The value of flat-detector computed tomography during catheterisation of congenital heart disease
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Martin Glِckler & Andreas Koch & Verena Greim & Amira Shabaiek & Andrè Rüffer & Robert Cesnjevar & Stephan Achenbach & Sven Dittrich
- چاپ و سال / کشور: 2011
Description
Objectives To analyse the diagnostic utility of flat-detector computed tomography imaging (FD-CT) in patients with congenital heart disease, including the value of image fusion to overlay three-dimensional (3D) reconstructions on fluoroscopic images during catheter-based interventions. Methods We retrospectively analysed 62 consecutive paediatric patients in whom FD-CT was used during catheterisation of congenital heart disease. Expert operators rated the clinical value of FD-CT over conventional fluoroscopic imaging. Added radiation exposure and contrast medium volume were evaluated. Results During a 12-month period, FD-CTwas performed in 62 out of 303 cardiac catheterisations. Median patient age was 3.5 years. In 32/62 cases, FD-CT was used for diagnostic purposes, in 30/62 cases it was used in the context of interventions. Diagnostic utility was never rated as “misleading”. It was classified as “not useful” in six cases (9.7%), “useful” in 18 cases (29.0%), “very useful” in 37 cases (59.7%) and “essential” in one case (1.6%). The median added dose-area product was 111.0 ىGym2, the required additional quantity of contrast medium was 1.6 ml/kg. Conclusion FD-CT provides useful diagnostic information in most of the patients investigated for congenital heart disease. The added radiation exposure and contrast medium volume are reasonable.
Eur Radiol DOI 10.1007/s00330-011-2214-3 Received: 15 April 2011 / Revised: 9 June 2011 / Accepted: 30 June 2011
