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01-09-2009 | Cardiac

Adequate image quality with reduced radiation dose in prospectively triggered coronary CTA compared with retrospective techniques

Authors: Elisabeth Arnoldi, Thorsten R. Johnson, Carsten Rist, Bernd J. Wintersperger, Wieland H. Sommer, Alexander Becker, Christoph R. Becker, Maximilian F. Reiser, Konstantin Nikolaou

Published in: European Radiology | Issue 9/2009

Abstract

The goal of our study was to compare a prospective triggering (PT) CT technique with retrospectively gated (RG) CT techniques in coronary computed tomographic angiograms (CCTA) with respect to image quality and radiation dose. Sixty consecutive patients were enrolled. CCTAs using the RG technique were obtained with a dual-source 64-slice CT system in 40 patients, using ECG-triggered tube current modulation, with either a broad pulsing window at 30–80% of the RR interval (group RGb, 20 patients, heart rate > 70 bpm) or a small pulsing window at 70% (group RGs, 20 patients, heart rate < 70 bpm). The other 20 patients underwent CCTA using the PT technique on a 128-slice CT system (group PT, heart rate < 70 bpm). All images were evaluated by two observers for quality on a three-point scale, with 1 being excellent and 3 being insufficient. The effective radiation dose was calculated for each patient. The average image quality score was 1.5 ± 0.6 for PT, 1.35 ± 0.5 for RGs and 1.65 ± 0.5 for RGb. The mean effective dose for RGb was 9 ± 4 mSv, for RGs 7 ± 3 mSv and for PT 3 ± 1 mSv. This represents a 57% dose reduction for PT compared with RGs and a 67% dose reduction for PT compared with RGb. In conclusion, in selected patients CCTA with the PT technique offers adequate image quality with a significantly lower radiation dose compared with CCTA using RG techniques.

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Title: Adequate image quality with reduced radiation dose in prospectively triggered coronary CTA compared with retrospective techniques
Authors: Elisabeth Arnoldi
Thorsten R. Johnson
Carsten Rist
Bernd J. Wintersperger
Wieland H. Sommer
Alexander Becker
Christoph R. Becker
Maximilian F. Reiser
Konstantin Nikolaou
Publication date: 01-09-2009
Publisher: Springer-Verlag
Published in: European Radiology / Issue 9/2009
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-009-1411-9

At a glance: The STEP trials

Springer Medicine

Adequate image quality with reduced radiation dose in prospectively triggered coronary CTA compared with retrospective techniques

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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