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[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
PubMed

Insights

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.
Abstract

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