PMID- 21799277 OWN - NLM STAT- MEDLINE DCOM- 20120201 LR - 20190911 IS - 1881-4883 (Electronic) IS - 0369-4305 (Linking) VI - 67 IP - 7 DP - 2011 TI - [Relationship among RR interval, optimal reconstruction phase, temporal resolution, and image quality of end-systolic reconstruction of coronary CT angiography in patients with high heart rates: in search of the optimal acquisition protocol]. PG - 765-71 AB - The purpose of this study is to elucidate the relationship among RR interval (RR), the optimal reconstruction phase, and adequate temporal resolution (TR) to obtain coronary CT angiography images of acceptable quality using 64-MDCT (Aquilion 64) of end-systolic reconstruction in 407 patients with high heart rates. Image quality was classified into 3 groups [rank A (excellent): 161, rank B (acceptable): 207, and rank C (unacceptable): 39 patients]. The optimal absolute phase (OAP) significantly correlated with RR [OAP (ms)=119-0.286RR (ms), r=0.832, p<0.0001], and the optimal relative phase (ORP) also significantly correlated with RR [ORP (%)=62-0.023RR (ms), r=0.656, p<0.0001], and the correlation coefficient of OAP was significantly (p<0.0001) higher than that of ORP. The OAP range (+/-2SD) in which it is highly possible to get a static image was from [119-0.286RR (ms)-46] to [119-0.286RR (ms)+46]. The TR was significantly different among ranks A (97 +/- 22 ms), B (111 +/- 31 ms) and C (135 +/- 34 ms). The TR significantly correlated with RR in ranks A (TR=-16+0.149RR, r=0.767, p<0.0001), B (TR=-15+0.166RR, r=0.646, p<0.0001), and C (TR=52+0.117RR, r=0.425, p=0.0069). Rank C was distinguished from ranks A or B by linear discriminate analysis (TR=-46+0.21RR), and the discriminate rate was 82.6%. In conclusion, both the OAP and adequate TR depend on RR, and the OAP range (+/-2SD) can be calculated using the formula [119-0.286RR (ms)-46] to [119-0.286RR (ms)+46], and an adequate TR value would be less than (-46+0.21RR). FAU - Sano, Tomonari AU - Sano T AD - Department of Radiological Technology, Takase Clinic. FAU - Matsutani, Hideyuki AU - Matsutani H FAU - Kondo, Takeshi AU - Kondo T FAU - Fujimoto, Shinichiro AU - Fujimoto S FAU - Sekine, Takako AU - Sekine T FAU - Arai, Takehiro AU - Arai T FAU - Morita, Hitomi AU - Morita H FAU - Takase, Shinichi AU - Takase S LA - jpn PT - Journal Article PL - Japan TA - Nihon Hoshasen Gijutsu Gakkai Zasshi JT - Nihon Hoshasen Gijutsu Gakkai zasshi JID - 7505722 SB - IM MH - Aged MH - Coronary Angiography/*methods MH - Female MH - Humans MH - Male MH - Middle Aged MH - Tachycardia/*diagnostic imaging/physiopathology MH - Tomography, X-Ray Computed/*methods EDAT- 2011/07/30 06:00 MHDA- 2012/02/02 06:00 CRDT- 2011/07/30 06:00 PHST- 2011/07/30 06:00 [entrez] PHST- 2011/07/30 06:00 [pubmed] PHST- 2012/02/02 06:00 [medline] AID - JST.JSTAGE/jjrt/67.765 [pii] AID - 10.6009/jjrt.67.765 [doi] PST - ppublish SO - Nihon Hoshasen Gijutsu Gakkai Zasshi. 2011;67(7):765-71. doi: 10.6009/jjrt.67.765.