Combined prospectively electrocardiography- and respiratory-triggered sequential cardiac computed tomography in free-breathing children: success rate and image quality.
Pediatr Radiol
; 48(7): 923-931, 2018 07.
Article
em En
| MEDLINE
| ID: mdl-29589058
ABSTRACT
BACKGROUND:
Combined prospectively electrocardiography (ECG)- and respiratory-triggered sequential cardiac computed tomography (CT) has not been evaluated in free-breathing children.OBJECTIVE:
To evaluate the success rate and image quality of combined prospectively ECG- and respiratory-triggered sequential cardiac CT in free-breathing children. MATERIALS ANDMETHODS:
Image quality of combined prospectively ECG- and respiratory-triggered sequential cardiac CT in 870 children (≤5 years of age) was evaluated in terms of severe motion (maximal distance ≥2 mm) and band artifacts (maximal attenuation difference ≥100 Hounsfield units). The success rate of the scan mode was calculated. The causes of failed cases were assessed. Patient-related, radiation and image quality parameters were compared between success and failure groups.RESULTS:
Severe motion artifacts were observed in 10.6% (92/870) of patients due to cardiac phase error in 17 (18.5%), patient motion in 12 (13.0%), and unknown causes in 63 (68.5%). Severe band artifacts were seen in 13.2% (115/870) of patients. Combined prospectively ECG- and respiratory-triggered sequential cardiac CT was successfully performed in 78.5% (683/870) of patients, while it failed in 21.5% (187/870). All the evaluated patient-related, radiation and image quality parameters were significantly different (P≤0.001) between success and failure groups except effective dose (P>0.05).CONCLUSION:
Additional prospective respiratory triggering can reduce motion artifacts in prospectively ECG-triggered sequential cardiac CT in free-breathing children.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tomografia Computadorizada por Raios X
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Técnicas de Imagem de Sincronização Cardíaca
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Técnicas de Imagem de Sincronização Respiratória
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Cardiopatias Congênitas
Tipo de estudo:
Observational_studies
Limite:
Child, preschool
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Female
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Humans
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Infant
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Male
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Newborn
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article