期刊文献+

心率和扫描时相与320排CT冠脉CTA辐射剂量的相关性研究 被引量:6

Correlation of Heart Rates and Scanning Span with Scanning Doses in Coronary CT Angiography
下载PDF
导出
摘要 目的比较不同心率及不同扫描方案下冠脉CT血管造影辐射剂量的差异,明确降低心率以及缩短扫描时相的价值及必要性。方法 240例行CCTA检查的患者根据心率及扫描时相不同分为4组进行扫描,4分法评价图像质量,并计算辐射剂量,评价图像质量和辐射剂量与心率和扫描时相的相关性。结果各组间图像质量无显著差异。随着心率减慢,辐射剂量显著降低。舒张末期扫描组辐射剂量显著低于全心动周期扫描组。结论降低心率、缩短扫描时相在冠心病CCTA检查中减少辐射剂量具有重要意义。 Objective To investigate the relation of heart rates and scanning span with scanning doses in Coronary Computerized Tomography Angiography. Methods 240 patients undergoing CCTA were divided into 4 groups according to the heart rates and scanning span; effective doses( ED)were recorded and four point scoring method was applied in evaluating the image quality. Results No difference in image quality was found among the groups; radiation reduced significantly as the heart rates slowed down; effective doses in patients undergoing diastasis scanning were significantly lower than those in patients undergoing whole cardiac cycle scanning. Conclusions The scanning does in CCTA can be effectively decreased by reducing heart rates and shortening scanning span.
出处 《西南军医》 2014年第3期241-243,共3页 Journal of Military Surgeon in Southwest China
关键词 320排CT 冠状动脉 心率 剂量 320 slice CT coronary artery heart rate dose
  • 相关文献

参考文献8

二级参考文献22

  • 1张博,龚建平.CT检查辐射致癌风险的研究进展[J].国际医学放射学杂志,2009,32(3):217-220. 被引量:39
  • 2王锡明,武乐斌,李振家,柳澄,陈海松.64层螺旋CT在冠状动脉造影中的应用[J].中华放射学杂志,2005,39(11):1201-1204. 被引量:150
  • 3张巍,郭玉林.低剂量螺旋CT扫描技术的临床应用[J].医学影像学杂志,2006,16(8):861-864. 被引量:40
  • 4Hein E,Rogalla P,Klingebiel R,et al.Low-dose CT of the paranasal sinuses with eye lens p rotection:effect on image qualityand radiation dose[J].Eur Radiol,2002,12(7):1693-1696.
  • 5Leber AW, Becker A, Knez A, et al. Accuracy of 64-slice computed tomography to classify and quantity plaque volume in the proximal coronary system: a comparative study using intravascular ultrassound[J]. J Am Coll Cardiol, 2006,47: 672-677.
  • 6Stephan A, Ulrike Rs, Axel K, et al. Randomized comparison of 64-Slice single-and dual-source computed tumography coronary angiography for the detection of coronary, artery disease[J]. J Am Coll Cardiol, 2008, 1: 177-186.
  • 7Hoffillann MH, Shi H, Mnazke R, et al. Noninvasive coronary angiography with 16-dectector row CT : effect of heart rate[J]. Radiology, 2005,234: 86-97.
  • 8Austen WG, Edwards JE, Erye RL, et al. Areporting system on patients evaluated for coronary artery disease. Report of the Ad Hoc Committee for Grading of Coronary Artery Disease[J]. Council on Cardiovascular Surgery, American Heart Association Circulation, 1975, 51 ( 4Supply ) : 5-40.
  • 9Matt D, Scheffel H, Leschka S, et al. Dual-source CT coronary angiography: image quality, mean heart rate and heart rate variahility[J]. AJR,2007, 189: 567-573.
  • 10Leung KC, Martin CT. Effective dose for coronary angiography[J]. Br T Radiol, 1996,69: 426-431.

共引文献21

同被引文献62

  • 1陈艳,彭志远,张雪莲,陈险峰,孙庆军,马兵毅,陈鑫,钟志林.40层螺旋CT冠状动脉造影的临床应用[J].中国CT和MRI杂志,2006,4(4):31-33. 被引量:30
  • 2高文洁,霍健伟,窦秀梅,穆锦巍,李霞.螺旋CT冠状动脉造影心率控制方法探讨[J].中国心血管病研究,2006,4(10):754-755. 被引量:4
  • 3CELIK O,ATASOY MM,ERTURK M,et al.Comparison of different strategies of ivabradine premedication for heart rate reduction before coronary computed tomography angiography[J].J Cardiovasc Comput Tomogr,2014,8:77-82.
  • 4SHAPIRO MD PA,NICHOLS JH,WORREL LS,et al.Efficacy of pre-scan beta-blockade and impact of heart rate on image quality in patients undergoing coronary multidetector computed tomography angiography[J].Eur JRadiol,2008,66:37-41.
  • 5OKADA M,NAKASHIMA Y,NOMURA T,et al.Coronary vasodilation by the use of sublingual nitroglycerin using 64-slice dual-source coronary computed tomography angiography[J].Journal of Cardiology,2014.DOI:10.1016/j.jjcc.2014.05012.
  • 6DE GRAAF FR,SCHUIJF JD,VAN VELZEN JE,et al.Evaluation of contraindications and efficacy of oral Beta blockade before computed tomographic coronary angiography[J].Am J Cardiol,2010,105:767-772.
  • 7JIMENEZ-JUAN L,NGUYEN ET,WINTERSPERGER BJ,et al.Failed heart rate control with oral metoprolol prior to coronary CT angiography:effect of additional intravenous metoprolol on heart rate,image quality and radiation dose[J].Int J Cardiovasc Imaging,2013,29:199-206.
  • 8SHAPIRO MD,PENA AJ,NICHOLS JH,et al.Efficacy of prescan beta-blockade and impact of heart rate on image quality in patients undergoing coronary multidetector computed tomography angiography[J].Eur J Radiol,2008,66:37-41.
  • 9Schaller S, Folhr T, Klingenbeck K, et al. Spiral interpolation algorithm for muhislice spiral CT-part Ⅰ: theory [ J]. IEEE Trans Med Imaging,2000,19 (9) :822-834.
  • 10Goua H, Varenne O, Trinquart L, et al. Coronary artey stenosis in high-risk patients: 64- section CT and coronary angiography- Prospective study and analysis of discordance [ J ]. Radiology, 2010,252(2) :377-385.

引证文献6

二级引证文献45

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部