Academic Radiology
Volume 16, Issue 2 , Pages 187-193 , February 2009

Coronary Artery Calcium Scoring on Low-dose Prospective Electrocardiographically-triggered 64-Slice CT

  • Jun Horiguchi, MD

      Affiliations

    • Department of Clinical Radiology, Hiroshima University Hospital, 1-2-3, Kasumi-cho, Minami-ku, Hiroshima, 734-8551 Japan
    • Corresponding Author InformationAddress correspondence to: J.H.
  • ,
  • Noriaki Matsuura, MD

      Affiliations

    • Department of Radiology, Division of Medical Intelligence and Informatics, Programs for Applied Biomedicine, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan
  • ,
  • Hideya Yamamoto, MD

      Affiliations

    • Department of Molecular and Internal Medicine, Division of Clinical Medical Science, Programs for Applied Biomedicine, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan
  • ,
  • Masao Kiguchi, RT

      Affiliations

    • Department of Clinical Radiology, Hiroshima University Hospital, 1-2-3, Kasumi-cho, Minami-ku, Hiroshima, 734-8551 Japan
  • ,
  • Chikako Fujioka, RT

      Affiliations

    • Department of Clinical Radiology, Hiroshima University Hospital, 1-2-3, Kasumi-cho, Minami-ku, Hiroshima, 734-8551 Japan
  • ,
  • Toshiro Kitagawa, MD

      Affiliations

    • Department of Molecular and Internal Medicine, Division of Clinical Medical Science, Programs for Applied Biomedicine, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan
  • ,
  • Nobuoki Kohno, MD

      Affiliations

    • Department of Molecular and Internal Medicine, Division of Clinical Medical Science, Programs for Applied Biomedicine, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan
  • ,
  • Katsuhide Ito, MD

      Affiliations

    • Department of Radiology, Division of Medical Intelligence and Informatics, Programs for Applied Biomedicine, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan
    • Department of Molecular and Internal Medicine, Division of Clinical Medical Science, Programs for Applied Biomedicine, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan

Received 6 April 2008 ,Accepted 13 May 2008.

References 

  1. Greenland P, Bonow RO, Brundage BH, et al. ACCF/AHA 2007 clinical expert consensus document on coronary artery calcium scoring by computed tomography in global cardiovascular risk assessment and in evaluation of patients with chest pain. J Am Coll Cardiol. 2007;49:378–402
  2. Maher JE, Bielak LF, Raz JA, Sheedy PF, Schwartz RS, Peyser PA. Progression of coronary artery calcification: a pilot study. Mayo Clin Proc. 1999;74:347–355
  3. Janowitz WR, Agatston AS, Viamonte M. Comparison of serial quantitative evaluation of calcified coronary artery plaque by ultrafast computed tomography in persons with and without obstructive coronary artery disease. Am J Cardiol. 1991;68:1–6
  4. Fischbach R, Heindel W. Detection and quantification of coronary calcification: an update. Rofo. 2000;172:407–414
  5. Agatston AS, Janowitz WR, Hildner FJ, Zusmer NR, Viamonte M, Detrano R. Quantification of coronary calcium using ultrafast computed tomography. J Am Coll Cardiol. 1990;15:827–832
  6. Callister TQ, Cooil B, Raya SP, et al. Coronary artery disease: improved reproducibility of calcium scoring with an electron-beam CT volumetric method. Radiology. 1998;208:807–814
  7. Yoon HC, Greaser LE, Mather R, Sinha S, McNitt-Gray MF, Goldin JG. Coronary artery calcium: alternate methods for accurate and reproducible quantitation. Acad Radiol. 1997;4:666–673
  8. Wang SJ, Detrano BC, Secci A, et al. Detection of coronary calcification with electron-beam computed tomography: evaluation of interexamination reproducibility and comparison of three image-acquisition protocols. Am Heart J. 1996;132:550–558
  9. Achenbach S, Ropers D, Mohlenkamp S, et al. Variability of repeated coronary artery calcium measurements by electron beam tomography. Am J Cardiol. 2001;87:210–213
  10. Ohnesorge B, Flohr T, Fischbach R, et al. Reproducibility of coronary calcium quantification in repeat examinations with retrospectively ECG-gated multisection spiral CT. Eur Radiol. 2002;12:1532–1540
  11. Horiguchi J, Yamamoto H, Akiyama Y, et al. Variability of repeated coronary artery calcium measurements by 16-MDCT with retrospective reconstruction. AJR Am J Roentgenol. 2005;184:1917–1923
  12. Horiguchi J, Kiguchi M, Fujioka C, et al. Variability of repeated coronary artery calcium scoring and radiation dose on 64-slice and 16-slice CT by prospective electrocardiograph-triggered axial and retrospective electrocardiograph-gated spiral CT—a phantom study. Acad Radiol. 2008;15:958–965
  13. Horiguchi J, Matsuura N, Yamamoto H, et al. Variability of repeated coronary artery calcium measurements by 1.25-mm- and 2.5-mm-thickness images on prospective electrocardiograph-triggered 64-slice CT. Eur Radiol. 2008;18:209–216
  14. Takahashi N, Bae KT. Quantification of coronary artery calcium with multi-detector row CT: assessing interscan variability with different tube currents-pilot study. Radiology. 2003;228:101–106
  15. Shemesh J, Evron R, Koren-Morag N, et al. Coronary artery calcium measurement with multi-detector row CT and low radiation dose: comparison between 55 and 165 mAs. Radiology. 2005;236:810–814
  16. Horiguchi J, Shen Y, Hirai N, et al. Timing on 16-slice scanner and implications for 64-slice cardiac CT: do you start scanning immediately after breath-hold?. Acad Radiol. 2006;13:173–176
  17. Matsuura N, Horiguchi J, Yamamoto H, et al. Optimal cardiac phase for coronary artery calcium scoring on single-source 64-MDCT scanner—least interscan variability and least motion artifacts. AJR Am J Roentgenol. 2008;190:1561–1568
  18. Sevrukov A, Pratap A, Doss C, Jelnin V, Hoff JA, Kondos GT. Electron beam tomography imaging of coronary calcium: the effect of body mass index on radiologic noise. J Comput Assist Tomogr. 2002;26:592–597
  19. Hong C, Bae KT, Pilgram TK, Suh J, Bradley D. Coronary artery calcium measurement with multi-detector row CT: in vitro assessment of effect of radiation dose. Radiology. 2002;225:901–906
  20. Halliburton SS, Stillman AE, Lieber M, Kasper JM, Kuzmiak SA, White RD. Potential clinical impact of variability in the measurement of coronary artery calcification with sequential MDCT. AJR Am J Roentgenol. 2005;184:643–648
  21. Menzel H, Schibilla H, Teunen D. European Guidelines for Quality Criteria for Computed Tomography. Brussels, Belgium: European Commission; 2000;
  22. McCollough CH, Ulzheimer S, Halliburton SS, et al. Coronary artery calcium: a multiinstitutional, multimanufacturer international standard for quantification at cardiac CT. Radiology. 2007;243:527–538
  23. Bielak LF, Kaufmann RB, Moll PP, MacCollough CH, Schwartz RS, Sheedy PF. Small lesions in the heart identified at electron beam CT: calcification or noise?. Radiology. 1994;192:631–636
  24. Thomas CK, Mühlenbruch G, Wildberger JE, et al. Coronary artery calcium scoring with multislice computed tomography (In vitro assessment of a low tube voltage protocol). Invest Radiol. 2006;41:668–673
  25. Jakobs TF, Wintersperger BJ, Herzog P, et al. Ultra-low-dose coronary artery calcium screening using multislice CT with retrospective ECG gating. Eur Radiol. 2003;13:1923–1930

1 This study was financially supported by the Tsuchiya Foundation, Hiroshima, Japan.

PII: S1076-6332(08)00335-8

doi: 10.1016/j.acra.2008.05.017

Academic Radiology
Volume 16, Issue 2 , Pages 187-193 , February 2009