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Fig. 1 Photograph (left) shows cardiac phantom, and graphic (right) shows balloon. Phantom consisted of five components: driver, control, support, rubber balloon, and ECG. A controller with an ECG-synchronizer drove the balloon. The motion was achieved by setting four driver sequences—that is, two speeds of fast emptying for the systolic phase and fast and slow filling for the diastolic phase. The balloon was filled with a mixture of water and contrast medium (58 H) to simulate noncontrast blood and was submerged in corn oil (-118 H), simulating epicardial and pericardial fat. Coronary artery calcium models were packed inside rubber tubes (mimicking coronary arteries) attached to the balloon surface. The ends of the balloon were stabilized to a fixed support at a distance of 10 cm. There was therefore neither through-plane motion (along z-axis) nor twist motion of the balloon. The volumes of the balloon phantom were approximately 100 and 200 mL at the systolic and diastolic phases, respectively. The time-balloon volume curve was similar to sinusoidal in heart rate shift sequences. The balloon was barrel-shaped at the diastolic phase and nearly, but not exactly, cylindrical at the systolic phase. Deformity of the balloon was seen in some images in high heart rate and arrhythmia sequences. This movement of the balloon resulted in some through-plane motion of calcium models.





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