多层螺旋CT回顾性心电门控冠状动脉重建的最佳R_R时相及其临床应用.pdfVIP

# 1 8 # 2004 2 38 2 Chin J Radiol, February 2004, Vol 38, No. 2 ## CT R-R 邝平定 张敏鸣 朱建华 肖圣祥 赵莉莉 彭志毅 许顺良 = CT R-R , CT 20 CT , 3 15% 501 0% 621 5% 510% R-R , R-R , CT \50% 501 0% 6215% R-R ; CT \50% 911 % 831 3% 281 2% 9913% 8319% R-R , ; CT , = , X ; ; Retrospectively electrocardiographically-gated reconstructed mult-i slice spiral CT coronary angiography: optimal R-R phase and clinical application K UA N G Ping-ding , ZHA N G M in-ming, ZH U Jian-hua, XIA O Sheng-x iang, ZH A O L i-li, PEN G Zhi-yi, X U Shun-liang1 D e artment of R adiology, T he First Af f iliated H os ital , M edical School of Zhej iang University , H angz hou 310003 , China Corres onding author: K UAN G Ping-ding, Email : acity-kuang@ 163 . net = Abstract Objective To investigate the optimal R-R phase of retrospectively electrocardiographically( ECG)-gated image reconstruction for mult-i slice spiral CT ( MSCT ) coronary reconstruction and it. s clinical applicat ion1 Methods A total of 20 patients w ith known or suspected coronary artery disease ( CAD) were detected w ith retrospectively ECG-gated MSCT (4 @ 11 3 mm cross- section, 500-ms rotation, pitch 013 5) during a single breath hold1 Tomographic source images w ere reconstructed at the starting points of 3 15% , 501 0% , 6215% , and 510% R-R intervals, followed by volume rendering (VR) and virtual vascular endoscopy (VVE) for reconstruction of coronary artery1 The quality of images reconstructed with different R-R phases w as analyzed in terms of artifacts and visibility1 Selectivecoronary angiography ( SCA) was used for reference1 Results The left anterior descending artery , the left circumflex artery , and the right coronary artery were all b