BACKGROUND: With the depiction of pulmonary arteries, coronary arteries, and the aorta, CT angiography of the chest offers a comprehensive diagnostic work-up of unclear chest pain. The aim of this study was to assess the diagnostic accuracy of dual-source CT in this patient group. MATERIALS AND METHODS: A total of 47 patients suffering from unclear chest pain were examined with a Siemens Somatom Definition. Volume and flow of contrast media (Ultravist, Schering) were adapted to the body weight. The examinations were evaluated with regard to image quality and contrast opacification and to the diagnostic accuracy with reference to the final clinical diagnosis. RESULTS: Adequate contrast opacification was achieved in all examinations. The depiction of the coronary arteries was diagnostic in all cases. The cause of chest pain could be identified in 41 cases. Among the diagnoses were coronary and myocardial pathologies, valvular disease, aortic aneurysms and dissections, pulmonary embolism, and pneumonic consolidation. CONCLUSION: DSCT angiography of the chest offers a very good image quality even at high heart rates so that a high diagnostic accuracy is achieved in patients with acute chest pain.
BACKGROUND: With the depiction of pulmonary arteries, coronary arteries, and the aorta, CT angiography of the chest offers a comprehensive diagnostic work-up of unclear chest pain. The aim of this study was to assess the diagnostic accuracy of dual-source CT in this patient group. MATERIALS AND METHODS: A total of 47 patients suffering from unclear chest pain were examined with a Siemens Somatom Definition. Volume and flow of contrast media (Ultravist, Schering) were adapted to the body weight. The examinations were evaluated with regard to image quality and contrast opacification and to the diagnostic accuracy with reference to the final clinical diagnosis. RESULTS: Adequate contrast opacification was achieved in all examinations. The depiction of the coronary arteries was diagnostic in all cases. The cause of chest pain could be identified in 41 cases. Among the diagnoses were coronary and myocardial pathologies, valvular disease, aortic aneurysms and dissections, pulmonary embolism, and pneumonic consolidation. CONCLUSION: DSCT angiography of the chest offers a very good image quality even at high heart rates so that a high diagnostic accuracy is achieved in patients with acute chest pain.
Authors: Justus E Roos; Jürgen K Willmann; Dominik Weishaupt; Mario Lachat; Borut Marincek; Paul R Hilfiker Journal: Radiology Date: 2002-01 Impact factor: 11.105
Authors: L Erhardt; J Herlitz; L Bossaert; M Halinen; M Keltai; R Koster; C Marcassa; T Quinn; H van Weert Journal: Eur Heart J Date: 2002-08 Impact factor: 29.983
Authors: Thorsten R C Johnson; Konstantin Nikolaou; Bernd J Wintersperger; Alexander W Leber; Franz von Ziegler; Carsten Rist; Sonja Buhmann; Andreas Knez; Maximilian F Reiser; Christoph R Becker Journal: Eur Radiol Date: 2006-05-13 Impact factor: 5.315
Authors: Stephan Achenbach; Dieter Ropers; Axel Kuettner; Thomas Flohr; Bernd Ohnesorge; Herbert Bruder; Heike Theessen; Meri Karakaya; Werner G Daniel; Werner Bautz; Willi A Kalender; Katharina Anders Journal: Eur J Radiol Date: 2006-01-19 Impact factor: 3.528
Authors: Tim F Weber; Tobias Müller; Andreas Biesdorf; Stefan Wörz; Fabian Rengier; Tobias Heye; Tim Holland-Letz; Karl Rohr; Hans-Ulrich Kauczor; Hendrik von Tengg-Kobligk Journal: Int J Cardiovasc Imaging Date: 2013-10-18 Impact factor: 2.357
Authors: Thorsten R C Johnson; Konstantin Nikolaou; Alexander Becker; Alexander W Leber; Carsten Rist; Bernd J Wintersperger; Maximilian F Reiser; Christoph R Becker Journal: Eur Radiol Date: 2007-11-22 Impact factor: 5.315