Abstract
The purpose of this study was to evaluate the influence of ejection fraction (EF), stroke volume (SV), heart rate, and cardiac output (CO) on coronary artery opacification with 64-slice computed tomography (CT). Sixty patients underwent, retrospectively, electrocardiography-gated 64-slice CT coronary angiography. Left ventricular EF, SV, and CO were calculated with semi-automated software. Attenuation values were measured and contrast-to-noise ratios (CNRs) were calculated in the proximal right coronary artery (RCA) and left main artery (LMA). Mean EF during scanning was 61.5±12.4%, SV was 63.2±15.6 ml, heart rate was 62.5±11.8 beats per minute (bpm), and CO was 3.88±1.06 l/min. There was no significant correlation between the EF and heart rate and the attenuation and CNR in either coronary artery. A significant negative correlation was found in both arteries between SV and attenuation (RCA r=−0.26, P<0.05; LMA r=−0.34, P<0.01) and between SV and CNR (RCA r=−0.26, P<0.05; LMA r=−0.26, P<0.05). Similarly, a significant negative correlation was found between the CO and attenuation (RCA r=−0.42, P<0.05; LMA r=−0.56, P<0.001) and between the CO and CNR (RCA r=−0.39, P<0.05; LMA r=−0.44, P<0.001). The actual hemodynamic status of the patient influences the coronary artery opacification with 64-slice CT, in that vessel opacification decreases as SV and CO increase.
Similar content being viewed by others
References
Leschka S et al (2005) Accuracy of MSCT coronary angiography with 64-slice technology: first experience. Eur Heart J 26:1482–1487
Raff GL, Gallagher MJ, O’Neill WW, Goldstein JA (2005) Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. J Am Coll Cardiol 46:552–557
Flohr T, Stierstorfer K, Raupach R, Ulzheimer S, Bruder H (2004) Performance evaluation of a 64-slice CT system with z-flying focal spot. Rofo Fortschr Geb Rontgenstr Neuen BildgebVerfahr 176:1803–1810
Hoffmann MH et al (2005) Noninvasive coronary angiography with 16-detector row CT: effect of heart rate. Radiology 234:86–97
Zhang SZ, Hu XH, Zhang QW, Huang WX (2005) Evaluation of computed tomography coronary angiography in patients with a high heart rate using 16-slice spiral computed tomography with 0.37-s gantry rotation time. Eur Radiol 15:1105–1109
Hamoir XL, et al (2005) Coronary arteries: assessment of image quality and optimal reconstruction window in retrospective ECG-gated multislice CT at 375-ms gantry rotation time. Eur Radiol 15:296–304
Nieman K, et al (2002) Non-invasive coronary angiography with multislice spiral computed tomography: impact of heart rate. Heart 88:470–474
Stanford W, Burns TL, Thompson BH, Witt JD, Lauer RM, Mahoney LT (2004) Influence of body size and section level on calcium phantom measurements at coronary artery calcium CT scanning. Radiology 230:198–205
Choi HS, et al (2004) Pitfalls, artifacts, and remedies in multi- detector row CT coronary angiography. Radiographics 24:787–800
Kopp AF, et al (2001) Coronary arteries: retrospectively ECG-gated multi-detector row CT angiography with selective optimization of the image reconstruction window. Radiology 221:683–688
Cademartiri F, et al (2005) Intravenous contrast material administration at helical 16-detector row CT coronary angiography: effect of iodine concentration on vascular attenuation. Radiology 236:661–665
Cademartiri F, et al (2004) Intravenous contrast material administration at 16-detector row helical CT coronary angiography: test bolus versus bolus-tracking technique. Radiology 233:817–823
Cademartiri F, van der Lugt A, Luccichenti G, Pavone P, Krestin GP (2002) Parameters affecting bolus geometry in CTA: a review. J Comput Assist Tomogr 26:598–607
Bae KT, Heiken JP, Brink JA (1998) Aortic and hepatic contrast medium enhancement at CT. Part II. Effect of reduced cardiac output in a porcine model. Radiology 207:657–662
Sivit CJ, Taylor GA, Bulas DI, Kushner DC, Potter BM, Eichelberger MR (1992) Posttraumatic shock in children: CT findings associated with hemodynamic instability. Radiology 182:723–726
Becker CR, et al (2003) Optimal contrast application for cardiac 4-detector-row computed tomography. Invest Radiol 38:690–694
Flohr T, Ohnesorge B (2001) Heart rate adaptive optimization of spatial and temporal resolution for electrocardiogram-gated multislice spiral CT of the heart. J Comput Assist Tomogr 25:907–923
Juergens KU, et al (2004) Multi-detector row CT of left ventricular function with dedicated analysis software versus MR imaging: initial experience. Radiology 230:403–410
Boehm T, et al (2004) Time-effectiveness, observer-dependence, and accuracy of measurements of left ventricular ejection fraction using 4-channel MDCT. Rofo Fortschr Geb Rontgenstr Neuen BildgebVerfahr 176:529–537
Juergens KU, Fischbach R (2005) Left ventricular function studied with MDCT. Eur Radiol DOI 10.1007/s00330-005-2888-5
Lembcke A, et al (2004) Image quality of noninvasive coronary angiography using multislice spiral computed tomography and electron-beam computed tomography: intraindividual comparison in an animal model. Invest Radiol 39:357–364
Achenbach S, et al (2003) Comparison of image quality in contrast-enhanced coronary-artery visualization by electron beam tomography and retrospectively electrocardiogram-gated multislice spiral computed tomography. Invest Radiol 38:119–128
Anand IS, Florea VG (2001) High output cardiac failure. Curr Treat Options Cardiovasc Med 3:151–159
Fleischmann D, Rubin GD, Bankier AA, Hittmair K (2000) Improved uniformity of aortic enhancement with customized contrast medium injection protocols at CT angiography. Radiology 214:363–371
Salm LP, et al (2005) Global and regional left ventricular function assessment with 16-detector row CT: Comparison with echocardiography and cardiovascular magnetic resonance. Eur J Echocardiogr (in press)
Mahnken AH, et al (2003) Measurement of cardiac output from a test-bolus injection in multislice computed tomography. Eur Radiol 13:2498–2504
Acknowledgment
This research was supported by the National Center of Competence in Research, Computer Aided and Image Guided Medical Interventions (NCCR CO-ME) of the Swiss National Science Foundation.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Husmann, L., Alkadhi, H., Boehm, T. et al. Influence of cardiac hemodynamic parameters on coronary artery opacification with 64-slice computed tomography. Eur Radiol 16, 1111–1116 (2006). https://doi.org/10.1007/s00330-005-0110-4
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00330-005-0110-4