ArticleEuropean radiology2023
One-stop combined CT angiography of coronary and craniocervical arteries: recommended as the first examination for patients suspected of coronary or craniocervical artery disease.
Article in European radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Supported bridge position in one-stop coronary and craniocervical CT angiography: A randomized clinical trial.Journal of applied clinical medical physics · 2025Trial
- A wide-detector CT protocol for one-stop cardio-cerebrovascular angiography: a technical feasibility study comparing an integrated protocol with conventional two-scan approach.Frontiers in radiology · 2026Article
- Incremental value of coronary computed tomography-derived fractional flow reserve for the prediction of major adverse cardiovascular events in patients with ischemic stroke.Quantitative imaging in medicine and surgery · 2025Article
- The application value of deep learning-based reconstruction combined with segmented contrast injection in "one-stop" cardio-cerebrovascular computed tomography angiography.Quantitative imaging in medicine and surgery · 2025Article
- Comparison of "one-stop" coronary and head-and-neck computed tomography angiography with different scan sequences using a wide-detector system: heart-to-cranialQuantitative imaging in medicine and surgery · 2025Article
- One-stop combined coronary-craniocervical computed tomography angiography with low-dose body coverage using artificial intelligence iterative reconstruction: a clinically feasible solution to multi-territorial atherosclerosis diagnosis.Quantitative imaging in medicine and surgery · 2025Article
- Predicting asymptomatic coronary artery disease in first-ever acute ischemic stroke patients: a cross-sectional study.Quantitative imaging in medicine and surgery · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo investigate the potential diagnostic value of one-stop combined CT angiography (CTA) as the first examination for patients suspected of coronary artery disease (CAD) or craniocervical artery disease (CCAD), and compare its clinical performance with two consecutive CTA scans.
methodsPatients with suspected but unconfirmed CAD or CCAD were prospectively enrolled and grouped randomly to undergo coronary and craniocervical CTA using the combined protocol (group 1) or the consecutive protocol (group 2). Diagnostic findings were evaluated for both the targeted and non-targeted regions. The objective image quality, overall scan time, radiation dose, and contrast medium dosage were compared between the two groups.
resultsEach group enrolled 65 patients. A substantial number of lesions were found in non-targeted regions, which was 44/65 (67.7%) by patients for group 1 and 41/65 (63.1%) for group 2, reiterating the necessity of extending the scan coverage. Specifically, lesions in non-targeted regions were detected more often for patients suspected of CCAD than for those suspected of CAD (71.4% vs 61.7%). With 21.5% (~51.1 s) reduction of scan time and 21.8% (~20.8 mL) less contrast medium as compared to the consecutive protocol, high-quality images were obtained by the combined protocol.
conclusionsOne-stop combined CTA enables effective detection of lesions in non-targeted regions at a lower cost of scan time and contrast medium than two separate examinations and is thus worth taking as the first examination for patients suspected of CAD or CCAD. KEY POINTS: • Extending the scan range for coronary or craniocervical CTA has the potential to reveal lesions in non-targeted regions. • One-stop combined CTA as enabled on high-speed wide-detector CT delivers high-quality images at a lower cost of contrast medium and operational time than two consecutive CTA scans. • Patients with suspected but unconfirmed CAD or CCAD may benefit from the one-stop combined CTA in the first examination.
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