Journal of Cardiovascular Computed Tomography
Volume 1, Issue 1 , Pages 29-37 , July 2007

Usefulness of multislice spiral computed tomography coronary angiography in patients with acute chest pain in the emergency department

  • Steffen Huber, MD

      Affiliations

    • Department of Radiology, the Texas Heart Institute at St Luke’s Episcopal Hospital, Houston, TX, USA
    • ,
  • Martin Huber, PhD

      Affiliations

    • Siemens Medical Solutions USA, Inc, Malvern, PA, USA
    • ,
  • Debra Dees, RN

      Affiliations

    • Department of Radiology, the Texas Heart Institute at St Luke’s Episcopal Hospital, Houston, TX, USA
    • ,
  • Frank A. Redmond, MD, PhD

      Affiliations

    • Department of Emergency Medicine, St. Luke’s Episcopal Hospital, Houston, TX, USA
    • ,
  • James M. Wilson, MD

      Affiliations

    • Department of Cardiology, the Texas Heart Institute at St Luke’s Episcopal Hospital, Houston, TX, USA
    • ,
  • Scott D. Flamm, MD

      Affiliations

    • Department of Radiology, the Texas Heart Institute at St Luke’s Episcopal Hospital, Houston, TX, USA
    • Department of Cardiology, the Texas Heart Institute at St Luke’s Episcopal Hospital, Houston, TX, USA
    • Corresponding Author InformationCorresponding author. Address correspondence to Scott D. Flamm, MD, Cardiovascular Imaging Laboratory, Department of Radiology, Hb-6, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195.

Received 23 February 2007 ,Accepted 30 April 2007.

References 

  1. Mollet NR, Cademartiri F, Nieman K, Saia F, Lemos PA, McFadden EP, et al. Multislice spiral computed tomography coronary angiography in patients with stable angina pectoris. J Am Coll Cardiol. 2004;43:2265–2270
  2. Nieman K, Cademartiri F, Lemos PA, Raaijmakers R, Pattynama PM, de Feyter PJ. Reliable noninvasive coronary angiography with fast submillimeter multislice spiral computed tomography. Circulation. 2002;106:2051–2054
  3. Ropers D, Baum U, Pohle K, Anders K, Ulzheimer S, Ohnesorge B, et al. Detection of coronary artery stenoses with thin-slice multi-detector row spiral computed tomography and multiplanar reconstruction. Circulation. 2003;107:664–666
  4. Leschka S, Alkadhi H, Plass A, Desbiolles L, Grunenfelder J, Marincek B, et al. Accuracy of MSCT coronary angiography with 64-slice technology: first experience. Eur Heart J. 2005;26:1482–1487
  5. Pugliese F, Mollet NR, Runza G, van Mieghem C, Meijboom WB, Malagutti P, et al. Diagnostic accuracy of non-invasive 64-slice C.T.coronary angiography in patients with stable angina pectoris. Eur Radiol. 2005;1–8
  6. Raff GL, Gallagher MJ, O’Neill WW, Goldstein JA. Diagnostic accuracy of noninvasive coronary angiography using 64-slice spiral computed tomography. J Am Coll Cardiol. 2005;46:552–557
  7. Kuettner A, Kopp AF, Schroeder S, Rieger T, Brunn J, Meisner C, et al. Diagnostic accuracy of multidetector computed tomography coronary angiography in patients with angiographically proven coronary artery disease. J Am Coll Cardiol. 2004;43:831–839
  8. Choi HS, Choi BW, Choe KO, Choi D, Yoo KJ, Kim MI, et al. Pitfalls, artifacts, and remedies in multi-detector row CT coronary angiography. Radiographics. 2004;24:787–800
  9. Gerber TC, Kuzo RS, Lane GE, O’Brien PC, Karstaedt N, Morin RL, et al. Image quality in a standardized algorithm for minimally invasive coronary angiography with multislice spiral computed tomography. J Comput Assist Tomogr. 2003;27:62–69
  10. Cademartiri F, Mollet NR, Runza G, Belgrano M, Malagutti P, Meijboom BW, et al. Diagnostic accuracy of multislice computed tomography coronary angiography is improved at low heart rates. Int J Cardiovasc Imaging. 2005;1–5
  11. Giesler T, Baum U, Ropers D, Ulzheimer S, Wenkel E, Mennicke M, et al. Noninvasive visualization of coronary arteries using contrast-enhanced multidetector CT: influence of heart rate on image quality and stenosis detection. AJR Am J Roentgenol. 2002;179:911–916
  12. Hoffmann MH, Shi H, Schmitz BL, Schmid FT, Lieberknecht M, Schulze R, et al. Noninvasive coronary angiography with multislice computed tomography. JAMA. 2005;293:2471–2478
  13. Hong C, Becker CR, Huber A, Schoepf UJ, Ohnesorge B, Knez A, et al. ECG-gated reconstructed multi-detector row CT coronary angiography: effect of varying trigger delay on image quality. Radiology. 2001;220:712–717
  14. Schroeder S, Kopp AF, Kuettner A, Burgstahler C, Herdeg C, Heuschmid M, et al. Influence of heart rate on vessel visibility in noninvasive coronary angiography using new multislice computed tomography: experience in 94 patients. Clin Imaging. 2002;26:106–111
  15. Shim SS, Kim Y, Lim SM. Improvement of image quality with beta-blocker premedication on ECG-gated 16-MDCT coronary angiography. AJR Am J Roentgenol. 2005;184:649–654
  16. Nieman K, Oudkerk M, Rensing BJ, van Ooijen P, Munne A, van Geuns RJ, et al. Coronary angiography with multi-slice computed tomography. Lancet. 2001;357:599–603
  17. Herzog C, Britten M, Balzer JO, Mack MG, Zangos S, Ackermann H, et al. Multidetector-row cardiac CT: diagnostic value of calcium scoring and CT coronary angiography in patients with symptomatic, but atypical, chest pain. Eur Radiol. 2004;14:169–177
  18. Kuettner A, Trabold T, Schroeder S, Feyer A, Beck T, Brueckner A, et al. Noninvasive detection of coronary lesions using 16-detector multislice spiral computed tomography technology: initial clinical results. J Am Coll Cardiol. 2004;44:1230–1237
  19. Hoffmann U, Moselewski F, Cury RC, Ferencik M, Jang IK, Diaz LJ, et al. Predictive value of 16-slice multidetector spiral computed tomography to detect significant obstructive coronary artery disease in patients at high risk for coronary artery disease: patient- versus segment-based analysis. Circulation. 2004;110:2638–2643
  20. Dewey M, Laule M, Krug L, Schnapauff D, Rogalla P, Rutsch W, et al. Multisegment and halfscan reconstruction of 16-slice computed tomography for detection of coronary artery stenoses. Invest Radiol. 2004;39:223–229
  21. Agatston AS, Janowitz WR, Hildner FJ, Zusmer NR, Viamonte M, Detrano R. Quantification of coronary artery calcium using ultrafast computed tomography. J Am Coll Cardiol. 1990;15:827–832
  22. Austen WG, Edwards JE, Frye RL, Gensini GG, Gott VL, Griffith LS, et al. A reporting system on patients evaluated for coronary artery disease (Report of the Ad Hoc Committee for Grading of Coronary Artery Disease, Council on Cardiovascular Surgery, American Heart Association). Circulation. 1975;51:5–40
  23. Mollet NR, Cademartiri F, van Mieghem CA, Runza G, McFadden EP, Baks T, et al. High-resolution spiral computed tomography coronary angiography in patients referred for diagnostic conventional coronary angiography. Circulation. 2005;112:2318–2323
  24. Garcia MJ, Lessick J, Hoffmann MH. Accuracy of 16-row multidetector computed tomography for the assessment of coronary artery stenosis. JAMA. 2006;296:403–411
  25. Must A, Spadano J, Coakley EH, Field AE, Colditz G, Dietz WH. The disease burden associated with overweight and obesity. JAMA. 1999;282:1523–1529
  26. Wise JL, Locke GR, Zinsmeister AR, Talley NJ. Risk factors for non-cardiac chest pain in the community. Aliment Pharmacol Ther. 2005;22:1023–1031
  27. Thom T, Haase N, Rosamond W, Howard VJ, Rumsfeld J, Manolio T, et al. Heart disease and stroke statistics--2006 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2006;113:e85–e151
  28. Pitsavos C, Panagiotakos DB, Antonoulas A, Zombolos S, Kogias Y, Mantas Y, et al. Epidemiology of acute coronary syndromes in a Mediterranean country: aims, design and baseline characteristics of the Greek study of acute coronary syndromes (GREECS). BMC Public Health. 2005;5:23
  29. Heuschmid M, Kuettner A, Schroeder S, Trabold T, Feyer A, Seemann MD, et al. ECG-gated 16-MDCT of the coronary arteries: assessment of image quality and accuracy in detecting stenoses. AJR Am J Roentgenol. 2005;184:1413–1419
  30. Schroeder S, Kuettner A, Beck T, Kopp AF, Herdeg C, Heuschmid M, et al. Usefulness of noninvasive MSCT coronary angiography as first-line imaging technique in patients with chest pain: initial clinical experience. Int J Cardiol. 2005;102:469–475
  31. Antman EM, Cohen M, Bernink PJ, McCabe CH, Horacek T, Papuchis G, et al. The TIMI risk score for unstable angina/non-ST elevation MI: A method for prognostication and therapeutic decision making. JAMA. 2000;284:835–842
  32. Gibbons RJ, Balady GJ, Bricker JT, Chaitman BR, Fletcher GF, Froelicher VF, et al. ACC/AHA 2002 guideline update for exercise testing: summary article (A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1997 Exercise Testing Guidelines)). J Am Coll Cardiol. 2002;40:1531–1540

 Conflict of interest: Dr Flamm reports that he received grant or research support from Siemens Medical Solutions. Dr M. Huber is an employee of Siemens Medical Solutions.

PII: S1934-5925(07)00013-5

doi: 10.1016/j.jcct.2007.04.013

Journal of Cardiovascular Computed Tomography
Volume 1, Issue 1 , Pages 29-37 , July 2007

Article Tools

* Image Usage & Resolution