Hyun Woo Goo1. 1. Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, South Korea. ghw68@hanmail.net.
Abstract
BACKGROUND: Combined prospectively electrocardiography (ECG)- and respiratory-triggered sequential cardiac computed tomography (CT) has not been evaluated in free-breathing children. OBJECTIVE: To evaluate the success rate and image quality of combined prospectively ECG- and respiratory-triggered sequential cardiac CT in free-breathing children. MATERIALS AND METHODS: Image quality of combined prospectively ECG- and respiratory-triggered sequential cardiac CT in 870 children (≤5 years of age) was evaluated in terms of severe motion (maximal distance ≥2 mm) and band artifacts (maximal attenuation difference ≥100 Hounsfield units). The success rate of the scan mode was calculated. The causes of failed cases were assessed. Patient-related, radiation and image quality parameters were compared between success and failure groups. RESULTS: Severe motion artifacts were observed in 10.6% (92/870) of patients due to cardiac phase error in 17 (18.5%), patient motion in 12 (13.0%), and unknown causes in 63 (68.5%). Severe band artifacts were seen in 13.2% (115/870) of patients. Combined prospectively ECG- and respiratory-triggered sequential cardiac CT was successfully performed in 78.5% (683/870) of patients, while it failed in 21.5% (187/870). All the evaluated patient-related, radiation and image quality parameters were significantly different (P≤0.001) between success and failure groups except effective dose (P>0.05). CONCLUSION: Additional prospective respiratory triggering can reduce motion artifacts in prospectively ECG-triggered sequential cardiac CT in free-breathing children.
BACKGROUND: Combined prospectively electrocardiography (ECG)- and respiratory-triggered sequential cardiac computed tomography (CT) has not been evaluated in free-breathing children. OBJECTIVE: To evaluate the success rate and image quality of combined prospectively ECG- and respiratory-triggered sequential cardiac CT in free-breathing children. MATERIALS AND METHODS: Image quality of combined prospectively ECG- and respiratory-triggered sequential cardiac CT in 870 children (≤5 years of age) was evaluated in terms of severe motion (maximal distance ≥2 mm) and band artifacts (maximal attenuation difference ≥100 Hounsfield units). The success rate of the scan mode was calculated. The causes of failed cases were assessed. Patient-related, radiation and image quality parameters were compared between success and failure groups. RESULTS: Severe motion artifacts were observed in 10.6% (92/870) of patients due to cardiac phase error in 17 (18.5%), patient motion in 12 (13.0%), and unknown causes in 63 (68.5%). Severe band artifacts were seen in 13.2% (115/870) of patients. Combined prospectively ECG- and respiratory-triggered sequential cardiac CT was successfully performed in 78.5% (683/870) of patients, while it failed in 21.5% (187/870). All the evaluated patient-related, radiation and image quality parameters were significantly different (P≤0.001) between success and failure groups except effective dose (P>0.05). CONCLUSION: Additional prospective respiratory triggering can reduce motion artifacts in prospectively ECG-triggered sequential cardiac CT in free-breathing children.
Authors: Peter K T Hui; Hyun Woo Goo; Jing Du; Janice J K Ip; Suzu Kanzaki; Young Jin Kim; Supika Kritsaneepaiboon; Oktavia Lilyasari; Suvipaporn Siripornpitak Journal: Pediatr Radiol Date: 2017-04-24