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Comparison of Calcium Scoring With 4-Multidetector Computed Tomography (4-MDCT) and 64-MDCT: A Phantom Study

Serafin, Zbigniew MD, PhD; Rusak, Graz˙yna MD; Strześniewski, Piotr MD, PhD; Laskowska, Katarzyna MD, PhD; Lasek, Władysław MD, PhD

Journal of Computer Assisted Tomography: January/February 2012 - Volume 36 - Issue 1 - p 88–93
doi: 10.1097/RCT.0b013e31823d796c
Cadiovascular Imaging

Objective: To determine differences in coronary artery calcium (CAC) measurement performed with the use of 2 generations of multidetector computed tomography (CT) scanners of the same manufacturer.

Methods: Agatston Score (AS) and calcium mass (CM) were measured with a 4-row scanner (AS4 and CM4) and a 64-row scanner (AS64 and CM64) using a cardiac phantom with calcium inserts.

Results: The results of the AS measurements (mean ± SD) varied significantly between the equipment: 880.6 ± 30.1 (AS4) vs 586.5 ± 24.0 (AS64; P < 0.0001). The AS interscanner variability was 31.6% for the phantom and from 25.5% to 110.1% for particular inserts. Mean ± SD CM values were different as well: 192.8 ± 5.0 mg (CM4) vs 152.4 ± 2.6 mg (CM64; P < 0.0001). Determination of CM with 64-row CT was more accurate than that with an older scanner; the mean relative error was −9.1% and 15.0%, respectively (P < 0.0001). The CM interscanner variability was 23.3% for the phantom and from 19.0% to 122.8% for particular inserts. The interexamination variability ranged from 1.7% (CM64) to 5.6% (AS4).

Conclusions: Coronary artery calcium scoring with the 64-row CT scanner is more accurate than with the 4-row device The difference between the results of AS and CM measurements carried out with both scanners is statistically significant.

From the Department of Radiology and Diagnostic Imaging, Nicolaus Copernicus University, Collegium Medicum, Bydgoszcz, Poland.

Received for publication August 5, 2011; accepted October 17, 2011.

Reprints: Zbigniew Serafin, MD, PhD, Department of Radiology and Diagnostic Imaging, Nicolaus Copernicus University, Collegium Medicum, ul. M. Skłodowskiej-Curie 9, 85-094 Bydgoszcz, Poland (e-mail: serafin@cm.umk.pl).

The authors report no conflicts of interest.

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