Skip to main content
SpringerLink
Log in

Comparison of 16-multidetector-row computed tomography and angiocardiography for evaluating the central pulmonary artery diameter and pulmonary artery index in children with congenital heart disease

  • Original Article
  • Published:
Radiation Medicine Aims and scope Submit manuscript

Abstract

Purpose

The pulmonary artery (PA) is involved in most congenital heart diseases; and in these patients it is necessary to evaluate precisely the PA configuration and development. The accuracy of 16 multidetector row computed tomography (16-MDCT) in evaluating the central PA was evaluated.

Materials and methods

16-MDCT and angiocardiography (ACG) were performed in 26 patients with various congenital heart diseases aged 7 days to 9 years (median 1.2 years). We reconstructed coronal oblique images along the long axis of the right and left PAs and measured the PA diameter and Nakata’s PA index, which were compared with those obtained by ACG.

Results

Correlations between PA diameters [R 2 = 0.80, standard error of the estimate (SEE) = 1.3, n = 52] and PA indices (R 2 = 0.81, SEE = 42, n = 26) obtained from coronal oblique images and ACG were excellent. Bland-Altman plots showed a mean ± SD difference of −0.3 ± 1.3 mm for the PA diameter and ±15.1 ± 41.5 for the PA index.

Conclusion

16-MDCT might be useful for evaluating the central PA in patients with congenital heart disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Hiraishi S, Misawa H, Hirota H, Agata Y, Horiguchi Y, Fujino N, et al. Noninvasive quantitative evaluation of the morphology of the major pulmonary artery branches in cyanotic congenital heart disease; angiocardiographic and echocardiographic correlative study. Circulation 1994;89:1306–1316.

    PubMed  CAS  Google Scholar 

  2. Kondo C, Takada K, Yokoyama U, Nakajima Y, Momma K, Sakai F. Comparison of three-dimensional contrastenhanced magnetic resonance angiography and axial radiographic angiography for diagnosing congenital stenoses in small pulmonary arteries. Am J Cardiol 2001;87:420–424.

    Article  PubMed  CAS  Google Scholar 

  3. Nakata S, Imai Y, Takanashi Y, Kurosawa H, Tezuka K, Nakazawa M, et al. A new method for the quantitative standardization of cross-sectional areas of the pulmonary arteries in congenital heart disease with decreased pulmonary blood flow. J Thorac Cardiovasc Surg 1984;88:610–619.

    PubMed  CAS  Google Scholar 

  4. Chen SJ, Li YW, Wang JK, Chiu IS, Su CT, Hsu JC, et al. Three-dimensional reconstruction of abnormal ventriculoarterial relationship by electron beam CT. J Comput Assist Tomogr 1998;22:560–568.

    Article  PubMed  CAS  Google Scholar 

  5. Westra SJ, Hurteau J, Galindo A, McNitt-Gray MF, Boechat MI, Laks H. Cardiac electron-beam CT in children undergoing surgical repair for pulmonary atresia. Radiology 1999;213:502–512.

    PubMed  CAS  Google Scholar 

  6. Gilkeson RC, Ciancibello L, Zahka K. Pictorial essay: multidetector CT evaluation of congenital heart disease in pediatric and adult patients. AJR Am J Roentgenol 2003;180:973–980.

    PubMed  CAS  Google Scholar 

  7. Ley S, Zaporozhan J, Arnold R, Eichhorn J, Schenk JP, Ulmer H, et al. Preoperative assessment and follow-up of congenital abnormalities of the pulmonary arteries using CT and MRI. Eur Radiol 2007;17:151–162.

    Article  PubMed  Google Scholar 

  8. Goo HW, Park IS, Ko JK, Kim YH, Seo DM, Yun TJ, et al. CT of congenital heart disease: normal anatomy and typical pathologic conditions. Radiographics 2003;23:S147–S165.

    Article  PubMed  Google Scholar 

  9. Goo HW, Park IS, Ko JK, Kim YH, Seo DM, Park JJ. Computed tomography for the diagnosis of congenital heart disease in pediatric and adult patients. Int J Cardiovasc Imaging 2005;21:347–365.

    Article  PubMed  Google Scholar 

  10. Lee T, Tsai IC, Fu YC, Jan SL, Wang CC, Chang Y, et al. Using multidetector-row CT in neonates with complex congenital heart disease to replace diagnostic cardiac catheterization for anatomical investigation: initial experiences in technical and clinical feasibility. Pediatr Radiol 2006;36:1273–1282.

    Article  PubMed  Google Scholar 

  11. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurements. Lancet 1986;8:307–310.

    Google Scholar 

  12. Kim TH, Kim YM, Suh CH, Cho DJ, Park IS, Kim WH, et al. Helical CT angiography and three-dimensional reconstruction of total anomalous pulmonary venous connections in neonates and infants. AJR Am J Roentgenol 2000;175:1381–1386.

    PubMed  CAS  Google Scholar 

  13. Wang G, Vannier MW. The effect of pitch in multislice spiral/helical CT. Med Phys 1999;26:2648–2653.

    Article  PubMed  CAS  Google Scholar 

  14. Hayabuchi Y, Mori K, Kitagawa T, Inoue M, Kagami S. Accurate quantification of pulmonary artery diameter in patients with cyanotic congenital heart disease using multidetector-row computed tomography. Am Heart J 2007;154:783–788.

    Article  PubMed  Google Scholar 

  15. Girod DA, Rice MJ, Mair DD, Julsrud PR, Puga FJ, Danielson GK. Relationship of pulmonary artery size to mortality in patients undergoing the Fontan operation. Circulation 1985;72(Pt 2):II93–II96.

    PubMed  CAS  Google Scholar 

  16. Bridges ND, Farrel PE Jr, Pigott JD 3rd, Norwood WI, Chin AJ. Pulmonary artery index: a nonpredictor of operative survival in patients undergoing modified Fontan repair. Circulation 1989;80 (Pt 1):I216–I221.

    PubMed  CAS  Google Scholar 

  17. Mendelsohn AM, Bove EL, Lupinetti FM, Crowley DC, Lloyd TR, Beekman RH III. Central pulmonary artery growth patterns after the bidirectional Glenn procedure. J Thorac Cardiovasc Surg 1994;107:1284–1290.

    PubMed  CAS  Google Scholar 

  18. Ishikawa S, Takahashi T, Sato Y, Suzuki M, Murakami J, Hasegewa Y, et al. Growth of the pulmonary arteries after systemic-pulmonary shunt. Ann Thorac Cardiovasc Surg 2001;7:337–340.

    PubMed  CAS  Google Scholar 

  19. Newfeld EA, Waldman D, Paul MH, Muster AJ, Cole RB, Idriss FS, et al. Pulmonary vascular disease after systemicpulmonary arterial shunt operations. Am J Cardiol 1977;39:715–720.

    Article  PubMed  CAS  Google Scholar 

  20. Erdal C, Kir M, Silistreli E, Albayrak G, Karabay O, Saylam G, et al. Pulmonary segmental artery ratio. Int Heart J 2006;47:67–75.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuhoku, Nagoya, 467-8601, Japan

    Motoo Nakagawa, Masaki Hara & Yuta Shibamoto

  2. Department of Radiology, Inabe General Hospital, Inabe, Japan

    Hidekazu Oshima

  3. Department of Pediatrics, Neonatology, and Congenital Disorders, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

    Kantaro Mizuno

  4. Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan

    Miki Asano

Authors
  1. Motoo Nakagawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Masaki Hara
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hidekazu Oshima
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yuta Shibamoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Kantaro Mizuno
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Miki Asano
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Motoo Nakagawa.

About this article

Cite this article

Nakagawa, M., Hara, M., Oshima, H. et al. Comparison of 16-multidetector-row computed tomography and angiocardiography for evaluating the central pulmonary artery diameter and pulmonary artery index in children with congenital heart disease. Radiat Med 26, 337–342 (2008). https://doi.org/10.1007/s11604-008-0237-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11604-008-0237-8

Key words

Search

Navigation