Step and shoot coronary CT angiography using 256-slice CT: effect of heart rate and heart rate variability on image quality.
Eur Radiol
; 21(11): 2277-84, 2011 Nov.
Article
en En
| MEDLINE
| ID: mdl-21710267
ABSTRACT
OBJECTIVE:
To evaluate the effect of heart rate variability (HRV) and heart rate (HR) on intra-image "motion" and inter-image "stairstep" artefacts in step-and-shoot coronary CT angiography (CCTA) using a wide detector CT scanner.METHODS:
66 patients underwent step-and-shoot CCTA using 256-slice CT. Patients were divided into two groups (Group 1 HR <65 bpm, Group 2 ≥65bpm). Motion artefacts were quantified using a 5-point-scale. Stairstep artefacts were defined by measurements of misalignment. Image noise, contrast-to-noise-ratio (CNR), signal-to-noise-ratio (SNR), and radiation dose were assessed.RESULTS:
Mean HR was 66 ± 16.7 bpm (range 45-125 bpm) and mean HRV was 10.7 ± 17.5 bpm. A significant correlation between HR and stairstep artefacts (r = 0.46, p < 0.001) and motion artefacts (r = 0.63, p < 0.001) was found. Group 2 showed significantly increased step artefacts with a mean misalignment of 1.4 mm compared to 0.4 mm in Group 1 (p < 0.001). There was no significant effect of HRV on stairstep artefacts (r = 0.15, p = 0.416) and motion artefacts (r = 0.13, p = 0.311). No significant differences in image noise, CNR, SNR, and radiation dose were seen.CONCLUSIONS:
Unlike CCTA using narrow CT detectors, HRV has no significant effect on motion and stairstep artefacts using a wide CT detector with high z-coverage. However, a higher HR still increases stairstep and motion artefacts.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Procesamiento de Imagen Asistido por Computador
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Tomografía Computarizada por Rayos X
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Angiografía Coronaria
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Frecuencia Cardíaca
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Eur Radiol
Asunto de la revista:
RADIOLOGIA
Año:
2011
Tipo del documento:
Article
País de afiliación:
Alemania