Journal
PEDIATRIC CARDIOLOGY
Volume 38, Issue 7, Pages 1393-1399Publisher
SPRINGER
DOI: 10.1007/s00246-017-1675-9
Keywords
Congenital heart disease; High pitch; Dual-source CT; Non-ECG-gated; Coronary CT angiography
Categories
Funding
- Grants-in-Aid for Scientific Research [17K10364] Funding Source: KAKEN
Ask authors/readers for more resources
This study aimed to evaluate image quality of coronary artery imaging on non-electrocardiography (ECG)-gated high-pitch dual-source computed tomography (DSCT) in children with congenital heart disease (CHD) and to assess factors affecting image quality. We retrospectively reviewed the records of 142 children with CHD who underwent non-ECG-gated high-pitch DSCT. The subjective image quality of the proximal coronary segments was graded using a five-point scale. A score < 3 represented a non-diagnostic image. Age, body weight, and heart rate were compared between the two groups: patients with good diagnostic image quality in all four segments and patients with at least one segment with non-diagnostic image quality. Predictors of image quality were assessed by multivariate logistic regression, including age, body weight, and heart rate. Four-hundred-fifty-seven of the 568 segments (80.5%) had diagnostic image quality. Patients with non-diagnostic segments were significantly younger (21.6 +/- 25.5 months), had lower body weight (7.82 +/- 5.00 kg), and a faster heart rate (123 +/- 23.7 beats/min) (each p < 0.05) than patients with diagnostic image quality in all four segments (30.6 +/- 20.7 months, 10.3 +/- 4.00 kg, and 113 +/- 21.6 beats/min, respectively; each p < 0.05). The multivariate logistic regression revealed that body weight (odds ratio 1.228; p = 0.029) was a significant predictor of image quality. Non-ECG-gated high-pitch DSCT provided adequate image quality of the proximal coronary segments in children with CHD. Lower body weight was a factor that led to poorer image quality of the coronary arteries.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available