64层螺旋CT冠状动脉成像最佳重建时相关.docVIP

64层螺旋CT冠状动脉成像最佳重建时相关 　【摘要】 目的：探讨不同HR 64层螺旋CT冠状动脉成像的最佳重建时相。方法：150例受检者分HR≤75、75～115和大于115次/min组；选择心动周期时相25%～90%，每间隔5%时相进行重建。结果：≤75次/min组的最佳时相为70%～75%，75～115次/min组的左、右冠状动脉最佳时相分别为35%～45%，50%～60%和80%～85%，大于＞115次/min组的左、右冠状动脉最佳时相分别为35%～45%，80%～90%。结论：适当控制HR，选择最佳时相重建可明显减轻心脏运动伪影。 【关键词】 冠状动脉 64层螺旋CT 心率 重建时相 Optimal Reconstruction Phase of Coronary Artery Imaging with 64_slice Spiral ［Abstract］Objective：To evaluate the optimal reconstruction phase of coronary artery imaging with 64_slice spiral computer tomography. Methods：One hundred and fifty patients with suspected or diagnosed coronary artery disease were divided into three groups(HR≤75 ，75～115，gt;115 beats per minute)underwent ECG_gated 64_slice spiral CT angiography. All the original images were reconstructed at 25%～90% of the cardiocycle，interval of 5%. Results：The optimal reconstruction phase of the left and right coronary artery in≤75 beats per minute group was 70%～75%. The optimal reconstruction phase of the left and right coronary artery in 75～115 beats per minute group was 35%～45%，50%～60% and 80%～85%，respectively. The optimal reconstruction phase of the left and right coronary artery in gt;115 beats per minute group was 35%～45% and 80%～90%. The best images of coronary angiography were obtained in lt;75 beats per minute group. Conclusion：Under controlling HR，the image reconstruction in the optimal phase can decrease the artifacts of cardiac motion as possible and improve the quality of images. ［Key Words］coronary artery；64_slice computer tomography；heart rate；reconstruction phase 64层螺旋CT冠状动脉图像连续性好，密度分辨率高，并且有强大的图像后处理功能，能充分显示血管壁的解剖结构和病理表现及相邻血管与组织结构的情况。本研究旨在探讨64层螺旋CT冠状动脉造影成像中冠状动脉各分支在不同HR的最佳重建时相。 1资料与方法 11一般资料排除标准：含碘造影剂过敏，严重心律不齐，严重肝肾功能不全和失代偿性心功能不全者。150例(男性86例，女性64例。年龄31～87岁，平均5632岁)临床怀疑冠心病者行心脏冠状动脉CT成像。所有患者于检查前口服倍他乐克25～50?mg，60～90?min后进行检查。HR≤75次/min 80例，75～115次/min 35例，大于115次/min 35例。 12扫描技术 121患者准备150例检查前应告知呼吸指令，并进行练习，还要说明在注射造影剂时可能发生的反应。 122扫描程序设定?①定位像扫描：采用Light speed VCT 64层螺旋CT机(GE公司，美国)，患者脚先进，仰卧位，扫