4.3 Article

Coronary risk assessment at X-ray dose equivalent ungated chest CT: Results of a multi-reader study

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CLINICAL IMAGING
卷 49, 期 -, 页码 73-79

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ELSEVIER SCIENCE INC
DOI: 10.1016/j.clinimag.2017.10.014

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Computed tomography; Ultra-low dose; Coronary artery disease; Coronary artery calcium; Iterative reconstruction; Tin filtration

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Objectives: To determine the value of ultra-low dose chest CT with tin filtration for ordinal coronary artery calcium (CAC) risk scoring. Methods: 50 patients were prospectively included and underwent clinical standard dose chest CT (1.8 +/- 0.7 mSv) and ultra-low dose CT (0.13 +/- 0.01 mSv). Four radiologists estimated presence and extent of CAC. Results: Weighted kappa values for CAC were 0.76-0.97 in standard dose and 0.75-0.95 in ultra-low dose CT (p < 0.001). Good to excellent agreement was observed for CAC ordinal risk assessment, with readers reporting identical risk in 81% of cases. Conclusion: CAC risk can be qualitatively assessed from X-ray dose equivalent ungated chest CT.

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