Advertisement

CT Evaluation of the Myocardial Blood Supply: Technical Options

  • Daniele Marin
  • Tobias J. Heye
  • Daniel T. Boll
Chapter
Part of the Medical Radiology book series (MEDRAD)

Abstract

The purpose of this book chapter is to provide an overview of novel technical advances and persistent challenges of coronary CT imaging targeting the evaluation of myocardial perfusion.

Keywords

Myocardial Perfusion Cardiac Compute Tomographic Compute Tomographic Number Compute Tomographic Acquisition Compute Tomographic Technique 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Achenbach S et al (2009) High-pitch spiral acquisition: a new scan mode for coronary CT angiography. J Cardiovasc Comput Tomogr 3:117PubMedCrossRefGoogle Scholar
  2. Achenbach S et al (2010) Coronary computed tomography angiography with a consistent dose below 1 mSv using prospectively electrocardiogram-triggered high-pitch spiral acquisition. Eur Heart J 31:340PubMedCrossRefGoogle Scholar
  3. Brenner DJ, Hall EJ (2007) Computed tomography—an increasing source of radiation exposure. N Engl J Med 357:2277PubMedCrossRefGoogle Scholar
  4. Coursey CA et al (2010) Dual-energy multidetector CT: how does it work, what can it tell us, and when can we use it in abdominopelvic imaging? 1. Radiographics 30:1037PubMedCrossRefGoogle Scholar
  5. Flohr TG et al (2006) First performance evaluation of a dual-source CT (DSCT) system. Eur Radiol 16:256PubMedCrossRefGoogle Scholar
  6. Flohr TG et al (2009) Dual-source spiral CT with pitch up to 3.2 and 75 ms temporal resolution: image reconstruction and assessment of image quality. Med Phys 36:5641PubMedCrossRefGoogle Scholar
  7. Guimarães LS et al (2010) Appropriate patient selection at abdominal dual-energy CT using 80 kV: relationship between patient size, image noise, and image quality. Radiology 257:732PubMedCrossRefGoogle Scholar
  8. Hoffmann U et al (2012) Coronary CT angiography versus standard evaluation in acute chest pain. N Engl J Med 367:299PubMedCrossRefGoogle Scholar
  9. Kalra MK et al (2004) Detection and characterization of lesions on low-radiation-dose abdominal ct images postprocessed with noise reduction filters1. Radiology 232:791PubMedCrossRefGoogle Scholar
  10. Leipsic J et al (2010a) Estimated radiation dose reduction using adaptive statistical iterative reconstruction in coronary CT angiography: the ERASIR study. Am J Roentgenol 195:655CrossRefGoogle Scholar
  11. Leipsic J et al (2010b) Adaptive statistical iterative reconstruction: assessment of image noise and image quality in coronary CT angiography. Am J Roentgenol 195:649CrossRefGoogle Scholar
  12. Leipsic J et al (2012) Effect of a novel vendor-specific motion-correction algorithm on image quality and diagnostic accuracy in persons undergoing coronary CT angiography without rate-control medications. J Cardiovasc Comput Tomogr 6:164PubMedCrossRefGoogle Scholar
  13. Leschka S et al (2008) Low kilovoltage cardiac dual-source CT: attenuation, noise, and radiation dose. Eur Radiol 18:1809PubMedCrossRefGoogle Scholar
  14. Leschka S et al (2010) Performance of dual-energy CT with tin filter technology for the discrimination of renal cysts and enhancing masses. Acad Radiol 17:526PubMedCrossRefGoogle Scholar
  15. Litt HI et al (2012) CT angiography for safe discharge of patients with possible acute coronary syndromes. N Engl J Med 366:1393PubMedCrossRefGoogle Scholar
  16. Matsumoto K et al (2011) Virtual monochromatic spectral imaging with fast kilovoltage switching: improved image quality as compared with that obtained with conventional 120-kVp CT. Radiology 259:257PubMedCrossRefGoogle Scholar
  17. Petersilka M, Bruder H, Krauss B, Stierstorfer K, Flohr TG (2008) Technical principles of dual source CT. Eur J Radiol 68:362PubMedCrossRefGoogle Scholar
  18. Primak AN, McCollough CH, Bruesewitz MR, Zhang J, Fletcher JG (2006) Relationship between noise, dose, and pitch in cardiac multi–detector row CT1. Radiographics 26:1785PubMedCrossRefGoogle Scholar
  19. Primak A, Giraldo JCR, Liu X, Yu L, McCollough C (2009) Improved dual-energy material discrimination for dual-source CT by means of additional spectral filtration. Med Phys 36:1359PubMedCrossRefGoogle Scholar
  20. Primak AN et al (2010) Dual-source dual-energy CT with additional tin filtration: dose and image quality evaluation in phantoms and in vivo. Am J Roentgenol 195:1164CrossRefGoogle Scholar
  21. Ruzsics B et al (2008) Dual-energy CT of the heart for diagnosing coronary artery stenosis and myocardial ischemia-initial experience. Eur Radiol 18:2414PubMedCrossRefGoogle Scholar
  22. Ruzsics B et al (2009) Comparison of dual-energy computed tomography of the heart with single photon emission computed tomography for assessment of coronary artery stenosis and of the myocardial blood supply. The Am J Cardiol 104:318CrossRefGoogle Scholar
  23. Silva AC, Lawder HJ, Hara A, Kujak J, Pavlicek W (2010) Innovations in CT dose reduction strategy: application of the adaptive statistical iterative reconstruction algorithm. Am J Roentgenol 194:191CrossRefGoogle Scholar
  24. Sodickson A et al (2009) Recurrent CT, cumulative radiation exposure, and associated radiation-induced cancer risks from CT of adults1. Radiology 251:175PubMedCrossRefGoogle Scholar
  25. Szucs-Farkas Z et al (2009) Endoleak detection with CT angiography in an abdominal aortic aneurysm phantom: effect of tube energy, simulated patient size, and physical properties of endoleaks1. Radiology 251:590PubMedCrossRefGoogle Scholar
  26. Szucs-Farkas Z et al (2011) Nonlinear three-dimensional noise filter with low-dose CT angiography: effect on the detection of small high-contrast objects in a phantom model. Radiology 258:261PubMedCrossRefGoogle Scholar
  27. Wintersperger B et al (2005) Aorto-iliac multidetector-row CT angiography with low kV settings: improved vessel enhancement and simultaneous reduction of radiation dose. Eur Radiol 15:334PubMedCrossRefGoogle Scholar
  28. Scott Schubert G P. C. T. P (2012) Marketing, GE. Healthcare, Introducing the discovery CT750 HD FREEdom EditionGoogle Scholar
  29. Yu L, Li H, Fletcher JG, McCollough CH (2010) Automatic selection of tube potential for radiation dose reduction in CT: a general strategy. Med Phys 37:234PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg  2012

Authors and Affiliations

  • Daniele Marin
    • 1
  • Tobias J. Heye
    • 1
  • Daniel T. Boll
    • 1
  1. 1.Department of RadiologyDuke University Medical CenterDurhamUSA

Personalised recommendations