PURPOSE: To investigate the influence of heart rate and temporal resolution on the assessment of global ventricular function with dual-source computed tomography (DSCT). MATERIALS AND METHODS: A dynamic cardiac phantom was repeatedly scanned with a DSCT scanner applying a standardized scan protocol at different heart rates, ranging from 40 to 140 bpm. Images were reconstructed with monosegmental and bisegmental algorithms using data from a single source and from both sources. Ventricular volumes and ejection fraction (EF) were computed by semiautomated analysis. Results were compared with the phantom's real volumes. Interscan, intraobserver, and interobserver variability were calculated. RESULTS: For single-source data reconstruction temporal resolution was fixed to 165 milliseconds, whereas dual-source image reconstructions resulted in a temporal resolution of 83 milliseconds (monosegmental) and 67.7+/-14.2 milliseconds (bisegmental), respectively. In general, deviation from the phantom's real volumes was less with dual-source data reconstruction when compared with single-source data reconstruction. Comparing dual-source data reconstruction with single-source data reconstruction, the percent deviation from the phantom's real volumes for EF was 0.7% (monosegmental), 0.7% (bisegmental), and 4.3% (single source), respectively. There was no correlation between heart rate and EF for dual-source data reconstruction (r=-0.168; r=-0.157), whereas a relevant correlation was observed for single-source data reconstruction (r=-0.844). Interscan, intraobserver, and interobserver variability for EF were 1.4%, 0.9%, and 0.3%, respectively. CONCLUSIONS: DSCT allows reliable quantification of global ventricular function independent of the heart rate. Multisegmental image reconstruction is not needed for DSCT assessment of global ventricular function.
PURPOSE: To investigate the influence of heart rate and temporal resolution on the assessment of global ventricular function with dual-source computed tomography (DSCT). MATERIALS AND METHODS: A dynamic cardiac phantom was repeatedly scanned with a DSCT scanner applying a standardized scan protocol at different heart rates, ranging from 40 to 140 bpm. Images were reconstructed with monosegmental and bisegmental algorithms using data from a single source and from both sources. Ventricular volumes and ejection fraction (EF) were computed by semiautomated analysis. Results were compared with the phantom's real volumes. Interscan, intraobserver, and interobserver variability were calculated. RESULTS: For single-source data reconstruction temporal resolution was fixed to 165 milliseconds, whereas dual-source image reconstructions resulted in a temporal resolution of 83 milliseconds (monosegmental) and 67.7+/-14.2 milliseconds (bisegmental), respectively. In general, deviation from the phantom's real volumes was less with dual-source data reconstruction when compared with single-source data reconstruction. Comparing dual-source data reconstruction with single-source data reconstruction, the percent deviation from the phantom's real volumes for EF was 0.7% (monosegmental), 0.7% (bisegmental), and 4.3% (single source), respectively. There was no correlation between heart rate and EF for dual-source data reconstruction (r=-0.168; r=-0.157), whereas a relevant correlation was observed for single-source data reconstruction (r=-0.844). Interscan, intraobserver, and interobserver variability for EF were 1.4%, 0.9%, and 0.3%, respectively. CONCLUSIONS: DSCT allows reliable quantification of global ventricular function independent of the heart rate. Multisegmental image reconstruction is not needed for DSCT assessment of global ventricular function.
Authors: Pieter A van der Vleuten; Gonda J de Jonge; Daniël D Lubbers; René A Tio; Tineke P Willems; Matthijs Oudkerk; Felix Zijlstra Journal: Eur Radiol Date: 2008-08-15 Impact factor: 5.315
Authors: Paul Stolzmann; Hans Scheffel; Sebastian Leschka; Thomas Schertler; Thomas Frauenfelder; Philipp A Kaufmann; Borut Marincek; Hatem Alkadhi Journal: Eur Radiol Date: 2008-04-30 Impact factor: 5.315
Authors: Michael Puesken; Roman Fischbach; Mirja Wenker; Harald Seifarth; David Maintz; Walter Heindel; Kai Uwe Juergens Journal: Eur Radiol Date: 2008-05-01 Impact factor: 5.315
Authors: Christoph J Jensen; Alexander Wolf; Holger C Eberle; Michael Forsting; Kai Nassenstein; Thomas C Lauenstein; Georg V Sabin; Oliver Bruder; Thomas Schlosser Journal: Eur Radiol Date: 2011-07-27 Impact factor: 5.315