{"id":5036,"date":"2025-08-05T11:08:30","date_gmt":"2025-08-05T09:08:30","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5036"},"modified":"2026-03-13T14:07:00","modified_gmt":"2026-03-13T12:07:00","slug":"cvja-2025-012","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2025-012\/","title":{"rendered":"Role of low-dose cardiac CT scans in young children: a systematic review"},"content":{"rendered":"    <div id=\"article\">                                                                                                                        \r\n        <div id=\"title-container\">                                                                                                    \r\n        <div id=\"authors-title\">                                                                                                            \r\n        <!--Aurthors under Title-->                                                                                                            \r\n            \r\nT. Visakh, P. S Priya, Nitika. C Panakkal, S. Sharath, Sukumar Suresh, Koteshwar Prakashini                                                                                                       \r\n        <\/div>        \r\n<\/div>                                                                                                                            \r\n            <div id=\"copyright\">\r\n        <strong>Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n        of Cardiovascular Journal of Africa.<\/div>\r\n    <div style=\"clear: both;\"><\/div>                                                                                                                                \r\n        <div id=\"article-abstract\">                                                                                                            \r\n            <div id=\"abstract-title\">                                                                                                        \r\n                    Abstract                                                                                                                \r\n                <\/div>                                                                                                                        \r\n                                                                                                                                \r\n            <div id=\"abstract-content\">                                                                                                        \r\n            <!--Content of Abstract Article-->                                                                                                \r\n            <!--<strong>\"Abstract titles\":<\/strong>-->                                                                                        \r\n            <!--<br\/> at the end of each section!!-->                                                                                        \r\n                                                                                                                                            \r\n        <strong>Purpose:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n        To perform a systematic review of the diagnostic accuracy of low-dose cardiac CT scans in young children.                                                                                                              \r\n                <br \/>                                                                                                                            \r\n                                                                                                                                                \r\n        <strong>Methods:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n         A search of MEDLINE via the PubMed, Web of Science Core Collection, Cochrane Library, and ScienceDirect databases for English-language literature was performed to identify studies on low-dose cardiac CT for the diagnosis of congenital heart disease. The image quality, diagnostic value and effective radiation dose of low-dose cardiac CT scans were compared.                                                                                                                    \r\n                <br \/>        \r\n\t\t\t\t\r\n\t\t\t\t<strong>Results:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n        Fourteen studies utilized a total sample size of 474 neonates, infants, and young children. Twelve studies reported diagnostic accuracies ranging between 95.60% and 100.00%. Among the individual studies, the sensitivity ranged between 91.00% and 96.70%, whereas the specificity ranged between 92.30% and 99.91%. The effective radiation dose between individual studies ranged between 0.07 mSv and 1.81 mSv. The subjective image quality was either rated on a 5-point or a 4- point scale. Among the studies that used the 5-point scale, the image quality ranged between 3.77 and 4.90, whereas among the studies that used the 4-point scale, the image quality ranged between 1.20 and 3.06.                                                                                                                   \r\n                <br \/> \r\n                                                                                                                                                                                                                                                                       \r\n                                                                                                                                                \r\n        <strong>Conclusions:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\n         The findings of this study indicate that advanced CT scan protocols, such as high-pitched, dual-source, and ECG-triggered methods, can produce high-quality images and achieve very high diagnostic accuracy at extremely low radiation doses.                                                                                                               \r\n                <br \/>        \r\n\r\n                                                                                                                                                \r\n            <\/div>                                                                                                                            \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                        \r\n                                                                                                                                                \r\n        <div id=\"keywords\">                                                                                                                    \r\n                                                                                                                                            \r\n            <strong>Keywords:<\/strong>                                                                                                        \r\n                                                                                                                                            \r\n            <strong>cardiac CT, image quality, radiation dose, diagnostic accuracy, congenital heart<\/strong>                                                                                                                                                                                                                    \r\n                                                                                                                                                \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                                \r\n    <div id=\"publish-info\">                                                                                                                    \r\n                                                                                                                                \r\n    <strong>Submitted:<\/strong> October 22, 2024; <!--Month day, year; -->    \r\n    <strong>Accepted:<\/strong> March 10, 2025; <!--Month day, year; -->                                                                            \r\n    <strong>Published:<\/strong> June 30, 2025<!--Month day, year; -->                                                                                                                            <br \/>                                                            \r\n        <em>Cardiovasc J Afr 2025; <b>36<\/b>: 134-141<!--pg no. till pg no. \"eg. 4-7\"--><\/em>\r\n        <br \/><strong>Volume 36, Issue 2<\/strong> <br \/>                                                                            \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n    <div id=\"DOI\">                                                                                                                    \r\n            DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2025-012<!--DOI number-->                                                                \r\n        <\/div>                                                                                                                            \r\n                \r\n\t\t\t\t<div id=\"author-affiliation\">                                                                                                \r\n                                                                                                                                        \r\n                <strong>Department of Medical Imaging Technology, Manipal College of Health Professions, Manipal Academy of Higher Education, India\r\n<\/strong>    <br \/>                                                                            \r\n\t\t\t\tT. Visakh<br \/>\r\nNitika. C Panakkal<br \/>\r\nS. Sharath<br \/>\r\nSukumar Suresh\r\n<br \/> <br \/> \r\n\r\n                <strong>Department of Radio diagnosis and Imaging, Kasturba Medical College, Manipal Academy of Higher Education, India \r\n\r\n<\/strong>    <br \/>                                                                            \r\n\t\t\t\tP. S Priya<br \/>\r\nKoteshwar Prakashini\r\n\r\n<br \/> <br \/> \r\n                                                                                                                                                                                                                                       \r\n\r\n                [soshsc hide=\"logged\"]\r\n                <strong>You need to be <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/member-login\/\" target=\"_blank\" rel=\"noopener\">logged in to view and download<\/a> the full text PDF version. <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/register\/\" target=\"_blank\" rel=\"noopener\">Register for a free account?<\/a><\/strong> <br \/><br \/>[\/soshsc]\r\n                \r\n                \r\n                \r\n                <\/div>\r\n    \r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>To perform a systematic review of the diagnostic accuracy of low-dose cardiac CT scans in young children.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[51,101],"tags":[],"class_list":["post-5036","post","type-post","status-publish","format-standard","hentry","category-review-articles","category-volume-36-issue-2"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Role of low-dose cardiac CT scans in young children: a systematic review - Cardiovascular Journal of Africa<\/title>\n<meta name=\"description\" content=\"To perform a systematic review of the diagnostic accuracy of low-dose cardiac CT scans in young children. A search of MEDLINE via the PubMed, Web of Science Core Collection, Cochrane Library, and ScienceDirect databases for English-language literature was performed to identify studies on low-dose cardiac CT for the diagnosis of congenital heart disease.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cvja.co.za\/journal\/cvja-2025-012\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Role of low-dose cardiac CT scans in young children: a systematic review - Cardiovascular Journal of Africa\" \/>\n<meta property=\"og:description\" content=\"To perform a systematic review of the diagnostic accuracy of low-dose cardiac CT scans in young children. A search of MEDLINE via the PubMed, Web of Science Core Collection, Cochrane Library, and ScienceDirect databases for English-language literature was performed to identify studies on low-dose cardiac CT for the diagnosis of congenital heart disease.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cvja.co.za\/journal\/cvja-2025-012\/\" \/>\n<meta property=\"og:site_name\" content=\"Cardiovascular Journal of Africa\" \/>\n<meta property=\"article:published_time\" content=\"2025-08-05T09:08:30+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-13T12:07:00+00:00\" \/>\n<meta name=\"author\" content=\"Jaco Moolman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Jaco Moolman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cvja.co.za\/journal\/cvja-2025-012\/\",\"url\":\"https:\/\/cvja.co.za\/journal\/cvja-2025-012\/\",\"name\":\"Role of low-dose cardiac CT scans in young children: a systematic review - Cardiovascular Journal of Africa\",\"isPartOf\":{\"@id\":\"https:\/\/cvja.co.za\/journal\/#website\"},\"datePublished\":\"2025-08-05T09:08:30+00:00\",\"dateModified\":\"2026-03-13T12:07:00+00:00\",\"author\":{\"@id\":\"https:\/\/cvja.co.za\/journal\/#\/schema\/person\/6bf8a30a039e93fd8112db707affb920\"},\"description\":\"To perform a systematic review of the diagnostic accuracy of low-dose cardiac CT scans in young children. 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