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Updated: Jul 17, 2026
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
[Dual-source CT in chest pain diagnosis]
Thorsten R C Johnson1, K Nikolaou, C Fink
1Institut für Klinische Radiologie, Klinikum Grosshadern der Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, München, Deutschland. Thorsten.Johnson@med.uni-muenchen.de
Der Radiologe
|February 8, 2007
Summary
Dual-source CT angiography provides excellent image quality for diagnosing unclear chest pain. This method accurately identifies causes like coronary and aortic diseases, improving patient outcomes.
Area of Science:
- Cardiovascular Imaging
- Thoracic Radiology
Background:
- CT angiography of the chest visualizes pulmonary arteries, coronary arteries, and the aorta.
- It serves as a comprehensive diagnostic tool for patients with unclear chest pain.
Purpose of the Study:
- To assess the diagnostic accuracy of dual-source CT (DSCT) in patients presenting with unclear chest pain.
Main Methods:
- 47 patients with unclear chest pain underwent DSCT using a Siemens Somatom Definition scanner.
- Contrast media volume and flow were adapted to patient body weight.
- Examinations were evaluated for image quality, contrast opacification, and diagnostic accuracy against final clinical diagnoses.
Main Results:
- All examinations achieved adequate contrast opacification.
- Coronary artery depiction was diagnostic in all cases.
- The cause of chest pain was identified in 41 patients, including coronary/myocardial pathologies, valvular disease, aortic aneurysms/dissections, pulmonary embolism, and pneumonic consolidation.
Conclusions:
- DSCT angiography of the chest demonstrates high diagnostic accuracy in patients with acute chest pain.
- It provides excellent image quality, even at high heart rates.
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