Dual-source cardiac computed tomography angiography (CCTA) in the follow-up of cardiac transplant: comparison of image quality and radiation dose using three different imaging protocols

Objectives To prospectively evaluate image quality (IQ) and radiation dose of dual-source cardiac computed tomography (CCTA) using different imaging protocols. Methods CCTA was performed in 150 patients using the retrospective ECG-gated spiral technique (rECG) the prospective ECG-gated technique (pE...

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Veröffentlicht in:European radiology 2015-08, Vol.25 (8), p.2310-2317
Hauptverfasser: Beitzke, D., Berger-Kulemann, V., Schöpf, V., Unterhumer, S., Spitzer, E., Feuchtner, G. M., Gyöngyösi, M., Uyanik-Uenal, K., Zuckermann, A., Loewe, C., Wolf, F.
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container_end_page 2317
container_issue 8
container_start_page 2310
container_title European radiology
container_volume 25
creator Beitzke, D.
Berger-Kulemann, V.
Schöpf, V.
Unterhumer, S.
Spitzer, E.
Feuchtner, G. M.
Gyöngyösi, M.
Uyanik-Uenal, K.
Zuckermann, A.
Loewe, C.
Wolf, F.
description Objectives To prospectively evaluate image quality (IQ) and radiation dose of dual-source cardiac computed tomography (CCTA) using different imaging protocols. Methods CCTA was performed in 150 patients using the retrospective ECG-gated spiral technique (rECG) the prospective ECG-gated technique (pECG), or the prospective ECG-gated technique with systolic imaging and automated tube voltage selection (pECGsys). IQ was rated using a 16-segment coronary artery model. Techniques were compared for overall IQ, IQ of the large and the small coronary artery segments. Effective dose was used for comparison of radiation dose. Results Overall IQ and IQ of the large segments showed no differences between the groups. IQ analysis of the small segments showed lowered IQ in pECGsys compared to rECG ( p  = 0.02), but not to pECG ( p  = 0.6). Effective dose did not differ significantly between rECG and pECG ( p  = 0.13), but was significantly lower for pECGsys ( p  
doi_str_mv 10.1007/s00330-015-3650-2
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M. ; Gyöngyösi, M. ; Uyanik-Uenal, K. ; Zuckermann, A. ; Loewe, C. ; Wolf, F.</creator><creatorcontrib>Beitzke, D. ; Berger-Kulemann, V. ; Schöpf, V. ; Unterhumer, S. ; Spitzer, E. ; Feuchtner, G. M. ; Gyöngyösi, M. ; Uyanik-Uenal, K. ; Zuckermann, A. ; Loewe, C. ; Wolf, F.</creatorcontrib><description>Objectives To prospectively evaluate image quality (IQ) and radiation dose of dual-source cardiac computed tomography (CCTA) using different imaging protocols. Methods CCTA was performed in 150 patients using the retrospective ECG-gated spiral technique (rECG) the prospective ECG-gated technique (pECG), or the prospective ECG-gated technique with systolic imaging and automated tube voltage selection (pECGsys). IQ was rated using a 16-segment coronary artery model. Techniques were compared for overall IQ, IQ of the large and the small coronary artery segments. Effective dose was used for comparison of radiation dose. Results Overall IQ and IQ of the large segments showed no differences between the groups. IQ analysis of the small segments showed lowered IQ in pECGsys compared to rECG ( p  = 0.02), but not to pECG ( p  = 0.6). Effective dose did not differ significantly between rECG and pECG ( p  = 0.13), but was significantly lower for pECGsys ( p  &lt; 0.001 vs. rECG and pECG). Conclusion Radiation dose of dual-source CCTA in heart transplant recipients is significantly reduced by using prospective systolic scanning and automated tube voltage selection, while overall IQ and IQ of the large coronary segments are maintained. IQ appears to be lower compared to retrospective techniques with regard to small coronary segments. Key points • Cardiac computed tomography angiography is useful for cardiac allograft vasculopathy assessment. • Despite elevated heart rate, dose reduction in cardiac computed tomography is possible. • Prospective systolic gating and automated tube voltage selection enable 50 % dose reduction.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-015-3650-2</identifier><identifier>PMID: 25913571</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Automation ; Cardiac ; Cardiac-Gated Imaging Techniques - methods ; Cardiology ; Contrast agents ; Coronary vessels ; Coronary Vessels - diagnostic imaging ; Denervation ; Diagnostic Radiology ; Electrocardiography - methods ; Female ; Follow-Up Studies ; Heart - diagnostic imaging ; Heart rate ; Heart Transplantation ; Heart transplants ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Male ; Medical imaging ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neuroradiology ; Postoperative Complications - diagnostic imaging ; Prospective Studies ; Radiation ; Radiation Dosage ; Radiographic Image Interpretation, Computer-Assisted ; Radiology ; Reproducibility of Results ; Retrospective Studies ; Scanners ; Systole ; Tomography ; Tomography, Spiral Computed - methods ; Tomography, X-Ray Computed - methods ; Ultrasound ; Veins &amp; arteries ; Young Adult</subject><ispartof>European radiology, 2015-08, Vol.25 (8), p.2310-2317</ispartof><rights>European Society of Radiology 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-2641b0118c414894001e3704ea4c59dbc65363eb442423af2e26b2316f5e53463</citedby><cites>FETCH-LOGICAL-c541t-2641b0118c414894001e3704ea4c59dbc65363eb442423af2e26b2316f5e53463</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/s00330-015-3650-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00330-015-3650-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25913571$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beitzke, D.</creatorcontrib><creatorcontrib>Berger-Kulemann, V.</creatorcontrib><creatorcontrib>Schöpf, V.</creatorcontrib><creatorcontrib>Unterhumer, S.</creatorcontrib><creatorcontrib>Spitzer, E.</creatorcontrib><creatorcontrib>Feuchtner, G. M.</creatorcontrib><creatorcontrib>Gyöngyösi, M.</creatorcontrib><creatorcontrib>Uyanik-Uenal, K.</creatorcontrib><creatorcontrib>Zuckermann, A.</creatorcontrib><creatorcontrib>Loewe, C.</creatorcontrib><creatorcontrib>Wolf, F.</creatorcontrib><title>Dual-source cardiac computed tomography angiography (CCTA) in the follow-up of cardiac transplant: comparison of image quality and radiation dose using three different imaging protocols</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives To prospectively evaluate image quality (IQ) and radiation dose of dual-source cardiac computed tomography (CCTA) using different imaging protocols. Methods CCTA was performed in 150 patients using the retrospective ECG-gated spiral technique (rECG) the prospective ECG-gated technique (pECG), or the prospective ECG-gated technique with systolic imaging and automated tube voltage selection (pECGsys). IQ was rated using a 16-segment coronary artery model. Techniques were compared for overall IQ, IQ of the large and the small coronary artery segments. Effective dose was used for comparison of radiation dose. Results Overall IQ and IQ of the large segments showed no differences between the groups. IQ analysis of the small segments showed lowered IQ in pECGsys compared to rECG ( p  = 0.02), but not to pECG ( p  = 0.6). Effective dose did not differ significantly between rECG and pECG ( p  = 0.13), but was significantly lower for pECGsys ( p  &lt; 0.001 vs. rECG and pECG). Conclusion Radiation dose of dual-source CCTA in heart transplant recipients is significantly reduced by using prospective systolic scanning and automated tube voltage selection, while overall IQ and IQ of the large coronary segments are maintained. IQ appears to be lower compared to retrospective techniques with regard to small coronary segments. Key points • Cardiac computed tomography angiography is useful for cardiac allograft vasculopathy assessment. • Despite elevated heart rate, dose reduction in cardiac computed tomography is possible. • Prospective systolic gating and automated tube voltage selection enable 50 % dose reduction.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Automation</subject><subject>Cardiac</subject><subject>Cardiac-Gated Imaging Techniques - methods</subject><subject>Cardiology</subject><subject>Contrast agents</subject><subject>Coronary vessels</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Denervation</subject><subject>Diagnostic Radiology</subject><subject>Electrocardiography - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart - diagnostic imaging</subject><subject>Heart rate</subject><subject>Heart Transplantation</subject><subject>Heart transplants</subject><subject>Humans</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Middle Aged</subject><subject>Neuroradiology</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Prospective Studies</subject><subject>Radiation</subject><subject>Radiation Dosage</subject><subject>Radiographic Image Interpretation, Computer-Assisted</subject><subject>Radiology</subject><subject>Reproducibility of Results</subject><subject>Retrospective Studies</subject><subject>Scanners</subject><subject>Systole</subject><subject>Tomography</subject><subject>Tomography, Spiral Computed - methods</subject><subject>Tomography, X-Ray Computed - methods</subject><subject>Ultrasound</subject><subject>Veins &amp; arteries</subject><subject>Young Adult</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkstu1TAQhi0EoofCA7BBltiUhcHjSy7sqtNykSqxKevIcSapqyRObUdVH423w-lpK4SEWNnyfP__a8ZDyFvgH4Hz8lPkXErOOGgmC82ZeEZ2oKRgwCv1nOx4LStW1rU6Iq9ivOac16DKl-RI6BqkLmFHfp2tZmTRr8EitSZ0zlhq_bSsCTua_OSHYJarO2rmwT3eT_b7y9MP1M00XSHt_Tj6W7Yu1PdPFimYOS6jmdPnezsTXPTzRrjJDEhvcqxLm21Hg8mS5HK58xHpGt08ZOeASDvX9xhwTvey7X0JPnnrx_iavOjNGPHNw3lMfn45v9x_Yxc_vn7fn14wqxUkJgoFLQeorAJV1YpzQFlyhUZZXXetLbQsJLZKCSWk6QWKohUSil6jlqqQx-Tk4JuTb1aMqZlctDjm3tCvsYEyT7XSolL_R4taQymV5hl9_xd6nf9gzo1sVI4tK4BMwYGywccYsG-WkAcR7hrgzbYCzWEFmrwCzbYCjciadw_Oazth96R4_PMMiAMQc2keMPwR_U_X3_T-vQ8</recordid><startdate>20150801</startdate><enddate>20150801</enddate><creator>Beitzke, D.</creator><creator>Berger-Kulemann, V.</creator><creator>Schöpf, V.</creator><creator>Unterhumer, S.</creator><creator>Spitzer, E.</creator><creator>Feuchtner, G. 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M.</creatorcontrib><creatorcontrib>Gyöngyösi, M.</creatorcontrib><creatorcontrib>Uyanik-Uenal, K.</creatorcontrib><creatorcontrib>Zuckermann, A.</creatorcontrib><creatorcontrib>Loewe, C.</creatorcontrib><creatorcontrib>Wolf, F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies &amp; Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Advanced Technologies &amp; Aerospace Database</collection><collection>ProQuest Advanced Technologies &amp; Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beitzke, D.</au><au>Berger-Kulemann, V.</au><au>Schöpf, V.</au><au>Unterhumer, S.</au><au>Spitzer, E.</au><au>Feuchtner, G. M.</au><au>Gyöngyösi, M.</au><au>Uyanik-Uenal, K.</au><au>Zuckermann, A.</au><au>Loewe, C.</au><au>Wolf, F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dual-source cardiac computed tomography angiography (CCTA) in the follow-up of cardiac transplant: comparison of image quality and radiation dose using three different imaging protocols</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2015-08-01</date><risdate>2015</risdate><volume>25</volume><issue>8</issue><spage>2310</spage><epage>2317</epage><pages>2310-2317</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objectives To prospectively evaluate image quality (IQ) and radiation dose of dual-source cardiac computed tomography (CCTA) using different imaging protocols. Methods CCTA was performed in 150 patients using the retrospective ECG-gated spiral technique (rECG) the prospective ECG-gated technique (pECG), or the prospective ECG-gated technique with systolic imaging and automated tube voltage selection (pECGsys). IQ was rated using a 16-segment coronary artery model. Techniques were compared for overall IQ, IQ of the large and the small coronary artery segments. Effective dose was used for comparison of radiation dose. Results Overall IQ and IQ of the large segments showed no differences between the groups. IQ analysis of the small segments showed lowered IQ in pECGsys compared to rECG ( p  = 0.02), but not to pECG ( p  = 0.6). Effective dose did not differ significantly between rECG and pECG ( p  = 0.13), but was significantly lower for pECGsys ( p  &lt; 0.001 vs. rECG and pECG). Conclusion Radiation dose of dual-source CCTA in heart transplant recipients is significantly reduced by using prospective systolic scanning and automated tube voltage selection, while overall IQ and IQ of the large coronary segments are maintained. IQ appears to be lower compared to retrospective techniques with regard to small coronary segments. Key points • Cardiac computed tomography angiography is useful for cardiac allograft vasculopathy assessment. • Despite elevated heart rate, dose reduction in cardiac computed tomography is possible. • Prospective systolic gating and automated tube voltage selection enable 50 % dose reduction.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25913571</pmid><doi>10.1007/s00330-015-3650-2</doi><tpages>8</tpages></addata></record>
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source MEDLINE; Springer Nature - Complete Springer Journals
subjects Adult
Aged
Aged, 80 and over
Automation
Cardiac
Cardiac-Gated Imaging Techniques - methods
Cardiology
Contrast agents
Coronary vessels
Coronary Vessels - diagnostic imaging
Denervation
Diagnostic Radiology
Electrocardiography - methods
Female
Follow-Up Studies
Heart - diagnostic imaging
Heart rate
Heart Transplantation
Heart transplants
Humans
Imaging
Internal Medicine
Interventional Radiology
Male
Medical imaging
Medicine
Medicine & Public Health
Middle Aged
Neuroradiology
Postoperative Complications - diagnostic imaging
Prospective Studies
Radiation
Radiation Dosage
Radiographic Image Interpretation, Computer-Assisted
Radiology
Reproducibility of Results
Retrospective Studies
Scanners
Systole
Tomography
Tomography, Spiral Computed - methods
Tomography, X-Ray Computed - methods
Ultrasound
Veins & arteries
Young Adult
title Dual-source cardiac computed tomography angiography (CCTA) in the follow-up of cardiac transplant: comparison of image quality and radiation dose using three different imaging protocols
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