Coronary CT Angiography with Use of Iterative Reconstruction Algorithm in Coronary Stenting: A Systematic Review of Image Quality, Diagnostic Value and Radiation Dose

The aim of this study was to perform a systematic review of the image quality, diagnostic value and radiation dose of coronary CT angiography with use of iterative reconstruction (IR) in the assessment of coronary stents when compared to the standard filtered back-projection (FBP) techniques. A se...

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Main Authors: Shammakhi, A., Sun, Zhonghua
Format: Journal Article
Published: American Scientific Publishers 2015
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/15940
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author Shammakhi, A.
Sun, Zhonghua
author_facet Shammakhi, A.
Sun, Zhonghua
author_sort Shammakhi, A.
building Curtin Institutional Repository
collection Online Access
description The aim of this study was to perform a systematic review of the image quality, diagnostic value and radiation dose of coronary CT angiography with use of iterative reconstruction (IR) in the assessment of coronary stents when compared to the standard filtered back-projection (FBP) techniques. A search of medical databases of English literature was performed to identify studies comparing coronary CT angiography with use of IR and FBP techniques in coronary stenting. Qualitative and quantitative assessment of image quality, diagnostic accuracy and radiation dose associated with coronary CT angiography were analyzed and compared between the two reconstruction algorithms. Ten studies met selection criteria and were included in the analysis. In comparison with FBP, coronary CT angiography with use of IR showed improvement in image quality through both qualitative and quantitative analysis. The IR technique resulted in higher diagnostic value than that of FBP with the mean sensitivity, specificity and accuracy being 98%, 77.4% and 80.1% for IR technique, and 90.5%, 68.2%, and 68.6% for FBP approach, respectively, with significant difference reached in the specificity and accuracy (p <005). Furthermore, there was significantly lower dose with use of IR compared to FBP technique (4.4 mSv vs. 7.0 mSv). Coronary CT angiography with use of IR algorithm leads to significant improvements in the assessment of coronary stents with much lower radiation dose.
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spelling curtin-20.500.11937-159402017-09-13T14:08:01Z Coronary CT Angiography with Use of Iterative Reconstruction Algorithm in Coronary Stenting: A Systematic Review of Image Quality, Diagnostic Value and Radiation Dose Shammakhi, A. Sun, Zhonghua Coronary Stents - Image Quality Coronary CT Angiography Iterative Reconstruction Filtered Back-Projection Radiation Dose The aim of this study was to perform a systematic review of the image quality, diagnostic value and radiation dose of coronary CT angiography with use of iterative reconstruction (IR) in the assessment of coronary stents when compared to the standard filtered back-projection (FBP) techniques. A search of medical databases of English literature was performed to identify studies comparing coronary CT angiography with use of IR and FBP techniques in coronary stenting. Qualitative and quantitative assessment of image quality, diagnostic accuracy and radiation dose associated with coronary CT angiography were analyzed and compared between the two reconstruction algorithms. Ten studies met selection criteria and were included in the analysis. In comparison with FBP, coronary CT angiography with use of IR showed improvement in image quality through both qualitative and quantitative analysis. The IR technique resulted in higher diagnostic value than that of FBP with the mean sensitivity, specificity and accuracy being 98%, 77.4% and 80.1% for IR technique, and 90.5%, 68.2%, and 68.6% for FBP approach, respectively, with significant difference reached in the specificity and accuracy (p <005). Furthermore, there was significantly lower dose with use of IR compared to FBP technique (4.4 mSv vs. 7.0 mSv). Coronary CT angiography with use of IR algorithm leads to significant improvements in the assessment of coronary stents with much lower radiation dose. 2015 Journal Article http://hdl.handle.net/20.500.11937/15940 10.1166/jmihi.2015.1365 American Scientific Publishers restricted
spellingShingle Coronary Stents
- Image Quality
Coronary CT Angiography
Iterative Reconstruction
Filtered Back-Projection
Radiation Dose
Shammakhi, A.
Sun, Zhonghua
Coronary CT Angiography with Use of Iterative Reconstruction Algorithm in Coronary Stenting: A Systematic Review of Image Quality, Diagnostic Value and Radiation Dose
title Coronary CT Angiography with Use of Iterative Reconstruction Algorithm in Coronary Stenting: A Systematic Review of Image Quality, Diagnostic Value and Radiation Dose
title_full Coronary CT Angiography with Use of Iterative Reconstruction Algorithm in Coronary Stenting: A Systematic Review of Image Quality, Diagnostic Value and Radiation Dose
title_fullStr Coronary CT Angiography with Use of Iterative Reconstruction Algorithm in Coronary Stenting: A Systematic Review of Image Quality, Diagnostic Value and Radiation Dose
title_full_unstemmed Coronary CT Angiography with Use of Iterative Reconstruction Algorithm in Coronary Stenting: A Systematic Review of Image Quality, Diagnostic Value and Radiation Dose
title_short Coronary CT Angiography with Use of Iterative Reconstruction Algorithm in Coronary Stenting: A Systematic Review of Image Quality, Diagnostic Value and Radiation Dose
title_sort coronary ct angiography with use of iterative reconstruction algorithm in coronary stenting: a systematic review of image quality, diagnostic value and radiation dose
topic Coronary Stents
- Image Quality
Coronary CT Angiography
Iterative Reconstruction
Filtered Back-Projection
Radiation Dose
url http://hdl.handle.net/20.500.11937/15940