ArticleEuropean heart journal2014
Coronary computed tomography angiography with model-based iterative reconstruction using a radiation exposure similar to chest X-ray examination.
Article in European heart journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 95 citations in OpenAlex.
- Noninvasive evaluation of global and regional left ventricular function using computed tomography and magnetic resonance imaging: a meta-analysis.European radiology · 2017Pooled it
- Dose reduction with iterative reconstruction for coronary CT angiography: a systematic review and meta-analysis.The British journal of radiology · 2016Pooled it
- Variability of radiation doses of cardiac diagnostic imaging tests: the RADIO-EVINCI study (RADIationdOse subproject of the EVINCI study).BMC cardiovascular disorders · 2017Trial
- Feasibility of Free-breathing CCTA using 256-MDCT.Medicine · 2016Trial
- Exploring double low-dose CT technology for achieving coronary mixed reality radiation dose reduction: a preliminary study in coronary artery disease patients.Quantitative imaging in medicine and surgery · 2026Article
- Nonlinear and Vessel-Specific Association Between Coronary Artery Calcium Burden and Coronary Computed Tomography Angiography Underestimation of Coronary Stenosis.Reviews in cardiovascular medicine · 2026Article
- Risk stratification using coronary artery calcium scoring based on low tube voltage computed tomography.The international journal of cardiovascular imaging · 2022Article
- Imaging inflammation in atherosclerosis: Exploring all avenues.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2021Article
- Coronary Angiography Print: An Automated Accurate Hidden Biometric Method Based on Filtered Local Binary Pattern Using Coronary Angiography Images.Journal of personalized medicine · 2021Article
- A Hidden Threat: Anomalous Aortic Origins of the Coronary Arteries in Athletes.Current treatment options in cardiovascular medicine · 2020Article
- Should computed tomography and bronchoscopy be routine examinations for chronic cough?Journal of thoracic disease · 2020Review
- Clinical utility of early postoperative cardiac multidetector computed tomography after coronary artery bypass grafting.Scientific reports · 2020Article
- Triglyceride glucose index is a useful marker for predicting subclinical coronary artery disease in the absence of traditional risk factors.Lipids in health and disease · 2020Article
- Diagnostic criteria for left ventricular non-compaction in cardiac computed tomography.PloS one · 2020Article
- Homocysteine is not a risk factor for subclinical coronary atherosclerosis in asymptomatic individuals.PloS one · 2020Article
- High HDL-C levels reduce the risk of obstructive coronary artery disease in asymptomatic diabetics who achieved optimal glycemic control.Scientific reports · 2019Article
- The Assessment of Cardiac Masses by Cardiac CT and CMR Including Pre-op 3D Reconstruction and Planning.Current cardiology reports · 2019Review
- Computed tomography coronary angiography vs. standard diagnostic procedure for the diagnosis of angina due to coronary heart disease: A cross-sectional study.Experimental and therapeutic medicine · 2019Article
- Coronary computed tomography angiography using model-based iterative reconstruction algorithms in the detection of significant coronary stenosis: how the plaque type influences the diagnostic performance.Polish journal of radiology · 2019Article
- Development of an organ-specific insert phantom generated using a 3D printer for investigations of cardiac computed tomography protocols.Journal of medical radiation sciences · 2018Article
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
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Abstract
aimsTo evaluate the feasibility and image quality of coronary computed tomography angiography (CCTA) acquisition with a submillisievert fraction of effective radiation dose using model-based iterative reconstruction (MBIR) for noise reduction. METHODS AND
resultsIn 42 patients undergoing standard low-dose (100-120 kV; 450-700 mA) and additional ultra-low-dose CCTA (80-100 kV; 150-210 mA) reconstructed with MBIR, segmental image quality was graded on a four-point scale [(i): non-evaluative, (ii): good, (iii): adequate, and (iv): excellent]. Signal-to-noise ratio (SNR) was calculated dividing left main artery (LMA) and right coronary artery (RCA) attenuation by the aortic root noise. Over a wide range of body mass index (18-40 kg/m(2)), the estimated median radiation dose exposure was 1.19 mSv [interquartile range (IQR): 1.07-1.30 mSv] for standard and 0.21 mSv (IQR: 0.18-0.23 mSv) for ultra-low-dose CCTA (P < 0.001). The median image quality score per segment was 3.5 (IQR: 3.0-4.0) in standard CCTA vs. 3.5 (IQR: 2.5-4.0) in ultra-low dose with MBIR (P = 0.29). Diagnostic image quality (scores 2-4) was found in 98.7 vs. 97.8% coronary segments (P = 0.36). Introduction of MBIR for ultra-low-dose CCTA resulted in a significant increase in SNR (P < 0.001) for LMA (from 15 ± 5 to 29 ± 7) and RCA (from 14 ± 4 to 27 ± 6) despite 82% dose reduction.
conclusionCoronary computed tomography angiography acquisition with diagnostic image quality is feasible at an ultra-low radiation dose of 0.21 mSv, e.g. in the range reported for a postero-anterior and lateral chest X-ray.
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