스텐트 내경 측정 시 다양한 다절편 전산화단층촬영 알고리즘의 영향

Abstract

This study was carried out to measure diameters of stents within phantom and to know proper algorithm for evaluating patency of stent by using multi-detector computed tomography (MDCT). Phantom model that stent was located in plastic pite with mixed saline and contrast (10:1) and total 80 patients (man:woman = 53:27, mean age, 60.8 years old) who undertaken percutaneous coronary intervention (stenting) were included in this study. Computed tomography scans were performed with 16- and 64-slice MDCT scanner with retrospective electrocardiography gating. Standard scanning protocols were applied. Cardiac radiologist and radiologic technician measured internal diameters of stents. Also, image qualities of stents as 8 points were scored. For evaluation of images,window width and window center were used as 900±100 and 400±100, respectively. In phantom model, average maximal diameters measured by each algorithms were 2.35 mm (B50f in Siemens AG, Medical Solutions [S company]) and 2.53 mm (Xres standard [XCB] in Phillips Medical Systems [P company]), respectively. In patients, in-stent resolution processed by Xres sharp (XCC)was scored as 7.67 (highest). In this study, B40f, B50f (16 slice MDCT in S company), XCB and XCC (64 slice MDCT in P company) are appropriate algorithms for evaluating internal patency of stents.