| Detection, visualization and evaluation of anomalous coronary anatomy on 16-slice multidetector-row CT. | |
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MedLine Citation:
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PMID: 15452665 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Early identification and evaluation of relatively frequent anomalous coronary anatomy is quite relevant because of the occurrence of sudden cardiac death or related symptoms of myocardial ischemia. Selective coronary angiography (CAG) is invasive, expensive and cannot always provide the required information adequately. Recently, non-invasive imaging techniques such as magnetic resonance imaging and multidetector-row computed tomography (MDCT) have been shown to provide a good anatomical view of the coronary artery tree. This study aims to demonstrate the value of 16-MDCT for evaluation of anomalous coronary anatomy. In 13 patients scanned using 16-MDCT, six different coronary anomalies were diagnosed [two absent left main, one single vessel left coronary artery (LCA), three LCA originating from the right (two with interarterial course), six right coronary artery originating from the left, one double left anterior descending (LAD)]. Mean diagnostic quality, recorded by two observers using a 5-point scale (1= non-diagnostic to 5= excellent diagnostic quality), resulted in a mean score of 3.73 (SD 1.19) without any non-diagnostic result. MDCT offers an accurate diagnostic modality to visualize the origin and course of anomalous coronary arteries by a three-dimensional display of anatomy. Shortcomings in CAG can be overcome by the use of contrast-enhanced MDCT. |
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Authors:
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Peter M A van Ooijen; Joost Dorgelo; Felix Zijlstra; Matthijs Oudkerk |
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Publication Detail:
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Type: Journal Article Date: 2004-09-28 |
Journal Detail:
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Title: European radiology Volume: 14 ISSN: 0938-7994 ISO Abbreviation: Eur Radiol Publication Date: 2004 Dec |
Date Detail:
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Created Date: 2004-12-15 Completed Date: 2005-05-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9114774 Medline TA: Eur Radiol Country: Germany |
Other Details:
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Languages: eng Pagination: 2163-71 Citation Subset: IM |
Affiliation:
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Department of Radiology, Groningen University Hospital, P.O. Box 30 001, 9700 RB Groningen, The Netherlands. p.m.a.van.ooijen@rad.azg.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Coronary Vessel Anomalies / radiography* Female Humans Image Enhancement Male Middle Aged Sensitivity and Specificity Tomography, X-Ray Computed |
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