Multidetector-Row Computed Tomography Coronary Angiography: Optimization of Image Reconstruction Phase According to the Heart Rate

Background To optimize the image reconstruction phase of multidetector-row computed tomography (MDCT) coronary angiography according to the heart rate is crucial. Methods and Results Scan data were reconstructed for 10 different phases in 58 sequential patients who underwent 8-row cardiac MDCT. The...

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Veröffentlicht in:Circulation Journal 2007, Vol.71(1), pp.112-121
Hauptverfasser: Nagatani, Yukihiro, Takahashi, Masashi, Takazakura, Ryutaro, Nitta, Norihisa, Murata, Kiyoshi, Ushio, Noritoshi, Matsuo, Shinro, Yamamoto, Takashi, Horie, Minoru
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container_end_page 121
container_issue 1
container_start_page 112
container_title Circulation Journal
container_volume 71
creator Nagatani, Yukihiro
Takahashi, Masashi
Takazakura, Ryutaro
Nitta, Norihisa
Murata, Kiyoshi
Ushio, Noritoshi
Matsuo, Shinro
Yamamoto, Takashi
Horie, Minoru
description Background To optimize the image reconstruction phase of multidetector-row computed tomography (MDCT) coronary angiography according to the heart rate is crucial. Methods and Results Scan data were reconstructed for 10 different phases in 58 sequential patients who underwent 8-row cardiac MDCT. The obtained images were scored and compared in terms of motion artifacts and visibility of the vessels, and moreover, ECG record-based evaluations were added for clarification of the temporal relationships among these 10 phases. In the cases with lower heart rates (65 beats/min), they were obtained in the late systolic period. Conclusion As the heart rate increased, the optimal image reconstruction phase changed from mid diastole to late systole. However, it is recommended to try to decrease the heart rate of patients before data acquisition. (Circ J 2007; 71: 112 - 121)
doi_str_mv 10.1253/circj.71.112
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Methods and Results Scan data were reconstructed for 10 different phases in 58 sequential patients who underwent 8-row cardiac MDCT. The obtained images were scored and compared in terms of motion artifacts and visibility of the vessels, and moreover, ECG record-based evaluations were added for clarification of the temporal relationships among these 10 phases. In the cases with lower heart rates (&lt;65 beats/min), the best quality images were obtained when the end of the image reconstruction phase was positioned at the peak of the P wave. In some cases with higher heart rates (&gt;65 beats/min), they were obtained in the late systolic period. Conclusion As the heart rate increased, the optimal image reconstruction phase changed from mid diastole to late systole. However, it is recommended to try to decrease the heart rate of patients before data acquisition. 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Methods and Results Scan data were reconstructed for 10 different phases in 58 sequential patients who underwent 8-row cardiac MDCT. The obtained images were scored and compared in terms of motion artifacts and visibility of the vessels, and moreover, ECG record-based evaluations were added for clarification of the temporal relationships among these 10 phases. In the cases with lower heart rates (&lt;65 beats/min), the best quality images were obtained when the end of the image reconstruction phase was positioned at the peak of the P wave. In some cases with higher heart rates (&gt;65 beats/min), they were obtained in the late systolic period. Conclusion As the heart rate increased, the optimal image reconstruction phase changed from mid diastole to late systole. However, it is recommended to try to decrease the heart rate of patients before data acquisition. 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subjects Aged
Aged, 80 and over
Cardiac phase
Coronary Angiography - methods
Coronary Vessels - pathology
Coronary Vessels - physiology
Electrocardiography
Female
Heart Rate
Humans
Image Processing, Computer-Assisted - methods
Late systole
Male
Mid diastole
Middle Aged
P wave
Reproducibility of Results
Retrospective Studies
Systole - physiology
T wave
Tomography, Spiral Computed - methods
title Multidetector-Row Computed Tomography Coronary Angiography: Optimization of Image Reconstruction Phase According to the Heart Rate
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