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Mitrev LV, Germaine P, Crudeli C, Santisi A, Trivedi A, Van Helmond N, Gaughan J. Is Calcium Score in the Abdominal Aorta or Renal Arteries Predictive of Acute Kidney Injury After Cardiopulmonary Bypass: An Exploratory Study. Cureus 2022; 14:e31466. [DOI: 10.7759/cureus.31466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/12/2022] [Indexed: 11/16/2022] Open
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Borgbjerg J, Christensen HS, Al-Mashhadi R, Bøgsted M, Frøkjær JB, Medrud L, Larsen NE, Lindholt JS. Ultra-low-dose non-contrast CT and CT angiography can be used interchangeably for assessing maximal abdominal aortic diameter. Acta Radiol Open 2022; 11:20584601221132461. [PMID: 36246457 PMCID: PMC9561642 DOI: 10.1177/20584601221132461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Accepted: 09/27/2022] [Indexed: 11/17/2022] Open
Abstract
Background Routine CT scans may increasingly be used to document normal aortic size and to detect incidental abdominal aortic aneurysms. Purpose To determine whether ultra-low-dose non-contrast CT (ULDNC-CT) can be used instead of the gold standard CT angiography (CTA) for assessment of maximal abdominal aortic diameter. Materials and Methods This retrospective study included 50 patients who underwent CTA and a normal-dose non-contrast CT for suspected renal artery stenosis. ULDNC-CT datasets were generated from the normal-dose non-contrast CT datasets using a simulation technique. Using the centerline technique, radiology consultants (n = 4) and residents (n = 3) determined maximal abdominal aortic diameter. The limits of agreement with the mean (LOAM) was used to access observer agreement. LOAM represents how much a measurement by a single observer may plausibly deviate from the mean of all observers on the specific subject. Results Observers completed 1400 measurements encompassing repeated CTA and ULDNC-CT measurements. The mean diameter was 24.0 and 25.0 mm for CTA and ULDNC-CT, respectively, yielding a significant but minor mean difference of 1.0 mm. The 95% LOAM reproducibility was similar for CTA and ULDNC-CT (2.3 vs 2.3 mm). In addition, the 95% LOAM and mean diameters were similar for CTA and ULDNC-CT when observers were grouped as consultants and residents. Conclusions Ultra-low-dose non-contrast CT exhibited similar accuracy and reproducibility of measurements compared with CTA for assessing maximal abdominal aortic diameter supporting that ULDNC-CT can be used interchangeably with CTA in the lower range of aortic sizes.
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Affiliation(s)
- Jens Borgbjerg
- Department of Radiology, Akershus
University Hospital, Oslo, Norway,Department of Radiology, Aarhus
University Hospital, Aarhus, Denmark,Jens Borgbjerg, Department of Radiology,
Akershus University Hospital, Sykehusveien 25, 1478 Nordbyhagen, Lorenskog 1478,
Norway.
| | - Heidi S Christensen
- Department of Clinical Medicine,
Aalborg University, Aalborg, Denmark; Department of Haematology, Aalborg
University Hospital, Aalborg, Denmark; Clinical Cancer Research Center, Aalborg
University Hospital, Aalborg, Denmark
| | - Rozh Al-Mashhadi
- Department of Clinical Medicine,
Aarhus University, Aarhus, Denmark; Department of Radiology, Aarhus University
Hospital, Aarhus, Denmark
| | - Martin Bøgsted
- Department of Clinical Medicine,
Aalborg University, Aalborg, Denmark; Department of Haematology, Aalborg
University Hospital, Aalborg, Denmark; Clinical Cancer Research Center, Aalborg
University Hospital, Aalborg, Denmark
| | - Jens B Frøkjær
- Mech-Sense, Department of
Radiology, Aalborg University Hospital, Aalborg, Denmark; Department of Clinical
Medicine, Aalborg University, Aalborg, Denmark
| | - Lise Medrud
- Department of Radiology, Aarhus
University Hospital, Aarhus, Denmark
| | | | - Jes S Lindholt
- Department of Cardiac, Thoracic and
Vascular Surgery, Odense University Hospital, Odense, Denmark; Vascular Research
Unit, Regional Hospital Central Denmark, Viborg, Denmark; Department of Clinical
Medicine, Aarhus University, Aarhus, Denmark
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