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The value of 128-MSCT in detection of coronary artery disease

Yıl 2010, Cilt: 17 Sayı: 4, 5 - 8, 30.12.2010

Öz

Objective: The aim of the study, was to evaluate to potential clinical value of a new generation 128 multislice
computed tomography (MSCT) system in the coronary artery disease (CAD) and anomalies. Method:
Between June 2009 and April 2010, fourty consecutive patients with suspected CAD underwent coronary
CTA by 128-MSCT. Technical parameters of coronary CTA were noted. Coronary artery stenosis and coronary
artery anomalies were evaluated on both a per patient and a per segment basis. Results: Coronary CTA by
128-MSCT were performed with average 64±2.1 mL contrast media volume and 68 ± 11 beats per minutes
heart rate. Coronary CTA showed stenosis in 47 segments of 22/40 patients. Coronary anomalies in 24/40
patients were detected. Conclusion: In clinical routine, coronary CTA with 128-MSCT is useful tool for
evaluation of CAD and coronary artery anomalies.

Kaynakça

  • Mollet NR, Cademartini F, Nieman K, et al. Multislice spiral computed tomography coronary angiography in patients with stable angina pectoris. J Am Coll Cardiol 2004; 43:2265-70.
  • Öncel D. Koroner BT Anjiografi. Ýzmir, Arkadaþ Matbaacýlýk, 2088; 21-24.
  • Papaconstantinou HD, Marshall EJ, Burrell CJ. Diagnostic cardiac catheterzation in a hospital without on site cardiac surgery. Heart 1999; 81:465-69.
  • Hazýrolan T. Koroner arterlerin çok dedektörlü bilgisayarlý tomografi ile görüntülenmesi. Hacettepe Týp Dergisi 2006; 37:6-13.
  • Manghat NE, Morgan- Hughes GJ, Marshall AJ, Roobottom CA. Multi-detector row computed tomography: imaging the coronary arteries. Clin Radiol 2005; 60:939-52.
  • Flohr T, Stierstorfer K, Raupach R, Ulzheimer S, Bruder H. Performance evaluation of a 64-slice CT system with z-flying focal spot. Rofo 2004; 176:1803- 810.
  • Schoepf JU, Zwerner PL, Savino G, et al. Coronary CT angiography. Radiology 2007 244; 48-63.
  • Falk E, Shah PK, Fuster V,. Coronary plaque disruption. Circulation 1995; 92:657-71
  • Nikolaou K, Knez A, Rist C, et al. Accuracy of 64- MDCT in the diagnosis of ischemic heart disease. AJR 2006: 187:111-17.
  • Leschka S, Alkadhi H, Plass A, et al. Accuracy of MSCT coronary angiography with 64-slice technology: first experience. Eur Heart J 2005; 26:1482-7.
  • Martuscelli E, Romagnoli A, D’Eliseo A. Accuracy of thin slice computed tomography in the detection of coronary stenoses. Eur Heart J 2004; 12:1043-8.
  • Koþar P, Ergun E, Cansu Ö, Koþar U. Anatomic variation and anomalies of the coronary arteries: 64- CT angiographic appearance. Diagn Interv Radiol 2009; 15:275-83.
  • Schmitt R, Froehners, Brunn J, et al. Congenital anomalies of the coronary arteries: imaging with contrast enhanced, multidedector computed tomography. Eur Radiol 2005; 15:1110-21.
  • Kantarci M, Duran C, Durur I, et al. Detection of myokardial bridging with ECG gaited MDCT and multiplanar reconstruction. AJR Am J Roentgenol 2006; 186:391-4.
  • Canyigit M, Hazirolan T, Karcaaltincaba M, et al. Myocardial bridding as evaluated by 16 row MDCT. Eur J Radiol 2009; 69:156-64.
  • Dewey M, Kroft LJM. Anatomy. In Dewey M, ed. Coronary CT angiography. Berlin, Springer, 2009;11- 26.

Koroner arter hastalıklarının belirlenmesinde 128-çok kesitli BT'nin değeri

Yıl 2010, Cilt: 17 Sayı: 4, 5 - 8, 30.12.2010

Öz

Amaç: Bu çalışmada yeni jenerasyon 128 çok kesitli bilgisayarlı tomografi (ÇKBT) ile koroner arter hastalıklarında ve anomalilerinde klinik yararlılığın ortaya konması amaçlanmaktadır. Metod: Haziran 2009 - Nisan 2010 tarihleri arasında koroner arter hastalığı kuşkusu ile 128-ÇKBT ile koroner bilgisayarlı tomografi anjiografi (BTA) tetkiki uygulanan ardışık 40 olgu çalışmaya dahil edildi. Koroner BTA teknik parametreleri not edildi. Koroner arter darlıkları ve anomalileri her bir hasta ve segmentte değerlendirildi. Bulgular: Olgular 128-ÇKBT ile koroner BTA incelemesi ortalama 64± 2,1 mL kontrast hacmi ve 68 ± 11 atım/dakika kalp hızı ile elde olundu. Koroner BTA, 22/40 olgunun 47 segmentinde darlık gösterdi. Koroner arter anomalisi 40 olgunun 24'ünde saptandı.
Sonuç: Klinik pratikte, 128 kesit ÇKBT ile koroner BTA, koroner arter hastalıklarının ve anomalilerinin değerlendirilmesinde kullanışlı bir yöntemdir.
Anahtar kelimeler: BT anjiografi, koroner damarlar, anomaliler, ÇKBT

Abstract
The value of 128-MSCT in detection of coronary artery disease
Objective: The aim of the study, was to evaluate to potential clinical value of a new generation of 128 multislice computed tomography (MSCT) system in the coronary artery disease (CAD) and anomalies.
Method: Between June 2009 and April 2010, fourty consecutive patients with suspected CAD underwent coronary CTA by 128-MSCT. Technical parameters of coronary CTA were noted. Coronary artery stenosis and coronary artery anomalies were evaluated on both a per patient and a per segment basis.
Results: Coronary CTA by 128-MSCT were performed with average 64±2.1 mL contrast media volume and 68 ± 11 beats per minutes heart rate. Coronary CTA showed stenosis in 47 segments of 22/40 patients. Coronary anomalies in 24/40 patients were detected.
Conclusion: In clinical routine, coronary CTA with 128-MSCT is useful tool for evaluation of CAD and coronary artery anomalies.
Key words: CT angiography, coronary vessels, ,anomalies, MSCT

Kaynakça

  • Mollet NR, Cademartini F, Nieman K, et al. Multislice spiral computed tomography coronary angiography in patients with stable angina pectoris. J Am Coll Cardiol 2004; 43:2265-70.
  • Öncel D. Koroner BT Anjiografi. Ýzmir, Arkadaþ Matbaacýlýk, 2088; 21-24.
  • Papaconstantinou HD, Marshall EJ, Burrell CJ. Diagnostic cardiac catheterzation in a hospital without on site cardiac surgery. Heart 1999; 81:465-69.
  • Hazýrolan T. Koroner arterlerin çok dedektörlü bilgisayarlý tomografi ile görüntülenmesi. Hacettepe Týp Dergisi 2006; 37:6-13.
  • Manghat NE, Morgan- Hughes GJ, Marshall AJ, Roobottom CA. Multi-detector row computed tomography: imaging the coronary arteries. Clin Radiol 2005; 60:939-52.
  • Flohr T, Stierstorfer K, Raupach R, Ulzheimer S, Bruder H. Performance evaluation of a 64-slice CT system with z-flying focal spot. Rofo 2004; 176:1803- 810.
  • Schoepf JU, Zwerner PL, Savino G, et al. Coronary CT angiography. Radiology 2007 244; 48-63.
  • Falk E, Shah PK, Fuster V,. Coronary plaque disruption. Circulation 1995; 92:657-71
  • Nikolaou K, Knez A, Rist C, et al. Accuracy of 64- MDCT in the diagnosis of ischemic heart disease. AJR 2006: 187:111-17.
  • Leschka S, Alkadhi H, Plass A, et al. Accuracy of MSCT coronary angiography with 64-slice technology: first experience. Eur Heart J 2005; 26:1482-7.
  • Martuscelli E, Romagnoli A, D’Eliseo A. Accuracy of thin slice computed tomography in the detection of coronary stenoses. Eur Heart J 2004; 12:1043-8.
  • Koþar P, Ergun E, Cansu Ö, Koþar U. Anatomic variation and anomalies of the coronary arteries: 64- CT angiographic appearance. Diagn Interv Radiol 2009; 15:275-83.
  • Schmitt R, Froehners, Brunn J, et al. Congenital anomalies of the coronary arteries: imaging with contrast enhanced, multidedector computed tomography. Eur Radiol 2005; 15:1110-21.
  • Kantarci M, Duran C, Durur I, et al. Detection of myokardial bridging with ECG gaited MDCT and multiplanar reconstruction. AJR Am J Roentgenol 2006; 186:391-4.
  • Canyigit M, Hazirolan T, Karcaaltincaba M, et al. Myocardial bridding as evaluated by 16 row MDCT. Eur J Radiol 2009; 69:156-64.
  • Dewey M, Kroft LJM. Anatomy. In Dewey M, ed. Coronary CT angiography. Berlin, Springer, 2009;11- 26.
Toplam 16 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Diş Hekimliği
Bölüm Araştırma Makaleleri
Yazarlar

Ahmet Yeşildağ

Mehmet Munduz Bu kişi benim

Mustafa Kayan Bu kişi benim

Mert Köroğlu Bu kişi benim

Ahmet Özden Bu kişi benim

Yayımlanma Tarihi 30 Aralık 2010
Gönderilme Tarihi 20 Nisan 2010
Yayımlandığı Sayı Yıl 2010 Cilt: 17 Sayı: 4

Kaynak Göster

Vancouver Yeşildağ A, Munduz M, Kayan M, Köroğlu M, Özden A. Koroner arter hastalıklarının belirlenmesinde 128-çok kesitli BT’nin değeri. SDÜ Tıp Fak Derg. 2010;17(4):5-8.

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