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Comparison of Image Quality in Contrast-enhanced Coronary-artery Visualization by Electron Beam Tomography and Retrospectively Electrocardiogram-gated Multislice Spiral Computed Tomography

Overview
Journal Invest Radiol
Specialty Radiology
Date 2003 Jan 25
PMID 12544075
Citations 26
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Abstract

Rationale And Objectives: To compare the image quality of electron beam tomography (EBT) and multislice spiral CT (MSCT) for coronary artery visualization.

Materials And Methods: Two groups of 30 patients without coronary stenoses were studied by MSCT (4 x 1 mm collimation) or EBT (3 mm slice thickness). Contrast-to-noise ratio (CNR), overall length of the visualized arteries and vessel length free of motion artifacts were measured.

Results: Length of visualized arteries was equal in MSCT and EBT. In EBT, longer segments were depicted free of motion artifacts (MSCT: 73%, EBT: 92% of visualized length, P< 0.001) and CNR was significantly higher than in MSCT (15.4 vs. 9.0; P< 0.001). In both modalities, vessel diameters correlated closely to quantitative coronary angiography.

Conclusions: EBT and MSCT permit reliable coronary artery visualization and measurement of vessel diameters. For the used scan protocol, MSCT images had a lower CNR and were more frequently affected by motion.

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