Comparison of coronary CT angiography image quality with and without breast shields.[Erratum appears in AJR Am J Roentgenol. 2013 Apr;200(4):941]

MedStar author(s):
Citation: AJR. American Journal of Roentgenology. 200(3):529-36, 2013 Mar.PMID: 23436841Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Comparative Study | Journal ArticleSubject headings: *Coronary Angiography/mt [Methods] | *Coronary Artery Disease/ra [Radiography] | *Image Interpretation, Computer-Assisted/mt [Methods] | *Radiation Protection/is [Instrumentation] | *Tomography, X-Ray Computed/mt [Methods] | Breast | Equipment Design | Female | Humans | Middle Aged | Radiation Protection/mt [Methods] | Reproducibility of Results | Sensitivity and SpecificityYear: 2013Local holdings: Available online from MWHC library: Sept 1965 - presentISSN:
  • 0361-803X
Name of journal: AJR. American journal of roentgenologyAbstract: CONCLUSION: Breast shields for women undergoing coronary CT angiography slightly increased noise but did not negatively affect signal, signal-to-noise ratio, quality, or interpretability. Breast shield use warrants further study.MATERIALS AND METHODS: This study involved a retrospective cohort of 72 women with possible angina who underwent 64-MDCT retrospective ECG-gated coronary CT angiography at a single academic tertiary medical center. Images of 36 women scanned while wearing bismuth-coated latex breast shields and 36 control subjects scanned without shields, matched by heart rate and body mass index, were graded on a standardized Likert scale for image quality, stenosis, and plaque by two independent board-certified readers blinded to breast shields.OBJECTIVE: The purpose of this study is to compare the image quality of coronary CT angiography performed with and without breast shields.RESULTS: Seventy-two patients (mean [+ SD] age, 53 + 9 years) were included. The pre scan heart rate, body mass index, and Agatston score did not differ between groups. The median estimated radiation dose was 13.4 versus 16.1 mSv for those with and without breast shields (p = 0.003). For shielded versus unshielded scans, 86% versus 83% of coronary segments were rated excellent or above average (p = 0.4), median image quality was 2.0 for both groups, mean signal was 474 + 75 and 452 + 91 HU (p = 0.27), mean noise was 33.9 + 8.5 and 29.8 + 8.3 HU (p = 0.04), and median signal-to-noise ratio was 14.4 and 14.7 (p = 0.56), respectively.All authors: Devine P, Feuerstein I, Hulten E, Luncheon M, Nguyen B, Petrillo S, Taylor A, Villines TC, Welch TFiscal year: FY2013Digital Object Identifier: Date added to catalog: 2014-04-22
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 23436841 Available 23436841

Available online from MWHC library: Sept 1965 - present

CONCLUSION: Breast shields for women undergoing coronary CT angiography slightly increased noise but did not negatively affect signal, signal-to-noise ratio, quality, or interpretability. Breast shield use warrants further study.

MATERIALS AND METHODS: This study involved a retrospective cohort of 72 women with possible angina who underwent 64-MDCT retrospective ECG-gated coronary CT angiography at a single academic tertiary medical center. Images of 36 women scanned while wearing bismuth-coated latex breast shields and 36 control subjects scanned without shields, matched by heart rate and body mass index, were graded on a standardized Likert scale for image quality, stenosis, and plaque by two independent board-certified readers blinded to breast shields.

OBJECTIVE: The purpose of this study is to compare the image quality of coronary CT angiography performed with and without breast shields.

RESULTS: Seventy-two patients (mean [+ SD] age, 53 + 9 years) were included. The pre scan heart rate, body mass index, and Agatston score did not differ between groups. The median estimated radiation dose was 13.4 versus 16.1 mSv for those with and without breast shields (p = 0.003). For shielded versus unshielded scans, 86% versus 83% of coronary segments were rated excellent or above average (p = 0.4), median image quality was 2.0 for both groups, mean signal was 474 + 75 and 452 + 91 HU (p = 0.27), mean noise was 33.9 + 8.5 and 29.8 + 8.3 HU (p = 0.04), and median signal-to-noise ratio was 14.4 and 14.7 (p = 0.56), respectively.

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