<P>Purpose: To investigate image quality, and radiation dose between ECG-gated singlesource
and dual-source CT Angiography (CTA) protocols for planning of Trans-catheter Aortic
Valve Implantation (TAVI) with a reference non ECG-gated single-source protocol.
Methods:
A total of 120 patients were included in four groups: Non ECG-gated single-source (SS),
ECG-gated single-source (SSECG), ECG-gated dual-source high-pitch (DSECG), or non-ECG-gated
dual-source high-pitch mode (DS). Qualitative image quality of the aortic annulus, aortic valve,
and coronary ostia as well as presence of motion or stair-step artefacts of the thoracic aorta were
independently assessed by two readers. Quantitative image quality was assessed to calculate contrast
to noise ratio.
Results:
Subjective and objective scoring of motion artefacts was significantly reduced in SSECG,
DSECG and DS (p= 0.010). The imaging length was comparable between groups. Aortic annulus,
aortic valve, and coronary ostia were reliably evaluable in all patients with SSECG, DSECG and DS
protocols.
Conclusion:
High-pitch, dual-source CT angiography of the whole aorta with or without ECG gating
is a dose-efficient and time-saving examination strategy before TAVI. However acquisition
timing within the cardiac cycle needs to be taken into account.</P>