Shorter delay time reduces interpatient variability in coronary enhancement in coronary CT angiography using the bolus tracking method with 320-row CT

The purpose was to investigate the influence of shorter delay time on the interpatient variability in coronary enhancement and appropriateness of scan timing in coronary CT angiography (CTA) using bolus tracking method with 320-row CT. The bolus tracking scan was performed at the level of the bifurc...

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Veröffentlicht in:The International Journal of Cardiovascular Imaging 2013, Vol.29 (1), p.185-190
Hauptverfasser: Tomizawa, Nobuo, Nojo, Takeshi, Akahane, Masaaki, Torigoe, Rumiko, Kiryu, Shigeru, Ohtomo, Kuni
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container_issue 1
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container_title The International Journal of Cardiovascular Imaging
container_volume 29
creator Tomizawa, Nobuo
Nojo, Takeshi
Akahane, Masaaki
Torigoe, Rumiko
Kiryu, Shigeru
Ohtomo, Kuni
description The purpose was to investigate the influence of shorter delay time on the interpatient variability in coronary enhancement and appropriateness of scan timing in coronary CT angiography (CTA) using bolus tracking method with 320-row CT. The bolus tracking scan was performed at the level of the bifurcation of the trachea for first 50 patients (group 1) and at the center level of the diagnostic scan for the last 50 patients (group 2). The CT number of the proximal coronary arteries was measured in the right coronary artery (RCA) and the left main trunk (LMT). The CT numbers of the right ventricle, left ventricle, ascending aorta, and descending aorta were also measured to consider the appropriateness of the scan timing. The delay time was longer in group 1 than in group 2 (7.0 vs. 2.6 s; p  
doi_str_mv 10.1007/s10554-012-0045-1
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The bolus tracking scan was performed at the level of the bifurcation of the trachea for first 50 patients (group 1) and at the center level of the diagnostic scan for the last 50 patients (group 2). The CT number of the proximal coronary arteries was measured in the right coronary artery (RCA) and the left main trunk (LMT). The CT numbers of the right ventricle, left ventricle, ascending aorta, and descending aorta were also measured to consider the appropriateness of the scan timing. The delay time was longer in group 1 than in group 2 (7.0 vs. 2.6 s; p  &lt; 0.0001). The CT number within the RCA was 390 ± 75 HU for group 1 and 419 ± 42 HU for group 2. The CT number within the LMT was 396 ± 72 HU for group 1 and 420 ± 40 HU for group 2. The difference of average ( p  = 0.02 and 0.04) and standard deviation ( p  = 0.03 and 0.02) was statistically significant. The scan timing was early or late in 15 patients for group 1, but only 2 patients for group 2 ( p  = 0.0002). Shortening the delay time could reduce the interpatient variability in coronary enhancement with appropriate scan timing in coronary CTA.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>22527257</pmid><doi>10.1007/s10554-012-0045-1</doi><tpages>6</tpages></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Adult
Aged
Aged, 80 and over
Cardiac Imaging
Cardiology
Chi-Square Distribution
Contrast Media - administration & dosage
Coronary Angiography - methods
Coronary Vessels - diagnostic imaging
Female
Humans
Imaging
Iopamidol - administration & dosage
Male
Medicine
Medicine & Public Health
Middle Aged
Multidetector Computed Tomography
Original Paper
Predictive Value of Tests
Radiology
Reproducibility of Results
Retrospective Studies
Time Factors
title Shorter delay time reduces interpatient variability in coronary enhancement in coronary CT angiography using the bolus tracking method with 320-row CT
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