| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Cardiac Imaging |
1 From the Institute for Diagnostic and Interventional Radiology (T.J.V., N.D.A., T.D., K.E., M.A., C.H.) and Department of Thoracic and Cardiovascular Surgery (S.D., G.W.G., A.M.), J. W. Goethe-University Frankfurt, Theodor-Stern-Kai 7, 60590 Frankfurt, Germany. Received February 28, 2001; revision requested April 2; revision received July 2; accepted September 7. Address correspondence to C.H. (e-mail: c.herzog@em.uni-frankfurt.de).
PURPOSE: To investigate the accuracy of different computed tomographic (CT) reformation techniques in assessing the coronary arteries.
MATERIALS AND METHODS: Sixty-four patients undergoing both multi–detector row CT and invasive coronary angiography were consecutively included in a retrospective study. CT scans were obtained with collimation of 4 x 1 mm, pitch of 1.5, and rotation time of 500 msec. Retrospective electrocardiographic gating was used for image reconstruction, with 1.25-mm section thickness and 0.5-mm increment. The CT data set of each patient was evaluated by independent observers using transverse scanning, virtual endoscopic, and three-dimensional reformation and multiplanar reformation.
RESULTS: Hemodynamically relevant stenoses (>50%) were detected with highest sensitivity at transverse scanning (58 of 79 [73.4%] stenoses), followed by virtual endoscopic (38 of 79 [48.1%] stenoses) and three-dimensional reformation (34 of 79 [43.0%] stenoses), and multiplanar reformation (37 of 79 [46.8%] stenoses). Atherosclerotic plaques were identified with comparable sensitivities at transverse scanning (143 of 218 plaques [65.6%]) and at three-dimensional (139 of 218 [63.8%] plaques) and virtual endoscopic reformation (136 of 218 [62.4%] plaques). Multiplanar reformation had distinctly poorer results (217 of 218 [58.3%] plaques). Combined interpretation with all four techniques increased sensitivity to 74.7% (59 of 79) for stenosis and 71.6% (156 of 218) for atherosclerosis. Calculated overall specificity was 91.4% or greater. Sufficient vascular evaluation was possible only in vessels larger than 1.6 mm in diameter. Thus, even in patients with heart rates below 60 bpm, only 80.0% of all coronary segments could be visualized, while at higher frequencies, visibility decreased to 66.2%.
CONCLUSION: Although multi–detector row CT is a favorable alternative procedure in evaluating coronary arteries, its clinical value still is restricted to low heart rates and proximal coronary arterial segments.
© RSNA, 2002
Index terms: Angiography, 51.124 • Computed tomography (CT), angiography, 51.12116 • Computed tomography (CT), multi–detector row • Computed tomography (CT), three-dimensional, 51.12117 • Coronary vessels, CT • Heart, CT, 51.12116, 51.12117
This article has been cited by other articles:
|
|
 |
|
  F. Saremi, S. Channual, S. Krishnan, S. V. Gurudevan, J. Narula, and A. Abolhoda Bachmann Bundle and Its Arterial Supply: Imaging with Multidetector CT--Implications for Interatrial Conduction Abnormalities and Arrhythmias Radiology, August 1, 2008; 248(2): 447 - 457. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 F. Saremi, S. Channual, A. Abolhoda, S. V. Gurudevan, J. Narula, and J. C. Milliken MDCT of the S-Shaped Sinoatrial Node Artery Am. J. Roentgenol., June 1, 2008; 190(6): 1569 - 1575. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. T. Bae, B. A. Seeck, C. F. Hildebolt, C. Tao, F. Zhu, M. Kanematsu, and P. K. Woodard Contrast Enhancement in Cardiovascular MDCT: Effect of Body Weight, Height, Body Surface Area, Body Mass Index, and Obesity Am. J. Roentgenol., March 1, 2008; 190(3): 777 - 784. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Pugliese, N. R. Mollet, M. G. M. Hunink, F. Cademartiri, K. Nieman, R. T. van Domburg, W. B. Meijboom, C. Van Mieghem, A. C. Weustink, M. L. Dijkshoorn, et al. Diagnostic Performance of Coronary CT Angiography by Using Different Generations of Multisection Scanners: Single-Center Experience Radiology, February 1, 2008; 246(2): 384 - 393. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Saremi, A. Abolhoda, O. Ashikyan, J. C. Milliken, J. Narula, S. V. Gurudevan, K. Kaushal, and A. Raney Arterial Supply to Sinuatrial and Atrioventricular Nodes: Imaging with Multidetector CT Radiology, December 1, 2007; 246(1): 99 - 107. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. K. Vanhoenacker, M. H. Heijenbrok-Kal, R. Van Heste, I. Decramer, L. R. Van Hoe, W. Wijns, and M. G. M. Hunink Diagnostic Performance of Multidetector CT Angiography for Assessment of Coronary Artery Disease: Meta-analysis Radiology, August 1, 2007; 244(2): 419 - 428. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. J. Schoepf, P. L. Zwerner, G. Savino, C. Herzog, J. M. Kerl, and P. Costello Coronary CT Angiography Radiology, July 1, 2007; 244(1): 48 - 63. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Herzog, S. A. Nguyen, G. Savino, P. L. Zwerner, J. Doll, C. D. Nielsen, T. G. Flohr, T. J. Vogl, P. Costello, and U. J. Schoepf Does Two-Segment Image Reconstruction at 64-Section CT Coronary Angiography Improve Image Quality and Diagnostic Accuracy? Radiology, July 1, 2007; 244(1): 121 - 129. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Ferencik, D. Ropers, S. Abbara, R. C. Cury, U. Hoffmann, K. Nieman, T. J. Brady, F. Moselewski, W. G. Daniel, and S. Achenbach Diagnostic Accuracy of Image Postprocessing Methods for the Detection of Coronary Artery Stenoses by Using Multidetector CT Radiology, June 1, 2007; 243(3): 696 - 702. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. B. Meijboom, N. R. Mollet, C. A.G. Van Mieghem, J. Kluin, A. C. Weustink, F. Pugliese, E. Vourvouri, F. Cademartiri, A. J.J.C. Bogers, G. P. Krestin, et al. Pre-Operative Computed Tomography Coronary Angiography to Detect Significant Coronary Artery Disease in Patients Referred for Cardiac Valve Surgery J. Am. Coll. Cardiol., October 17, 2006; 48(8): 1658 - 1665. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. J. Budoff, S. Achenbach, R. S. Blumenthal, J. J. Carr, J. G. Goldin, P. Greenland, A. D. Guerci, J. A.C. Lima, D. J. Rader, G. D. Rubin, et al. Assessment of Coronary Artery Disease by Cardiac Computed Tomography: A Scientific Statement From the American Heart Association Committee on Cardiovascular Imaging and Intervention, Council on Cardiovascular Radiology and Intervention, and Committee on Cardiac Imaging, Council on Clinical Cardiology Circulation, October 17, 2006; 114(16): 1761 - 1791. [Full Text] [PDF]
|
|
|
|
|
|
M. Kantarci, C. Duran, I. Durur, F. Alper, O. Onbas, M. Gulbaran, and A. Okur Detection of Myocardial Bridging with ECG-Gated MDCT and Multiplanar Reconstruction Am. J. Roentgenol., June 1, 2006; 186(6_Supplement_2): S391 - S394. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A.S. Cordeiro and J. A.C. Lima Atherosclerotic plaque characterization by multidetector row computed tomography angiography. J. Am. Coll. Cardiol., April 18, 2006; 47(8 Suppl): C40 - C47. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. R. Mollet, F. Cademartiri, C. A.G. van Mieghem, G. Runza, E. P. McFadden, T. Baks, P. W. Serruys, G. P. Krestin, and P. J. de Feyter High-Resolution Spiral Computed Tomography Coronary Angiography in Patients Referred for Diagnostic Conventional Coronary Angiography Circulation, October 11, 2005; 112(15): 2318 - 2323. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Fuster, Z. A. Fayad, P. R. Moreno, M. Poon, R. Corti, and J. J. Badimon Atherothrombosis and High-Risk Plaque: Part II: Approaches by Noninvasive Computed Tomographic/Magnetic Resonance Imaging J. Am. Coll. Cardiol., October 4, 2005; 46(7): 1209 - 1218. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Heuschmid, A. Kuettner, S. Schroeder, T. Trabold, A. Feyer, M. D. Seemann, R. Kuzo, C. D. Claussen, and A. F. Kopp ECG-Gated 16-MDCT of the Coronary Arteries: Assessment of Image Quality and Accuracy in Detecting Stenoses Am. J. Roentgenol., May 1, 2005; 184(5): 1413 - 1419. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. R Mollet, F. Cademartiri, and P. J de Feyter Non-invasive multislice CT coronary imaging Heart, March 1, 2005; 91(3): 401 - 407. [Full Text] [PDF]
|
|
|
|
 |
|
 M.-H. Song, T. Ito, T. Watanabe, and H. Nakamura Multidetector Computed Tomography Versus Coronary Angiogram in Evaluation of Coronary Artery Bypass Grafts Ann. Thorac. Surg., February 1, 2005; 79(2): 585 - 588. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Aviram, R. Sharony, A. Kramer, N. Nesher, D. Loberman, Y. Ben-Gal, M. Graif, G. Uretzky, and R. Mohr Modification of Surgical Planning Based on Cardiac Multidetector Computed Tomography in Reoperative Heart Surgery Ann. Thorac. Surg., February 1, 2005; 79(2): 589 - 595. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. S. Shim, Y. Kim, and S. M. Lim Improvement of Image Quality with {beta}-Blocker Premedication on ECG-Gated 16-MDCT Coronary Angiography Am. J. Roentgenol., February 1, 2005; 184(2): 649 - 654. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Yamamuro, E. Tadamura, S. Kubo, H. Toyoda, T. Nishina, M. Ohba, R. Hosokawa, T. Kimura, N. Tamaki, M. Komeda, et al. Cardiac Functional Analysis with Multi-Detector Row CT and Segmental Reconstruction Algorithm: Comparison with Echocardiography, SPECT, and MR Imaging Radiology, February 1, 2005; 234(2): 381 - 390. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. R. Mollet, F. Cademartiri, G. P. Krestin, E. P. McFadden, C. A. Arampatzis, P. W. Serruys, and P. J. de Feyter Improved diagnostic accuracy with 16-row multi-slice computed tomography coronary angiography J. Am. Coll. Cardiol., January 4, 2005; 45(1): 128 - 132. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. L. Gerber, E. Coche, A. Pasquet, E. Ketelslegers, D. Vancraeynest, C. Grandin, B. E. Van Beers, and J.-L. J. Vanoverschelde Coronary Artery Stenosis: Direct Comparison of Four-Section Multi-Detector Row CT and 3D Navigator MR Imaging for Detection--Initial Results Radiology, January 1, 2005; 234(1): 98 - 108. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Cademartiri, K. Nieman, A. van der Lugt, R. H. Raaijmakers, N. Mollet, P. M. T. Pattynama, P. J. de Feyter, and G. P. Krestin Intravenous Contrast Material Administration at 16-Detector Row Helical CT Coronary Angiography: Test Bolus versus Bolus-tracking Technique Radiology, December 1, 2004; 233(3): 817 - 823. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P.J. de Feyter and K. Nieman Noninvasive multi-slice computed tomography coronary angiography: An emerging clinical modality J. Am. Coll. Cardiol., September 15, 2004; 44(6): 1238 - 1240. [Full Text] [PDF]
|
|
|
|
|
|
T. Schertler, S. Wildermuth, J. K. Willmann, H. Alkadhi, B. Marincek, and T. Boehm Effects of ECG Gating and Postprocessing Techniques on 3D MDCT of the Bronchial Tree Am. J. Roentgenol., July 1, 2004; 183(1): 83 - 89. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. J. Schoepf, C. R. Becker, B. M. Ohnesorge, and E. K. Yucel CT of Coronary Artery Disease Radiology, July 1, 2004; 232(1): 18 - 37. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. R. Mollet, F. Cademartiri, K. Nieman, F. Saia, P. A. Lemos, E. P. McFadden, P. M. T. Pattynama, P. W. Serruys, G. P. Krestin, and P. J. de Feyter Multislice spiral computed tomography coronary angiography in patients with stable angina pectoris J. Am. Coll. Cardiol., June 16, 2004; 43(12): 2265 - 2270. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Desjardins and E. A. Kazerooni ECG-Gated Cardiac CT Am. J. Roentgenol., April 1, 2004; 182(4): 993 - 1010. [Full Text] [PDF]
|
|
|
|
|
|
K. Nieman, P. M. T. Pattynama, B. J. Rensing, R.-J. M. van Geuns, and P. J. de Feyter Evaluation of Patients after Coronary Artery Bypass Surgery: CT Angiographic Assessment of Grafts and Coronary Arteries Radiology, December 1, 2003; 229(3): 749 - 756. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Gurevitch, T. Gaspar, B. Orlov, R. Amar, D. Dvir, N. Peled, and D. J. Aravot Noninvasive evaluation of arterial grafts with newly released multidetector computed tomography Ann. Thorac. Surg., November 1, 2003; 76(5): 1523 - 1527. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Herzog, S. Dogan, T. Diebold, M. F. Khan, H. Ackermann, S. Schaller, T. G. Flohr, G. Wimmer-Greinecker, A. Moritz, and T. J. Vogl Multi-Detector Row CT versus Coronary Angiography: Preoperative Evaluation before Totally Endoscopic Coronary Artery Bypass Grafting Radiology, October 1, 2003; 229(1): 200 - 208. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 H. K. Pannu, T. G. Flohr, F. M. Corl, and E. K. Fishman Current Concepts in Multi-Detector Row CT Evaluation of the Coronary Arteries: Principles, Techniques, and Anatomy RadioGraphics, October 1, 2003; 23(90001): S111 - 125. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Ropers, U. Baum, K. Pohle, K. Anders, S. Ulzheimer, B. Ohnesorge, C. Schlundt, W. Bautz, W. G. Daniel, and S. Achenbach Detection of Coronary Artery Stenoses With Thin-Slice Multi-Detector Row Spiral Computed Tomography and Multiplanar Reconstruction Circulation, February 11, 2003; 107(5): 664 - 666. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Z. A. Fayad, V. Fuster, K. Nikolaou, and C. Becker Computed Tomography and Magnetic Resonance Imaging for Noninvasive Coronary Angiography and Plaque Imaging: Current and Potential Future Concepts Circulation, October 8, 2002; 106(15): 2026 - 2034. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOLOGY | RADIOGRAPHICS | RSNA JOURNALS ONLINE |
