Main anatomical sizes of the cardiac chambers and great vessels by dual-source cardiac computed tomography

Authors

  • Mario E. Nápoles Lizano Hospital Universitario Cardiocentro Ernesto Guevara
  • Margarita Puerto Díaz
  • Rafael A. Ibáñez Azán

Abstract

Introduction: Technological advances in computed tomography have made it possible to assess small, mobile structures such as the coronary arteries and the rest of the heart. Cardiac tomography provides anatomical and functional information.

Objectives: To identify the values of the main anatomical sizes of the cardiac chambers and great vessels, and compare them with the reference values.

Methods: An analytical research and development study was conducted with a population of 325 normotensive, non-obese patients without cardiopulmonary or great vessel structural disease, arrhythmia or significant coronary artery disease. One hundred patients were selected by simple random probability sampling, who underwent dual-source cardiac computed tomography at the Cardiocentro Ernesto Che Guevara, Santa Clara, Cuba.

Results: Left and right ventricular measurements showed differences when compared with most reference values. Aortic diameters increased with age. They were higher in men and were different from the reference values except for the short-axis diameter of the aortic root in end-diastole and short-axis diameter of the descending aorta in end-systole. The pulmonary artery showed significant differences in relation to the reference values.

Conclusions: Measurements of cardiac chambers and great vessels by tomographic techniques are necessary in certain population groups to achieve adequate standardization due to their great variability in relation to different variables. The significant difference with the reference values indicates the need for multicenter studies with larger populations to achieve homogeneity.

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Author Biography

Mario E. Nápoles Lizano, Hospital Universitario Cardiocentro Ernesto Guevara

Especialista I y II Grado Cardiología

Especialista II Grado Imagenología

Especialista Tomografia cardiaca y vascular

Jefe Departamento Imagenologia Hospital Universitario Cardiocentro Ernesto Che Guevara

References

1. Rontgen WC. Uber Eine Neue Art Von Strahlen. Sitzungsberichte der physikalisch-medizinischen gesellschaft zu Wurzburg. Berlín: Springer-Verlag. 1895.

2. Kalender WA, Seissler W, Klotz E, Vock P. Spiral volumetric CT with single-breath-hold technique, continuous transport, and continuous scanner rotation. Radiology. 1990;176(1):181-3. DOI: https://doi.org/10.1148/radiology.176.1.2353088

3. Flohr TG, Schaller S, Stierstorfer K, Bruder H, Ohnesorge BM, Schoepf UJ. Multi-detector row CT systems and image-reconstruction techniques. Radiology. 2005;235(3):756-73. DOI: https://doi.org/10.1148/radiol.2353040037

4. Brooks RA. A quantitative theory of the Hounsfield unit and its application to dual energy scanning. J Comput Assist Tomogr. 1977;1(4):487-93. DOI: https://doi.org/10.1097/00004728-197710000-00016

5. McCollough CH, Primak AN, Saba O, Bruder H, Stierstorfer K, Raupach R, et al. Dose performance of a 64-channel dual-source CT scanner. Radiology. 2007;243(3):775-84. DOI: https://doi.org/10.1148/radiol.2433061165

6. Kalender WA, Perman WH, Vetter JR, Klotz E. Evaluation of a prototype dual-energy computed tomographic apparatus. I. Phantom studies. Med Phys. 1986;13(3):334-9. DOI: https://doi.org/10.1118/1.595958

7. Johnson TR, Krauss B, Sedlmair M, Grasruck M, Bruder H, Morhard D, et al. Material differentiation by dual energy CT: initial experience. Eur Radiol. 2007;17(6):1510-7. DOI: https://doi.org/10.1007/s00330-006-0517-6

8. Gerber TC, Carr JJ, Arai AE, Dixon RL, Ferrari VA, Gomes AS, et al. Ionizing radiation in cardiac imaging: a science advisory from the American Heart Association Committee on Cardiac Imaging of the Council on Clinical Cardiology and Committee on Cardiovascular Imaging and Intervention of the Council on Cardiovascular Radiology and Intervention. Circulation. 2009;119(7):1056-65. DOI: https://doi.org/10.1161/circulationaha.108.191650

9. Choi TY, Malpeso J, Li D, Sourayanezhad S, Budoff MJ. Radiation dose reduction with increasing utilization of prospective gating in 64-multidetector cardiac computed tomography angiography. J Cardiovasc Comput Tomogr. 2011;5(4):264-70. DOI: https://doi.org/10.1016/j.jcct.2011.06.005

10. Jakobs TF, Becker CR, Ohnesorge B, Flohr T, Suess C, Schoepf UJ, et al. Multislice helical CT of the heart with retrospective ECG gating: reduction of radiation exposure by ECG-controlled tube current modulation. Eur Radiol. 2002;12(5):1081-6. DOI: https://doi.org/10.1007/s00330-001-1278-x

11. Mark DB, Berman DS, Budoff MJ, Carr JJ, Gerber TC, Hecht HS, et al. ACCF/ACR/AHA/NASCI/SAIP/SCAI/SCCT 2010 expert consensus document on coronary computed tomographic angiography: A report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents. Circulation. 2010;121(22):2509-43. DOI: https://doi.org/10.1161/cir.0b013e3181d4b618

12. Radon J. Über die Bestimmung von Funktionen durch ihre Integralwerte längs gewisser Mannigfaltigkeiten (On the determination of functions from their integral values along certain manifolds). Berichte über die Verhandlungen der Königlich-Sächsischen Akademie der Wissenschaften zu Leipzig. Mathematisch-Physische Klasse. 1917;69:262-7.

13. Wicky S, Rosol M, Hoffmann U, Graziano M, Yucel KE, Brady TJ. Comparative study with a moving heart phantom of the impact of temporal resolution on image quality with two multidetector electrocardiography-gated computed tomography units. J Comput Assist Tomogr. 2003;27(3):392-8. DOI: https://doi.org/10.1097/00004728-200305000-00016

14. Nieman K, Rensing BJ, van Geuns RJ, Vos J, Pattynama PM, Krestin GP, et al. Non-invasive coronary angiography with multislice spiral computed tomography: impact of heart rate. Heart. 2002;88(5):470-4. DOI: https://doi.org/10.1136/heart.88.5.470

15. Bastarrika G, Arraiza M, Arias J, Broncano J, Zudaire B, Pueyo JC, et al. Coronariografía mediante tomografía computarizada de doble fuente: calidad de imagen e intervalo de reconstrucción óptimo. Radiología. 2009;51(4):376-84. DOI: http://doi.org/10.1016/j.rx.2008.11.001

16. Ropers D, Baum U, Pohle K, Anders K, Ulzheimer S, Ohnesorge B, et al. Detection of coronary artery stenoses with thin-slice multi-detector row spiral computed tomography and multiplanar reconstruction. Circulation. 2003;107(5):664-6. DOI: https://doi.org/10.1161/01.cir.0000055738.31551.a9

17. Nieman K, Cademartiri F, Lemos PA, Raaijmakers R, Pattynama PM, de Feyter PJ. Reliable noninvasive coronary angiography with fast submillimeter multislice spiral computed tomography. Circulation. 2002;106(16):2051-4. DOI: https://doi.org/10.1161/01.cir.0000037222.58317.3d

18. Lin FY, Devereux RB, Roman MJ, Meng J, Jow VM, Jacobs A, et al. Cardiac chamber volumes, function, and mass as determined by 64-multidetector row computed tomography: mean values among healthy adults free of hypertension and obesity. JACC Cardiovasc Imaging. 2008;1(6):782-6. DOI: https://doi.org/10.1016/j.jcmg.2008.04.015

19. Stojanovska J, Prasitdumrong H, Patel S, Sundaram B, Gross BH, Yilmaz ZN, et al. Reference absolute and indexed values for left and right ventricular volume, function and mass from cardiac computed tomography. J Med Imaging Radiat Oncol. 2014;58(5):547-58. DOI: https://doi.org/10.1111/1754-9485.12186

20. Nuffer Z, Baran TM, Krishnamoorthy V, Kaproth-Joslin K, Chaturvedi A. Accuracy of Non-Electrocardiographically Gated Thoracic CT Angiography for Right Atrial and Right Ventricular Enlargement. Radiol Cardiothorac Imaging [Internet]. 2019 [citado 17 Nov 2020];1(4):e190008. Disponible en: https://doi.org/10.1148/ryct.2019190008

21. Koo HJ, Lee JG, Ko JY, Lee G, Kang JW, Kim YH, et al. Automated Segmentation of Left Ventricular Myocardium on Cardiac Computed Tomography Using Deep Learning. Korean J Radiol. 2020;21(6):660-9. Disponible en: https://doi.org/10.3348/kjr.2019.0378

22. Abdelrahman KM, Chen MY, Dey AK, Virmani R, Finn AV, Khamis RY, et al. Coronary Computed Tomography Angiography From Clinical Uses to Emerging Technologies: JACC State-of-the-Art Review. J Am Coll Cardiol. 2020;76(10):1226-43. DOI: https://doi.org/10.1016/j.jacc.2020.06.076

23. Lin FY, Devereux RB, Roman MJ, Meng J, Jow VM, Jacobs A, et al. Assessment of the thoracic aorta by multidetector computed tomography: age- and sex-specific reference values in adults without evident cardiovascular disease. J Cardiovasc Comput Tomogr. 2008;2(5):298-308. DOI: https://doi.org/10.1016/j.jcct.2008.08.002

24. Edwards PD, Bull RK, Coulden R. CT measurement of main pulmonary artery diameter. Br J Radiol. 1998;71(850):1018-20. DOI: https://doi.org/10.1259/bjr.71.850.10211060

25. Sonavane SK, Milner DM, Singh SP, Abdel Aal AK, Shahir KS, Chaturvedi A. Comprehensive Imaging Review of the Superior Vena Cava. Radiographics. 2015;35(7):1873-92. DOI: https://doi.org/10.1148/rg.2015150056

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Published

2021-01-16

How to Cite

1.
Nápoles Lizano ME, Puerto Díaz M, Ibáñez Azán RA. Main anatomical sizes of the cardiac chambers and great vessels by dual-source cardiac computed tomography. CorSalud [Internet]. 2021 Jan. 16 [cited 2025 Jul. 13];13(1):51-8. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/702

Issue

Vol. 13 No. 1 (2021)

Section

ORIGINAL ARTICLES

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