Image quality and radiation dose of different scanning protocols in DSCT cardiothoracic angiography for children with tetralogy of fallot

The aim of this study was to investigate the image quality and radiation dose of different scanning protocols in dual-source CT cardiothoracic angiography for children with tetralogy of Fallot (TOF). Seventy-five consecutive children with known or suspected TOF were enrolled to undergo prospective E...

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Veröffentlicht in:The International Journal of Cardiovascular Imaging 2020-09, Vol.36 (9), p.1791-1799
Hauptverfasser: Duan, Yanhua, Chen, Li, Wu, Dawei, Chao, Baoting, Cheng, Zhaoping, Yan, Xin, Zhao, Shuo, Chen, Baojin, Xu, Min, Wang, Ximing, Lu, Guangming
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container_end_page 1799
container_issue 9
container_start_page 1791
container_title The International Journal of Cardiovascular Imaging
container_volume 36
creator Duan, Yanhua
Chen, Li
Wu, Dawei
Chao, Baoting
Cheng, Zhaoping
Yan, Xin
Zhao, Shuo
Chen, Baojin
Xu, Min
Wang, Ximing
Lu, Guangming
description The aim of this study was to investigate the image quality and radiation dose of different scanning protocols in dual-source CT cardiothoracic angiography for children with tetralogy of Fallot (TOF). Seventy-five consecutive children with known or suspected TOF were enrolled to undergo prospective ECG-triggering sequential dual-source CT (DSCT) cardiothoracic angiography. According to the scanning protocols, these patients were randomly divided into 3 groups: fixed delay time (FDT, n = 25, group A), automatic bolus-tracking (ABT, n = 25, group B) and manual bolus-tracking (MBT, n = 25, group C). Subjective and objective image quality were evaluated. The radiation doses were recorded. The image quality scores of group C were significantly higher than those of group A and B. The absolute value of difference (D-value) on CT attenuation between left (CT LV ) and right ventricle (CT RV ) in group C was significantly lower than that in group A and B. The total effective dose of groups A, B and C were 0.39 ± 0.06 mSv, 0.40 ± 0.07 mSv and 0.40 ± 0.08 mSv, respectively. There was no significant difference among 3 groups (P = 0.722). Scanning protocol has significantly impacts on the image quality of cardiovascular structures for TOF patients. Compared with the conventional scanning protocols FDT and ABT, the MBT technique provides high image quality and achieves more homogenous attenuation among different patients with TOF.
doi_str_mv 10.1007/s10554-020-01882-w
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Seventy-five consecutive children with known or suspected TOF were enrolled to undergo prospective ECG-triggering sequential dual-source CT (DSCT) cardiothoracic angiography. According to the scanning protocols, these patients were randomly divided into 3 groups: fixed delay time (FDT, n = 25, group A), automatic bolus-tracking (ABT, n = 25, group B) and manual bolus-tracking (MBT, n = 25, group C). Subjective and objective image quality were evaluated. The radiation doses were recorded. The image quality scores of group C were significantly higher than those of group A and B. The absolute value of difference (D-value) on CT attenuation between left (CT LV ) and right ventricle (CT RV ) in group C was significantly lower than that in group A and B. The total effective dose of groups A, B and C were 0.39 ± 0.06 mSv, 0.40 ± 0.07 mSv and 0.40 ± 0.08 mSv, respectively. There was no significant difference among 3 groups (P = 0.722). Scanning protocol has significantly impacts on the image quality of cardiovascular structures for TOF patients. 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Scanning protocol has significantly impacts on the image quality of cardiovascular structures for TOF patients. 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subjects Angiography
Attenuation
Cardiac Imaging
Cardiology
Cardiovascular disease
Children
Congenital diseases
Delay time
Echocardiography
EKG
Image quality
Imaging
Medical imaging
Medicine
Medicine & Public Health
Original Paper
Quality
Radiation
Radiation dosage
Radiology
Scanning
Tetralogy of Fallot
Tracking
Ventricle
title Image quality and radiation dose of different scanning protocols in DSCT cardiothoracic angiography for children with tetralogy of fallot
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