Journal of Cardiovascular Computed Tomography
Volume 1, Issue 3 , Pages 143-151 , December 2007

Cardiac dual-source computed tomography in patients with severe coronary calcifications and a high prevalence of coronary artery disease

  • Christof Burgstahler, MD

      Affiliations

    • Department of Cardiology, Eberhard-Karls-University Tuebingen, Ofried-Mueller-Strasse 10, D-72076 Tuebingen, Germany
    • C.B. and A.R. contributed equally to this work.
  • ,
  • Anja Reimann, MD

      Affiliations

    • Department of Diagnostic Radiology, Eberhard-Karls-University Tuebingen, Ofried-Mueller-Strasse 10, D-72076 Tuebingen, Germany
    • C.B. and A.R. contributed equally to this work.
  • ,
  • Tanja Drosch, MD

      Affiliations

    • Department of Cardiology, Eberhard-Karls-University Tuebingen, Ofried-Mueller-Strasse 10, D-72076 Tuebingen, Germany
  • ,
  • Martin Heuschmid, MD

      Affiliations

    • Department of Diagnostic Radiology, Eberhard-Karls-University Tuebingen, Ofried-Mueller-Strasse 10, D-72076 Tuebingen, Germany
  • ,
  • Harald Brodoefel, MD

      Affiliations

    • Department of Diagnostic Radiology, Eberhard-Karls-University Tuebingen, Ofried-Mueller-Strasse 10, D-72076 Tuebingen, Germany
  • ,
  • Ilias Tsiflikas, MD

      Affiliations

    • Department of Diagnostic Radiology, Eberhard-Karls-University Tuebingen, Ofried-Mueller-Strasse 10, D-72076 Tuebingen, Germany
  • ,
  • Ellen Häberle, MS

      Affiliations

    • Department of Cardiology, Eberhard-Karls-University Tuebingen, Ofried-Mueller-Strasse 10, D-72076 Tuebingen, Germany
  • ,
  • Ines Uysal, MS

      Affiliations

    • Department of Diagnostic Radiology, Eberhard-Karls-University Tuebingen, Ofried-Mueller-Strasse 10, D-72076 Tuebingen, Germany
  • ,
  • Diana Wurster, MS

      Affiliations

    • Department of Cardiology, Eberhard-Karls-University Tuebingen, Ofried-Mueller-Strasse 10, D-72076 Tuebingen, Germany
  • ,
  • Claus D. Claussen, MD

      Affiliations

    • Department of Diagnostic Radiology, Eberhard-Karls-University Tuebingen, Ofried-Mueller-Strasse 10, D-72076 Tuebingen, Germany
  • ,
  • Andreas F. Kopp, MD

      Affiliations

    • Department of Diagnostic Radiology, Eberhard-Karls-University Tuebingen, Ofried-Mueller-Strasse 10, D-72076 Tuebingen, Germany
    • Corresponding Author InformationCorresponding author.
  • ,
  • Stephen Schroeder, MD

      Affiliations

    • Department of Cardiology, Eberhard-Karls-University Tuebingen, Ofried-Mueller-Strasse 10, D-72076 Tuebingen, Germany

Received 16 May 2007 ,Accepted 11 September 2007.

References 

  1. Achenbach S, Giesler T, Ropers D, Ulzheimer S, Derlien H, Schulte C, et al. Detection of coronary artery stenoses by contrast-enhanced, retrospectively electrocardiographically-gated, multislice spiral computed tomography. Circulation. 2001;103:2535–2538
  2. Cademartiri F, Runza G, Marano R, Luccichenti G, Gualerzi M, Brambilla L, et al. Diagnostic accuracy of 16-row multislice CT angiography in the evaluation of coronary segments. Radiol Med (Torino). 2005;109:91–97
  3. Kuettner A, Beck T, Drosch T, Kettering K, Heuschmid M, Burgstahler C, et al. Diagnostic accuracy of noninvasive coronary imaging using 16-detector slice spiral computed tomography with 188 ms temporal resolution. J Am Coll Cardiol. 2005;45:123–127
  4. Leber AW, Knez A, von Ziegler F, Becker A, Nikolaou K, Paul S, et al. Quantification of obstructive and nonobstructive coronary lesions by 64-slice computed tomography: a comparative study with quantitative coronary angiography and intravascular ultrasound. J Am Coll Cardiol. 2005;46:147–154
  5. 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
  6. Budoff MJ, Achenbach S, Blumenthal RS, Carr JJ, Goldin JG, Greenland P, et al. Assessment of coronary artery disease by cardiac computed tomography: a scientific statement from the American Heart Association Committee on Cardiovascular Imaging and Intervention, Council on Cardiovascular Radiology and Intervention, and Committee on Cardiac Imaging, Council on Clinical Cardiology. Circulation. 2006;114:1761–1791
  7. 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
  8. Cademartiri F, Mollet NR, Runza G, Baks T, Midiri M, McFadden EP, et al. Improving diagnostic accuracy of MDCT coronary angiography in patients with mild heart rhythm irregularities using ECG editing. AJR Am J Roentgenol. 2006;186:634–638
  9. Kovacs A, Probst C, Sommer T, Leiss A, Nahle P, Welz A, et al. CT coronary angiography in patients with atrial fibrillation. [in German] Rofo. 2005;177:1655–1662
  10. 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
  11. 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
  12. Flohr T, Stierstorfer K, Raupach R, Ulzheimer S, Bruder H. Performance evaluation of a 64-slice CT system with z-flying focal spot. Rofo. 2004;176:1803–1810
  13. Flohr TG, Schaller S, Stierstorfer K, Bruder H, Ohnesorge BM, Schoepf UJ. Multi-detector row CT systems and image-reconstruction techniques. Radiology. 2005;235:756–773
  14. Flohr TG, McCollough CH, Bruder H, Petersilka M, Gruber K, Suss C, et al. First performance evaluation of a dual-source CT (DSCT) system. Eur Radiol. 2006;16:256–268
  15. Achenbach S, Ropers D, Kuettner A, Flohr T, Ohnesorge B, Bruder H, et al. Contrast-enhanced coronary artery visualization by dual-source computed tomography–initial experience. Eur J Radiol. 2006;57:331–335
  16. Heuschmid M, Burgstahler C, Reimann A, Brodoefel H, Mysal I, Haeberle E, et al. Usefulness of noninvasive cardiac imaging using dual-source computed tomography in an unselected population with high prevalence of coronary artery disease. Am J Cardiol. 2007;100:587–592
  17. 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
  18. Wintersperger BJ, Nikolaou K, von Ziegler F, Johnson T, Rist C, Leber A, et al. Image quality, motion artifacts, and reconstruction timing of 64-slice coronary computed tomography angiography with 0.33-second rotation speed. Invest Radiol. 2006;41:436–442
  19. Johnson TR, Nikolaou K, Wintersperger BJ, Leber AW, von Ziegler F, Rist C, et al. Dual-source CT cardiac imaging: initial experience. Eur Radiol. 2006;16:1409–1415
  20. 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
  21. 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
  22. Halliburton SS, Stillman AE, Flohr T, Ohnesorge B, Obuchowski N, Lieber M, et al. Do segmented reconstruction algorithms for cardiac multi-slice computed tomography improve image quality?. Herz. 2003;28:20–31
  23. Cordeiro MA, Miller JM, Schmidt A, Lardo AC, Rosen BD, Bush DE, et al. Non-invasive half millimeter 32 detector row computed tomography angiography accurately excludes significant stenoses in patients with advanced coronary artery disease and high calcium scores. Heart. 2006;92:589–597
  24. 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
  25. Scheffel H, Alkadhi H, Plass A, Vachenauer R, Desbiolles L, Gaemperli O, et al. Accuracy of dual-source CT coronary angiography: First experience in a high pre-test probability population without heart rate control. Eur Radiol. 2006;16:2739–2747

 Conflict of interest: The authors report no conflict of interest.

PII: S1934-5925(07)00286-9

doi: 10.1016/j.jcct.2007.09.003

Journal of Cardiovascular Computed Tomography
Volume 1, Issue 3 , Pages 143-151 , December 2007