کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2964566 1178699 2011 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A comparison of reconstruction and viewing parameters on image quality and accuracy of stress myocardial CT perfusion
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
A comparison of reconstruction and viewing parameters on image quality and accuracy of stress myocardial CT perfusion
چکیده انگلیسی

BackgroundMyocardial stress computed tomography perfusion (CTP) has similar diagnostic accuracy for detecting perfusion defects (PDs) versus single-photon emission computed tomography (SPECT). However, the optimal diagnostic viewing and image processing parameters for CTP are unknown.ObjectiveWe sought to compare the diagnostic accuracy of different image processing techniques, cardiac phases, slice thicknesses, and viewing parameters for detection of PDs.MethodsA stress and rest dual-source CTP protocol was performed with adenosine. Twelve subjects with severe stenosis proven by quantitative coronary angiography (QCA), with corresponding territorial defects at SPECT, were selected as well as 7 controls (subjects with similar clinical suspicion but negative QCA and SPECT). Short-axis stress images were processed with 3 techniques: minimum intensity projection (MinIP), maximum intensity projection, and average intensity multiplanar reconstruction (MPR), 3 thicknesses (1, 3, 8 mm), and 2 phases (systolic, mid-diastolic). The resulting images (n = 1026) were randomized and interpreted by independent readers.ResultsDiastolic reconstructions (8-mm MPR) showed the highest sensitivity (81%) to detect true PDs. The highest accuracy was achieved with the 8-mm (61%) and 1-mm (61%) MPR diastolic images. The most sensitive and accurate systolic reconstructions were 3-mm MinIP images. These findings related to viewing in relatively narrow window width and window level settings.ConclusionViewing parameters for optimal accuracy in detection of perfusion defects on CTP differ for systolic and diastolic images.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Cardiovascular Computed Tomography - Volume 5, Issue 6, November–December 2011, Pages 459–466
نویسندگان
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