Reduction of thoracic aorta motion artifact with high-pitch 128-slice dual-source computed tomographic angiography: a historical control study

J Comput Assist Tomogr. 2013 Sep-Oct;37(5):755-9. doi: 10.1097/RCT.0b013e31829c3f76.

Abstract

Objectives: Electrocardiogram-gated imaging combined with multi-detector row computed tomography (MDCT) has reduced cardiac motion artifacts, but it was not practical in the emergency setting. The purpose of this study was to evaluate the ability of a high-pitch, 128-slice dual-source CT (DSCT) scanner to reduce motion artifacts in patients admitted to the emergency room.

Methods: This study comprised 100 patients suspected of having thoracic aorta lesions. We examined 47 patients with the 128-slice DSCT scanner (DSCT group), and 53 patients were examined with a 64-slice MDCT scanner (MDCT group). Six anatomic areas in the thoracic aorta were evaluated.

Results: Computed tomography images in the DSCT group were distinct, and significant differences were observed in images of all areas between the 2 groups except for the descending aorta.

Conclusions: The high-pitch DSCT scanner can reduce motion artifacts of the thoracic aorta and enable radiological diagnosis even in patients with tachycardia and without breath hold.

Publication types

  • Controlled Clinical Trial

MeSH terms

  • Aged
  • Angiography / methods*
  • Aorta, Thoracic / diagnostic imaging*
  • Aortic Diseases / diagnostic imaging*
  • Artifacts*
  • Female
  • Humans
  • Male
  • Motion
  • Radiographic Image Enhancement / methods
  • Radiography, Dual-Energy Scanned Projection / methods*
  • Radiography, Thoracic / methods*
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Tomography, X-Ray Computed / methods*