COMPARATIVE ANALYSIS OF THE FINDINGS OF CT ANGIOGRAPHY AND ECHOCARDIOGRAPHY IN AORTIC ARCH ANOMALIES
DOI:
https://doi.org/10.54112/bcsrj.v2023i1.357Keywords:
CT angiography, Echocardiography, Congenital heart diseaseAbstract
The retrospective study was conducted in the Department of Cardiology Nishtar Medical Hospital Multan from January 2021 to January 2022 to compare CT angiography and echocardiography findings in patients with aortic arch abnormalities. The study was conducted on a total of 200 patients. Patient data was recorded, including demographic details and CT angiographic and echocardiographic findings. Results showed that Anomalies of coarctation of the aorta (COA) were most commonly reported. The most common anomalies associated with aortic arch anomaly included patent ductus arteriosus (PDA), patent ductus arteriosus (PDA), and ventricular septal defect (VSD). Of 200 patients, 66 (33%) had normal CT results, while 64 (32%) had normal transthoracic ECG results. For aortic arch anomalies, the specificity and sensitivity of TEC were 100% and 58%, and the agreement between CT angiography and TEC was .72 (Kappa coefficient). For COA, the specificity and sensitivity of TEC were 100% and 90%, and agreement in both modalities was 0.93. Transthoracic echocardiography was unable to detect congenital anomalies in a few cases. CT angiography provides better imaging quality and anatomical coverage and can be used to improve diagnostic accuracy.
Downloads
References
Ahmed, A. N., Abozeed, M., Aziz, M. U., and Singh, S. P. (2021). Role of computed tomography in adult congenital heart disease: A review. Journal of Medical Imaging and Radiation Sciences 52, S88-S109.
Dodge-Khatami, J., and Adebo, D. A. (2021). Evaluation of complex congenital heart disease in infants using low dose cardiac computed tomography. The International Journal of Cardiovascular Imaging 37, 1455-1460.
Dong, X., Lei, Y., Wang, T., Higgins, K., Liu, T., Curran, W. J., Mao, H., Nye, J. A., and Yang, X. (2020). Deep learning-based attenuation correction in the absence of structural information for whole-body positron emission tomography imaging. Physics in Medicine & Biology 65, 055011.
ELATAFY, E. E., EL-SALLAKH, A., DAWOUD, M., and ZAYTOUN, H. (2019). Comparative Study between Multi-detector Computed Tomography (MDCT) Angiography and Echocardiography in Assessment of Cardiac Anomalies Associated with Aortic Coarctation. The Medical Journal of Cairo University 87, 747-752.
Enaba, M. M., Hasan, D. I., Alsowey, A. M., and Elsayed, H. (2017). Multi-detector computed tomography (CT) in evaluation of congenital cyanotic heart diseases. Polish Journal of Radiology 82, 645-659.
Hart, A., and Lee, E. Y. (2020). Multi-detector computed tomography of pediatric vascular imaging with advanced postprocessing techniques. Advances in Clinical Radiology 2, 191-211.
Krishna, M. R., and Kumar, R. K. (2020). Diagnosis and management of critical congenital heart diseases in the newborn. The Indian Journal of Pediatrics 87, 365-371.
Madsen, N. L., Marino, B. S., Woo, J. G., Thomsen, R. W., Videbœk, J., Laursen, H. B., and Olsen, M. (2016). Congenital heart disease with and without cyanotic potential and the long‐term risk of diabetes mellitus: a population‐based follow‐up study. Journal of the American Heart Association 5, e003076.
Öztürk, E., Tanıdır, İ. C., Kamalı, H., Ayyıldız, P., Topel, C., Onan, İ. S., Türkvatan, A., Haydin, S., and Güzeltaş, A. (2021). Comparison of echocardiography and 320-row multi-detector computed tomography for the diagnosis of congenital heart disease in children. Revista Portuguesa de Cardiologia (English Edition) 40, 583-590.
Recht, H. S., Weisberg, E. M., and Fishman, E. K. (2023). 3D CT cinematic rendering of pediatric thoracic vascular anomalies. European Journal of Radiology Open 10, 100485.
Schorn, C., Hildebrandt, N., Schneider, M., and Schaub, S. (2021). Anomalies of the aortic arch in dogs: evaluation with the use of multi-detector computed tomography angiography and proposal of an extended classification scheme. BMC Veterinary Research 17, 387.
Semalti, K., Sharma, V., Kumar, V., Aneja, S., Simalti, A. K., and Malik, A. (2022). Dual phase multi-detector computed tomography angiography in evaluation of pulmonary arteries and collateral vessels in children with cyanotic congenital heart diseases. Medical Journal Armed Forces India.
Shaaban, M., Tantawy, S., Elkafrawy, F., Haroun, D., Romeih, S., and Elmozy, W. (2020). Multi-detector computed tomography in the assessment of tetralogy of Fallot patients: is it a must? The Egyptian Heart Journal 72, 1-13.
Soleimantabar, H., Sabouri, S., Khedmat, L., Salajeghe, S., Memari, B., and Ghahderijani, B. H. (2019). Assessment of CT angiographic findings in comparison with echocardiography findings of chest among patients with aortic arch anomalies. Monaldi Archives for Chest Disease 89.
Tapia-Nañez, M., Landeros-Garcia, G., Sada-Treviño, M., Pinales-Razo, R., Quiroga-Garza, A., Fernandez-Rodarte, B., Elizondo-Omaña, R., and Guzman-Lopez, S. (2021). Morphometry of the aortic arch and its branches. A computed tomography angiography-based study. Folia Morphologica 80, 575-582.
Verheijen, D., Stöger, J. L., van der Kley, F., Schalij, M., Jongbloed, M., Vliegen, H., Kiès, P., and Egorova, A. (2022). A percutaneous treatment strategy of an adult patient with a bicuspid aortic valve, coarctation of the aorta, and an exceptionally large aneurysm of a collateral artery: Case report and literature overview. Frontiers in Cardiovascular Medicine 9, 1012147.
Wu, M. Y., Bang, T. J., Restauri, N., Chawla, A., Khawaja, R. D. A., and Vargas, D. (2022). Imaging Acute Aortic Syndromes. In "Seminars in Roentgenology", Vol. 57, pp. 335-344. Elsevier.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 MFS KHAWAJA , HY SAEED , Z IQBAL , MA BASHIR , S KANWAL , L ALI , KA HASHMI
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
