Reduced Radiation Exposure Protocol during Computer Tomography
of the Left Atrium Prior to Catheter Ablation in Patients with
Atrial Fibrillation

J 2022

Reduced Radiation Exposure Protocol during Computer Tomography of the Left Atrium Prior to Catheter Ablation in Patients with Atrial Fibrillation

JADCZYK, Tomasz, Jiří WOLF, Martin PEŠL, Filip SOUČEK, František LEHAR et. al.

Základní údaje

Originální název

Reduced Radiation Exposure Protocol during Computer Tomography of the Left Atrium Prior to Catheter Ablation in Patients with Atrial Fibrillation

Autoři

JADCZYK, Tomasz, Jiří WOLF (203 Česká republika), Martin PEŠL (203 Česká republika, domácí), Filip SOUČEK (203 Česká republika), František LEHAR (203 Česká republika), Jiří JEŽ (203 Česká republika), Tomáš KULÍK (203 Česká republika), Bohdan TYSHCHENKO, Silvie BĚLAŠKOVÁ (203 Česká republika, domácí), Petr OUŘEDNÍČEK (203 Česká republika, domácí), Guido CALUORI (380 Itálie, domácí), Miroslav NOVÁK (203 Česká republika) a Zdeněk STÁREK (203 Česká republika, garant)

Vydání

Diagnostics, Basel, MDPI, 2022, 2075-4418

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30224 Radiology, nuclear medicine and medical imaging

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 3.600

Kód RIV

RIV/00216224:14110/22:00125484

Organizační jednotka

Lékařská fakulta

DOI

http://dx.doi.org/10.3390/diagnostics12030612

UT WoS

000776880600001

Klíčová slova anglicky

computed tomography; catheter ablation; radiation

Štítky

14110119, 14110513, podil, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 27. 3. 2023 13:25, Mgr. Tereza Miškechová

Anotace

V originále

(1) Background: Computer tomography (CT) is an imaging modality used in the pre-planning of radiofrequency catheter ablation (RFA) procedure in patients with cardiac arrhythmias. However, it is associated with a considerable ionizing radiation dose for patients. This study aims to develop and validate low-dose CT scanning protocols of the left atrium (LA) for RFA guidance. (2) Methods: 68 patients scheduled for RFA of atrial fibrillation were sequentially assigned to four groups of ECG-gated scanning protocols, based on the set tube current (TC): Group A (n = 20, TC = 33 mAs), Group B (n = 18, TC = 67 mAs), Group C (n = 10, TC = 135 mAs), and control Group D (n = 20, TC = 600 mAs). We used a 256-row multidetector CT with body weight-dependent tube voltage of 80 kVp (<70 kg), 100 kVp (70–90 kg), and 120 kVp (>90 kg). We evaluated scanning parameters including radiation dose, total scanning procedure time and signal-to-noise ratio (SNR). (3) Results: The average effective radiation dose (ED) was lower in Group A in comparison to Group B, C and D (0.83 (0.76–1.10), 1.55 (1.36–1.67), 2.91 (2.32–2.96) and 9.35 (8.00–10.04) mSv, p < 0.05). The total amount of contrast media was not significantly different between groups. The mean SNR was 6.5 (5.8–7.3), 7.1 (5.7–8.2), 10.8 (10.1–11.3), and 12.2 (9.9–15.7) for Group A, B, C and D, respectively. The comparisons of SNR in group A vs. B and C vs. D were without significant differences. (4) Conclusions: Optimized pre-ablation CT scanning protocols of the LA can reduce an average ED by 88.7%. Three dimensional (3D) models created with the lowest radiation protocol are useful for the integration of electro-anatomic-guided RFA procedures.

Návaznosti

MUNI/A/1462/2021, interní kód MU

Název: Nové zobrazovací, výpočetní a analytické metody v diagnostice a monitoraci kardiovaskulárních onemocnění

Investor: Masarykova univerzita, Nové zobrazovací, výpočetní a analytické metody v diagnostice a monitoraci kardiovaskulárních onemocnění

Citovat

JADCZYK, Tomasz, Jiří WOLF, Martin PEŠL, Filip SOUČEK, František LEHAR, Jiří JEŽ, Tomáš KULÍK, Bohdan TYSHCHENKO, Silvie BĚLAŠKOVÁ, Petr OUŘEDNÍČEK, Guido CALUORI, Miroslav NOVÁK a Zdeněk STÁREK. Reduced Radiation Exposure Protocol during Computer Tomography of the Left Atrium Prior to Catheter Ablation in Patients with Atrial Fibrillation. Diagnostics. Basel: MDPI, 2022, roč. 12, č. 3, s. 1-12. ISSN 2075-4418. Dostupné z: https://dx.doi.org/10.3390/diagnostics12030612.

@article{1839677,
   author = {Jadczyk, Tomasz and Wolf, Jiří and Pešl, Martin and Souček, Filip and Lehar, František and Jež, Jiří and Kulík, Tomáš and Tyshchenko, Bohdan and Bělašková, Silvie and Ouředníček, Petr and Caluori, Guido and Novák, Miroslav and Stárek, Zdeněk},
   article_location = {Basel},
   article_number = {3},
   doi = {http://dx.doi.org/10.3390/diagnostics12030612},
   keywords = {computed tomography; catheter ablation; radiation},
   language = {eng},
   issn = {2075-4418},
   journal = {Diagnostics},
   title = {Reduced Radiation Exposure Protocol during Computer Tomography of the Left Atrium Prior to Catheter Ablation in Patients with Atrial Fibrillation},
   url = {https://www.mdpi.com/2075-4418/12/3/612},
   volume = {12},
   year = {2022}
}

TY  - JOUR
ID  - 1839677
AU  - Jadczyk, Tomasz - Wolf, Jiří - Pešl, Martin - Souček, Filip - Lehar, František - Jež, Jiří - Kulík, Tomáš - Tyshchenko, Bohdan - Bělašková, Silvie - Ouředníček, Petr - Caluori, Guido - Novák, Miroslav - Stárek, Zdeněk
PY  - 2022
TI  - Reduced Radiation Exposure Protocol during Computer Tomography of the Left Atrium Prior to Catheter Ablation in Patients with Atrial Fibrillation
JF  - Diagnostics
VL  - 12
IS  - 3
SP  - 1-12
EP  - 1-12
PB  - MDPI
SN  - 20754418
KW  - computed tomography
KW  - catheter ablation
KW  - radiation
UR  - https://www.mdpi.com/2075-4418/12/3/612
N2  - (1) Background: Computer tomography (CT) is an imaging modality used in the pre-planning of radiofrequency catheter ablation (RFA) procedure in patients with cardiac arrhythmias. However, it is associated with a considerable ionizing radiation dose for patients. This study aims to develop and validate low-dose CT scanning protocols of the left atrium (LA) for RFA guidance. (2) Methods: 68 patients scheduled for RFA of atrial fibrillation were sequentially assigned to four groups of ECG-gated scanning protocols, based on the set tube current (TC): Group A (n = 20, TC = 33 mAs), Group B (n = 18, TC = 67 mAs), Group C (n = 10, TC = 135 mAs), and control Group D (n = 20, TC = 600 mAs). We used a 256-row multidetector CT with body weight-dependent tube voltage of 80 kVp (<70 kg), 100 kVp (70–90 kg), and 120 kVp (>90 kg). We evaluated scanning parameters including radiation dose, total scanning procedure time and signal-to-noise ratio (SNR). (3) Results: The average effective radiation dose (ED) was lower in Group A in comparison to Group B, C and D (0.83 (0.76–1.10), 1.55 (1.36–1.67), 2.91 (2.32–2.96) and 9.35 (8.00–10.04) mSv, p < 0.05). The total amount of contrast media was not significantly different between groups. The mean SNR was 6.5 (5.8–7.3), 7.1 (5.7–8.2), 10.8 (10.1–11.3), and 12.2 (9.9–15.7) for Group A, B, C and D, respectively. The comparisons of SNR in group A vs. B and C vs. D were without significant differences. (4) Conclusions: Optimized pre-ablation CT scanning protocols of the LA can reduce an average ED by 88.7%. Three dimensional (3D) models created with the lowest radiation protocol are useful for the integration of electro-anatomic-guided RFA procedures.
ER  -

JADCZYK, Tomasz, Jiří WOLF, Martin PEŠL, Filip SOUČEK, František LEHAR, Jiří JEŽ, Tomáš KULÍK, Bohdan TYSHCHENKO, Silvie BĚLAŠKOVÁ, Petr OUŘEDNÍČEK, Guido CALUORI, Miroslav NOVÁK a Zdeněk STÁREK. Reduced Radiation Exposure Protocol during Computer Tomography of the Left Atrium Prior to Catheter Ablation in Patients with Atrial Fibrillation. \textit{Diagnostics}. Basel: MDPI, 2022, roč.~12, č.~3, s.~1-12. ISSN~2075-4418. Dostupné z: https://dx.doi.org/10.3390/diagnostics12030612.

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