørgen Selmer Buhl ◽  
Jane Kirk Johansen ◽  
...  
2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Eriko Maeda ◽  
Kodai Yamamoto ◽  
Shigeaki Kanno ◽  
Kenji Ino ◽  
Nobuo Tomizawa ◽  
...  

Objective.To compare the image quality of coronary computed tomography angiography (CCTA) acquired under two conditions: 75% fixed as the acquisition window center (Group 75%) and the diagnostic phase for calcium scoring scan as the center (CS; Group CS).Methods.320-row cardiac CT with a minimal acquisition window (scanned using “Target CTA” mode) was performed on 81 patients. In Group 75% (n= 40), CS was obtained and reconstructed at 75% and the center of the CCTA acquisition window was set at 75%. In Group CS (n= 41), CS was obtained at 75% and the diagnostic phase showing minimal artifacts was applied as the center of the CCTA acquisition window. Image quality was evaluated using a four-point scale (4-excellent) and the mean scores were compared between groups.Results.The CCTA scan diagnostic phase occurred significantly earlier in CS (75.7 ± 3.2% vs. 73.6 ± 4.5% for Groups 75% and CS, resp.,p= 0.013). The mean Group CS image quality score (3.58 ± 0.63) was also higher than that for Group 75% (3.19 ± 0.66,p< 0.0001).Conclusions.The image quality of CCTA in Target CTA mode was significantly better when the center of acquisition window is adjusted using CS.


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