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Cited by 667

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Detection of Coronary Artery Stenoses by Contrast-Enhanced, Retrospectively Electrocardiographically-Gated, Multislice Spiral Computed Tomography

Open access
Achenbach, Stephan, Giesler, Tom, Ropers, Dieter, Ulzheimer, Stefan, Derlien, Hans, Schulte, Christoph, Wenkel, Evelyn, Moshage, Werner, Bautz, Werner, Daniel, Werner G., Kalender, Willi A., Baum, Ulrich·2001·Circulation

Abstract

Background —Multislice spiral computed tomography (MSCT) with retrospectively ECG-gated image reconstruction permits coronary artery visualization. We investigated the method’s ability to identify high-grade coronary artery stenoses and occlusions. Methods and Results —A total of 64 consecutive patients were studied by MSCT (4×1 mm cross-sections, 500-ms rotation, table feed 1.5 mm/rotation, intravenous contrast agent, retrospectively ECG-gated image reconstruction). All coronary arteries and side branches with a luminal diameter ≥2.0 mm were assessed concerning evaluability and the presence of high-grade stenoses (>70% diameter stenosis) or occlusions. Results were compared with quantitative coronary angiography. Of 256 coronary arteries (left main, left anterior descending, left circumflex and right coronary artery, including their respective side branches), 174 could be evaluated (68%). In 19 patients (30%), all arteries were evaluable. Artifacts caused by coronary motion were the most frequent reason for unevaluable arteries. Overall, 32 of 58 high-grade stenoses and occlusions were detected by MSCT (58%). In evaluable arteries, 32 of 35 lesions were detected, and the absence of stenosis was correctly identified in 117 of 139 arteries (sensitivity, 91%; specificity, 84%). If analysis was extended to all stenoses with >50% diameter reduction, sensitivity was 85% (40 of 47) and specificity was 76% (96 of 127). Conclusions —MSCT with retrospective ECG gating permits the detection of coronary artery stenoses with high accuracy if image quality is sufficient, but its clinical use may presently be limited due to degraded image quality in a substantial number of cases, mainly due to rapid coronary motion.

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Crossref · 10.1161/01.cir.103.21.2535

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Metadata

Authors
Achenbach, S., Giesler, T., Ropers, D., Ulzheimer, S., Derlien, H., Schulte, C., Wenkel, E., Moshage, W., Bautz, W., Daniel, W. G., Kalender, W. A., & Baum, U.
Venue
Circulation
Published
2001-05-29
Volume
103
Issue
21
Pages
2535-2538
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2146843796
Cited by
667
References
10
FWCI
49.65
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Detection of Coronary Artery Stenoses by Contrast-Enhanced, Retrospectively Electrocardiographically-Gated, Multislice Spiral Computed Tomography. https://app.cochat.ai/papers/10.1161/01.cir.103.21.2535
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Achenbach, S., Giesler, T., Ropers, D., Ulzheimer, S., Derlien, H., Schulte, C., Wenkel, E., Moshage, W., Bautz, W., Daniel, W. G., Kalender, W. A., & Baum, U. (2001). Detection of Coronary Artery Stenoses by Contrast-Enhanced, Retrospectively Electrocardiographically-Gated, Multislice Spiral Computed Tomography. Circulation. https://doi.org/10.1161/01.cir.103.21.2535

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