Diagnostic performance of free-breathing coronary computed tomography angiography without heart rate control using 16-cm z-coverage CT with motion-correction algorithm.
J Cardiovasc Comput Tomogr
; 13(2): 113-117, 2019.
Article
em En
| MEDLINE
| ID: mdl-30635197
ABSTRACT
OBJECTIVES:
To evaluate the feasibility of coronary computed tomography angiography (CCTA) in patients with free-breathing using 16-cm z-coverage CT with motion correction algorithm.METHODS:
616 patients underwent CCTA without heart rate control. 325 examinations were performed during breath-holding (group A), and the remaining 291 were performed during free-breathing (group B). The image quality scores were defined as 1 (excellent), 2 (good), 3 (adequate), and 4 (poor). 22 patients in group A and 24 in group B underwent invasive coronary angiography (ICA) after CCTA within two weeks. The image quality score, diagnostic accuracy using ICA as reference, signal-to-noise ratio (SNR), and effective dose (ED) were compared between the two groups.RESULTS:
Mean heart rate during scanning was 70.8⯱â¯13.8 bpm in group A and 70.7⯱â¯13.2 bpm in group B (Pâ¯=â¯.950). No significant differences were observed in SNR and image quality score (1.49⯱â¯0.62 vs. 1.53⯱â¯0.67; Pâ¯=â¯.647) between the breath-holding and free-breathing groups. ED (1.99⯱â¯0.83 â¯mSv vs. 2.01⯱â¯0.88 â¯mSv) was not significantly different between the two groups (Pâ¯=â¯.975). In a segment-based analysis, the sensitivity, specificity and diagnostic accuracy in the detection of coronary stenosis of more than 50% were 82.1%, 96.8% and 92.2%, respectively in the breath-holding group and 82.2%, 96.6% and 92.2%, respectively in the free-breathing group with no significant differences for these parameters between the two groups.CONCLUSIONS:
CCTA for patients without heart rate control and during free-breathing using 16-cm z-coverage CT with motion correction algorithm showed no significant difference in image quality and diagnostic performance compared with CCTA during breath-holding.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Respiração
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Algoritmos
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Interpretação de Imagem Radiográfica Assistida por Computador
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Angiografia Coronária
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Doença das Coronárias
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Tomografia Computadorizada Multidetectores
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Angiografia por Tomografia Computadorizada
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Frequência Cardíaca
Tipo de estudo:
Diagnostic_studies
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Evaluation_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article