Assessment of thoracic aorta in different cardiac phases in patients with non-aorta diseases using cardiac CT

Abstract The aim was to evaluate the thoracic aorta in different cardiac phases to obtain the correct cardiac phase for measuring the maximum diameter required to predict aortic disease. Cardiac CT was performed on 97 patients for suspected coronary artery disease. The average diameter of ascending...

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Main Authors: Xue Zheng, Yu-jiao Deng, Fu-Gang Han, Jin-Rong Zhou, Li Luo, Jing Chen
Format: Article
Language:English
Published: Nature Portfolio 2021-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-94677-5
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author Xue Zheng
Yu-jiao Deng
Fu-Gang Han
Jin-Rong Zhou
Li Luo
Jing Chen
author_facet Xue Zheng
Yu-jiao Deng
Fu-Gang Han
Jin-Rong Zhou
Li Luo
Jing Chen
author_sort Xue Zheng
collection DOAJ
description Abstract The aim was to evaluate the thoracic aorta in different cardiac phases to obtain the correct cardiac phase for measuring the maximum diameter required to predict aortic disease. Cardiac CT was performed on 97 patients for suspected coronary artery disease. The average diameter of ascending (AAD) and descending aorta (DAD) in the plane of pulmonary bifurcation, in the plane of the sinus junction (AAD [STJ] and DAD [STJ]), descending aorta in the plane of the diaphragm (DAD [Dia]), the diameter of the main pulmonary artery (MPAD), distance from the sternum to the spine (S-SD), and distance from the sternum to the ascending aorta (S-AAD) were assessed at 20 different time points in the cardiac cycle. Differences in aortic diameter in different cardiac phases and the correlation between aortic diameter and traditional risk factors were analyzed by the general linear mixed model. The diameter of the thoracic aorta reached the minimum at the phase of 95–0%, and reached the maximum at 30–35%. The maximum values of AAD, AAD (STJ), DAD, DAD (STJ), and DAD (Dia) were 32.51 ± 3.35 mm, 28.86 ± 3.01 mm, 23.46 ± 2.88 mm, 21.85 ± 2.58 mm, and 21.09 ± 2.66 mm, respectively. The maximum values of MPAD/AAD and DAD/AAD (STJ) were 0.8140 ± 0.1029, 0.7623 ± 0.0799, respectively. The diameter of the thoracic aorta varies with the cardiac phase. Analyzing the changes in aortic diameter, which can be done using cardiac CT, could provide a more accurate clinical measurement for predicting aortic disease.
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spelling doaj.art-e06c569cdc81469d895de5e8163621702022-12-21T18:00:33ZengNature PortfolioScientific Reports2045-23222021-07-011111910.1038/s41598-021-94677-5Assessment of thoracic aorta in different cardiac phases in patients with non-aorta diseases using cardiac CTXue Zheng0Yu-jiao Deng1Fu-Gang Han2Jin-Rong Zhou3Li Luo4Jing Chen5Department of Radiology, The Affiliated Hospital of Southwest Medical UniversityDepartment of Radiology, The Affiliated Hospital of Southwest Medical UniversityDepartment of Radiology, The Affiliated Hospital of Southwest Medical UniversityDepartment of Radiology, The Affiliated Hospital of Southwest Medical UniversityDepartment of Radiology, The Affiliated Hospital of Southwest Medical UniversityDepartment of Radiology, The Affiliated Hospital of Southwest Medical UniversityAbstract The aim was to evaluate the thoracic aorta in different cardiac phases to obtain the correct cardiac phase for measuring the maximum diameter required to predict aortic disease. Cardiac CT was performed on 97 patients for suspected coronary artery disease. The average diameter of ascending (AAD) and descending aorta (DAD) in the plane of pulmonary bifurcation, in the plane of the sinus junction (AAD [STJ] and DAD [STJ]), descending aorta in the plane of the diaphragm (DAD [Dia]), the diameter of the main pulmonary artery (MPAD), distance from the sternum to the spine (S-SD), and distance from the sternum to the ascending aorta (S-AAD) were assessed at 20 different time points in the cardiac cycle. Differences in aortic diameter in different cardiac phases and the correlation between aortic diameter and traditional risk factors were analyzed by the general linear mixed model. The diameter of the thoracic aorta reached the minimum at the phase of 95–0%, and reached the maximum at 30–35%. The maximum values of AAD, AAD (STJ), DAD, DAD (STJ), and DAD (Dia) were 32.51 ± 3.35 mm, 28.86 ± 3.01 mm, 23.46 ± 2.88 mm, 21.85 ± 2.58 mm, and 21.09 ± 2.66 mm, respectively. The maximum values of MPAD/AAD and DAD/AAD (STJ) were 0.8140 ± 0.1029, 0.7623 ± 0.0799, respectively. The diameter of the thoracic aorta varies with the cardiac phase. Analyzing the changes in aortic diameter, which can be done using cardiac CT, could provide a more accurate clinical measurement for predicting aortic disease.https://doi.org/10.1038/s41598-021-94677-5
spellingShingle Xue Zheng
Yu-jiao Deng
Fu-Gang Han
Jin-Rong Zhou
Li Luo
Jing Chen
Assessment of thoracic aorta in different cardiac phases in patients with non-aorta diseases using cardiac CT
Scientific Reports
title Assessment of thoracic aorta in different cardiac phases in patients with non-aorta diseases using cardiac CT
title_full Assessment of thoracic aorta in different cardiac phases in patients with non-aorta diseases using cardiac CT
title_fullStr Assessment of thoracic aorta in different cardiac phases in patients with non-aorta diseases using cardiac CT
title_full_unstemmed Assessment of thoracic aorta in different cardiac phases in patients with non-aorta diseases using cardiac CT
title_short Assessment of thoracic aorta in different cardiac phases in patients with non-aorta diseases using cardiac CT
title_sort assessment of thoracic aorta in different cardiac phases in patients with non aorta diseases using cardiac ct
url https://doi.org/10.1038/s41598-021-94677-5
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