Comparison of 16-multidetector-row computed tomography and angiocardiography for evaluating the central pulmonary artery diameter and pulmonary artery index in children with congenital heart disease

Purpose The pulmonary artery (PA) is involved in most congenital heart diseases; and in these patients it is necessary to evaluate precisely the PA configuration and development. The accuracy of 16 multidetector row computed tomography (16-MDCT) in evaluating the central PA was evaluated. Materials...

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Veröffentlicht in:Japanese journal of radiology 2008-07, Vol.26 (6), p.337-342
Hauptverfasser: Nakagawa, Motoo, Hara, Masaki, Oshima, Hidekazu, Shibamoto, Yuta, Mizuno, Kantaro, Asano, Miki
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container_end_page 342
container_issue 6
container_start_page 337
container_title Japanese journal of radiology
container_volume 26
creator Nakagawa, Motoo
Hara, Masaki
Oshima, Hidekazu
Shibamoto, Yuta
Mizuno, Kantaro
Asano, Miki
description Purpose The pulmonary artery (PA) is involved in most congenital heart diseases; and in these patients it is necessary to evaluate precisely the PA configuration and development. The accuracy of 16 multidetector row computed tomography (16-MDCT) in evaluating the central PA was evaluated. Materials and methods 16-MDCT and angiocardiography (ACG) were performed in 26 patients with various congenital heart diseases aged 7 days to 9 years (median 1.2 years). We reconstructed coronal oblique images along the long axis of the right and left PAs and measured the PA diameter and Nakata’s PA index, which were compared with those obtained by ACG. Results Correlations between PA diameters [ R 2 = 0.80, standard error of the estimate (SEE) = 1.3, n = 52] and PA indices ( R 2 = 0.81, SEE = 42, n = 26) obtained from coronal oblique images and ACG were excellent. Bland-Altman plots showed a mean ± SD difference of −0.3 ± 1.3 mm for the PA diameter and ±15.1 ± 41.5 for the PA index. Conclusion 16-MDCT might be useful for evaluating the central PA in patients with congenital heart disease.
doi_str_mv 10.1007/s11604-008-0237-8
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The accuracy of 16 multidetector row computed tomography (16-MDCT) in evaluating the central PA was evaluated. Materials and methods 16-MDCT and angiocardiography (ACG) were performed in 26 patients with various congenital heart diseases aged 7 days to 9 years (median 1.2 years). We reconstructed coronal oblique images along the long axis of the right and left PAs and measured the PA diameter and Nakata’s PA index, which were compared with those obtained by ACG. Results Correlations between PA diameters [ R 2 = 0.80, standard error of the estimate (SEE) = 1.3, n = 52] and PA indices ( R 2 = 0.81, SEE = 42, n = 26) obtained from coronal oblique images and ACG were excellent. Bland-Altman plots showed a mean ± SD difference of −0.3 ± 1.3 mm for the PA diameter and ±15.1 ± 41.5 for the PA index. 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The accuracy of 16 multidetector row computed tomography (16-MDCT) in evaluating the central PA was evaluated. Materials and methods 16-MDCT and angiocardiography (ACG) were performed in 26 patients with various congenital heart diseases aged 7 days to 9 years (median 1.2 years). We reconstructed coronal oblique images along the long axis of the right and left PAs and measured the PA diameter and Nakata’s PA index, which were compared with those obtained by ACG. Results Correlations between PA diameters [ R 2 = 0.80, standard error of the estimate (SEE) = 1.3, n = 52] and PA indices ( R 2 = 0.81, SEE = 42, n = 26) obtained from coronal oblique images and ACG were excellent. Bland-Altman plots showed a mean ± SD difference of −0.3 ± 1.3 mm for the PA diameter and ±15.1 ± 41.5 for the PA index. 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and in these patients it is necessary to evaluate precisely the PA configuration and development. The accuracy of 16 multidetector row computed tomography (16-MDCT) in evaluating the central PA was evaluated. Materials and methods 16-MDCT and angiocardiography (ACG) were performed in 26 patients with various congenital heart diseases aged 7 days to 9 years (median 1.2 years). We reconstructed coronal oblique images along the long axis of the right and left PAs and measured the PA diameter and Nakata’s PA index, which were compared with those obtained by ACG. Results Correlations between PA diameters [ R 2 = 0.80, standard error of the estimate (SEE) = 1.3, n = 52] and PA indices ( R 2 = 0.81, SEE = 42, n = 26) obtained from coronal oblique images and ACG were excellent. Bland-Altman plots showed a mean ± SD difference of −0.3 ± 1.3 mm for the PA diameter and ±15.1 ± 41.5 for the PA index. Conclusion 16-MDCT might be useful for evaluating the central PA in patients with congenital heart disease.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>18677607</pmid><doi>10.1007/s11604-008-0237-8</doi><tpages>6</tpages></addata></record>
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subjects Angiocardiography
Child
Child, Preschool
Heart Defects, Congenital - diagnostic imaging
Humans
Imaging
Infant
Infant, Newborn
Medicine
Medicine & Public Health
Nuclear Medicine
Original Article
Pulmonary Artery - diagnostic imaging
Radiology
Radiotherapy
Tomography, X-Ray Computed - methods
title Comparison of 16-multidetector-row computed tomography and angiocardiography for evaluating the central pulmonary artery diameter and pulmonary artery index in children with congenital heart disease
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