Skip to main content

From Sixteen Slices to Nowadays — Cardiothoracic Imaging with CT

  • Chapter
  • 721 Accesses

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

The broad introduction of multi-detector row computed tomography (MDCT) into clinical practice in 1998 constituted a fundamental evolutionary step in the development and ongoing refinement of CT-imaging techniques. The first generation of MDCT systems offered simultaneous acquisition of four slices at a shortest gantry rotation time of 0.5 s and provided considerable improvement of scan speed and longitudinal (z-axis) resolution and better utilization of the available X-ray power compared with previous generations of single-slice CT systems (Klingenbeck et al. 1999; Mc Collough and Zink 1999; Hu et al. 2000). As a consequence, high-resolution imaging of larger anatomical volumes, such as the entire thorax, with a single scan acquisition and a single contrast medium injection became feasible, see Figure 1.1.

Case study (coronal MPRs) of a thorax examination in a patient with pulmonary embolism, illustrating the increased clinical performance from (a) single-slice CT (8-mm slices) to (b) 4-slice CT (1.25-mm slices), and (c) 64-slice CT (0.75-mm slices). Compared with single-slice CT scanners, four-slice CT systems brought about considerably improved longitudinal resolution in equivalent examination times (30 s to cover the thorax). Sixty-four-slice CT scanners provide significantly reduced examination times (5 s to cover the thorax) in combination with isotropic sub-millimeter resolution. The single-slice and 4-slice images were synthesized from the 64-slice CT data (courtesy of Profs. J. Remy and M. Remy-Jardin, Hopital Calmette, Lille, France)

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

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Achenbach S, Ulzheimer S, Baum U et al. (2000) Noninvasive coronary angiography by retrospectively ECG-gated multi-slice spiral CT. Circulation 102:2823–2828

    CAS  PubMed  Google Scholar 

  • d’Agostino AG, Remy-Jardin M, Khalil C, Delannoy-Deken V, Flohr T, Duhamel A, Remy J (2006) Low-dose ECG-gated 64-slices helical CT angiography of the chest: evaluation of image quality in 105 patients. Eur Radiol 16:2137–2146

    Article  PubMed  Google Scholar 

  • Becker C, Knez A, Ohnesorge B, Schöpf U, Reiser M (2000) Imaging of non calcifi ed coronary plaques using helical CT with retrospective EKG gating. AJR 175:423–424

    CAS  PubMed  Google Scholar 

  • Bruzzi JF, Rémy-Jardin M, Delhaye D, Teisseire A, Khalil C, Rémy J (2006a) When, why, and how to examine the heart during thoracic CT: Part 1, basic principles. AJR Am J Roentgenol 186:324–332

    Article  PubMed  Google Scholar 

  • Bruzzi JF, Rémy-Jardin M, Delhaye D, Teisseire A, Khalil C, Rémy J (2006b) When, why, and how to examine the heart during thoracic CT: Part 2, clinical applications. AJR Am J Roentgenol 186:333–341

    Article  PubMed  Google Scholar 

  • Coche E, Vlassenbroeck A, Roelants V, D’Hoore W, Verschuren F, Goncette L, Maldague B (2005) Evaluation of biventricular ejection fraction with ECG-gated 16-slice CT: preliminary fi ndings in acute pulmonary embolism in comparison with radionuclide ventriculography. Eur Radiol 15:1432–1440

    Article  PubMed  Google Scholar 

  • Das M, Mahnken AH, Mühlenbruch G, Stargardt A, Weiss C, Sennst DA, Flohr TG, Günther RW, Wildberger JE (2005) Individually adapted examination protocols for reduction of radiation exposure for 16-MDCT chest examinations. AJR Am J Roentgenol 184:1437–1443

    PubMed  Google Scholar 

  • Delhaye D, Remy-Jardin M, Teisseire A, Hossein-Foucher C, Leroy S, Duhamel A, Remy J (2006) MDCT of right ventricular function: comparison of right ventricular ejection fraction estimation and equilibrium radionuclide ventriculography, part 1. AJR Am J Roentgenol 187:1597–1604

    Article  PubMed  Google Scholar 

  • Delhaye D, Remy-Jardin M, Salem R, Teisseire A, Khalil C, Delannoy-Deken V, Duhamel A, Remy J (2007a) Coronary imaging quality in routine ECG-gated multidetector CT examinations of the entire thorax: preliminary experience with a 64-slice CT system in 133 patients. Eur Radiol 17:902–910

    Article  PubMed  Google Scholar 

  • Delhaye D, Remy-Jardin M, Rozel C, Dusson C, Wurtz A, Delannoy-Deken V, Duhamel A, Remy J (2007b) Coronary artery imaging during preoperative CT staging: preliminary experience with 64-slice multidetecor CT in 99 patients. Eur Radiol 17:591–602

    Article  PubMed  Google Scholar 

  • Donelly LF, Emery KH, Brody AS et al. (2001) Minimizing radiation dose for pediatric body applications of single-detector helical CT: strategies at a large children’s hospital. AJR 176:303–306

    Google Scholar 

  • Flohr T, Ohnesorge B (2001) Heart rate adaptive optimization of spatial and temporal resolution for ECG-gated multi-slice spiral CT of the heart. JCAT 25:907–923

    CAS  Google Scholar 

  • Flohr T, Stierstorfer K, Bruder H, Simon J, Schaller S (2002a) New technical developments in multislice CT, part 1: Approaching isotropic resolution with sub-mm 16-slice scanning. Röfo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 174:839–845

    Article  CAS  PubMed  Google Scholar 

  • Flohr T, Bruder H, Stierstorfer K, Simon J, Schaller S, Ohnesorge B (2002b) New technical developments in multislice CT, part 2: Sub-millimeter 16-slice scanning and increased gantry rotation speed for cardiac imaging. Röfo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 174:1022–1027

    Article  CAS  PubMed  Google Scholar 

  • Flohr T, Stierstorfer K, Bruder H, Simon J, Polacin A, Schaller S (2003) Image reconstruction and image quality evaluation for a 16-slice CT scanner. Med. Phys 30:832–845

    Article  PubMed  Google Scholar 

  • Flohr T, Stierstorfer K, Raupach R, Ulzheimer S, Bruder H (2004) Performance evaluation of a 64-slice CT-system with z-fl ying focal spot. Röfo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 176:1803–1810

    Article  CAS  PubMed  Google Scholar 

  • Flohr TG, Stierstorfer K, Ulzheimer S, Bruder H, Primak AN, McCollough CH (2005) Image reconstruction and image quality evaluation for a 64-slice CT scanner with z-fl ying focal spot. Med Phys 32:2536–2547

    Article  CAS  PubMed  Google Scholar 

  • Flohr TG, McCollough CH, Bruder H, Petersilka M, Gruber K, Süß C, Grasruck M, Stierstorfer K, Krauss B, Raupach R, Primak AN, Küttner A, Achenbach S, Becker C, Kopp A, Ohnesorge BM (2006) First performance evaluation of a dual-source CT (DSCT) system. Eur Radiol 16:256–268

    Article  PubMed  Google Scholar 

  • Funabashi N, Yoshida K, Tadokoro H, Nakagawa K, Komiyama N, Odaka K, Tsunoo T, Mori S, Tanada S, Endo M, Komuro I (2005) Cardiovascular circulation and hepatic perfusion of pigs in 4-dimensional fi lms evaluated by 256-slice cone-beam computed tomography. Circ J 69:585–589

    Article  PubMed  Google Scholar 

  • Funabashi N, Mizuno N, Yoshida K, Tsunoo T, Mori S, Tanada S, Endo M, Komuro I (2007) Superiority of synchrony of 256-slice cone beam computed tomography for acquiring pulsating objects. Comparison with conventional multislice computed tomography. Int J Cardiol 12118:400–405

    Article  Google Scholar 

  • Gallagher MJ, Raff GL (2008) Use of multislice CT for the evaluation of emergency room patients with chest pain: the so-called “triple rule-out”. Catheter Cardiovasc Interv 71:92–99

    Article  PubMed  Google Scholar 

  • Ghersin E, Litmanovich D, Dragu R, Rispler S, Lessick J, Amos O, Brook OR, Grubergc L, Beyar R, Engel A (2006) Sixteen-MDCT coronary angiography versus invasive coronary angiography in acute chest pain syndrome: A blinded prospective study. Am J Roentgenol 186:177–184

    Article  Google Scholar 

  • Graser A, Johnson TR, Bader M, Staehler M, Haseke N, Nikolaou K, Reiser MF, Stief CG, Becker CR (2008) Dualenergy CT characterization of urinary calculi: initial in vitro and clinical experience. Invest Radiol 43:112–119

    Article  PubMed  Google Scholar 

  • Grass M, Köhler T, Proksa R (2000) Three-dimensional conebeam CT reconstruction for circular trajectories. Phys Med Biol 45:329–347

    Article  CAS  PubMed  Google Scholar 

  • Greess H, Wolf H, Suess C, Kalender WA, Bautz W, Baum U (2004) Automatic exposure control to reduce the dose in subsecond multislice spiral CT: phantom measurements and clinical results. Röfo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 176:862–869

    Article  CAS  PubMed  Google Scholar 

  • Hsieh J (2003) Analytical models for multi-slice helical CT performance parameters. Med Phys 30:169–178

    Article  PubMed  Google Scholar 

  • Hein I, Taguchi K, Silver MD, Kazarna M, Mori I (2003) Feldkamp-based cone-beam reconstruction for gantry-tilted helical multislice CT. Med Phys 30:3233–3242

    Article  PubMed  Google Scholar 

  • Hohl C, Mühlenbruch G, Wildberger JE, Leidecker C, Süss C, Schmidt T, Günther RW, Mahnken AH (2006) Estimation of radiation exposure in low-dose multislice computed tomography of the heart and comparison with a calculation program. Eur Radiol 16:1841–1846

    Article  CAS  PubMed  Google Scholar 

  • Hu H (1999) Multi-slice helical CT: Scan and reconstruction. Med Phys 26:5–18

    Article  CAS  PubMed  Google Scholar 

  • Hu H, He HD, Foley WD, Fox SH (2000) Four multidetector-row helical CT: Image quality and volume coverage speed. Radiology 215:55–62

    CAS  PubMed  Google Scholar 

  • Jakobs TF, Becker CR, Ohnesorge B, Flohr T, Suess C, Schoepf UJ, Reiser MF (2002) Multislice helical CT of the heart with retrospective ECG gating: reduction of radiation exposure by ECG-controlled tube current modulation. Eur Radiol 12:1081–1086

    Article  PubMed  Google Scholar 

  • Johnson TR, Nikolaou K, Wintersperger BJ, Knez A, Boekstegers P, Reiser MF, Becker CR (2007a) ECG-gated 64-MDCT angiography in the differential diagnosis of acute chest pain. Am J Roentgenol 188:76–82

    Article  Google Scholar 

  • Johnson TR, Nikolaou K, Busch S, Leber AW, Becker A, Wintersperger BJ, Rist C, Knez A, Reiser MF, Becker CR (2007b) Diagnostic accuracy of dual-source computed tomography in the diagnosis of coronary artery disease. Invest Radiol 42:684–691

    Article  PubMed  Google Scholar 

  • Johnson TR, Nikolaou K, Becker A, Leber AW, Rist C, Wintersperger BJ, Reiser MF, Becker CR (2007c) Dual-source CT for chest pain assessment. Eur Radiol Nov 22 (Epub ahead of print)

    Google Scholar 

  • Johnson TRC, Krauß B, Sedlmair M, Grasruck M, Bruder H, Morhard D, Fink C, Weckbach S, Lenhard M, Schmidt B, Flohr T, Reiser MF, Becker C R (2007d) Material differentiation by dual energy CT: initial experience. Eur Radiol 17:1510–1517

    Article  PubMed  Google Scholar 

  • Kachelriess M, Ulzheimer S, Kalender W (2000) ECG-correlated image reconstruction from subsecond multi-slice spiral CT scans of the heart. Med Phys 27:1881–1902

    Article  CAS  PubMed  Google Scholar 

  • Kido T, Kurata A, Higashino H, Sugawara Y, Okayama H, Higaki J, Anno H, Katada K, Mori S, Tanada S, Endo M, Mochizuki T (2007) Cardiac imaging using 256-detector row four-dimensional CT: preliminary clinical report. Radiat Med 25:38–44

    Article  PubMed  Google Scholar 

  • Klingenbeck-Regn K, Schaller S, Flohr T, Ohnesorge B, Kopp AF, Baum U (1999) Subsecond multi-slice computed tomography: basics and applications. EJR 31:110–124

    Article  CAS  Google Scholar 

  • Knez A, Becker CR, Leber A, Ohnesorge B, Becker A, White C, Haberl R, Reiser MF, Steinbeck G (2001) Usefulness of multislice spiral computed tomography angiography for determination of coronary artery stenoses. AJC 88:1191–1194

    Article  CAS  Google Scholar 

  • Kondo C, Mori S, Endo M, Kusakabe K, Suzuki N, Hattori A, Kusakabe M (2005) Real-time volumetric imaging of human heart without electrocardiographic gating by 256-detector row computed tomography: initial experience. J Comput Assist Tomogr 29:694–698

    Article  PubMed  Google Scholar 

  • Leber AW, Knez A, von Ziegler F, Becker A, Nikolaou K, Paul S, Wintersperger B, Reiser M, Becker CR, Steinbeck G, Boekstegers P (2005) Quantifi cation of obstructive and nonobstructive coronary lesions by 64-slice computed tomography. JACC 46:147–154

    PubMed  Google Scholar 

  • Leber AW, Johnson T, Becker A, von Ziegler F, Tittus J, Nikolaou K, Reiser M, Steinbeck G, Becker CR, Knez A (2007) Diagnostic accuracy of dual-source multi-slice CT-coronary angiography in patients with an intermediate pretest likelihood for coronary artery disease. Eur Heart J 28:2354–2360

    Article  PubMed  Google Scholar 

  • Leschka S, Scheffel H, Desbiolles L, Plass A, Gaemperli O, Valenta I, Husmann L, Flohr TG, Genoni M, Marincek B, Kaufmann PA, Alkadhi H (2007) Image quality and reconstruction intervals of dual-source CT coronary angiography: recommendations for ECG-pulsing windowing. Invest Radiol 42:543–549

    Article  PubMed  Google Scholar 

  • Matt D, Scheffel H, Leschka S, Flohr TG, Marincek B, Kaufmann PA, Alkadhi H (2007) Dual-source CT coronary angiography: image quality, mean heart rate, and heart rate variability. AJR Am J Roentgenol 189:567–573

    Article  PubMed  Google Scholar 

  • McCollough C (2003) Patient dose in cardiac computed tomography. Herz 28:1–6

    Article  PubMed  Google Scholar 

  • McCollough CH, Zink FE (1999) Performance evaluation of a multi-slice CT system. Med Phys 26:2223–2230

    Article  CAS  PubMed  Google Scholar 

  • Mollet NR, Cademartiri F, van Mieghem CAG, Runza G, Mc-Fadden EP, Baks T, Serruys PW, Krestin GP, de Feyter PJ (2005) High-resolution spiral computed tomography coronary angiography in patients referred for diagnostc conventional coronary angiography. Circulation 112:2318–2323

    Article  PubMed  Google Scholar 

  • Mori S, Endo M, Tsunoo T et al. (2004) Physical performance evaluation of a 256-slice CT scanner for four-dimensional imaging. Med Phys 31:1348–1356

    Article  PubMed  Google Scholar 

  • Mori S, Endo M, Obata T, Tsunoo T, Susumu K, Tanada S (2006a) Properties of the prototype 256-row (cone beam) CT scanner. Eur Radiol 16:2100–2108

    Article  PubMed  Google Scholar 

  • Mori S, Kondo C, Suzuki N, Hattori A, Kusakabe M, Endo M (2006b) Volumetric coronary angiography using the 256-detector row computed tomography scanner: comparison in vivo and in vitro with porcine models. Acta Radiol 47:186–191

    Article  CAS  PubMed  Google Scholar 

  • Mori S, Endo M, Nishizawa K, Murase K, Fujiwara H, Tanada S (2006c) Comparison of patient doses in 256-slice CT and 16-slice CT scanners. Br J Radiol 79:56–61

    Article  CAS  PubMed  Google Scholar 

  • Mori S, Obata T, Kato H, Kishimoto R, Kandatsu S, Tanada S, Endo M (2007) Preliminary study: color map of hepatocellular carcinoma using dynamic contrast-enhanced 256-detector row CT. Eur J Radiol 62:308–310

    Article  PubMed  Google Scholar 

  • Morin R, Gerber T, McCollough C (2003) Radiation dose in computed tomography of the heart. Circulation 107:917–922

    Article  PubMed  Google Scholar 

  • Mulkens TH, Bellinck P, Baeyaert M, Ghysen D, Van Dijck X, Mussen E, Venstermans C, Termote JL (2005) Use of an automatic exposure control mechanism for dose optimization in multi-detector row CT examinations: Clinical evaluation. Radiology 237:213–223

    Article  PubMed  Google Scholar 

  • Nieman K, Oudkerk M, Rensing BJ, van Ooijen P, Munne A, van Geuns RJ, de Feyter PJ (2001) Coronary angiography with multi-slice computed tomography. Lancet 357:599–603

    Article  CAS  PubMed  Google Scholar 

  • Nieman K, Cademartiri F, Lemos PA, Raaijmakers R, Pattynama PMT, de Feyter PJ (2002) Reliable noninvasive coronary angiography with fast submillimeter multislice spiral computed tomography. Circulation 106:2051–2054

    Article  PubMed  Google Scholar 

  • Ohnesorge B, Flohr T, Becker C, Kopp A, Schoepf U, Baum U, Knez A, Klingenbeck Regn K, Reiser M (2000) Cardiac imaging by means of electro-cardiographically gated multisection spiral CT-Initial experience. Radiology 217:564–571

    CAS  PubMed  Google Scholar 

  • Ohnesorge BM, Hofmann LK, Flohr TG, Schöpf UJ (2005) CT for imaging coronary artery disease: defi ning the paradigm for its application. Int J Cardiovasc Imaging 21:85–104

    Article  PubMed  Google Scholar 

  • Primak AN, Fletcher JG, Vrtiska TJ, Dzyubak OP, Lieske JC, Jackson ME, Williams JC Jr, McCollough CH (2007) Noninvasive differentiation of uric acid versus non-uric acid kidney stones using dual-energy CT. Acad Radiol 14:1441–1447

    Article  PubMed  Google Scholar 

  • Pugliese F, Weustink AC, Van Mieghem C, Alberghina F, Otsuka M, Meijboom WB, Van Pelt N, Mollet NR, Cademartiri F, Krestin GP, Hunink MG, de Feyter PJ (2008) Dual-source coronary computed tomography angiography for detecting in-stent restenosis. Heart 94:848–854

    Article  CAS  PubMed  Google Scholar 

  • Raff GL, Gallagher M J, O’Neill WW, Goldstein JA (2005) Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. JACC 46:552–557

    PubMed  Google Scholar 

  • Remy-Jardin M, Remy J (1999) Spiral CT angiography of the pulmonary circulation. Radiology 212:615–636

    CAS  PubMed  Google Scholar 

  • Remy-Jardin M, Remy J, Deschildre F et al. (1996) Diagnosis of pulmonary embolism with spiral CT: comparison with pulmonary angiography and scintigraphy. Radiology 200:699–706

    CAS  PubMed  Google Scholar 

  • Remy-Jardin J, Tillie-Leblond I, Szapiro D et al. (2002) CT angiography of pulmonary embolism in patents with underlying respiratory disease: impact of multislice CT on image quality and negative predictive value. Eur Radiol 12:1971–1978

    PubMed  Google Scholar 

  • Ritman E, Kinsey J, Robb R, Gilbert B, Harris L, Wood E (1980) Three-dimensional imaging of heart, lungs, and circulation. Science 210:273–280

    Article  CAS  PubMed  Google Scholar 

  • Robb R, Ritman E (1979) High speed synchronous volume computed tomography of the heart. Radiology 133:655–661

    CAS  PubMed  Google Scholar 

  • Ropers D, Baum U, Pohle K, Anders K, Ulzheimer S, Ohnesorge B, Schlundt C, Bautz W, Daniel WG, Achenbach S (2003) Detection of coronary artery stenoses with thinslice multi-detector row spiral computed tomography and multiplanar reconstruction. Circulation 107:664–666

    Article  PubMed  Google Scholar 

  • Ropers U, Ropers D, Pflederer T, Anders K, Kuettner A, Stilianakis NI, Komatsu S, Kalender W, Bautz W, Daniel WG, Achenbach S (2007) Influence of heart rate on the diagnostic accuracy of dual-source computed tomography coronary angiography. J Am Coll Cardiol 50:2393–2398

    Article  PubMed  Google Scholar 

  • Ruzsics B, Lee H, Powers ER, Flohr TG, Costello P, Schoepf UJ (2008) Myocardial ischemia diagnosed by dual-energy computed tomography. Circulation 3

    Google Scholar 

  • Salem R, Remy-Jardin M, Delhaye D, Khalil C, Teisseire A, Delannoy-Deken V, Duhamel A, Remy J (2006) Integrated cardio-thoracic imaging with ECG-gated 64-slice multidetector-row CT: initial findings in 133 patients. Eur Radiol 16:1973–1981

    Article  PubMed  Google Scholar 

  • Schaller S, Flohr T, Klingenbeck K, Krause J, Fuchs T, Kalender WA (2000) Spiral interpolation algorithm for multislice spiral CT-part I: Theory. IEEE Trans Med Imag 19:822–834

    Article  CAS  Google Scholar 

  • Schaller S, Stierstorfer K, Bruder H, Kachelrieß M, Flohr T (2001) Novel approximate approach for high-quality image reconstruction in helical cone beam CT at arbitrary pitch. Proc SPIE Int Symp Med Imag 4322:113–127

    Google Scholar 

  • Scheffel H, Stolzmann P, Frauenfelder T, Schertler T, Desbiolles L, Leschka S, Marincek B, Alkadhi H (2007) Dual-energy contrast-enhanced computed tomography for the detection of urinary stone disease. Invest Radiol 42:823–829

    Article  PubMed  Google Scholar 

  • Scheffel H, Alkadhi H, Leschka S et al. (2008) Low-dose CT coronary angiography in the step-and-shoot mode: diagnostic performance. Heart June 2 [epub ahead of print]

    Google Scholar 

  • Schertler T, Scheffel H, Frauenfelder T, Desbiolles L, Leschka S, Stolzmann P, Seifert B, Flohr TG, Marincek B, Alkadhi H (2007) Dual-source computed tomography in patients with acute chest pain: feasibility and image quality. Eur Radiol 17:3179–3188

    Article  PubMed  Google Scholar 

  • Schoepf UJ (2007) Cardiothoracic multi-slice CT in the emergency department. In: Ohnesorge BM, Flohr TG, Becker CR, Knez A, Reiser MF (eds) Multi-slice and dual-source CT in cardiac imaging, 2nd edn. Springer Berlin, Heidelberg, New York

    Google Scholar 

  • Schoepf UJ, Kessler MA, Rieger CT et al. (2001) Multislice CT imaging of pulmonary embolism. Eur Radiol 11:2278–2286

    Article  CAS  PubMed  Google Scholar 

  • Schoepf UJ, Holzknecht N, Helmberger TK et al. (2002) Subsegmental pulmonary emboli: improved detection with thin-collimation multidetector row spiral CT. Radiology 222:483–490

    Article  PubMed  Google Scholar 

  • Schoepf UJ, Becker CR, Hofmann LK, Das M, Flohr T, Ohnesorge BM et al. (2003) Multislice CT angiography. Eur Radiol 13:1946–1961

    Article  PubMed  Google Scholar 

  • Stierstorfer K, Rauscher A, Boese J, Bruder H, Schaller S, Flohr T (2004) Weighted FBP-a simple approximate 3D FBP algorithm for multislice spiral CT with good dose usage for arbitrary pitch. Phys Med Biol 49:2209–2218

    Article  PubMed  Google Scholar 

  • Stolzmann P, Scheffel H, Schertler T, Frauenfelder T, Leschka S, Husmann L, Flohr TG, Marincek B, Kaufmann PA, Alkadhi H (2008) Radiation dose estimates in dualsource computed tomography coronary angiography. Eur Radiol 18:592–599

    Article  PubMed  Google Scholar 

  • Taguchi T, Aradate H (1998) Algorithm for image reconstruction in multi-slice helical CT. Med Phys 25:550–561

    Article  CAS  PubMed  Google Scholar 

  • White CS, Kuo D, Kelemen M, Jain V, Musk A, Zaidi E, Read K, Sliker C, Prasad R (2005) Chest pain evaluation in the emergency department: Can MDCT Provide a Comprehensive Evaluation? AJR 185:533–540

    PubMed  Google Scholar 

  • Wildberger JE, Mahnken AH, Schmitz-Rode T, Flohr T, Stargardt A, Haage P, Schaller S, Guenther RW (2001) Individually adapted examination protocols for reduction of radiation exposure in chest CT. Invest Radiol 36:604–611

    Article  CAS  PubMed  Google Scholar 

  • Wintersperger B, Jakobs T, Herzog P, Schaller S, Nikolaou K, Suess C, Weber C, Reiser M, Becker C (2005) Aorto-iliac multidetector-row CT angiography with low kV settings: improved vessel enhancement and simultaneous reduction of radiation dose. Eur Radiol 15:334–341

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Flohr, T., Ohnesorge, B. (2009). From Sixteen Slices to Nowadays — Cardiothoracic Imaging with CT. In: Rémy-Jardin, M., Rémy, J. (eds) Integrated Cardiothoracic Imaging with MDCT. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-72387-5_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-72387-5_1

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-72386-8

  • Online ISBN: 978-3-540-72387-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics