Coronary computed tomography angiography with prospective electrocardiography triggering: a systematic review of image quality and radiation dose

The purpose of this study was to perform a systematic review of the diagnostic accuracy, image quality and radiation dose of prospective electrocardiography (ECG)-triggered coronary computed tomography angiography (CCTA).We searched databases containing studies of CCTA that used prospective ECG-trig...

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Main Authors: Sabarudin, Akmal, Sun, Zhonghua, Ng, Kwan-Hoong
Format: Journal Article
Published: Singapore Medical Association 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/44257
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author Sabarudin, Akmal
Sun, Zhonghua
Ng, Kwan-Hoong
author_facet Sabarudin, Akmal
Sun, Zhonghua
Ng, Kwan-Hoong
author_sort Sabarudin, Akmal
building Curtin Institutional Repository
collection Online Access
description The purpose of this study was to perform a systematic review of the diagnostic accuracy, image quality and radiation dose of prospective electrocardiography (ECG)-triggered coronary computed tomography angiography (CCTA).We searched databases containing studies of CCTA that used prospective ECG-triggering between 2008 and 2011. The effective dose and image quality reported in each study were analysed and compared between the types of multislice CT scanners. We identified 23 studies through this search, with mean assessable coronary segments and effective dose at 96.8% (95% confidence level [CI] 83%, 100%) and 3.6 mSv (95% CI 2.9, 4.3 mSv), respectively. Both quantitative and qualitative assessments of image quality indicated that image quality was achieved in studies using prospective ECG-triggered CCTA, regardless of the type of CT scanners. The pooled estimates of diagnostic values were more than90% for patient-, vessel- and segment-based assessments. Prospective ECG-triggered CCTA results in high diagnostic accuracy and image quality, with a significantly low radiation dose.
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spelling curtin-20.500.11937-442572017-01-30T15:13:04Z Coronary computed tomography angiography with prospective electrocardiography triggering: a systematic review of image quality and radiation dose Sabarudin, Akmal Sun, Zhonghua Ng, Kwan-Hoong coronary artery disease image quality prospective ECG-triggering coronary CT angiography radiation dose The purpose of this study was to perform a systematic review of the diagnostic accuracy, image quality and radiation dose of prospective electrocardiography (ECG)-triggered coronary computed tomography angiography (CCTA).We searched databases containing studies of CCTA that used prospective ECG-triggering between 2008 and 2011. The effective dose and image quality reported in each study were analysed and compared between the types of multislice CT scanners. We identified 23 studies through this search, with mean assessable coronary segments and effective dose at 96.8% (95% confidence level [CI] 83%, 100%) and 3.6 mSv (95% CI 2.9, 4.3 mSv), respectively. Both quantitative and qualitative assessments of image quality indicated that image quality was achieved in studies using prospective ECG-triggered CCTA, regardless of the type of CT scanners. The pooled estimates of diagnostic values were more than90% for patient-, vessel- and segment-based assessments. Prospective ECG-triggered CCTA results in high diagnostic accuracy and image quality, with a significantly low radiation dose. 2013 Journal Article http://hdl.handle.net/20.500.11937/44257 Singapore Medical Association restricted
spellingShingle coronary artery disease
image quality
prospective ECG-triggering
coronary CT angiography
radiation dose
Sabarudin, Akmal
Sun, Zhonghua
Ng, Kwan-Hoong
Coronary computed tomography angiography with prospective electrocardiography triggering: a systematic review of image quality and radiation dose
title Coronary computed tomography angiography with prospective electrocardiography triggering: a systematic review of image quality and radiation dose
title_full Coronary computed tomography angiography with prospective electrocardiography triggering: a systematic review of image quality and radiation dose
title_fullStr Coronary computed tomography angiography with prospective electrocardiography triggering: a systematic review of image quality and radiation dose
title_full_unstemmed Coronary computed tomography angiography with prospective electrocardiography triggering: a systematic review of image quality and radiation dose
title_short Coronary computed tomography angiography with prospective electrocardiography triggering: a systematic review of image quality and radiation dose
title_sort coronary computed tomography angiography with prospective electrocardiography triggering: a systematic review of image quality and radiation dose
topic coronary artery disease
image quality
prospective ECG-triggering
coronary CT angiography
radiation dose
url http://hdl.handle.net/20.500.11937/44257