Thoracic helical CT:: influence of subsecond scan time and thin collimation on evaluation of peripheral pulmonary arteries

被引:55
作者
Rémy-Jardin, M
Baghaie, F
Bonnel, F
Masson, P
Duhamel, A
Rémy, J
机构
[1] CHU Calmette, Dept Radiol, F-59037 Lille, France
[2] Med Res Grp Equipe Accueil 2682, F-59037 Lille, France
[3] Univ Lille 1, Dept Med Stat, F-59045 Lille, France
关键词
CT angiography; pulmonary arteries; pulmonary embolism; CT technique;
D O I
10.1007/s003300000460
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The objective of this study was to analyze the influence of collimation on the identification of peripheral pulmonary arteries on helical CT scans. Three hundred sixty of 370 consecutive helical CT angiograms of the pulmonary circulation obtained during an 18-month investigation period were considered as technically acceptable for the detection of acute pulmonary embolism and were retrospectively analyzed. Patients in group A (n = 274) underwent CT with 2-mm collimation and pitch of 2; those in group B (n = 86) underwent CT with 3-mm collimation and pitch 1.7; a 0.75-s rotation time was systematically used. A total of 2160 segmental (six arterial zones per patient) and 2160 subsegmental (sii arterial zones per patient) arterial zones were assessed. Whereas the percentage of segmental arteries was not significantly different between group A (86 %) and group B (89 %), the percentage of analyzable subsegmental arteries was greater in group A (65 %) than in group B (43 %) (P < 0.001). The causes of inadequately depicted subsegmental arterial zones were partial-volume effects (group A, n = 302; 52 %; group B, n = 197; 67 %; P < 0.001), suboptimal enhancement (group A, n = 145; 25 %; group B, n = 43; 15 %; P < 0.05), motion artifacts (group A, n = 113; 20 %; group B, n = 30; 10 %), and unincluded arteries (group A, n = 20, 3 %; group B, n = 25; 8 %). Helical CT with 3-mm collimation at 0.75 s per revolution enables marked improvement in the analysis of subsegmental arteries in routine clinical practice.
引用
收藏
页码:1297 / 1303
页数:7
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