Defining the optimal systolic phase targets using absolute delay time for reconstructions in dual-source coronary CT angiography

The International Journal of Cardiovascular Imaging
Csilla CelengBrian Ghoshhajra

Abstract

To define the optimal systolic phase for dual-source computed tomography angiography using an absolute reconstruction delay time after the R-R interval based on the coronary artery motion, we analyzed images reconstructed between 200 and 420 miliseconds (ms) after the R wave at 20 ms increments in 21 patients. Based on the American Heart Association coronary segmentation guidelines, the origin of six coronary artery landmarks (RCA, AM1, PDA, LM, OM1, and D2) were selected to calculate the coronary artery motion velocity. The velocity of the given landmark was defined as the quotient of the route and the length of the time interval. The x, y and z-coordinates of the selected landmark were recorded, and were used for the calculation of the 3D route of coronary artery motion by using a specific equation. Differences in velocities were assessed by analysis of variance for repeated measures; Bonferroni post hoc tests were used for multiple pair wise comparisons. 1488 landmarks were measured (6 locations at 12 systolic time points) in 21 patients and were analyzed. The mean values of the minimum velocities were calculated separately for each heart rate group (i.e. <65; 65-80; and >80 bpm). The mean lowest coronary artery velocities i...Continue Reading

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Citations

Oct 7, 2015·The International Journal of Cardiovascular Imaging·Sasan PartoviBrian B Ghoshhajra
Aug 10, 2021·Physics and Imaging in Radiation Oncology·Hyeri LeeKyung-Wook Jee

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