Source:http://linkedlifedata.com/resource/pubmed/id/17763855
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
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| pubmed:dateCreated |
2008-2-4
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| pubmed:abstractText |
The purpose of this study was to evaluate chest CTA protocol using retrospective ECG-gating and triphasic IV contrast regimen for comprehensive evaluation of patients with acute non-specific chest pain. ECG-triggered dose modulation was used with a 64-MDCT scanner in 56 non-critically ill patients with acute nonspecific chest pain using triphasic IV regimen: 50 ml contrast followed by 50 ml 60% contrast/saline and 30 ml normal saline. Lungs, aorta, pulmonary and coronary arteries were graded on a 5-point scale (5, best). Aorta and pulmonary artery attenuation was measured and three coronary artery groups were evaluated. Comparison with invasive coronary angiography was obtained in nine patients on a per segment (16 total) basis. Dosimetry values were obtained. Studies were satisfactory in all patients (score >3). Aorta and pulmonary artery attenuation was >200 HU in 90.5%. Lung or pleura, non-cardiac vascular and coronary arteries disease were detected in 20, 11 and 16 patients, respectively. Median coronary angiography (grade 5) was significantly higher than acceptable for diagnosis grade 4 (p < 0.001). Per segment, weighted kappa statistic was 0.79 indicating substantial agreement with catheter angiography (p<0.001). Average DLP was 1,490 +/- 412 mGy-cm. Gated 64-MDCT angiography with triphasic IV contrast is a robust multipurpose technique for patients with acute non-specific chest pain.
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| pubmed:commentsCorrections | |
| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:chemical | |
| pubmed:status |
MEDLINE
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| pubmed:month |
Feb
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| pubmed:issn |
0938-7994
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| pubmed:author | |
| pubmed:issnType |
Print
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| pubmed:volume |
18
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| pubmed:owner |
NLM
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| pubmed:authorsComplete |
Y
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| pubmed:pagination |
308-17
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| pubmed:meshHeading |
pubmed-meshheading:17763855-Acute Disease,
pubmed-meshheading:17763855-Aortography,
pubmed-meshheading:17763855-Chest Pain,
pubmed-meshheading:17763855-Contrast Media,
pubmed-meshheading:17763855-Coronary Angiography,
pubmed-meshheading:17763855-Coronary Artery Disease,
pubmed-meshheading:17763855-Electrocardiography,
pubmed-meshheading:17763855-Humans,
pubmed-meshheading:17763855-Lung,
pubmed-meshheading:17763855-Lung Diseases,
pubmed-meshheading:17763855-Middle Aged,
pubmed-meshheading:17763855-Observer Variation,
pubmed-meshheading:17763855-Pleural Diseases,
pubmed-meshheading:17763855-Pulmonary Artery,
pubmed-meshheading:17763855-Radiographic Image Enhancement,
pubmed-meshheading:17763855-Sodium Chloride,
pubmed-meshheading:17763855-Tomography, X-Ray Computed,
pubmed-meshheading:17763855-Triiodobenzoic Acids,
pubmed-meshheading:17763855-Vascular Diseases
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| pubmed:year |
2008
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| pubmed:articleTitle |
ECG-gated chest CT angiography with 64-MDCT and tri-phasic IV contrast administration regimen in patients with acute non-specific chest pain.
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| pubmed:affiliation |
Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA. dlitmano@bidmc.harvard.edu
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| pubmed:publicationType |
Journal Article,
Evaluation Studies
|