Validation of Patient Intrinsic Factors on Pre-Delay Coronary CT Scan Angiography (Coronary CTA) Bolus Tracking

Arief Oesmanto; Antonius Gunawan Santoso; Darmini; Ahmad Hariri; Agus Rochmat

doi:10.32628/IJSRST52411196

Authors

Arief Oesmanto Magister Terapan Kesehatan, Poltekkes Kemenkes Semarang, Indonesia Author
Antonius Gunawan Santoso Universitas Diponegoro,Semarang, Indonesia Author
Darmini Poltekkes Kemenkes Semarang, Indonesia Author
Ahmad Hariri Sekolah Tinggi Ilmu Kesehatan Pertamedika Jakarta, Indonesia Author
Agus Rochmat Universitas Sultan Ageng Tirtayasa Banten, Indonesia Author

DOI:

https://doi.org/10.32628/IJSRST52411196

Keywords:

CTA Coronarya, Bolus Tracking, Pre-delay Scan Time, Aortic Diameter, Systolic Blood Pressure

Abstract

Background: There is a variation in the pre-delay scan time on the Caronaria CTA tracking bolus examination, which give a constitution against the acquisition time and the contrast.
Purpose: This study aims to determine the influence’s intrinsic factors on the pre-delay scan time.
Method: Analytical research with a retrospective approach’s cross-sectional design measures independent variables: aortic diameter, systolic blood pressure, age, heart rate (HR), urea, creatinine, and body mass index (BMI). The dependent variables: the time pre-delay scan is performed simultaneously; its properties are momentary and observed under current conditions. Each object was observed three times, then the data normality and influence relationships between variables were analyzed with the bivariate and multivariate analysis approaches. Data was surveyed in June–August 2023 at a Hospital in Jakarta.
Results: Bivariate analysis showed a significant relationship between aortic diameter and pre-delay scan time with a value r = 0,577, having a positive pattern, as well as having a dependency 33.3% with p = 0,000 significance. While a very strong relationship is indicated by systolic blood pressure with r = 0.534 value and positive patterns, has a dependence of 30.4% with p = 0.000 significance value. Other instrumental factors: creatinine and BMI have a moderate relationship with r = 0.308 and r = 0.338 and are positive with a determination coefficient of 0.095 and 0.115. Urea, age, and heart rate have r = 0.174, 0.200, and 0.116. The determination coefficient values are under 0.04.
Conclusion: The intrinsic factors: aortic diameter, systolic pressure, creatinine, urea, age, and heart rate have influenced positive CTA scan delays although different determination coefficients.
Keywords: CTA Coronarya, bolus tracking, pre-delay scan time, aortic diameter, systolic blood pressure.

Downloads

Download data is not yet available.

References

Adibi, A. and Shahbazi, A. (2014) ‘Automatic bolus tracking versus fixed time-delay technique in biphasic multidetector computed tomography of the abdomen’, Iranian Journal of Radiology, 11(1), pp. 1–5. Available at: https://doi.org/10.5812/iranjradiol.4617.

Ahmad Hariri Sokhibi et al. (2023) ‘Factors Affecting the Turnover Intention of Indonesian Radiographers during the Covid-19 Pandemic’, International Journal of Scientific Multidisciplinary Research, 1(9), pp. 1211–1226. Available at: https://doi.org/10.55927/ijsmr.v1i9.6570.

C.R Kothari (2004) Reserach Methodology Methods and Techniques. Second Rev. Jaipur, India: New Age International (P) Limited, Publisher.

Efendi, A. et al. (2020) Analisis regresi: teori dan aplikasi dengan R. Universitas Brawijaya Press.

Flohr, T.G., Schoepf, U.J. and Ohnesorge, B.M. (2007) ‘Chasing the heart: new developments for cardiac CT’, Journal of thoracic imaging, 22(1), pp. 4–16.

Ghozali, I. (2018) ‘Aplikasi analisis multivariete SPSS 25’. Semarang: Universitas Diponegoro.

Goldstein, S.A. et al. (2015) ‘Multimodality imaging of diseases of the thoracic aorta in adults: from the American Society of Echocardiography and the European Association of Cardiovascular Imaging: endorsed by the Society of Cardiovascular Computed Tomography and Society for Cardiova’, Journal of the American Society of Echocardiography, 28(2), pp. 119–182.

Halliburton, S.S. et al. (2006) ‘Contrast enhancement of coronary atherosclerotic plaque: a high-resolution, multidetector-row computed tomography study of pressure-perfused, human ex-vivo coronary arteries’, Coronary artery disease, 17(6), pp. 553–560.

Henning, M.K. et al. (2023) ‘Strategies for calculating contrast media dose for chest CT’, European Radiology Experimental, 7(1). Available at: https://doi.org/10.1186/s41747-023-00345-w.

Hutami, I.A.P.A., Sutapa, G.N. and Paramarta, I.B.A. (2021) ‘Analisis Analisis Pengaruh Slice Thickness Terhadap Kualitas Citra Pesawat CT Scan Di RSUD Bali Mandara’, Buletin Fisika, 22(2), p. 77. Available at: https://doi.org/10.24843/bf.2021.v22.i02.p04.

Janir, D. (2012) Statistik deskriptif & regresi linier berganda dengan spss, Semarang University Press.

Juliandi, A. and Manurung, S. (2014) Metodologi Penelitian Bisnis, Konsep dan Aplikasi: Sukses Menulis Skripsi & Tesis Mandiri. Umsu Press.

Kartika, Kumalasari, T. and Martono, B. (2019) ‘CT Cardiac Prosedur dan Aplikasi Klinis’, Cermin Dunia Kedokteran Journal, 43(5), pp. 391–393. Available at: www.cdkjournal.com/index.php/CKD/notification.

Lipson, S.A. (ed.) (2006) ‘Image Reconstruction and Review BT - MDCT and 3D Workstations: A Practical How-To Guide and Teaching File’, in. New York, NY: Springer New York, pp. 30–40. Available at: https://doi.org/10.1007/0-387-31804-6_4.

Lopez, A.D. and Adair, T. (2019) ‘Is the long-term decline in cardiovascular-disease mortality in high-income countries over? Evidence from national vital statistics net’, International Journal of Epidemiology, 48(6), pp. 1815–1823. Available at: https://doi.org/10.1093/ije/dyz143.

Mamourian, A.C. and Litt, H.I. (2013) CT Imaging: Practical Physics, Artifacts, and Pitfalls. OUP USA. Available at: https://books.google.co.id/books?id=5_lnLCq5l40C.

Martens, B. et al. (2020) ‘Tailoring Contrast Media Protocols to Varying Tube Voltages in Vascular and Parenchymal CT Imaging: The 10-to-10 Rule’, Investigative Radiology, 55(10), pp. 673–676. Available at: https://doi.org/10.1097/RLI.0000000000000682.

El Merhi, F. et al. (2020) ‘State of the art of coronary computed tomography angiography’, Radiography, 26(2), pp. 174–182. Available at: https://doi.org/10.1016/j.radi.2019.10.001.

Neumann, F.J. et al. (2020) ‘2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes’, European Heart Journal, 41(3), pp. 407–477. Available at: https://doi.org/10.1093/eurheartj/ehz425.

Nowbar, A.N. et al. (2019) ‘Mortality from ischemic heart disease: Analysis of data from the world health organization and coronary artery disease risk factors from NCD risk factor collaboration’, Circulation: Cardiovascular Quality and Outcomes, 12(6), pp. 1–11. Available at: https://doi.org/10.1161/CIRCOUTCOMES.118.005375.

Pasteur-Rousseau, A. and Sebag, F. (2020) ‘Cardiac CT-Scan: Utility for the management of chest pain, cardiovascular screening and before atrial fibrillation ablation procedure’, Annales de Cardiologie et d’Angeiologie, 69(5), pp. 276–288. Available at: https://doi.org/10.1016/j.ancard.2020.09.028.

Pham, M.H.C. et al. (2019) ‘Normal values of aortic dimensions assessed by multidetector computed tomography in the Copenhagen General Population Study’, European Heart Journal Cardiovascular Imaging, 20(8), pp. 939–948. Available at: https://doi.org/10.1093/ehjci/jez012.

Shinbane, J.S. et al. (2016) ‘CCTA Cardiac Electrophysiology Applications: Substrate Identification, Virtual Procedural Planning, and Procedural Facilitation’, Cardiac CT Imaging: Diagnosis of Cardiovascular Disease, pp. 455–486.

Stolp, C., Dowdy, S. and Wearden, S. (1984) Statistics for Research, Journal of Policy Analysis and Management. Available at: https://doi.org/10.2307/3324586.

Tang, L. et al. (2011) ‘Factors influencing delay time and coronary arterial density during coronary angiography with DSCT’, Acta Radiologica, 52(1), pp. 59–63. Available at: https://doi.org/10.1258/ar.2010.090465.

Utami, H.S. et al. (2022) ‘Analysis of the Chest Msct Angiography Procedure With Bolus Tracking in the Massive Hemoptoe Case Analisis Prosedur Pemeriksaan Msct Angiografi Thorax Dengan Menggunakan Bolus Tracking’, (September), pp. 42–48.