Coronary risk assessment at X-ray dose equivalent ungated chest CT: Results of a multi-reader study

Publication date: May–June 2018
Source:Clinical Imaging, Volume 49
Author(s): Michael Messerli, Lukas Hechelhammer, Sebastian Leschka, René Warschkow, Simon Wildermuth, Ralf W. Bauer
ObjectivesTo determine the value of ultra-low dose chest CT with tin filtration for ordinal coronary artery calcium (CAC) risk scoring.Methods50 patients were prospectively included and underwent clinical standard dose chest CT (1.8±0.7mSv) and ultra-low dose CT (0.13±0.01mSv). Four radiologists estimated presence and extent of CAC.ResultsWeighted kappa values for CAC were 0.76–0.97 in standard dose and 0.75–0.95 in ultra-low dose CT (p<0.001). Good to excellent agreement was observed for CAC ordinal risk assessment, with readers reporting identical risk in 81% of cases.ConclusionCAC risk can be qualitatively assessed from X-ray dose equivalent ungated chest CT.



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