低管电压及低对比剂剂量在超重患者前瞻性心电门控冠状动脉成像中的可行性研究-影像医学与核医学专业论文.docx

万方数据 万方数据 统计学意义（P＜0.05），A 组和 C 组间差异有统计学意义（P＜0.05），B 组和 C 组 差异无统计学意义（P＞0.05）。A 组有效辐射剂量较 B 组降低了 17.02%，较 C 组降 低了 17.31%。 结论：640 层 CT 冠状动脉成像检查中，对于超重患者（30kg/m2≥ BMI≥ 25.0kg/m2）， 可以在保证图像质量的前提下，采用 100kV 管电压及 51ml 对比剂进行扫描。 硕士研究生：何欣（影像医学与核医学） 指导教师：张传玉 教授 关键词：冠状动脉成像；辐射剂量；对比剂；图像质量 Abstract Objective：To study the feasibility of low tube voltage and low dose of contrast agent for prospective electrocardiography-triggered coronary computed tomography (CCTA) in overweight patients. Methods: 90 overweight patients （ 30kg/m2 ≥ BMI ≥ 25.0kg/m2 ） with clinically suspected coronary disease underwent 640-slice CT angiography using prospective electrocardiography-triggered scan protocol were randomly divided into A, B, C three groups equally, each group 30 cases, consisted of a voltage 100 kv, 120kv, 120kv, and contrast medium of 51, 61, 51ml, respectively. Data acquisition was set at 70%-80% of the RR-interval. The technique that automatic tube current modulation is used to automatically adjust the tube current according to the size and attenuation characteristics of the body part being scanned. The image quality was divided into four levels. Three groups coronary CT image value, signal-to-noise ratio and patients accepted effective radiation measurement were recorded. Using SPSS 19.0 software on date obtained were statistically analyzed by one-way ANOVA, the variance analysis between the three groups of coronary angiography and its branches of blood vessel within the CT value，descending aortic image noise, the signal-to-noise ratio(SNR) and radiation dose, if the difference was statistically significant differences between the pairwise comparison were evaluated by LSD. X 2 test to compare among the three groups of coronary angiography image quality grading show the number of segments. Results: CT values in vessels difference between groups was statistically significant (P0.05)，the difference was not statistically significant (P 0.05) between group A and B, there was significant differ