Our mission is to become a worldwide reference for education in the field for all professionals involved in the process to disseminate knowledge & skills of Acute Cardiovascular Care.
Our mission is to promote excellence in clinical diagnosis, research, technical development, and education in cardiovascular imaging in Europe.
Our mission is to promote excellence in research, practice, education and policy in cardiovascular health, primary and secondary prevention.
Our mission is to reduce the burden of cardiovascular disease through percutaneous cardiovascular interventions.
Improving the quality of life and reducing sudden cardiac death by limiting the impact of heart rhythm disturbances.
Our mission is to improve quality of life and longevity, through better prevention, diagnosis and treatment of heart failure, including the establishment of networks for its management, education and research.
The ESC Working Groups' goal is to stimulate and disseminate scientific knowledge in different fields of cardiology.
The ESC Councils' goal is to share knowledge among medical professionals practising in specific cardiology domains.
To prospectively investigate computed tomographic (CT) image quality parameters by using different protocols and to calculate radiation dose estimates for noninvasive coronary angiography performed with dual-source CT in the step-and-shoot (SAS) mode.
This study was local ethics board approved; written informed consent was obtained from all patients. In the preliminary portion of the study, 40 patients underwent CT coronary angiography in the SAS mode: at 100 kV (protocol A) in 22 patients with a body mass index (BMI) of less than 25 kg/m2 and at 120 kV (protocol B) in 18
patients with a BMI of 25–30 kg/m2. Both protocols involved use of an attenuation-based tube current and 1 mL
of contrast material per kilogram of body weight. The final portion of the study involved 50 additional patients: 21
patients with a BMI of 25–30 kg/cm2 assigned to protocol B and 29 patients with a BMI of less than 25 kg/cm2 assigned to protocol C, which was performed with 100 kV, an attenuation-based tube current, and a reduced contrast
material dose of 0.8 mL/kg. Image quality was independently assessed. Attenuation in the aorta and coronary arteries and image noise were measured. Radiation dose was estimated.
Mean image noise was similar with protocols A and B. Mean attenuation in the aorta and coronary arteries with protocol A (444 HU) was significantly (P _ .001) higher than that with protocol B (358 HU). The reduced contrast
material dose in protocol C yielded attenuation similar to that with protocol B. Diagnostic image quality was
achieved with all protocols in 1237 (97.9%) of 1264 coronary segments. No significant differences in image quality
between the 100- and 120-kV protocols were found. Mean heart rate had a significant effect on motion artifacts (area
under receiver operating characteristic curve [AUC] _0.818; 95% confidence interval [CI]: 0.723, 0.892; P _.001), whereas heart rate variability had a significant effect on stair-step artifacts (AUC _ 0.79; 95% CI: 0.687, 0.865; P _ .001). The mean estimated effective dose was 1.2 mSv _ 0.2 for protocols A and C and 2.6 mSv _ 0.5 for protocol B.
Conclusion: Dual-source SAS-mode CT coronary angiography yielded diagnostic image quality for 97.9% of oronary segments at a low radiation dose.
Radiology 2008; 249:71–80
One of the major limitations of Cardiac CT is the required radiation dose. In the last few years, new protocols have been established to at least partially resolve this problem. Just recently, “step-and-shoot” protocols have been introduced using prospective triggering.
Stolzman et al report on the image quality using this attempt with rather encouraging results :
The following conclusions were drawn:
Our mission: To reduce the burden of cardiovascular disease
© 2017 European Society of Cardiology. All rights reserved