African Health Sciences
Makerere University Medical School
Vol. 15, No. 3, 2015, pp. 925-930
Bioline Code: hs15126
Full paper language: English
Document type: Research Article
Document available free of charge
African Health Sciences, Vol. 15, No. 3, 2015, pp. 925-930
© Copyright 2015 - African Health Sciences
The comparison of high and standard definition computed tomography techniques regarding coronary artery imaging|
Aykut, Aktas; Bumin, Degirmenci; Omer, Yilmaz; Musta, faKayan; Meltem, Cetin; Orhan, Celik; Nisa, Unlu; Hikmet, Orhan; Hakan, Demirtas & Mert, Koroglu
Objective: The aim was to compare coronary high-definition CT (HDCT) with standard-definition CT (SDCT) angiography
as to radiation dose, image quality and accuracy.
Material and Methods: 28 patients with history of coronary artery disease scanned by HDCT (Discovery CT750 HD) and
SDCT (Somatom Definition AS). The scan modes were both axial prospective ECG-triggered. The vessel diameters and
vessel attenuation values of totally 280 measurements from 140 coronary arteries were analyzed by two experienced radiologists.
All data was analyzed by intraclass correlation test. Image quality graded by motion and stair step artifacts (grade 1,
poor, to grade 4, excellent), accuracy of vessel inner and outer diameters were compared between the two CT units using the
independent samples t-test and Mann-Whitney U test.
Results: The intraclass correlation coefficient (ICC) of measured vessel attenuation values in SDCT between the two radiologists
was exceedingly good. The ICC was higher in HDCT. The radiation dose of HDCT was higher than that of SDCT.
The mean tube current was 180 (mA) in HDCT and 147(mA) in SDCT with the same tube voltage (kVp). There was no
significant difference between image quality.
Conclusion: HDCT has a higher radiation dose but has much more atenuation and the spatial resolution which improve
measurement accuracy for imaging coronary arteries.
Coronary Arteries, Computerised Tomography, Angiography