Dose levels at coronary CT angiography—a comparison of Dual Energy-, Dual Source- and 16-slice CT

Purpose To compare the dose estimates and image quality of Dual Energy CT (DECT), Dual Source CT (DSCT) and 16-slice CT for coronary CT angiography (cCTA). Methods Sixty-eight patients were examined with 16 - slice MDCT (group 1), 68 patients with DSCT (group 2) and 68 patients using DSCT in dual en...

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Veröffentlicht in:European radiology 2011-03, Vol.21 (3), p.530-537
Hauptverfasser: Kerl, J. Matthias, Bauer, Ralf W., Maurer, Tobias B., Aschenbach, Rene, Korkusuz, Huedayi, Lehnert, Thomas, Deseive, Simon, Ackermann, Hanns, Vogl, Thomas J.
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container_end_page 537
container_issue 3
container_start_page 530
container_title European radiology
container_volume 21
creator Kerl, J. Matthias
Bauer, Ralf W.
Maurer, Tobias B.
Aschenbach, Rene
Korkusuz, Huedayi
Lehnert, Thomas
Deseive, Simon
Ackermann, Hanns
Vogl, Thomas J.
description Purpose To compare the dose estimates and image quality of Dual Energy CT (DECT), Dual Source CT (DSCT) and 16-slice CT for coronary CT angiography (cCTA). Methods Sixty-eight patients were examined with 16 - slice MDCT (group 1), 68 patients with DSCT (group 2) and 68 patients using DSCT in dual energy mode (DECT group 3). CT dose index volume, dose length product, effective dose, signal-to-noise, and contrast-to-noise ratio were compared. Subjective image quality was rated by two observers, blinded to technique. Results The mean estimated radiation dose of all patients investigated on a 16 - slice MDCT was 12 ± 3.59 mSv, for DSCT in single energy 9.8 ± 4.77 mSv and for DECT 4.54 ± 1.87 mSv. Dose for CTA was significantly lower in group 3 compared to group 1 and 2. The image noise was significantly lower in Group 2 in comparison to group 1 and group 3. There was no significant difference in diagnostic image quality comparing DECT and DSCT. Conclusion cCTA shows better dose levels at both DECT and DSCT compared to 16-slice CT. Further, DECT delivers significantly less dose than regular DSCT or single source single energy cCTA while maintaining diagnostic image quality.
doi_str_mv 10.1007/s00330-010-1954-9
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Matthias ; Bauer, Ralf W. ; Maurer, Tobias B. ; Aschenbach, Rene ; Korkusuz, Huedayi ; Lehnert, Thomas ; Deseive, Simon ; Ackermann, Hanns ; Vogl, Thomas J.</creator><creatorcontrib>Kerl, J. Matthias ; Bauer, Ralf W. ; Maurer, Tobias B. ; Aschenbach, Rene ; Korkusuz, Huedayi ; Lehnert, Thomas ; Deseive, Simon ; Ackermann, Hanns ; Vogl, Thomas J.</creatorcontrib><description>Purpose To compare the dose estimates and image quality of Dual Energy CT (DECT), Dual Source CT (DSCT) and 16-slice CT for coronary CT angiography (cCTA). Methods Sixty-eight patients were examined with 16 - slice MDCT (group 1), 68 patients with DSCT (group 2) and 68 patients using DSCT in dual energy mode (DECT group 3). CT dose index volume, dose length product, effective dose, signal-to-noise, and contrast-to-noise ratio were compared. Subjective image quality was rated by two observers, blinded to technique. Results The mean estimated radiation dose of all patients investigated on a 16 - slice MDCT was 12 ± 3.59 mSv, for DSCT in single energy 9.8 ± 4.77 mSv and for DECT 4.54 ± 1.87 mSv. Dose for CTA was significantly lower in group 3 compared to group 1 and 2. The image noise was significantly lower in Group 2 in comparison to group 1 and group 3. There was no significant difference in diagnostic image quality comparing DECT and DSCT. Conclusion cCTA shows better dose levels at both DECT and DSCT compared to 16-slice CT. Further, DECT delivers significantly less dose than regular DSCT or single source single energy cCTA while maintaining diagnostic image quality.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-010-1954-9</identifier><identifier>PMID: 20862476</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Aged ; Angina pectoris ; Body Burden ; Cardiac ; Cardiovascular disease ; Coronary Angiography - methods ; Coronary vessels ; Diagnostic Radiology ; Energy ; Female ; Heart rate ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Male ; Medical imaging ; Medicine ; Medicine &amp; Public Health ; Neuroradiology ; Patients ; Radiation ; Radiation Dosage ; Radiography, Dual-Energy Scanned Projection - methods ; Radiology ; Reproducibility of Results ; Sensitivity and Specificity ; Tomography ; Tomography, X-Ray Computed - methods ; Ultrasound ; Vein &amp; artery diseases</subject><ispartof>European radiology, 2011-03, Vol.21 (3), p.530-537</ispartof><rights>European Society of Radiology 2010</rights><rights>European Society of Radiology 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c413t-4d021afed5ff038e38e07319a486ab2cbb1636d0199bd76b6ebe18cb56baa0c23</citedby><cites>FETCH-LOGICAL-c413t-4d021afed5ff038e38e07319a486ab2cbb1636d0199bd76b6ebe18cb56baa0c23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00330-010-1954-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-010-1954-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20862476$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kerl, J. Matthias</creatorcontrib><creatorcontrib>Bauer, Ralf W.</creatorcontrib><creatorcontrib>Maurer, Tobias B.</creatorcontrib><creatorcontrib>Aschenbach, Rene</creatorcontrib><creatorcontrib>Korkusuz, Huedayi</creatorcontrib><creatorcontrib>Lehnert, Thomas</creatorcontrib><creatorcontrib>Deseive, Simon</creatorcontrib><creatorcontrib>Ackermann, Hanns</creatorcontrib><creatorcontrib>Vogl, Thomas J.</creatorcontrib><title>Dose levels at coronary CT angiography—a comparison of Dual Energy-, Dual Source- and 16-slice CT</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Purpose To compare the dose estimates and image quality of Dual Energy CT (DECT), Dual Source CT (DSCT) and 16-slice CT for coronary CT angiography (cCTA). Methods Sixty-eight patients were examined with 16 - slice MDCT (group 1), 68 patients with DSCT (group 2) and 68 patients using DSCT in dual energy mode (DECT group 3). CT dose index volume, dose length product, effective dose, signal-to-noise, and contrast-to-noise ratio were compared. Subjective image quality was rated by two observers, blinded to technique. Results The mean estimated radiation dose of all patients investigated on a 16 - slice MDCT was 12 ± 3.59 mSv, for DSCT in single energy 9.8 ± 4.77 mSv and for DECT 4.54 ± 1.87 mSv. Dose for CTA was significantly lower in group 3 compared to group 1 and 2. The image noise was significantly lower in Group 2 in comparison to group 1 and group 3. There was no significant difference in diagnostic image quality comparing DECT and DSCT. Conclusion cCTA shows better dose levels at both DECT and DSCT compared to 16-slice CT. 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Matthias</au><au>Bauer, Ralf W.</au><au>Maurer, Tobias B.</au><au>Aschenbach, Rene</au><au>Korkusuz, Huedayi</au><au>Lehnert, Thomas</au><au>Deseive, Simon</au><au>Ackermann, Hanns</au><au>Vogl, Thomas J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dose levels at coronary CT angiography—a comparison of Dual Energy-, Dual Source- and 16-slice CT</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2011-03-01</date><risdate>2011</risdate><volume>21</volume><issue>3</issue><spage>530</spage><epage>537</epage><pages>530-537</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Purpose To compare the dose estimates and image quality of Dual Energy CT (DECT), Dual Source CT (DSCT) and 16-slice CT for coronary CT angiography (cCTA). Methods Sixty-eight patients were examined with 16 - slice MDCT (group 1), 68 patients with DSCT (group 2) and 68 patients using DSCT in dual energy mode (DECT group 3). CT dose index volume, dose length product, effective dose, signal-to-noise, and contrast-to-noise ratio were compared. Subjective image quality was rated by two observers, blinded to technique. Results The mean estimated radiation dose of all patients investigated on a 16 - slice MDCT was 12 ± 3.59 mSv, for DSCT in single energy 9.8 ± 4.77 mSv and for DECT 4.54 ± 1.87 mSv. Dose for CTA was significantly lower in group 3 compared to group 1 and 2. The image noise was significantly lower in Group 2 in comparison to group 1 and group 3. There was no significant difference in diagnostic image quality comparing DECT and DSCT. Conclusion cCTA shows better dose levels at both DECT and DSCT compared to 16-slice CT. Further, DECT delivers significantly less dose than regular DSCT or single source single energy cCTA while maintaining diagnostic image quality.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>20862476</pmid><doi>10.1007/s00330-010-1954-9</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Angina pectoris
Body Burden
Cardiac
Cardiovascular disease
Coronary Angiography - methods
Coronary vessels
Diagnostic Radiology
Energy
Female
Heart rate
Humans
Imaging
Internal Medicine
Interventional Radiology
Male
Medical imaging
Medicine
Medicine & Public Health
Neuroradiology
Patients
Radiation
Radiation Dosage
Radiography, Dual-Energy Scanned Projection - methods
Radiology
Reproducibility of Results
Sensitivity and Specificity
Tomography
Tomography, X-Ray Computed - methods
Ultrasound
Vein & artery diseases
title Dose levels at coronary CT angiography—a comparison of Dual Energy-, Dual Source- and 16-slice CT
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