title: Prospectively ECG-triggered high-pitch spiral acquisition for coronary CT angiography using dual source CT: technique and initial experience.
abstract: OBJECTIVE
  We evaluated radiation exposure and image quality of a new coronary CT angiography protocol, high-pitch spiral acquisition, using dual source CT (DSCT).
  
  
  METHODS
  Coronary CTAwas performed in 25 consecutive patients with a stable heart rate of 60 bpm or less after premedication, using 2 x 128 0.6-mm sections, 38.4-mm collimation width and 0.28-s rotation time. Tube settings were 100 kV/320 mAs and 120 kV/400 mAs for patients below and above 100-kg weight, respectively. Data acquisition was prospectively ECG-triggered at 60% of the R-R interval using a pitch of 3.2 (3.4 for the last 10 patients). Images were reconstructed with 75-ms temporal resolution, 0.6-mm slice thickness and 0.3-mm increment. Image quality was evaluated using a four-point scale (1 = excellent, 4 = unevaluable).
  
  
  RESULTS
  Mean range of data acquisition was 113 +/- 22 mm, mean duration was 268 +/- 23 ms. Of 363 coronary artery segments, 327 had an image quality score of 1, and only 2 segments were rated as "unevaluable". Mean dose-length product (DLP) was 71 +/- 23 mGy cm, mean effective dose was 1.0 +/- 0.3 mSv (range 0.78-2.1 mSv). For 21 patients with a body weight below 100 kg, mean DLP was 63 +/- 5 mGy cm (0.88 +/- 0.07 mSv; range 0.78-0.97 mSv).
  
  
  CONCLUSIONS
  Prospectively ECGtriggered high-pitch spiral CT acquisition provides high and stable image quality at very low radiation dose.
authors.affiliation: Diagnostic Radiology, University of Erlangen, Erlangen, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Lell
authors.forename: Mohamed
authors.initials: M
authors.lastname: Marwan
authors.forename: Tiziano
authors.initials: T
authors.lastname: Schepis
authors.forename: Tobias
authors.initials: T
authors.lastname: Pflederer
authors.forename: Katharina
authors.initials: K
authors.lastname: Anders
authors.forename: Thomas
authors.initials: T
authors.lastname: Flohr
authors.forename: Thomas
authors.initials: T
authors.lastname: Allmendinger
authors.forename: Willi
authors.initials: W
authors.lastname: Kalender
authors.forename: Dirk
authors.initials: D
authors.lastname: Ertel
authors.forename: Carsten
authors.initials: C
authors.lastname: Thierfelder
authors.forename: Axel
authors.initials: A
authors.lastname: Kuettner
authors.forename: Dieter
authors.initials: D
authors.lastname: Ropers
authors.forename: Werner G
authors.initials: WG
authors.lastname: Daniel
authors.forename: Stephan
authors.initials: S
authors.lastname: Achenbach
mesh_terms: D001835:Body Weight; D017023:Coronary Angiography / Q000379:methods*; D004562:Electrocardiography / Q000379:methods*; D005260:Female; D006321:Heart / Q000000981:diagnostic imaging; D006339:Heart Rate; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008953:Models, Anatomic; D011446:Prospective Studies; D011829:Radiation Dosage; D036542:Tomography, Spiral Computed / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods*