European Journal of Radiology
Volume 73, Issue 2 , Pages 274-279 , February 2010

Dual-source computed tomography: Estimation of radiation exposure of ECG-gated and ECG-triggered coronary angiography

  • Dominik Ketelsen

      Affiliations

    • Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany
    • Corresponding Author InformationCorresponding author at: Department of Diagnostic and Interventional Radiology, Eberhard-Karls-University Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany. Tel.: +49 7071 29 86677; fax: +49 7071 29 4478.
  • ,
  • Christoph Thomas

      Affiliations

    • Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany
  • ,
  • Matthias Werner

      Affiliations

    • Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany
  • ,
  • Marie H. Luetkhoff

      Affiliations

    • Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany
  • ,
  • Markus Buchgeister

      Affiliations

    • Departments of Radiotherapy and Radiooncology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany
  • ,
  • Ilias Tsiflikas

      Affiliations

    • Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany
  • ,
  • Anja Reimann

      Affiliations

    • Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany
  • ,
  • Christof Burgstahler

      Affiliations

    • Department of Cardiology, University Hospital Tuebingen, Ottfried-Mueller-Strasse 10, 72076 Tuebingen, Germany
  • ,
  • Harald Brodoefel

      Affiliations

    • Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany
  • ,
  • Andreas F. Kopp

      Affiliations

    • Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany
  • ,
  • Claus D. Claussen

      Affiliations

    • Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany
  • ,
  • Martin Heuschmid

      Affiliations

    • Department of Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, 72076 Tuebingen, Germany

Received 25 August 2008 ,Revised 29 October 2008 ,Accepted 30 October 2008.

References 

  1. Gallagher MJ, Raff GL. Use of multislice CT for the evaluation of emergency room patients with chest pain: the so-called “triple rule-out”. Catheter Cardiovasc Interv. 2008;71(1):92–99
  2. Jakobs TF, Wintersperger BJ, Herzog P, et al. Ultra-low-dose coronary artery calcium screening using multislice CT with retrospective ECG gating. Eur Radiol. 2003;13(8):1923–1930
  3. Einstein AJ, Henzlova MJ, Rajagopalan S. Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography. JAMA. 2007;298(3):317–323
  4. Tunstall-Pedoe H, Kuulasmaa K, Mahonen M, et al. Contribution of trends in survival and coronary-event rates to changes in coronary heart disease mortality: 10-year results from 37 WHO MONICA project populations. Monitoring trends and determinants in cardiovascular disease. Lancet. 1999;353(9164):1547–1557
  5. Scanlon PJ, Faxon DP, Audet AM, et al. ACC/AHA guidelines for coronary angiography: executive summary and recommendations. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Coronary Angiography) developed in collaboration with the Society for Cardiac Angiography and Interventions. Circulation. 1999;99(17):2345–2357
  6. Hunold P, Vogt FM, Schmermund A, et al. Radiation exposure during cardiac CT: effective doses at multi-detector row CT and electron-beam CT. Radiology. 2003;226(1):145–152
  7. Kuettner A, Trabold T, Schroeder S, et al. Noninvasive detection of coronary lesions using 16-detector multislice spiral computed tomography technology: initial clinical results. J Am Coll Cardiol. 2004;44(6):1230–1237
  8. Heuschmid M, Burgstahler C, Reimann A, 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(4):587–592
  9. Leschka S, Alkadhi H, Plass A, et al. Accuracy of MSCT coronary angiography with 64-slice technology: first experience. Eur Heart J. 2005;26(15):1482–1487
  10. Berman DS, Hachamovitch R, Shaw LJ, et al. Roles of nuclear cardiology, cardiac computed tomography, and cardiac magnetic resonance: noninvasive risk stratification and a conceptual framework for the selection of noninvasive imaging tests in patients with known or suspected coronary artery disease. J Nucl Med. 2006;47(7):1107–1118
  11. Achenbach S, Ropers D, Kuettner A, et al. Contrast-enhanced coronary artery visualization by dual-source computed tomography—initial experience. Eur J Radiol. 2006;57(3):331–335
  12. Achenbach S, Anders K, Kalender WA. Dual-source cardiac computed tomography: image quality and dose considerations. Eur Radiol. 2008;
  13. Mitka M. CT angiography: clearer picture, Fuzzier reception. JAMA. 2006;295(17):1989–1990
  14. Huda W, Sandison GA. Estimation of mean organ doses in diagnostic radiology from Rando phantom measurements. Health Phys. 1984;47(3):463–467
  15. Zankl M, Panzer W, Drexler G. The calculation of dose from external photon exposure using reference human phantoms and Monte Carlo methods. Part VI. Organ doses from computed tomographic examinations. GSF-Bericht 30/91. GSF-Forschungszentrum für Umwelt und Gesundheit, Oberschleißheim; 1991.
  16. Trabold T, Buchgeister M, Kuttner A, et al. Estimation of radiation exposure in 16-detector row computed tomography of the heart with retrospective ECG-gating. Rofo. 2003;175(8):1051–1055
  17. Hohl C, Suess C, Wildberger JE, et al. Dose reduction during CT fluoroscopy: phantom study of angular beam modulation. Radiology. 2008;246(2):519–525
  18. The 2007 Recommendations of the International Commission on Radiological Protection . ICRP publication 103. Ann ICRP. 2007;37(2–4):1–332
  19. Theocharopoulos N, Damilakis J, Perisinakis K, et al. Energy imparted-based estimates of the effect of z overscanning on adult and pediatric patient effective doses from multi-slice computed tomography. Med Phys. 2007;34(4):1139–1152
  20. 1990 Recommendations of the International Commission on Radiological Protection . Ann ICRP. 1991;21(1–3):1–201
  21. Paramsothy P, Knopp RH. Metabolic syndrome in women of childbearing age and pregnancy: recognition and management of dyslipidemia. Metab Syndr Relat Disord. 2005;3(3):250–258
  22. Yoshimura N, Sabir A, Kubo T, et al. Correlation between image noise and body weight in coronary CTA with 16-row MDCT. Acad Radiol. 2006;13(3):324–328
  23. Althen JN. Automatic tube-current modulation in CT—a comparison between different solutions. Radiat Prot Dosimetry. 2005;114(1–3):308–312
  24. Primak AN, McCollough CH, Bruesewitz MR, et al. Relationship between noise, dose, and pitch in cardiac multi-detector row CT. Radiographics. 2006;26(6):1785–1794
  25. Kalra MK, Maher MM, Toth TL, et al. Strategies for CT radiation dose optimization. Radiology. 2004;230(3):619–628
  26. Brodoefel H, Burgstahler C, Tsiflikas I, et al. Dual-source CT: effect of heart rate, heart rate variability, and calcification on image quality and diagnostic accuracy. Radiology. 2008;
  27. Johnson TR, Nikolaou K, Wintersperger BJ, et al. Dual-source CT cardiac imaging: initial experience. Eur Radiol. 2006;16(7):1409–1415
  28. Poll LW, Cohnen M, Brachten S, et al. Dose reduction in multi-slice CT of the heart by use of ECG-controlled tube current modulation (“ECG pulsing”): phantom measurements. Rofo. 2002;174(12):1500–1505
  29. Jakobs TF, Becker CR, Ohnesorge B, et al. Multislice helical CT of the heart with retrospective ECG gating: reduction of radiation exposure by ECG-controlled tube current modulation. Eur Radiol. 2002;12(5):1081–1086
  30. Flohr T, Kuttner A, Bruder H, et al. Performance evaluation of a multi-slice CT system with 16-slice detector and increased gantry rotation speed for isotropic submillimeter imaging of the heart. Herz. 2003;28(1):7–19
  31. Hohl C, Muhlenbruch G, Wildberger JE, et al. Estimation of radiation exposure in low-dose multislice computed tomography of the heart and comparison with a calculation program. Eur Radiol. 2006;16(8):1841–1846
  32. Horiguchi J, Kiguchi M, Fujioka C, et al. Radiation dose, image quality, stenosis measurement, and CT densitometry using ECG-triggered coronary 64-MDCT angiography: a phantom study. Am J Roentgenol. 2008;190(2):315–320
  33. Wang M, Qi HT, Wang XM, et al. Dose performance and image quality: dual source CT versus single source CT in cardiac CT angiography. Eur J Radiol. 2008;

PII: S0720-048X(08)00591-3

doi: 10.1016/j.ejrad.2008.10.033

European Journal of Radiology
Volume 73, Issue 2 , Pages 274-279 , February 2010