ArticleThe British journal of radiology2012
Application of prospective ECG-triggered dual-source CT coronary angiography for infants and children with coronary artery aneurysms due to Kawasaki disease.
Article in The British journal of radiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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23 citing papers in PubMed, 44 citations in OpenAlex.
- Pediatric Cardiac Imaging With Second- and Third-generation Dual Source CT Scanners: Radiation Dose, and Diagnostic Accuracy in Comparison With Echocardiography and MRI-A Systematic Review and Meta-analysis.Journal of the Saudi Heart Association · 2026Review
- The value of CT coronary angiography for a comprehensive assessment of left circumflex artery in Kawasaki disease: 9 years of experience from a tertiary center.The Lancet regional health. Southeast Asia · 2024Article
- Radiation dose analysis of computed tomography coronary angiography in Children with Kawasaki disease.World journal of clinical pediatrics · 2023Article
- Emerging role of computed tomography coronary angiography in evaluation of children with Kawasaki disease.World journal of clinical pediatrics · 2023Review
- Role of CT in the Pre- and Postoperative Assessment of Conotruncal Anomalies.Radiology. Cardiothoracic imaging · 2022Review
- Coronary artery aneurysm: A review.World journal of cardiology · 2021Review
- Quantitative evaluation of coronary artery visibility on CT angiography in Kawasaki disease: young vs. old children.The international journal of cardiovascular imaging · 2021Article
- The diagnostic value of dynamic volume computed tomography angiography in children with anomalous origin of the left coronary artery from the pulmonary artery.American journal of translational research · 2021Article
- CT Angiography or Cardiac MRI for Detection of Coronary Artery Aneurysms in Kawasaki Disease.Frontiers in pediatrics · 2021Article
- Incomplete Kawasaki disease complicated with acute abdomen: A case report.World journal of clinical cases · 2020Article
- Image quality and radiation dose of different scanning protocols in DSCT cardiothoracic angiography for children with tetralogy of fallot.The international journal of cardiovascular imaging · 2020Article
- Coronary artery assessment in Kawasaki disease with dual-source CT angiography to uncover vascular pathology.European radiology · 2020Article
- EDUCATIONAL SERIES IN CONGENITAL HEART DISEASE: Cardiovascular MRI and CT in congenital heart disease.Echo research and practice · 2019Review
- Vascular imaging findings with high-pitch low-dose dual-source CT in atypical Kawasaki disease.Diagnostic and interventional radiology (Ankara, Turkey) · 2019Article
- Computed tomography in paediatric heart disease.The British journal of radiology · 2018Review
- Kawasaki disease: guidelines of the Italian Society of Pediatrics, part I - definition, epidemiology, etiopathogenesis, clinical expression and management of the acute phase.Italian journal of pediatrics · 2018Review
- Computed tomography coronary angiography is the way forward for evaluation of children with Kawasaki disease.Global cardiology science & practice · 2017Review
- Dissecting Kawasaki disease: a state-of-the-art review.European journal of pediatrics · 2017Review
- Measurements of Coronary Artery Aneurysms Due to Kawasaki Disease by Dual-Source Computed Tomography (DSCT).Pediatric cardiology · 2016Article
- Giant coronary aneurysm caused by Kawasaki disease: consistency between catheter angiography and electrocardiogram gated dual-source computed tomography angiography.Korean journal of pediatrics · 2015Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study was to prospectively evaluate the initial application and value of prospective electrocardiogram (ECG)-triggered dual-source CT coronary angiography (DSCTCA) in the diagnosis of infants and children with coronary artery aneurysms due to Kawasaki disease.
methods19 children [12 males; mean age 13.47 months, range 3 months to 5 years; mean heart rate 112 beats per minute (bpm), range 83-141 bpm] underwent prospective ECG-triggered DSCTCA with free breathing. Subjective image quality was assessed on a five-point scale (1, excellent; 5, non-diagnostic) by two blinded observers. The location, number and size of each aneurysm were observed and compared with those of transthoracic echocardiography (TTE) performed within 1 week. Interobserver agreement concerning the subjective image quality was evaluated with Cohen's κ-test. Bland-Altman analysis was used to evaluate the agreement on measurements (diameter and length of aneurysms) between DSCTCA and TTE. The average effective dose required for DSCTCA was calculated for all children.
resultsAll interobserver agreement for subjective image quality assessment was excellent (κ=0.87). The mean ± standard deviation (SD) aneurysm diameter with DSCTCA was 0.76 ± 0.36 cm and with TTE was 0.76 ± 0.39 cm. The mean ± SD aneurysm length with DSCTCA was 2.06 ± 1.35 cm and with TTE was 2.00 ± 1.22 cm. The Bland-Altman plot for agreement between DSCTCA and TTE measurements showed good agreement. The mean effective dose was 0.36 ± 0.06 mSv.
conclusionAs an alternative diagnostic modality, prospective ECG-triggered DSCTCA with excellent image quality and low radiation exposure has been proved useful for diagnosing infants and children with coronary artery aneurysms due to Kawasaki disease. ADVANCES IN KNOWLEDGE: Prospective ECG-triggered DSCTCA for infants and children allows rapid, accurate assessment of coronary aneurysms due to Kawasaki diseases, compared with TTE.
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