Coronary computed tomography angiography and endocardial leads - Image quality in 320-row CT using iterative reconstruction
| Autor: | Dietrich H. W. Grönemeyer, Marietta Garmer, Frauke Metz, Marc Bonsels, B. Brandts, Oliver Klein-Wiele |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Pacemaker Artificial Image quality Computed Tomography Angiography Iterative reconstruction 030204 cardiovascular system & hematology Signal-To-Noise Ratio Coronary Angiography Radiation Dosage 030218 nuclear medicine & medical imaging Coronary artery disease 03 medical and health sciences 0302 clinical medicine medicine.artery Ascending aorta medicine Humans Radiology Nuclear Medicine and imaging Radionuclide Imaging Computed tomography angiography Aged Aorta medicine.diagnostic_test business.industry Middle Aged medicine.disease Coronary Vessels Coronary arteries medicine.anatomical_structure Right coronary artery Radiographic Image Interpretation Computer-Assisted Female business Nuclear medicine Artifacts Tomography X-Ray Computed Endocardium |
| Zdroj: | Clinical imaging. 50 |
| ISSN: | 1873-4499 |
| Popis: | Purpose To investigate whether the presence of endocardial leads has an impact on image quality in coronary computed tomography angiography (CCTA), when current technique is employed using a 320-row computed tomography and iterative reconstruction. Materials and methods CCTA was performed in 1641 patients, from these we identified 51 patients (study group) with endocardial leads and 51 matched partners (control group) without endocardial leads. Noise was determined in the ascending aorta and the left ventricle; signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) were determined in the left and right coronary artery. Subjective image quality was rated separately for the 15 segments of the coronary arteries by 2 radiologists. Results Current CCTA technique still shows slight impairment of objective image quality in patients with endocardial leads with inferior SNR in the aorta (median 15.04 versus 16.6; p = 0.004) and inferior SNR in the left/right coronary artery (median 15.3/13.81 versus 16.1/15.41; p = 0.013/0.002). CNR of the left/right coronary artery was also inferior (median 17.4/16.46 versus 19.26/19.24; p = 0.002/ The subjective image quality was rated significantly inferior only in segment 8 ( p = 0.001) compared to the control group. Artifacts by ventricular leads were found in 65% of the patients in segment 8 with non-diagnostic rating in 9 cases (18%). Atrial leads resulted in artifacts predominantly in segment 1 (45%) with non-diagnostic rating in only 2 cases (4%). Conclusion CCTA is feasible with slight restrictions for patients in the presence of implanted cardiac devices when current technique is used. |
| Databáze: | OpenAIRE |
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