European Radiology

, Volume 20, Issue 9, pp 2084–2091

Coronary artery stent imaging with 128-slice dual-source CT using high-pitch spiral acquisition in a cardiac phantom: comparison with the sequential and low-pitch spiral mode

  • Florian Wolf
  • Sebastian Leschka
  • Christian Loewe
  • Peter Homolka
  • Christina Plank
  • Ruediger Schernthaner
  • Dominik Bercaczy
  • Robert Goetti
  • Johannes Lammer
  • Guy Friedrich
  • Borut Marincek
  • Hatem Alkadhi
  • Gudrun Feuchtner
Cardiac

DOI: 10.1007/s00330-010-1792-9

Cite this article as:
Wolf, F., Leschka, S., Loewe, C. et al. Eur Radiol (2010) 20: 2084. doi:10.1007/s00330-010-1792-9

Abstract

Objective

To evaluate coronary stents in vitro using 128-slice-dual-source computed tomography (CT).

Methods

Twelve different coronary stents placed in a non-moving cardiac/chest phantom were examined by 128-slice dual-source CT using three CT protocols [high-pitch spiral (HPS), sequential (SEQ) and conventional spiral (SPIR)]. Artificial in-stent lumen narrowing (ALN), visible inner stent area (VIA), artificial in-stent lumen attenuation (ALA) in percent, image noise inside/outside the stent and CTDIvol were measured.

Results

Mean ALN was 46% for HPS, 44% for SEQ and 47% for SPIR without significant difference. Mean VIA was similar with 31% for HPS, 30% for SEQ and 33% for SPIR. Mean ALA was, at 5% for HPS, significantly lower compared with −11% for SPIR (p = 0.024), but not different from SEQ with −1%. Mean image noise was significantly higher for HPS compared with SEQ and SPIR inside and outside the stent (p < 0.001). CTDIvol was lower for HPS (5.17 mGy), compared with SEQ (9.02 mGy) and SPIR (55.97 mGy), respectively.

Conclusion

The HPS mode of 128-slice dual-source CT yields fewer artefacts inside the stent lumen compared with SPIR and SEQ, but image noise is higher. ALN is still too high for routine stent evaluation in clinical practice. Radiation dose of the HPS mode is markedly (less than about tenfold) reduced.

Keywords

Cardiac CTCoronary stentsHigh-pitch spiral mode128-slice CTComputed tomography

Copyright information

© European Society of Radiology 2010

Authors and Affiliations

  • Florian Wolf
    • 1
  • Sebastian Leschka
    • 2
  • Christian Loewe
    • 1
  • Peter Homolka
    • 3
  • Christina Plank
    • 1
  • Ruediger Schernthaner
    • 1
  • Dominik Bercaczy
    • 1
  • Robert Goetti
    • 2
  • Johannes Lammer
    • 1
  • Guy Friedrich
    • 4
  • Borut Marincek
    • 2
  • Hatem Alkadhi
    • 2
  • Gudrun Feuchtner
    • 2
    • 4
  1. 1.Department of Radiology, Division of Cardiovascular and Interventional RadiologyMedical University of ViennaViennaAustria
  2. 2.Institute of Diagnostic RadiologyUniversity Hospital ZurichZurichSwitzerland
  3. 3.Center for Biomedical Engineering and PhysicsMedical University of ViennaViennaAustria
  4. 4.Department of Radiology IIInnsbruck Medical UniversityInnsbruckAustria