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Pediatric Radiology
Published in: Pediatric Radiology 8/2008

01-08-2008 | Technical Innovation

Evaluation of a coronary-cameral fistula: benefits of coronary dual-source MDCT angiography in children

Authors: Catherine B. Lerner, Donald P. Frush, Daniel T. Boll

Published in: Pediatric Radiology | Issue 8/2008

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Abstract

We describe the use of a dual-source 64-channel multidetector array CT (MDCT) scanner in the evaluation of a coronary-cameral fistula in a 10-month-old boy. Echocardiography, cardiac catheterization, and MRI are modalities often used to evaluate congenital and other pediatric heart diseases. Radiation dose concerns and the absence of established protocols are factors that have potentially limited the use of CT for work-up in these young children. We present a case in which recent advances in technology allowed effective low-dose diagnostic quality coronary MDCT angiography in an infant.
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Brenner DJ, Hall EJ (2007) Computed tomography – an increasing source of radiation exposure. N Engl J Med 357:2277–2284PubMedCrossRef
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McCollough CH, Bruesewitz MR, Kofler JM Jr (2006) CT dose reduction and dose management tools: overview of available options. Radiographics 26:503–512PubMedCrossRef
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Chan FP, El-Helw T (2007) Coronary artery disease in children. In: Slovis TL (ed) Caffey’s pediatric diagnostic imaging, 11th edn. Elsevier, Philadelphia
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Stehning C, Boernert P, Nehrke K (2007) Advances in coronary MRA from vessel wall to whole heart imaging. Magn Reson Med Sci 6:157–170PubMedCrossRef
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Frush DP, Yoshizumi T (2006) Conventional and CT angiography in children: dosimetry and dose comparisons. Pediatr Radiol 36:154–158PubMedCrossRef
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Hollingsworth CL, Yoshizumi TT, Frush DP et al (2007) Pediatric cardiac-gated CT angiography: assessment of radiation dose. AJR 189:12–18PubMedCrossRef
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Stolzmann P, Scheffel H, Schertler T et al (2008) Radiation dose estimates in dual-source computed tomography coronary angiography. Eur Radiol 18:592–599PubMedCrossRef
Metadata
Title
Evaluation of a coronary-cameral fistula: benefits of coronary dual-source MDCT angiography in children
Authors
Catherine B. Lerner
Donald P. Frush
Daniel T. Boll
Publication date
01-08-2008
Publisher
Springer-Verlag
Published in
Pediatric Radiology / Issue 8/2008
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-008-0906-x

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