Document Detail


Diagnostic value of dual-source CT in Kawasaki disease.
MedLine Citation:
PMID:  20368084     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Doppler color echocardiography is a common method for detecting coronary artery lesions in patients with Kawasaki disease (KD). However, the diagnostic accuracy for the whole coronary artery lesions is limited. The purpose of this study was to compare the diagnostic value of dual-source computed tomography (DSCT) and Doppler color echocardiography for the assessment of coronary artery lesions caused by KD. METHODS: Sixteen patients, 12 with typical KD and 4 with atypical KD, underwent DSCT and Doppler color echocardiography. The position and internal diameter of each coronary artery lesion was measured. Correlation analysis was used to compare the diagnostic value of the two imaging modalities. RESULTS: In the typical KD group, seven patients did not have any coronary artery lesion as confirmed by both DSCT scans and Doppler color echocardiography; in four patients proximal coronary artery injuries were identified by both modalities; in one patient an aneurysm in the middle and distal segments of the coronary artery was detected by DSCT but was negative in Doppler color echocardiography. In the atypical KD group, three cases showed the same results with both modalities, while one case with coronary artery stenosis in the middle segment was identified by DSCT but not detected by Doppler color echocardiography. There was a good correlation between the two imaging modalities (Kappa value, 0.768 (>or= 0.75)). CONCLUSION: DSCT coronary artery angiography is an accurate, non-invasive, and valuable technique for detecting and following up coronary artery lesions in patients with KD.
Authors:
Bao-ting Chao; Xi-ming Wang; Le-bin Wu; Jie Chen; Zhao-ping Cheng; Da-wei Wu; Yan-hua Duan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Chinese medical journal     Volume:  123     ISSN:  0366-6999     ISO Abbreviation:  Chin. Med. J.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-04-06     Completed Date:  2010-06-29     Revised Date:  2010-09-14    
Medline Journal Info:
Nlm Unique ID:  7513795     Medline TA:  Chin Med J (Engl)     Country:  China    
Other Details:
Languages:  eng     Pagination:  670-4     Citation Subset:  IM    
Affiliation:
Shandong Medical Imaging Research Institute, Shandong University, Ji'nan, Shandong 250021, China.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Coronary Angiography / methods*
Coronary Artery Disease / radiography*
Echocardiography, Doppler, Color
Female
Humans
Infant
Male
Mucocutaneous Lymph Node Syndrome / complications*,  radiography
Tomography, X-Ray Computed / methods*

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