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Automatic tube potential selection with tube current modulation in coronary CT angiography: Can it achieve consistent image quality among various individuals?

  • Authors:
    • Xiao‑Ping Wang
    • Xiao‑Mei Zhu
    • Yin‑Su Zhu
    • Wang‑Yan Liu
    • Xiao‑Han Yang
    • Wei‑Wei Huang
    • Yi Xu
    • Li‑Jun Tang
  • View Affiliations / Copyright

    Affiliations: Department of Radiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, P.R. China
    Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 253-259
    |
    Published online on: May 11, 2018
       https://doi.org/10.3892/etm.2018.6158
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Abstract

The present study included a total of 111 consecutive patients who had undergone coronary computed tomography (CT) angiography, using a first‑generation dual‑source CT with automatic tube potential selection and tube current modulation. Body weight (BW) and body mass index (BMI) were recorded prior to CT examinations. Image noise and attenuation of the proximal ascending aorta (AA) and descending aorta (DA) at the middle level of the left ventricle were measured. Correlations between BW, BMI and objective image quality were evaluated using linear regression. In addition, two subgroups based on BMI (BMI ≤25 and >25 kg/m2) were analyzed. Subjective image quality, image noise, the signal‑to‑noise ratio (SNR) and the contrast‑to‑noise ratio (CNR) were all compared between those. The image noise of the AA increased with the BW and BMI (BW: r=0.453, P<0.001; BMI: r=0.545, P<0.001). The CNR and SNR of the AA were inversely correlated with BW and BMI, respectively. The image noise of the DA and the CNR and SNR of the DA exhibited a similar association to those with the BW or BMI. The BMI >25 kg/m2 group had a significant increase in image noise (33.1±6.9 vs. 27.8±4.0 HU, P<0.05) and a significant reduction in CNR and SNR, when compared with those in the BMI ≤25 kg/m2 group (CNR: 18.9±4.3 vs. 16.1±3.7, P<0.05; SNR: 16.0±3.8 vs. 13.6±3.2, P<0.05). Patients with a BMI of ≤25 kg/m2 had more coronary artery segments scored as excellent, compared with patients with a BMI of >25 kg/m2 (P=0.02). In conclusion, this method is not able to achieve a consistent objective image quality across the entire patient population. The impact of BW and BMI on objective image quality was not completely eliminated. BMI‑based adjustment of the tube potential may achieve a more consistent image quality compared to automatic tube potential selection, particularly in patients with a larger body habitus.
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1 

Xu Yi, Tang L, Zhu X, Xu H, Tang J, Yang Z, Wang L and Wang D: Comparison of dual-source ct coronary angiography and conventional coronary angiography for detecting coronary artery disease. Int J Cardiovasc Imag. 26 Suppl 1:S75–S81. 2010. View Article : Google Scholar

2 

Kim YJ, Yong HS, Kim SM, Kim JA, Yang DH and Hong YJ: Korean Society of Radiology; Korean Society of Cardiology: Korean guidelines for the appropriate use of cardiac CT. Korean J Radiol. 16:251–285. 2015. View Article : Google Scholar : PubMed/NCBI

3 

Delewi R, Hoebers LP, Råmunddal T, Henriques JP, Angerås O, Stewart J, Robertsson L, Wahlin M, Petursson P, Piek JJ, et al: Clinical and procedural characteristics associated with higher radiation exposure during percutaneous coronary interventions and coronary angiography. Circ Cardiovasc Interv. 6:501–506. 2013. View Article : Google Scholar : PubMed/NCBI

4 

Meyersohn NM, Szilveszter B, Staziaki PV, Scholtz JE, Takx RAP, Hoffmann U and Ghoshhajra BB: Coronary CT angiography in the emergency department utilizing second and third generation dual source CT. J Cardiovasc Comput Tomogr. 11:249–257. 2017. View Article : Google Scholar : PubMed/NCBI

5 

Halliburton SS, Abbara S, Chen MY, Gentry R, Mahesh M, Raff GL, Shaw LJ and Hausleiter J: Society of Cardiovascular Computed Tomography: SCCT guidelines on radiation dose and dose-optimization strategies in cardiovascular CT. J Cardiovasc Computed Tomography. 5:198–224. 2011. View Article : Google Scholar

6 

He G, Liu X, Liu Y, Wang W and Ke Z: Dose study of electrocardiogram automatic tube current modulation technology in prospective coronary computed tomography angiography scans of overweight patients. Exp Ther Med. 9:2384–2388. 2015. View Article : Google Scholar : PubMed/NCBI

7 

LaBounty TM, Leipsic J, Poulter R, Wood D, Johnson M, Srichai MB, Cury RC, Heilbron B, Hague C, Lin FY, et al: Coronary CT angiography of patients with a normal body mass index using 80 kVp versus 100 kVp: A prospective, multicenter, multivendor randomized trial. AJR Am J Roentgenol. 197:W860–W867. 2011. View Article : Google Scholar : PubMed/NCBI

8 

Wenz H, Maros ME, Meyer M, Gawlitza J, Förster A, Haubenreisser H, Kurth S, Schoenberg SO, Groden C and Henzler T: Intra-individual diagnostic image quality and organ-specific-radiation dose comparison between spiral cCT with iterative image reconstruction and z-axis automated tube current modulation and sequential cCT. Eur J Radiol Open. 3:182–190. 2016. View Article : Google Scholar : PubMed/NCBI

9 

Scholtz JE, Wichmann JL, Hüsers K, Beeres M, Nour-Eldin NE, Frellesen C, Vogl TJ and Lehnert T: Automated tube voltage adaptation in combination with advanced modeled iterative reconstruction in thoracoabdominal third-generation 192-slice dual-source computed tomography: Effects on image quality and radiation dose. Acad Radiol. 22:1081–1087. 2015. View Article : Google Scholar : PubMed/NCBI

10 

Ghoshhajra BB, Engel LC, Károlyi M, Sidhu MS, Wai B, Barreto M, Shanmugam U, Hoffmann U, Brady TJ, Kalra M and Abbara S: Cardiac computed tomography angiography with automatic tube potential selection: Effects on radiation dose and image quality. J Thorac Imaging. 28:40–48. 2013. View Article : Google Scholar : PubMed/NCBI

11 

Layritz C, Muschiol G, Flohr T, Bietau C, Marwan M, Schuhbaeck A, Schmid J, Ropers D, Achenbach S and Pflederer T: Automated attenuation-based selection of tube voltage and tube current for coronary CT angiography: Reduction of radiation exposure versus a BMI-based strategy with an expert investigator. J Cardiovasc Comput Tomogr. 7:303–310. 2013. View Article : Google Scholar : PubMed/NCBI

12 

Suh YJ, Kim YJ, Hong SR, Hong YJ, Lee HJ, Hur J and Choi BW: Combined use of automatic tube potential selection with tube current modulation and iterative reconstruction technique in coronary CT angiography. Radiolog. 269:722–729. 2013.

13 

Park YJ, Kim YJ, Lee JW, Kim HY, Hong YJ, Lee HJ, Hur J, Nam JE and Choi BW: Automatic Tube Potential Selection with Tube Current Modulation (APSCM) in coronary CT angiography: Comparison of image quality and radiation dose with conventional body mass index-based protocol. J Cardiovasc Comput. 6:184–190. 2012. View Article : Google Scholar

14 

Zhu X, Shi Z, Zhu Y, Liu W, Yang G, Yu T, Tang L and Xu Y: Individually adapted tube current selection and contrast medium injection protocol of coronary CT angiography based on test bolus parameters: A feasibility study. Acta Radiol. 56:666–672. 2015. View Article : Google Scholar : PubMed/NCBI

15 

Zhu X, Zhu Y, Xu H, Wan Y, Choo KS, Yang G, Tang L and Xu Y: An individualized contrast material injection protocol with respect to patient-related factors for dual-source CT coronary angiography. Clin Radiol. 69:e86–e92. 2014. View Article : Google Scholar : PubMed/NCBI

16 

Lembcke A, Wiese TH, Schnorr J, Wagner S, Mews J, Kroencke TJ, Enzweiler CN, Hamm B and Taupitz M: Image quality of noninvasive coronary angiography using multislice spiral computed tomography and electron-beam computed tomography. Invest Radiol. 39:357–364. 2004. View Article : Google Scholar : PubMed/NCBI

17 

Ferencik M, Nomura CH, Maurovich-Horvat P, Hoffmann U, Pena AJ, Cury RC, Abbara S, Nieman K, Fatima U, Achenbach S and Brady TJ: Quantitative parameters of image quality in 64-slice computed tomography angiography of the coronary arteries. Eur J Radiol. 57:373–379. 2006. View Article : Google Scholar : PubMed/NCBI

18 

Austen WG, Edwards JE, Frye RL, Gensini GG, Gott VL, Griffith LS, McGoon DC, Murphy ML and Roe BB: A reporting system on patients evaluated for coronary artery disease. Report of the Ad Hoc Committee for Grading of Coronary Artery Disease, Council on Cardiovascular Surgery, American Heart Association. Circulation. 51 Suppl 4:S5–S40. 1975. View Article : Google Scholar

19 

Lee AM, Beaudoin J, Engel LC, Sidhu MS, Abbara S, Brady TJ, Hoffmann U and Ghoshhajra BB: Assessment of image quality and radiation dose of prospectively ECG-triggered adaptive dual-source coronary computed tomography angiography (cCTA) with arrhythmia rejection algorithm in systole versus diastole: A retrospective cohort study. Int J Cardiovasc Imaging. 29:1361–1370. 2013. View Article : Google Scholar : PubMed/NCBI

20 

Lu C, Wang Z, Ji J, Wang H, Hu X and Chen C: Evaluation of a chest circumference-adapted protocol for low-dose 128-slice coronary CT angiography with prospective electrocardiogram triggering. Korean J Radiol. 16:13–20. 2015. View Article : Google Scholar : PubMed/NCBI

21 

Hausleiter J, Martinoff S, Hadamitzky M, Martuscelli E, Pschierer I, Feuchtner GM, Catalán-Sanz P, Czermak B, Meyer TS, Hein F, et al: Image quality and radiation exposure with a low tube voltage protocol for coronary CT angiography results of the PROTECTION II Trial. JACC Cardiovasc Imaging. 3:1113–1123. 2010. View Article : Google Scholar : PubMed/NCBI

22 

Gordic S, Desbiolles L, Sedlmair M, Manka R, Plass A, Schmidt B, Husarik DB, Maisano F, Wildermuth S and Alkadhi H: Optimizing radiation dose by using advanced modelled iterative reconstruction in high-pitch coronary CT angiography. Eur Radiol. 26:459–468. 2016. View Article : Google Scholar : PubMed/NCBI

23 

Abdullah KA, McEntee MF, Reed W and Kench PL: Radiation dose and diagnostic image quality associated with iterative reconstruction in coronary CT angiography: A systematic review. J Med Imaging Radiat Oncol. 60:459–468. 2016. View Article : Google Scholar : PubMed/NCBI

24 

Shen J, Du X, Guo D, Cao L, Gao Y, Yang Q, Li P, Liu J and Li K: Prospective ECG-triggered coronary CT angiography: Clinical value of noise-based tube current reduction method with iterative reconstruction. PLoS One. 8:e650252013. View Article : Google Scholar : PubMed/NCBI

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Copy and paste a formatted citation
Spandidos Publications style
Wang XP, Zhu XM, Zhu YS, Liu WY, Yang XH, Huang WW, Xu Y and Tang LJ: Automatic tube potential selection with tube current modulation in coronary CT angiography: Can it achieve consistent image quality among various individuals?. Exp Ther Med 16: 253-259, 2018.
APA
Wang, X., Zhu, X., Zhu, Y., Liu, W., Yang, X., Huang, W. ... Tang, L. (2018). Automatic tube potential selection with tube current modulation in coronary CT angiography: Can it achieve consistent image quality among various individuals?. Experimental and Therapeutic Medicine, 16, 253-259. https://doi.org/10.3892/etm.2018.6158
MLA
Wang, X., Zhu, X., Zhu, Y., Liu, W., Yang, X., Huang, W., Xu, Y., Tang, L."Automatic tube potential selection with tube current modulation in coronary CT angiography: Can it achieve consistent image quality among various individuals?". Experimental and Therapeutic Medicine 16.1 (2018): 253-259.
Chicago
Wang, X., Zhu, X., Zhu, Y., Liu, W., Yang, X., Huang, W., Xu, Y., Tang, L."Automatic tube potential selection with tube current modulation in coronary CT angiography: Can it achieve consistent image quality among various individuals?". Experimental and Therapeutic Medicine 16, no. 1 (2018): 253-259. https://doi.org/10.3892/etm.2018.6158
Copy and paste a formatted citation
x
Spandidos Publications style
Wang XP, Zhu XM, Zhu YS, Liu WY, Yang XH, Huang WW, Xu Y and Tang LJ: Automatic tube potential selection with tube current modulation in coronary CT angiography: Can it achieve consistent image quality among various individuals?. Exp Ther Med 16: 253-259, 2018.
APA
Wang, X., Zhu, X., Zhu, Y., Liu, W., Yang, X., Huang, W. ... Tang, L. (2018). Automatic tube potential selection with tube current modulation in coronary CT angiography: Can it achieve consistent image quality among various individuals?. Experimental and Therapeutic Medicine, 16, 253-259. https://doi.org/10.3892/etm.2018.6158
MLA
Wang, X., Zhu, X., Zhu, Y., Liu, W., Yang, X., Huang, W., Xu, Y., Tang, L."Automatic tube potential selection with tube current modulation in coronary CT angiography: Can it achieve consistent image quality among various individuals?". Experimental and Therapeutic Medicine 16.1 (2018): 253-259.
Chicago
Wang, X., Zhu, X., Zhu, Y., Liu, W., Yang, X., Huang, W., Xu, Y., Tang, L."Automatic tube potential selection with tube current modulation in coronary CT angiography: Can it achieve consistent image quality among various individuals?". Experimental and Therapeutic Medicine 16, no. 1 (2018): 253-259. https://doi.org/10.3892/etm.2018.6158
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