Seitaro Oda1, Kazuhiro Katahira2, Daisuke Utsunomiya3, Hiroko Takaoka2, Keiichi Honda2, Katsuo Noda4, Shuichi Oshima4, Hideaki Yuki3, Tomohiro Namimoto3, Yasuyuki Yamashita3.
Abstract
BACKGROUND: The 256-slice computed tomography (CT) scanners with wider detector coverage and faster gantry rotation speed are now available. The performance of scanners that feature a rotation speed of 270 ms at coronary CT angiography (CCTA) has not been evaluated in patients with a higher heart rate.
PURPOSE: To evaluate the image quality of 256-slice CT with faster gantry rotation speed in patients undergoing CCTA.
MATERIAL AND METHODS: We enrolled 886 patients; 357(40.3%) underwent study on a 64-slice CT at a rotation speed of 420 ms, the other 529 (59.7%) were examined using a 256-slice CT scanner at 270 ms. Two observers judged the image quality of 2658 imaged coronary arteries on a 4-point scale.
RESULTS: The mean image quality score was significantly higher for the 256 - than the 64-slice CT scans (3.94 ± 0.28 vs. 3.73 ± 0.61; P < 0.01). There was no significant difference in the image quality scores between 64 - and 256-slice scans in patients whose heart rate (HR) was <60 bpm. However, in patients whose HR exceeded 60 bpm these scores were significantly higher for 256-slice CT images (P < 0.01).
CONCLUSION: CCTA performed on the 256-slice CT scanner yielded significantly better image quality in patients with an HR exceeding 60 bpm. © The Foundation Acta Radiologica 2014.
BACKGROUND: The 256-slice computed tomography (CT) scanners with wider detector coverage and faster gantry rotation speed are now available. The performance of scanners that feature a rotation speed of 270 ms at coronary CT angiography (CCTA) has not been evaluated in patients with a higher heart rate.
PURPOSE: To evaluate the image quality of 256-slice CT with faster gantry rotation speed in patients undergoing CCTA.
MATERIAL AND METHODS: We enrolled 886 patients; 357(40.3%) underwent study on a 64-slice CT at a rotation speed of 420 ms, the other 529 (59.7%) were examined using a 256-slice CT scanner at 270 ms. Two observers judged the image quality of 2658 imaged coronary arteries on a 4-point scale.
RESULTS: The mean image quality score was significantly higher for the 256 - than the 64-slice CT scans (3.94 ± 0.28 vs. 3.73 ± 0.61; P < 0.01). There was no significant difference in the image quality scores between 64 - and 256-slice scans in patients whose heart rate (HR) was <60 bpm. However, in patients whose HR exceeded 60 bpm these scores were significantly higher for 256-slice CT images (P < 0.01).
CONCLUSION: CCTA performed on the 256-slice CT scanner yielded significantly better image quality in patients with an HR exceeding 60 bpm. © The Foundation Acta Radiologica 2014.
Entities:
Keywords:
256-slice CT; Coronary CT angiography; computed tomography (CT); heart rate; image quality; rotation speed
Mesh：
Substances：
Year: 2014
PMID： 25348474 DOI： 10.1177/0284185114555152
Source DB: PubMed Journal: Acta Radiol ISSN： 0284-1851 Impact factor: 1.990