Image Quality and Reconstruction Intervals of Dual-Source CT Coronary Angiography: Recommendations for ECG-Pulsing Windowing

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Abstract

Purpose:

To evaluate reconstruction intervals and image quality in dual-source computed tomography (DSCT) coronary angiography for optimal placement of the ECG-pulsing window.

Materials and Methods:

DSCT coronary angiography was performed in 60 patients. Thirteen datasets were reconstructed in 5% increments from 20–80%. Two readers independently assessed image quality of each segment in each percentage-interval, using scores ranging from 1 (no motion artifacts) to 4 (nonevaluable).

Results:

Mean heart rate (HR) was 69.0 ± 18.9 beats per minute (bpm) (range, 35–117 bpm). Diagnostic image quality (scores 1–3) was found in 97.8% of all segments (763 of 780). The 70% RR-interval provided best image quality in all patients and all HRs. The narrowest reconstruction window providing diagnostic image quality was 60–70% for HR <60 bpm, 60–80% for 60–70 bpm, 55–80% for 70–80 bpm, and 30–80% for HR >80 bpm.

Conclusions:

DSCT coronary angiography provides best image quality for various HRs at 70%. The ECG-pulsing window can be adapted according to the HR while maintaining diagnostic image quality.

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