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Left ventricular functional analysis with 16- and 64-row multidetector computed tomography: comparison with gated single-photon emission computed tomography.
- Source :
-
Journal of computer assisted tomography [J Comput Assist Tomogr] 2009 Jan-Feb; Vol. 33 (1), pp. 8-14. - Publication Year :
- 2009
-
Abstract
- Objective: To compare the left ventricular (LV) ejection fraction (EF), end-diastolic volume (EDV), and end-systolic volume (ESV) from electrocardiogram-gated computed tomography (CT) to gated single-photon emission computed tomography (SPECT).<br />Methods: Fifty-seven patients underwent electrocardiogram-gated multidetector CT and SPECT examinations within a 3-month period, without interim cardiac events. The LV EF, EDV, and ESV were compared.<br />Results: There was an excellent correlation between LV EF obtained from CT (60.25% +/- 12.93%) and SPECT (61.90% +/- 14.93%) (r = 0.81), with no significant difference (P = 0.17). Computed tomography-derived EDV and ESV correlated well with SPECT (r = 0.88 and 0.94, respectively). The EDV from SPECT (132.21 +/- 67.10 mL) was significantly lower than that from CT (147.53 +/- 55.03 mL; P = 0.0007); there was a trend for ESV from SPECT (58.39 +/- 61.20 mL) to be lower than that from CT (63.79 +/- 53.58 mL; P = 0.055). The EF, EDV, and ESV correlation of SPECT with the 64-row multidetector CT was better (r = 0.87, 0.89, and 0.96, respectively) than that with the 16-row CT (r = 0.36, 0.66, and 0.49, respectively).<br />Conclusions: There is a good correlation between LV EF, EDV, and ESV from gated SPECT and CT (particularly the 64-row CT). The LV volumes are lower on SPECT than on CT.
- Subjects :
- Adult
Aged
Aged, 80 and over
Coronary Artery Disease etiology
Female
Humans
Male
Middle Aged
Reproducibility of Results
Sensitivity and Specificity
Ventricular Dysfunction, Left etiology
Coronary Artery Disease diagnosis
Gated Blood-Pool Imaging methods
Tomography, Emission-Computed, Single-Photon methods
Tomography, X-Ray Computed methods
Ventricular Dysfunction, Left diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1532-3145
- Volume :
- 33
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of computer assisted tomography
- Publication Type :
- Academic Journal
- Accession number :
- 19188778
- Full Text :
- https://doi.org/10.1097/RCT.0b013e3181624ad0