Dual-source computed tomographic temporal resolution provides higher image quality than 64-detector temporal resolution at low heart rates

Abstract

Objective: To compare coronary image quality at temporal resolutions associated with dual-source computed tomography (DSCT; 83 milliseconds) and 64-detector row scanning (165 milliseconds). Methods: In 30 patients with a heart rate of less than 70 beats per minute, DSCT coronary angiograms were reconstructed at 83- and 165-millisecond temporal resolutions over different cardiac phases. A blinded observer graded coronary quality. Results: The typical DSCT temporal resolution (83 milliseconds) showed a significantly greater quality at end-systole for all coronary vessels and at end-diastole for the right coronary and left anterior descending coronary arteries. For all vessels, the end-diastole produced the highest quality for both temporal resolutions. Conclusions: Imaging at 83 milliseconds creates superior quality at end-systole for all coronary vessels and at end-diastole for the right coronary and left anterior descending coronary arteries. At low heart rates, end-diastole produces the highest quality at both temporal resolutions. Copyright © 2010 by Lippincott Williams & Wilkins.