Skip to main content

Techniques and Protocols for Acquisition and Display of Contrast-Enhanced CT Angiography

  • Chapter
  • 1223 Accesses

Part of the book series: Contemporary Cardiology ((CONCARD))

Abstract

Contrast-enhanced computed tomography (CT) studies of the coronary arteries were performed first to visualize the vessel lumen and to achieve an angiographic-like presentation of the coronary arteries in combination with 3D postprocessing methods (1). Because short exposure times are essential for coronary CT angiography (CTA), investigations initially were performed with electron beam CT (EBCT) scanners. These dedicated cardiac CT scanners were originally designed to measure myocardial perfusion (2). For morphological assessment of cardiac structures, a restrictive scan protocol with EBCT allows for 100-ms exposure time, 3-mm slice thickness, and 130-kVp, 630-mA electron-gun power. The acquisition of every single slice is triggered prospectively by the electrocardiogram (ECG) signal at the end systolic phase of the cardiac cycle.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   229.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   299.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Moshage WE, Achenbach S, Seese B, Bachmann K, Kirchgeorg M. Coronary artery stenoses: three-dimensional imaging with electrocardiographically triggered, contrast agent-enhanced, electron-beam CT. Radiology 1995;196(3): 707–714.

    PubMed  CAS  Google Scholar 

  2. Boyd D. Computerized transmission tomography of the heart using scanning electron beams. In: Higgins C (ed), CT of the Heart and the Great Vessels: Experimental Evaluation and Clinical Application. Futura, Mount Kisco, New York: 1983.

    Google Scholar 

  3. Jakobs TF, Becker CR, Ohnesorge B, et al. Multislice helical CT of the heart with retrospective ECG gating: reduction of radiation exposure by ECG-controlled tube current modulation. Eur Radiol 2002;12(5): 1081–1086.

    Article  PubMed  Google Scholar 

  4. Hong C, Becker CR, Huber A, et al. ECG-gated reconstructed multi-detector row CT coronary angiography: effect of varying trigger delay on image quality. Radiology 2001;220(3):712–717.

    Article  PubMed  CAS  Google Scholar 

  5. Ryan T, Anderson J, Antman E, et al. ACC/AHA guidelines for the management of patients with acute myocardial infarction. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Acute Myocardial Infarction). J Am Coll Cardiol 1996;28: 1328–1428.

    Article  PubMed  CAS  Google Scholar 

  6. Mao SS, Oudiz RJ, Bakhsheshi H, Wang SJ, Brundage BH. Variation of heart rate and electrocardiograph trigger interval during ultrafast computed tomography. Am J Card Imaging 1996;10:239–243.

    PubMed  CAS  Google Scholar 

  7. Vogl TJ, Abolmaali ND, Diebold T, et al. Techniques for the detection of coronary atherosclerosis: multi-detector row CT coronary angiography. Radiology 2002;223(1):212–220.

    Article  PubMed  Google Scholar 

  8. Johnson M. Principles and practice of coronary angiography. In: Skorton D, Schelbert H, Wolf G, Brundage B (eds), Marcus Cardiac Imaging: A Companion to Braunwald’s Heart Disease. 2nd ed. WB Sanders Company, Philadelphia: 1996;220–250.

    Google Scholar 

  9. Austen WG, Edwards JE, Frye RL, et al. A reporting system on patients evaluated for coronary artery disease. Report of the Ad Hoc Committee for Grading of Coronary Artery Disease, Council on Cardiovascular Surgery, American Heart Association. Circulation 1975;51(4 Suppl):5–40.

    PubMed  CAS  Google Scholar 

  10. Paul JF, Dambrin G, Caussin C, Lancelin B, Angel C. Sixteen-slice computed tomography after acute myocardial infarction: from perfusion defect to the culprit lesion. Circulation 2003;108(3):373–374.

    Article  PubMed  Google Scholar 

  11. Masuda Y, Yoshida H, Morooka N, Watanabe S, Inagaki Y. The usefulness of x-ray computed tomography for the diagnosis of myocardial infarction. Circulation 1984;70:217–225.

    PubMed  CAS  Google Scholar 

  12. Huber D, Lapray J, Hessel S. In vivo evaluation of experimental myocardial infarcts by ungated computed tomography. AJR 1981; 136:469–473.

    PubMed  CAS  Google Scholar 

  13. Horton KM, Post WS, Blumenthal RS, Fishman EK. Prevalence of significant noncardiac findings on electron-beam computed tomography coronary artery calcium screening examinations. Circulation 2002;106(5):532–534.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Humana Press, Inc., Totowa, NJ

About this chapter

Cite this chapter

Becker, C.R. (2005). Techniques and Protocols for Acquisition and Display of Contrast-Enhanced CT Angiography. In: Schoepf, U.J. (eds) CT of the Heart. Contemporary Cardiology. Humana Press. https://doi.org/10.1385/1-59259-818-8:229

Download citation

  • DOI: https://doi.org/10.1385/1-59259-818-8:229

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-303-9

  • Online ISBN: 978-1-59259-818-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics