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Real-Time Volumetric Imaging of Human Heart Without Electrocardiographic Gating by 256-Detector Row Computed Tomography: Initial Experience

Kondo, Chisato MD*; Mori, Shinichiro MS; Endo, Masahiro PhD; Kusakabe, Kiyoko MD*; Suzuki, Naoki PhD; Hattori, Asaki PhD; Kusakabe, Masahiro PhD§

Journal of Computer Assisted Tomography: September-October 2005 - Volume 29 - Issue 5 - p 694-698
doi: 10.1097/01.rct.0000173844.89988.37
Cardiovascular Imaging: Original Article
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Objective: The feasibility of human cardiac imaging using a prototype 256-detector row cone-beam computed tomography (256CBCT) scanner without electrocardiographic gating was examined.

Methods: Two healthy male volunteers were examined by contrast-enhanced 256CBCT. The number of detectors was 912 × 256, each measuring approximately 0.5 mm × 0.5 mm at the center of rotation. The craniocaudal coverage was approximately 100 mm after reconstruction by the Feldkamp-Davis-Kress algorithm. The effective time resolution was 500 milliseconds using a half-scan algorithm.

Results: Serial enhancement of the left ventricular myocardium was detected. The right and left coronary arteries at proximal and distal segments were depicted without significant blurring. Although the left ventricular wall motion on cine images was not smooth over time, it was possible to measure ventricular volume and ejection fraction.

Conclusions: Using the 256CBCT, it was possible to visualize the coronary arteries, myocardial perfusion, and ventricular contraction simultaneously during a single acquisition.

From the *Department of Radiology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan; †Department of Medical Physics, National Institute of Radiological Sciences, Chiba, Japan; ‡Institute for High Dimensional Medical Imaging Research Center for Medical Science, Jikei University School of Medicine, Tokyo, Japan; and §Faculty of Engineering, Fukui University, Fukui, Japan.

Received for publication April 18, 2005; accepted June 2, 2005.

Supported in part by the New Energy and Industrial Technology Development Organization of Japan.

Reprints: Chisato Kondo, Division of Nuclear Medicine, Department of Radiology, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan (e-mail: pkondou@rad.twmu.ac.jp).

© 2005 Lippincott Williams & Wilkins, Inc.