Comparison of CT Angiography Using Prospectively ECG-Gated Wide-Volume 320-Row CT and Conventional Helical CT Angiography in the Evaluation of Suspected Aortic Dissection, and the Potential Utility for “Triple Rule-Out” Examinations

2016 ◽  
Vol 6 (1) ◽  
pp. 185-188
Author(s):  
Jia-Huan Wang ◽  
Fei Zhou ◽  
Baochun Wei ◽  
Bingbing Sui ◽  
Su Yan ◽  
...  
2016 ◽  
Vol 58 (5) ◽  
pp. 521-527 ◽  
Author(s):  
Hyun Su Kim ◽  
Sung Mok Kim ◽  
Min Jae Cha ◽  
Yoo Na Kim ◽  
Hae Jin Kim ◽  
...  

Background Triple rule-out computed tomography (TRO CT) is a CT protocol designed to simultaneously evaluate the coronary, aorta, and pulmonary arteries. Purpose To evaluate potential diagnostic performance of TRO CT with restricted volume coverage for detection of pulmonary thromboembolism (PTE) and aortic dissection (AD). Material and Methods This study included 1224 consecutive patients with acute chest pain who visited the emergency department and underwent TRO CT using a 128-slice dual-source CT. Image data were reconstructed according to the display field of view (DFOV) of coronary CT angiography (CCTA) and TRO CT protocols in each patient. The presence of PTE and AD was evaluated by independent observers in each DFOV. The radiation dose was calculated to evaluate the potential benefits by restricting z-axis coverage to cardiac scan range instead of the whole thorax. Results Among all patients, 22 cases with PTE (1.9%) and nine cases with AD (0.8%) were found. Except for one PTE case, all cases were detected on both DFOV of TRO CT and CCTA. Mean effective dose for evaluation of entire thorax and cardiac scan coverage were 5.9 ± 1.1 mSv and 3.5 ± 0.7 mSv, respectively. Conclusion Isolated PTE and AD outside the CCTA DFOV rarely occur. Therefore, modified TRO CT protocol using cardiac scan coverage can be adopted to detect PTE and AD with reduced radiation dose.


2001 ◽  
Vol 11 (8) ◽  
pp. 1371-1373 ◽  
Author(s):  
Arshid Azarine ◽  
Christophe Lions ◽  
Mohamed Koussa ◽  
Jean-Paul Beregi

Radiographics ◽  
1999 ◽  
Vol 19 (6) ◽  
pp. 1573-1583 ◽  
Author(s):  
Manfred Tillich ◽  
Klaus A. Hausegger ◽  
Kurt Tiesenhausen ◽  
Josef Tauss ◽  
Reinhard Groell ◽  
...  

1998 ◽  
Vol 171 (3) ◽  
pp. 579-585 ◽  
Author(s):  
C Beigelman ◽  
C Chartrand-Lefebvre ◽  
N Howarth ◽  
P Grenier

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