宝石能谱CT前瞻性心电门控扫描中等心率患者的可行性研究.pdfVIP

M M 1 BIMONTHLY Vo124 No.6 Dec 2015 宝石能谱 CT 前瞻性心电门控扫描中 等心率患者的可行性研究 内蒙古自治区国际蒙医医院影像中心(呼和浩特 01ω65) 吕云里 - 908 一 [搞要 1 目的:研究宝石能谱 CT前瞻性心电门控扫描中等心率患者的可行性。材料与方法:选取行宝石能谱 CT 冠状动脉 CT成像(CTCA)检查的患者 80 例，心率控制范围在 65 -80BPM 之间。根据扫描方式将患者分为 2 组， 每组各40 例。第 1 组开启 ECG( Electrocardiogram ，心电图)电流调控技术，采用优化的回顾性心电门控扫描，将最 大毫安输出设定在 409串 -80%R - R 间期。第 2 组采用前瞻性心电门控扫描，将 Padding time 设为 2∞ms，将ω%R -R 间期设定为曝光期相，扫描结束后，将图像数据以 5% 为间隔，在 40% -809串 R-R 间期之间拆分期相，选择 各支冠状动脉的最佳显示期相。对 2 组图像进行双盲评估，使用 SPSS16.0 软件包对 2 组的图像质量、 ED ( Effective Dose ，有效剂量)值进行统计学处理，评价宝石能谱 CT前瞻性心电门控扫描技术在中等心率患者冠状动脉 CT 成像 中的可行性。结果: 2 组之的图像质量无统计学意义。第 2 组的 ED 值比第 1 组降低了 66.7% 。结论:宝石能谱 CT 前瞻性心电门控扫描中等心率患者是可行的。 关键词:宝石能谱 CT 前瞻性心电门控 中等心率 F凶sibility Study of Pro喝醉ctive Electrocardiography-Gated Scaning with Discoveη CT 750 HD in Patients with Intennediate Heart Rate LV Yun-gang Intemational Mongolia Hospital of Inner Mongolia Hohhot China 01∞65 [Abs回ct1 Purpose: To 阳dy the feasibility of prospective 伽trocardiography-gated scaning with discovery CT 750 HD in patients with intermediate heart rate. Materials and Methods: Eighty patients who 缸e divided into 2 groups according to protocol are performed CTCA using discovery CT 750 HD. The heart rates of both groups are between 65ω80 beats per mi- nute (BPM). An optimal retrospective ECG-gated CT an♂ography is performed with helical scanning direction in the first group after using ECG automatic tube current modulation technique , and the peak tube current is set for 409岛-80%. Prospec- live ECG gated CT angiogr百phy protocol is performed with step-and-shoot axial scanning direction in the second groups. We change the padding time on 2∞ ms and set exposure time for ω% cardiac phases of the R-R interval in the second group. M- ter scanning , we split phases between 40% and 80% R-R interval by 5% cardiac phases.ηle image quality 皿d effective Dose (ED) of two groups are compared respectively wi出 SPSS16. O. To determine 由e feasibility of prospective electrocardio- graphy-triggering with discovery