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Comparison of non-gated vs. ECG-gated CT angiography of fontan circulation in patients with implanted stents in pulmonary branches
M. Kardoš, J. Mikuláš, I. Vulev, J. Mašura
Language English Country Czech Republic
Document type Comparative Study, Journal Article
Digital library NLK
Volume
Source
NLK
Directory of Open Access Journals
from 1997
Free Medical Journals
from 1997
Open Access Digital Library
from 1997-01-01
Medline Complete (EBSCOhost)
from 2012-06-01
ROAD: Directory of Open Access Scholarly Resources
from 1997
- MeSH
- Artifacts MeSH
- Pulmonary Artery diagnostic imaging MeSH
- Computed Tomography Angiography methods MeSH
- Radiation Dosage MeSH
- Child MeSH
- Electrocardiography methods MeSH
- Fontan Procedure methods MeSH
- Humans MeSH
- Adolescent MeSH
- Graft Occlusion, Vascular diagnostic imaging MeSH
- Child, Preschool MeSH
- Retrospective Studies MeSH
- Stents * MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Child, Preschool MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Comparative Study MeSH
BACKGROUND: Motion artifacts may degrade CT examination of Fontan pathway and hinder accurate diagnosis of in-stent restenosis. PURPOSE: We retrospectively compared ECG-gated multi-detector computed tomography (CT) with non-ECG-gated CT in order to demonstrate whether or not one of the methods should be preferred. METHOD: The study included 13 patients with surgically reconstructed Fontan pathway. A total of 16 CT examinations were performed between February 2010 and November 2015.The incidence of motion artifacts in Fontan pathway and pulmonary branches were analysed subjectively by two readers. The effective dose for each examination was calculated. RESULTS: Just in one non-gated CT examination was evidence of motion artifact in distal part of left pulmonary artery. The mean normalized effective radiation dose was 2.33 mSv (±0.62) for the non-ECG-gated scans and 4.55 mSv (±0.85) for the ECG-gated scans (p ≤ 0.05). CONCLUSION: Non-gated CT angiography with single phase reconstruction significantly reduces radiation dose without loss of image quality compared with ECG-gated CT angiography.
Department of Diagnostic and Interventional Radiology National Heart Institute Bratislava Slovakia
Department of Functional Diagnostics Children's Cardiac Center Bratislava Slovakia
References provided by Crossref.org
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