排CT容积扫描与螺旋扫描法在低心率冠状动脉成像中的.docVIP

320排CT容积扫描法与螺旋扫描法在低心率冠状动脉成像中的对比研究 许兵1 路鹤晴2 田冰1 陈超 1 王敏杰1 1.第二军医大学附属长海医院放射科,上海 200433 2.复旦大学放射医学研究所，上海市第一妇婴保健院，上海 200032 作者简介：许兵，放射技师，学士学位。E-mail:aishanli0102@126.com 通信地址：上海市长海路168号影像楼203室 上海 200433 通信作者：王敏杰（电子邮箱： HYPERLINK mailto:cjr.wangminjie@ cjr.wangminjie@）电 【摘要】目的 比较320排CT 容积扫描法（volume法）与螺旋扫描法（helical法）在低心率患者冠状动脉成像中的应用优势。方法128 例患者分成两组行前瞻性冠状动脉扫描，组1：volume法(n=72)；组2：helical法(n=56)。冠状动脉分为9段，采用4分法评估图像质量。对两组的图像质量和辐射剂量进行统计学分析。结果 组1与组2升主动脉根部CT值分别为（492.08±58.51） HU、（522.72±56.91）HU，噪声分别为(19.64±3.51) HU、（22.66±5.33）HU，差异均无统计学意义（p均0.05）；冠状动脉图像质量评分：组1与组2均满足诊断需要。冠状动脉节段的优秀率分别达到 97.5%（632/648）、96.8%（488/504）；合格率分别达到99.7%（646/648）、99.2%（500/504）；两组间图像质量差异无统计学意义（p0.05）。组1与组2 有效辐射剂量分别为 (3.21±0.23) mSv、(13.27±2.39) mSv，两组的差异有统计学意义（p0.05）。组1对比剂用量为50～60ml，组2对比剂用量为80～90ml。结论 心率患者320排CT前瞻性心电门控扫描volume法与helical法均可获得满足临床诊断需要的冠状动脉图像质量，其中volume法辐射剂量更低，所用造影剂剂量更少，具有良好的应用前景。 【关键词】 320排容积CT； 冠状动脉成像；低心率；辐射剂量 [Abstract] Objective To investigate the image quality and radiation dose of low heart rate for coronary CT angiography obtained with a prospectively-gated technique volume scan versus a prospectively-gated technique helical scan. Methods Coronary CT angiography obtained with 320-row CT were evaluated in 128 patients. These patients were assigned into two groups: Group 1(n=72), patients undergoing prospectively gated technique volume scan; Group 2(n=56), patients undergoing helical scan. The main branches of coronary arteries were divided into 9 segments. Meanwhile, the image quality was evaluated with a four-point grading scale. The student t test was performed to evaluate the difference between the two groups, which include image noise, excellent rate and pass rate of image, and effective radiation dose. Results The ascending aorta root CT value of group 1 and group 2 were respectively (492.08 ± 58.51) HU and (522.72 ±56.91) HU, and the image noise of the two groups were respectively (19.64 ± 3.51)HU and (22.66 ± 5.33)HU. Coronary artery image quality of group 1 an