Importance of the heart rate in ultra-high-resolution coronary CT angiography with 0.35 s gantry rotation time
Purpose We investigated the effects of the heart rate (HR) on the motion artifact in coronary computed tomography angiography (CCTA) with ultra-high-resolution-CT (U-HRCT), and we clarified the upper limit of optimal HR in CCTA with U-HRCT in a comparison with conventional-resolution-CT (CRCT) on a...
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Published in | Japanese journal of radiology Vol. 40; no. 8; pp. 781 - 790 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Singapore
Springer Nature Singapore
01.08.2022
Springer Nature B.V |
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Abstract | Purpose
We investigated the effects of the heart rate (HR) on the motion artifact in coronary computed tomography angiography (CCTA) with ultra-high-resolution-CT (U-HRCT), and we clarified the upper limit of optimal HR in CCTA with U-HRCT in a comparison with conventional-resolution-CT (CRCT) on a cardiac phantom and in patients with CCTA.
Materials and methods
A pulsating cardiac phantom equipped with coronary models was scanned at static and HR simulations of 40–90 beats/min (bpm) at 10-bpm intervals using U-HRCT and CRCT, respectively. The sharpness and lumen diameter of the coronary model were quantitatively compared between U-HRCT and CRCT stratified by HR in the phantom study. We also assessed the visual inspections of clinical images in CCTA with U-HRCT.
Results
At the HRs ≤ 60 bpm, the error of the lumen diameter of the U-HRCT tended to be smaller than that of the CRCT. However, at the HRs > 60 bpm, the inverse was shown. For the image sharpness, the U-HRCT was significantly superior to the CRCT (
p
< 0.05). In the visual assessment, the scores were negatively correlated with HRs in patients (Spearman
r
= − 0.71,
p
< 0.01). A receiver-operating characteristic analysis revealed the HR of 61 bpm as the optimal cutoff of the non-diagnostic image quality, with an area under the curve of 0.87, 95% sensitivity, and 71% specificity.
Conclusion
At HRs ≤ 60 bpm, U-HRCT was more accurate in the imaging of coronary arteries than CRCT. The upper limit of the optimal HR in CCTA with U-HRCT was approx. 60 bpm. |
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AbstractList | Purpose
We investigated the effects of the heart rate (HR) on the motion artifact in coronary computed tomography angiography (CCTA) with ultra-high-resolution-CT (U-HRCT), and we clarified the upper limit of optimal HR in CCTA with U-HRCT in a comparison with conventional-resolution-CT (CRCT) on a cardiac phantom and in patients with CCTA.
Materials and methods
A pulsating cardiac phantom equipped with coronary models was scanned at static and HR simulations of 40–90 beats/min (bpm) at 10-bpm intervals using U-HRCT and CRCT, respectively. The sharpness and lumen diameter of the coronary model were quantitatively compared between U-HRCT and CRCT stratified by HR in the phantom study. We also assessed the visual inspections of clinical images in CCTA with U-HRCT.
Results
At the HRs ≤ 60 bpm, the error of the lumen diameter of the U-HRCT tended to be smaller than that of the CRCT. However, at the HRs > 60 bpm, the inverse was shown. For the image sharpness, the U-HRCT was significantly superior to the CRCT (
p
< 0.05). In the visual assessment, the scores were negatively correlated with HRs in patients (Spearman
r
= − 0.71,
p
< 0.01). A receiver-operating characteristic analysis revealed the HR of 61 bpm as the optimal cutoff of the non-diagnostic image quality, with an area under the curve of 0.87, 95% sensitivity, and 71% specificity.
Conclusion
At HRs ≤ 60 bpm, U-HRCT was more accurate in the imaging of coronary arteries than CRCT. The upper limit of the optimal HR in CCTA with U-HRCT was approx. 60 bpm. PurposeWe investigated the effects of the heart rate (HR) on the motion artifact in coronary computed tomography angiography (CCTA) with ultra-high-resolution-CT (U-HRCT), and we clarified the upper limit of optimal HR in CCTA with U-HRCT in a comparison with conventional-resolution-CT (CRCT) on a cardiac phantom and in patients with CCTA.Materials and methodsA pulsating cardiac phantom equipped with coronary models was scanned at static and HR simulations of 40–90 beats/min (bpm) at 10-bpm intervals using U-HRCT and CRCT, respectively. The sharpness and lumen diameter of the coronary model were quantitatively compared between U-HRCT and CRCT stratified by HR in the phantom study. We also assessed the visual inspections of clinical images in CCTA with U-HRCT.ResultsAt the HRs ≤ 60 bpm, the error of the lumen diameter of the U-HRCT tended to be smaller than that of the CRCT. However, at the HRs > 60 bpm, the inverse was shown. For the image sharpness, the U-HRCT was significantly superior to the CRCT (p < 0.05). In the visual assessment, the scores were negatively correlated with HRs in patients (Spearman r = − 0.71, p < 0.01). A receiver-operating characteristic analysis revealed the HR of 61 bpm as the optimal cutoff of the non-diagnostic image quality, with an area under the curve of 0.87, 95% sensitivity, and 71% specificity.ConclusionAt HRs ≤ 60 bpm, U-HRCT was more accurate in the imaging of coronary arteries than CRCT. The upper limit of the optimal HR in CCTA with U-HRCT was approx. 60 bpm. PURPOSEWe investigated the effects of the heart rate (HR) on the motion artifact in coronary computed tomography angiography (CCTA) with ultra-high-resolution-CT (U-HRCT), and we clarified the upper limit of optimal HR in CCTA with U-HRCT in a comparison with conventional-resolution-CT (CRCT) on a cardiac phantom and in patients with CCTA. MATERIALS AND METHODSA pulsating cardiac phantom equipped with coronary models was scanned at static and HR simulations of 40-90 beats/min (bpm) at 10-bpm intervals using U-HRCT and CRCT, respectively. The sharpness and lumen diameter of the coronary model were quantitatively compared between U-HRCT and CRCT stratified by HR in the phantom study. We also assessed the visual inspections of clinical images in CCTA with U-HRCT. RESULTSAt the HRs ≤ 60 bpm, the error of the lumen diameter of the U-HRCT tended to be smaller than that of the CRCT. However, at the HRs > 60 bpm, the inverse was shown. For the image sharpness, the U-HRCT was significantly superior to the CRCT (p < 0.05). In the visual assessment, the scores were negatively correlated with HRs in patients (Spearman r = - 0.71, p < 0.01). A receiver-operating characteristic analysis revealed the HR of 61 bpm as the optimal cutoff of the non-diagnostic image quality, with an area under the curve of 0.87, 95% sensitivity, and 71% specificity. CONCLUSIONAt HRs ≤ 60 bpm, U-HRCT was more accurate in the imaging of coronary arteries than CRCT. The upper limit of the optimal HR in CCTA with U-HRCT was approx. 60 bpm. We investigated the effects of the heart rate (HR) on the motion artifact in coronary computed tomography angiography (CCTA) with ultra-high-resolution-CT (U-HRCT), and we clarified the upper limit of optimal HR in CCTA with U-HRCT in a comparison with conventional-resolution-CT (CRCT) on a cardiac phantom and in patients with CCTA. A pulsating cardiac phantom equipped with coronary models was scanned at static and HR simulations of 40-90 beats/min (bpm) at 10-bpm intervals using U-HRCT and CRCT, respectively. The sharpness and lumen diameter of the coronary model were quantitatively compared between U-HRCT and CRCT stratified by HR in the phantom study. We also assessed the visual inspections of clinical images in CCTA with U-HRCT. At the HRs ≤ 60 bpm, the error of the lumen diameter of the U-HRCT tended to be smaller than that of the CRCT. However, at the HRs > 60 bpm, the inverse was shown. For the image sharpness, the U-HRCT was significantly superior to the CRCT (p < 0.05). In the visual assessment, the scores were negatively correlated with HRs in patients (Spearman r = - 0.71, p < 0.01). A receiver-operating characteristic analysis revealed the HR of 61 bpm as the optimal cutoff of the non-diagnostic image quality, with an area under the curve of 0.87, 95% sensitivity, and 71% specificity. At HRs ≤ 60 bpm, U-HRCT was more accurate in the imaging of coronary arteries than CRCT. The upper limit of the optimal HR in CCTA with U-HRCT was approx. 60 bpm. |
Author | Kondo, Masatoshi Mikayama, Ryoji Nishie, Akihiro Shirasaka, Takashi Sakai, Yuki Kojima, Tsukasa Ishigami, Kousei Yabuuchi, Hidetake Hamasaki, Hiroshi Yamasaki, Yuzo Kato, Toyoyuki |
Author_xml | – sequence: 1 givenname: Tsukasa orcidid: 0000-0002-9673-2147 surname: Kojima fullname: Kojima, Tsukasa email: kojima.tsukasa.929@m.kyushu-u.ac.jp organization: Division of Radiology, Department of Medical Technology, Kyushu University Hospital, Department of Health Sciences, Graduate School of Medical Sciences, Kyushu University – sequence: 2 givenname: Takashi surname: Shirasaka fullname: Shirasaka, Takashi organization: Division of Radiology, Department of Medical Technology, Kyushu University Hospital – sequence: 3 givenname: Yuzo surname: Yamasaki fullname: Yamasaki, Yuzo organization: Departments of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University – sequence: 4 givenname: Masatoshi surname: Kondo fullname: Kondo, Masatoshi organization: Division of Radiology, Department of Medical Technology, Kyushu University Hospital – sequence: 5 givenname: Hiroshi surname: Hamasaki fullname: Hamasaki, Hiroshi organization: Division of Radiology, Department of Medical Technology, Kyushu University Hospital – sequence: 6 givenname: Ryoji surname: Mikayama fullname: Mikayama, Ryoji organization: Division of Radiology, Department of Medical Technology, Kyushu University Hospital – sequence: 7 givenname: Yuki surname: Sakai fullname: Sakai, Yuki organization: Division of Radiology, Department of Medical Technology, Kyushu University Hospital – sequence: 8 givenname: Toyoyuki surname: Kato fullname: Kato, Toyoyuki organization: Division of Radiology, Department of Medical Technology, Kyushu University Hospital – sequence: 9 givenname: Akihiro surname: Nishie fullname: Nishie, Akihiro organization: Departments of Radiology, Graduate School of Medical Science, University of the Ryukyus – sequence: 10 givenname: Kousei surname: Ishigami fullname: Ishigami, Kousei organization: Departments of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University – sequence: 11 givenname: Hidetake surname: Yabuuchi fullname: Yabuuchi, Hidetake organization: Department of Health Sciences, Faculty of Medical Sciences, Kyushu University |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35396666$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1148_ryct_230085 crossref_primary_10_4103_jmp_jmp_163_23 crossref_primary_10_1016_j_diii_2023_06_011 crossref_primary_10_1007_s00330_023_10228_8 crossref_primary_10_3390_jcdd10100424 |
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Keywords | Heart rate Motion artifact Ultra-high-resolution computed tomography Coronary computed tomography angiography Coronary artery |
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We investigated the effects of the heart rate (HR) on the motion artifact in coronary computed tomography angiography (CCTA) with... We investigated the effects of the heart rate (HR) on the motion artifact in coronary computed tomography angiography (CCTA) with ultra-high-resolution-CT... PurposeWe investigated the effects of the heart rate (HR) on the motion artifact in coronary computed tomography angiography (CCTA) with... PURPOSEWe investigated the effects of the heart rate (HR) on the motion artifact in coronary computed tomography angiography (CCTA) with... |
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SubjectTerms | Angiography Computed tomography Coronary artery Heart rate High resolution Image quality Imaging Medical imaging Medicine Medicine & Public Health Nuclear Medicine Original Article Radiology Radiotherapy Sharpness |
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Title | Importance of the heart rate in ultra-high-resolution coronary CT angiography with 0.35 s gantry rotation time |
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