T. Takeda et al., 2-DIMENSIONAL AORTOGRAPHIC CORONARY ARTERIOGRAPHY WITH ABOVE-K-EDGE MONOCHROMATIC SYNCHROTRON-RADIATION, Academic radiology, 4(6), 1997, pp. 438-445
Rationale and Objectives. The diagnostic potential of two-dimensional
aortographic coronary arteriography with synchrotron radiation was exa
mined in dogs. Methods. The experiment was performed at a wiggler beam
line by using a silicon monocrystal, fluorescent plate, and avalanche
-type camera. The xray energy was adjusted to just above the iodine K-
edge to obtain the highest contrast. Quantitative densitometry was use
d to compare intravenous coronary arteriography with aortographic coro
nary arteriography. Results. Aortographic coronary arteriography clear
ly depicted the branches of the coronary arteries such as the left ant
erior descending coronary artery, circumferential coronary artery, and
right coronary artery to sizes of less than 0.2 mm without major over
lap of coronary arteries. Intravenous coronary arteriography depicted
only the branches of the left anterior descending coronary artery and
right coronary artery with poor image quality. The ratio of contrast m
aterial dilution was about 2.4 to 3.4 in aortographic procedures, wher
eas in intravenous procedures it ranged widely from 7.7 to 15.6. Concl
usion. These preliminary investigations indicate that two-dimensional
aortographic coronary arteriography with synchrotron radiation promise
s to be a minimally invasive and easily repeatable method of clearly i
maging the coronary arteries.