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High-pitch Dual-source CT Angiography before TAVI - the Value of ECG Gating

[ Vol. 15 , Issue. 4 ]

Author(s):

Andreas Michael Bucher, Moritz Hans Albrecht, Jan Erik Scholtz, Eva Herrmann, Moritz Kaup, Tatjana Gruber-Rouh, Volkmar Jacobi, Thomas Josef Vogl and Martin Beeres*   Pages 373 - 379 ( 7 )

Abstract:


Purpose: To investigate image quality, and radiation dose between ECG-gated singlesource and dual-source CT Angiography (CTA) protocols for planning of Trans-catheter Aortic Valve Implantation (TAVI) with a reference non ECG-gated single-source protocol.

Methods: A total of 120 patients were included in four groups: Non ECG-gated single-source (SS), ECG-gated single-source (SSECG), ECG-gated dual-source high-pitch (DSECG), or non-ECG-gated dual-source high-pitch mode (DS). Qualitative image quality of the aortic annulus, aortic valve, and coronary ostia as well as presence of motion or stair-step artefacts of the thoracic aorta were independently assessed by two readers. Quantitative image quality was assessed to calculate contrast to noise ratio.

Results: Subjective and objective scoring of motion artefacts was significantly reduced in SSECG, DSECG and DS (p= 0.010). The imaging length was comparable between groups. Aortic annulus, aortic valve, and coronary ostia were reliably evaluable in all patients with SSECG, DSECG and DS protocols.

Conclusion: High-pitch, dual-source CT angiography of the whole aorta with or without ECG gating is a dose-efficient and time-saving examination strategy before TAVI. However acquisition timing within the cardiac cycle needs to be taken into account.

Keywords:

TAVI, CT angiography, aorta, high-pitch, dual-source CT, radiation dose.

Affiliation:

Department of Radiology, Institute for Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt am Main, Department of Radiology, Institute for Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt am Main, Department of Radiology, Institute for Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt am Main, Department of Biostatistics, University Hospital Frankfurt, Frankfurt am Main, Department of Radiology, Institute for Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt am Main, Department of Radiology, Institute for Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt am Main, Department of Radiology, Institute for Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt am Main, Department of Radiology, Institute for Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt am Main, Department of Radiology, Institute for Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt am Main

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