Value of triple rule-out CT in the emergency department
Background: Triple-rule-out (TRO) computed tomographic (CT) angiography is a recent technique for evaluation of the coronary arteries, aorta, pulmonary arteries, and adjacent intrathoracic structures simultaneously for patients with acute chest pain. Objectives: To assess the validity and efficacy o...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2015-09-01
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| Series: | The Egyptian Journal of Radiology and Nuclear Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0378603X15000674 |
| _version_ | 1819113708588105728 |
|---|---|
| author | Hazem Hamed Soliman |
| author_facet | Hazem Hamed Soliman |
| author_sort | Hazem Hamed Soliman |
| collection | DOAJ |
| description | Background: Triple-rule-out (TRO) computed tomographic (CT) angiography is a recent technique for evaluation of the coronary arteries, aorta, pulmonary arteries, and adjacent intrathoracic structures simultaneously for patients with acute chest pain.
Objectives: To assess the validity and efficacy of Triple-rule-out (TRO) computed tomographic (CT) angiography in diagnosis of different vascular causes of chest pain in the emergency department.
Methods: Between April 2013 and December 2014, 40 patients presenting with non-specific acute chest pain to the emergency department performed Triple-rule-out (TRO) computed tomographic (CT) angiography utilizing a biphasic contrast injection technique. The CT angiographic images were interpreted prospectively for detection of any pulmonary, coronary or aortic vascular abnormalities.
Results: The study revealed 20 cases (50%) with only coronary lesions, 5 cases (12.5%) with only pulmonary lesions, 10 cases (25%) with only aortic lesions and 3 cases (7.5%) with combined coronary/aortic lesions. 2 cases (5%) showed no significant vascular abnormality.
Conclusion: An optimized TRO protocol with concomitant reduced radiation exposure and efficient contrast agent administration provides a reliable tool for evaluation of coronary, aortic and pulmonary arteries in the emergency department. |
| first_indexed | 2024-12-22T04:33:42Z |
| format | Article |
| id | doaj.art-8d80979351a1421db76e46b637a4f5e2 |
| institution | Directory Open Access Journal |
| issn | 0378-603X |
| language | English |
| last_indexed | 2024-12-22T04:33:42Z |
| publishDate | 2015-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Radiology and Nuclear Medicine |
| spelling | doaj.art-8d80979351a1421db76e46b637a4f5e22022-12-21T18:38:56ZengSpringerOpenThe Egyptian Journal of Radiology and Nuclear Medicine0378-603X2015-09-0146362162710.1016/j.ejrnm.2015.03.010Value of triple rule-out CT in the emergency departmentHazem Hamed SolimanBackground: Triple-rule-out (TRO) computed tomographic (CT) angiography is a recent technique for evaluation of the coronary arteries, aorta, pulmonary arteries, and adjacent intrathoracic structures simultaneously for patients with acute chest pain. Objectives: To assess the validity and efficacy of Triple-rule-out (TRO) computed tomographic (CT) angiography in diagnosis of different vascular causes of chest pain in the emergency department. Methods: Between April 2013 and December 2014, 40 patients presenting with non-specific acute chest pain to the emergency department performed Triple-rule-out (TRO) computed tomographic (CT) angiography utilizing a biphasic contrast injection technique. The CT angiographic images were interpreted prospectively for detection of any pulmonary, coronary or aortic vascular abnormalities. Results: The study revealed 20 cases (50%) with only coronary lesions, 5 cases (12.5%) with only pulmonary lesions, 10 cases (25%) with only aortic lesions and 3 cases (7.5%) with combined coronary/aortic lesions. 2 cases (5%) showed no significant vascular abnormality. Conclusion: An optimized TRO protocol with concomitant reduced radiation exposure and efficient contrast agent administration provides a reliable tool for evaluation of coronary, aortic and pulmonary arteries in the emergency department.http://www.sciencedirect.com/science/article/pii/S0378603X15000674Triple rule-out (TRO)Computed tomography angiography (CTA)Coronary artery disease (CAD)Emergency department (ED) |
| spellingShingle | Hazem Hamed Soliman Value of triple rule-out CT in the emergency department The Egyptian Journal of Radiology and Nuclear Medicine Triple rule-out (TRO) Computed tomography angiography (CTA) Coronary artery disease (CAD) Emergency department (ED) |
| title | Value of triple rule-out CT in the emergency department |
| title_full | Value of triple rule-out CT in the emergency department |
| title_fullStr | Value of triple rule-out CT in the emergency department |
| title_full_unstemmed | Value of triple rule-out CT in the emergency department |
| title_short | Value of triple rule-out CT in the emergency department |
| title_sort | value of triple rule out ct in the emergency department |
| topic | Triple rule-out (TRO) Computed tomography angiography (CTA) Coronary artery disease (CAD) Emergency department (ED) |
| url | http://www.sciencedirect.com/science/article/pii/S0378603X15000674 |
| work_keys_str_mv | AT hazemhamedsoliman valueoftripleruleoutctintheemergencydepartment |