MEDRAD CT Basic PPT课件.pptVIP

医学课件 * Diabetic patients, cardiac disease, cardiac arrhythmias, lung disease, severely debilitated patients, over age 65 Renal toxicity in patients with renal insufficiency may occur in 20-25% of patient’s undergoing angiography Discuss why delivering contrast right the time is so important and how an injector facilitates that delivery * HOCM deaths 1 in 15,000 – LOCM deaths 1/150,000 Ionic contrast contains heparin Ionic vs. nonionic dependent on physician preference and budget restrictions * Removing the zero from any of these numbers will give the iodine concentration ie 370=37 mg iodine/ml. Discuss accrual plans Guerbet – in Europe Clinical Support relationships with contrast vendors – refer to senior CSS representative Visipaque – often used in cardiac imaging in CT and Angio. Believed to be safer in terms of CIN, although that has not been proved. Used in CT because the patient doesn’t feel any side effects of the contrast and the heart rate remains stable. * * 医学课件 CT Spectrum of densities HU 医学课件 Common Compromises in Single-Slice CT Image Quality OR Organ Coverage Pitch ? 1 Pitch ? 1 医学课件 The Solution: Multi-Slice CT 医学课件 Multi-Slice CT: No Need to Compromise Pitch ? Q1 Pitch ? Q1 Image Quality AND Organ Coverage 医学课件 Multi-Slice RSVP Advantages 医学课件 Multi-Slice RSVP Advantages 医学课件 Multi-Slice Resolution Advantage Quad-Slice Dual-Slice Single-Slice 4x2.5mm; 2.5cm/sec 2x5.0mm; 2.5cm/sec 10mm; 2.5cm/sec 72 cm coverage; 28 sec; 120kV / 130 mAs 医学课件 72 cm coverage 36 cm coverage 18 cm coverage 3.2 mm Eff. ST; 28 sec; 120kV / 130mAs Multi-Slice Volume Advantage Quad-Slice Dual-Slice Single-Slice 医学课件 为什么使用造影剂？ 使用造影剂的目的是： CT平扫无法看到血管及血管内部的情况，通过注射造影剂，使造影剂和血液混