Objective:To investigate the value of application of low-dose and optimized length CT scan on puncture results,complications and patients’radiation dosage during CT-guided percutaneous biopsy of pulmonary nodules(PTN...Objective:To investigate the value of application of low-dose and optimized length CT scan on puncture results,complications and patients’radiation dosage during CT-guided percutaneous biopsy of pulmonary nodules(PTNB).Methods:A total of 231 patients with PTNB under CT guidance were collected.Low dose scanning utilized tube current of 20 mA as compared with 40 mA in conventional dosage.Optimized length in CT is defined as intentionally narrowing the range of CT scanning just to cover 25 mm(5 layers)around the target layer during needle adjustment.According to whether low-dose scans and optimized length scans techniques were utilized,patients were divided into three groups:conventional group(conventional sequence+no optimization),optimized length group(conventional sequence+optimized length),and low-dose optimized length group(low dose sequence+optimized length).The ED(effective dose),the DLP(dose length product),the average CTDIvol(Volume CT dose index),total milliampere second between subgroups were compared.Results:Compared with the conventional group,ED,intraoperative guidance DLP,total milliseconds and operation time in the optimized length group were reduced by 18.2%(P=0.01),37%(P=0.003),17.5%(P=0.013)and13.3%(P=0.021)respectively.Compared with the optimized length group,the ED was reduced by 87%,preoperative positioning,intraoperative guidance and postoperative review DLP were also reduced by 88%,total milliampere second was reduced by 79%,with an average CTDIvol was reduced by 86%,in the low-dose optimized length group(P<0.001 for all).Conclusion:Optimizing the length during CT scanning can effectively reduce the intraoperative radiation dose and reduce the operation time compared with conventional plan;low-dose and optimized length CT scan can further reduce the total radiation dose compared with optimized length group with no differences on intraoperative complications,biopsy results and operation time.展开更多
Background and Objective: Nowadays, Computer Tomography is one of the best radiological imaging technics which can give right diagnostic information, among the detection of multiphasic adenomas, the detection of cardi...Background and Objective: Nowadays, Computer Tomography is one of the best radiological imaging technics which can give right diagnostic information, among the detection of multiphasic adenomas, the detection of cardiac, cerebral and vascular abnormalities. Although these good qualities, this technic is too radiant for the patient. In this paper, we based on the irradiation doses delivered from the current protocols to find a practical method of their optimization during the pediatric cranial scan. Materials and Methods: This work relies on a collection of data from patients in the hospitals, so that analyze them, give the conclusions and, propose an optimal practical method to decrease the irradiation doses. To collect data, we performed a prospective study of seventeen months (from December 2017 to May 2019) carried out simultaneously in three hospitals of the city: The Centre Medical la Cathédrale (H1), the Yaoundé Central Hospital (H2) and the Yaoundé Gyneaco-Obstetric and pediatric hospital (H3). This study included a total of 192 cases of cerebral trauma, of which 11 cases excluded for incomplete information. The dosimetry quality control (CTDIvol) using the PMMA phantoms of 16 cm and 32 cm fulfilled. The scanographic parameters of the patient acquisition protocol were recorded and analyzed. Some of those parameters were modified and entered the CT with the help of a biomedical engineer to reduce the delivered dose. The relationship between CTDIvol and kV is statistically significant (p Results: Among patients, 172 are boys, and the remaining 9 are girls all were in the 0 to 15 age group. CTDIvol values varied from 34.2 mGy to 107.8 mGy and PDLs from 107.8 mGy.cm to 2214.5 mGy.cm in H1. In H2, CTDIvol varied from 5.8 mGy to 44 mGy and PDLs from 91.4 mGy.cm to 665.5 mGy.cm. CTDIvol varied between 9.34 mGy to 92.81 mGy and PDLs from 162.38 mGy.cm to 2713.67 mGy.cm in H3. All values are taken at 75th percentile, with or without contrast injection. Conclusion: The implementation of the optimization of protocols requires the display of the CT parameters to use and to respect during the traumatic brain tests. With displaying and respecting protocol, the CTDIvol decreased by almost 50 per cent.展开更多
Objective: To investigate the correlation between radiation dose and radiation risk when patients are scanned by 64-slice spiral CT. Materials and Methods: SPSS 17.0 is used statistically for analyzing the patient’s ...Objective: To investigate the correlation between radiation dose and radiation risk when patients are scanned by 64-slice spiral CT. Materials and Methods: SPSS 17.0 is used statistically for analyzing the patient’s scanning parameters, radiation dose of monitoring and examining the patients who are scanning of their abdomen, chest and pelvic in our affiliated hospital. Results: SPSS statistical analysis shows that the factor related to radiation dose is scanning layer;the basic characteristics such as height and heart rate don’t affect the patient’s scan dose directly. Conclusion: Increasing the delay time after injection can reduce the scan numbers and monitoring layers of the machine, thus reduce the patient’s radiation dose and tube’s exposure time.展开更多
Purpose: To quantitatively evaluate four different Proton SFUD PBS initial planning strategies for lung mobile tumor. Methods and Materials: A virtual lung patient’s four-dimensional computed tomography (4DCT) was ge...Purpose: To quantitatively evaluate four different Proton SFUD PBS initial planning strategies for lung mobile tumor. Methods and Materials: A virtual lung patient’s four-dimensional computed tomography (4DCT) was generated in this study. To avoid the uncertainties from target delineation and imaging artifacts, a sphere with diameter of 3 cm representing a rigid mobile target (GTV) was inserted into the right side of the lung. The target motion is set in superior-inferior (SI) direction from ?5 mm to 5 mm. Four SFUD planning strategies were used based on: 1) Maximum-In-tensity-Projection Image (MIP-CT);2) CT_average with ITV overridden to muscle density (CTavg_muscle);3) CT_average with ITV overridden to tumor density (CTavg_tumor);4) CT_average without any override density (CTavg_only). Dose distributions were recalculated on each individual phase and accumulated together to assess the “actual” treatment. To estimate the impact of proton range uncertainties, +/?3.5% CT calibration curve was applied to the 4DCT phase images. Results: Comparing initial plan to the dose accumulation: MIP-CT based GTV D98 degraded 2.42 Gy (60.10 Gy vs 57.68 Gy). Heart D1 increased 6.19 Gy (1.88 Gy vs 8.07 Gy);CTavg_tumor based GTV D98 degraded 0.34 Gy (60.07 Gy vs 59.73 Gy). Heart D1 increased 2.24 Gy (3.74 Gy vs 5.98 Gy);CTavg_muscle based initial GTV D98 degraded 0.31 Gy (60.4 Gy vs 60.19 Gy). Heart D1 increased 3.44 Gy (4.38 Gy vs 7.82 Gy);CTavg_only based Initial GTV D98 degraded 6.63 Gy (60.11 Gy vs 53.48 Gy). Heart D1 increased 0.30 Gy (2.69 Gy vs 2.96 Gy);in the presence of ±3.5% range uncertainties, CTavg_tumor based plan’s accumulated GTV D98 degraded to 57.99 Gy (+3.5%) 59.38 Gy (?3.5%), and CTavg_muscle based plan’s accumulated GTV D98 degraded to 59.37 Gy (+3.5%) 59.37 Gy (?3.5%). Conclusion: This study shows that CTavg_Tumor and CTavg_Muscle based planning strategies provide the most robust GTV coverage. However, clinicians need to be aware that the actual dose to OARs at distal end of target may increase. The study also indicates that the current SFUD PBS planning strategy might not be sufficient to compensate the CT calibration uncertainty.展开更多
BACKGROUND Coronary computed tomography angiography(CCTA)is the preferred noninvasive examination method for coronary heart disease.However,the radiation from computed tomography has become a concern since public awar...BACKGROUND Coronary computed tomography angiography(CCTA)is the preferred noninvasive examination method for coronary heart disease.However,the radiation from computed tomography has become a concern since public awareness of radiation hazards continue to increase.AIM To explore the value of multiple dose reduction techniques for CCTA.METHODS Consecutive normal and overweight patients were prospectively divided into two groups:Group A1,patients who received multiple dose reduction scans(n=82);and group A2,patients who received conventional scans(n=39).The scan parameters for group A1 were as follows:Isocentric scan,tube voltage=80 kV,and tube current control using 80%smart milliampere.The scan parameters for group A2 were as follows:Normal position,tube voltage=100 kV,and smart milliampere.RESULTS The average effective doses(EDs)for groups A1 and A2 were 1.13±0.35 and 3.36±1.30 mSv,respectively.There was a statistically significant difference in ED between the two groups(P<0.01).Furthermore,noise was significantly lower,and both signal-to-noise ratio and contrast signal-to-noise ratio were higher in group A2 when compared to group A1(P<0.01).Moreover,the subjective image quality(IQ)scores were excellent in both groups,in which there was no significant difference in subjective IQ score between the two groups(P=0.12).CONCLUSION Multiple dose reduction scan techniques can significantly decrease the ED of patients receiving CCTA examinations for clinical diagnosis.展开更多
目的探讨双源CT CARE Dose 4D(管电流调节技术)在儿童牙齿CT扫描中的运用价值。方法疑牙齿畸形行CT平扫及重建了解根尖情况的患儿70例,按时间先后分A、B两组,A组常规扫描(100kVp/150mAs),B组开启CARE Dose4D扫描(100kVp/参考电流150mAs)...目的探讨双源CT CARE Dose 4D(管电流调节技术)在儿童牙齿CT扫描中的运用价值。方法疑牙齿畸形行CT平扫及重建了解根尖情况的患儿70例,按时间先后分A、B两组,A组常规扫描(100kVp/150mAs),B组开启CARE Dose4D扫描(100kVp/参考电流150mAs),其余条件保持不变。比较A、B两组扫描方案的辐射剂量及所得图像的平均CT值、噪声、信号噪声比(SNR)、对比噪声比(CNR)、主观评分等。结果 A、B两组辐射剂量差异有统计学意义(t=-2.24,P=0.03)。与A组比较,B组有效剂量(ED)下降约23.15%;图像的平均CT值、噪声、SNR、CNR及主观评分比较差异无统计学意义(P>0.05)。结论应用双源CT CARE Dose 4D技术行儿童牙齿CT扫描,在降低辐射剂量的同时,不影响图像质量,值得临床推广。展开更多
目的:探讨iDose4迭代重建在冠状动脉CT血管造影(coronary CT angiography,CCTA)中的应用价值。方法:选择冠心病患者124例,均行CT扫描iDose4迭代重建与滤波反投影(filtered back-projection,FBP)重建。iDose4迭代重建患者依体质量指数(bo...目的:探讨iDose4迭代重建在冠状动脉CT血管造影(coronary CT angiography,CCTA)中的应用价值。方法:选择冠心病患者124例,均行CT扫描iDose4迭代重建与滤波反投影(filtered back-projection,FBP)重建。iDose4迭代重建患者依体质量指数(body mass index,BMI)进行分组,BMI≥20 kg/m2为迭代组1(135 k V),共56人,BMI<20 kg/m2为迭代组2(110 k V),共68人;FBP组均采用110 k V管电压进行扫描。分别对信噪比(signal noise ratio,SNR)、对比噪声比(contrast to noise ratio,CNR)及图像质量进行比较分析。结果:迭代组1与FBP组的SNR、CNR、辐射剂量及图像质量评分差异均存在且差异具有统计学意义(P<0.05)。迭代组2与FBP组的CNR及辐射剂量差异均存在且差异具有统计学意义(P<0.05),SNR、图像质量评分差异不具有统计学意义(P>0.05)。结论:低压iDose4重建法在64排CCTA中辐射剂量小且图像质量好,值得在临床中推广应用。展开更多
Objective: To compare and analyze the image quality and radiation dose of three scanning modes of dual-source CT coronary artery retrospectively, and to discuss the application value of TurboFlash coarse pitch scannin...Objective: To compare and analyze the image quality and radiation dose of three scanning modes of dual-source CT coronary artery retrospectively, and to discuss the application value of TurboFlash coarse pitch scanning mode. Methods: The imaging data of 100 patients who underwent CT coronary angiography (CCTA) using Siemens force CT retrospective gated triggering spiral scan (RES-SPIRAL), adaptive prospective gated triggering sequence scan (SEQ) and prospective coarse pitch scan (TurboFlash) retrospectively was collected. The image quality was evaluated by objective and subjective methods. The effective radiation dose of patients was compared and analyzed, and the indications of the three scanning modes were analyzed. The application value of dual-source CT TurboFlash coarse pitch scanning in coronary artery imaging was evaluated. Results: The results showed that the left main coronary artery, the right coronary artery and their tertiary branches could be clearly displayed in the three groups of images: the left anterior descending branch, the left circumflex branch, and their three-level branches. There was no statistical difference in subjective image quality among the three groups of pictures (P > 0.05). There was no statistical difference in objective evaluation indexes, such as CT value, SNR, CNR and Noise among the three groups (P > 0.05). The patient radiation dose results showed that the effective radiation dose ED of RES-SPIRA scan was (9.22 ± 1.33) mSv. The dose of SEQ was (2.88 ± 2.47) mSv, and the dose of TurboFlash was (0.51 ± 0.16) mSv. There was significant difference in comparison of the three groups (P 0.05). RES-spiral scanning had the highest radiation dose and TurboFlash coarse pitch scanning (TurboFlash) had the lowest radiation dose. Conclusion: TurboFlash coarse pitch scanning is low in dosage, fast in speed and wide in adaptability. It is especially suitable for the elderly, children, coma and other patients who cannot cooperate with breath-holding examination, as well as for the screening and examination of coronary artery diseases in asymptomatic population. Undoubtedly, it is a worthy method of heart coronary artery examination.展开更多
基金supported by grants from National Natural Science Foundation of China(No.81801804).
文摘Objective:To investigate the value of application of low-dose and optimized length CT scan on puncture results,complications and patients’radiation dosage during CT-guided percutaneous biopsy of pulmonary nodules(PTNB).Methods:A total of 231 patients with PTNB under CT guidance were collected.Low dose scanning utilized tube current of 20 mA as compared with 40 mA in conventional dosage.Optimized length in CT is defined as intentionally narrowing the range of CT scanning just to cover 25 mm(5 layers)around the target layer during needle adjustment.According to whether low-dose scans and optimized length scans techniques were utilized,patients were divided into three groups:conventional group(conventional sequence+no optimization),optimized length group(conventional sequence+optimized length),and low-dose optimized length group(low dose sequence+optimized length).The ED(effective dose),the DLP(dose length product),the average CTDIvol(Volume CT dose index),total milliampere second between subgroups were compared.Results:Compared with the conventional group,ED,intraoperative guidance DLP,total milliseconds and operation time in the optimized length group were reduced by 18.2%(P=0.01),37%(P=0.003),17.5%(P=0.013)and13.3%(P=0.021)respectively.Compared with the optimized length group,the ED was reduced by 87%,preoperative positioning,intraoperative guidance and postoperative review DLP were also reduced by 88%,total milliampere second was reduced by 79%,with an average CTDIvol was reduced by 86%,in the low-dose optimized length group(P<0.001 for all).Conclusion:Optimizing the length during CT scanning can effectively reduce the intraoperative radiation dose and reduce the operation time compared with conventional plan;low-dose and optimized length CT scan can further reduce the total radiation dose compared with optimized length group with no differences on intraoperative complications,biopsy results and operation time.
文摘Background and Objective: Nowadays, Computer Tomography is one of the best radiological imaging technics which can give right diagnostic information, among the detection of multiphasic adenomas, the detection of cardiac, cerebral and vascular abnormalities. Although these good qualities, this technic is too radiant for the patient. In this paper, we based on the irradiation doses delivered from the current protocols to find a practical method of their optimization during the pediatric cranial scan. Materials and Methods: This work relies on a collection of data from patients in the hospitals, so that analyze them, give the conclusions and, propose an optimal practical method to decrease the irradiation doses. To collect data, we performed a prospective study of seventeen months (from December 2017 to May 2019) carried out simultaneously in three hospitals of the city: The Centre Medical la Cathédrale (H1), the Yaoundé Central Hospital (H2) and the Yaoundé Gyneaco-Obstetric and pediatric hospital (H3). This study included a total of 192 cases of cerebral trauma, of which 11 cases excluded for incomplete information. The dosimetry quality control (CTDIvol) using the PMMA phantoms of 16 cm and 32 cm fulfilled. The scanographic parameters of the patient acquisition protocol were recorded and analyzed. Some of those parameters were modified and entered the CT with the help of a biomedical engineer to reduce the delivered dose. The relationship between CTDIvol and kV is statistically significant (p Results: Among patients, 172 are boys, and the remaining 9 are girls all were in the 0 to 15 age group. CTDIvol values varied from 34.2 mGy to 107.8 mGy and PDLs from 107.8 mGy.cm to 2214.5 mGy.cm in H1. In H2, CTDIvol varied from 5.8 mGy to 44 mGy and PDLs from 91.4 mGy.cm to 665.5 mGy.cm. CTDIvol varied between 9.34 mGy to 92.81 mGy and PDLs from 162.38 mGy.cm to 2713.67 mGy.cm in H3. All values are taken at 75th percentile, with or without contrast injection. Conclusion: The implementation of the optimization of protocols requires the display of the CT parameters to use and to respect during the traumatic brain tests. With displaying and respecting protocol, the CTDIvol decreased by almost 50 per cent.
文摘Objective: To investigate the correlation between radiation dose and radiation risk when patients are scanned by 64-slice spiral CT. Materials and Methods: SPSS 17.0 is used statistically for analyzing the patient’s scanning parameters, radiation dose of monitoring and examining the patients who are scanning of their abdomen, chest and pelvic in our affiliated hospital. Results: SPSS statistical analysis shows that the factor related to radiation dose is scanning layer;the basic characteristics such as height and heart rate don’t affect the patient’s scan dose directly. Conclusion: Increasing the delay time after injection can reduce the scan numbers and monitoring layers of the machine, thus reduce the patient’s radiation dose and tube’s exposure time.
文摘Purpose: To quantitatively evaluate four different Proton SFUD PBS initial planning strategies for lung mobile tumor. Methods and Materials: A virtual lung patient’s four-dimensional computed tomography (4DCT) was generated in this study. To avoid the uncertainties from target delineation and imaging artifacts, a sphere with diameter of 3 cm representing a rigid mobile target (GTV) was inserted into the right side of the lung. The target motion is set in superior-inferior (SI) direction from ?5 mm to 5 mm. Four SFUD planning strategies were used based on: 1) Maximum-In-tensity-Projection Image (MIP-CT);2) CT_average with ITV overridden to muscle density (CTavg_muscle);3) CT_average with ITV overridden to tumor density (CTavg_tumor);4) CT_average without any override density (CTavg_only). Dose distributions were recalculated on each individual phase and accumulated together to assess the “actual” treatment. To estimate the impact of proton range uncertainties, +/?3.5% CT calibration curve was applied to the 4DCT phase images. Results: Comparing initial plan to the dose accumulation: MIP-CT based GTV D98 degraded 2.42 Gy (60.10 Gy vs 57.68 Gy). Heart D1 increased 6.19 Gy (1.88 Gy vs 8.07 Gy);CTavg_tumor based GTV D98 degraded 0.34 Gy (60.07 Gy vs 59.73 Gy). Heart D1 increased 2.24 Gy (3.74 Gy vs 5.98 Gy);CTavg_muscle based initial GTV D98 degraded 0.31 Gy (60.4 Gy vs 60.19 Gy). Heart D1 increased 3.44 Gy (4.38 Gy vs 7.82 Gy);CTavg_only based Initial GTV D98 degraded 6.63 Gy (60.11 Gy vs 53.48 Gy). Heart D1 increased 0.30 Gy (2.69 Gy vs 2.96 Gy);in the presence of ±3.5% range uncertainties, CTavg_tumor based plan’s accumulated GTV D98 degraded to 57.99 Gy (+3.5%) 59.38 Gy (?3.5%), and CTavg_muscle based plan’s accumulated GTV D98 degraded to 59.37 Gy (+3.5%) 59.37 Gy (?3.5%). Conclusion: This study shows that CTavg_Tumor and CTavg_Muscle based planning strategies provide the most robust GTV coverage. However, clinicians need to be aware that the actual dose to OARs at distal end of target may increase. The study also indicates that the current SFUD PBS planning strategy might not be sufficient to compensate the CT calibration uncertainty.
基金Supported by Zhuhai Medical Research Fund,No.ZH3310200001PJL.
文摘BACKGROUND Coronary computed tomography angiography(CCTA)is the preferred noninvasive examination method for coronary heart disease.However,the radiation from computed tomography has become a concern since public awareness of radiation hazards continue to increase.AIM To explore the value of multiple dose reduction techniques for CCTA.METHODS Consecutive normal and overweight patients were prospectively divided into two groups:Group A1,patients who received multiple dose reduction scans(n=82);and group A2,patients who received conventional scans(n=39).The scan parameters for group A1 were as follows:Isocentric scan,tube voltage=80 kV,and tube current control using 80%smart milliampere.The scan parameters for group A2 were as follows:Normal position,tube voltage=100 kV,and smart milliampere.RESULTS The average effective doses(EDs)for groups A1 and A2 were 1.13±0.35 and 3.36±1.30 mSv,respectively.There was a statistically significant difference in ED between the two groups(P<0.01).Furthermore,noise was significantly lower,and both signal-to-noise ratio and contrast signal-to-noise ratio were higher in group A2 when compared to group A1(P<0.01).Moreover,the subjective image quality(IQ)scores were excellent in both groups,in which there was no significant difference in subjective IQ score between the two groups(P=0.12).CONCLUSION Multiple dose reduction scan techniques can significantly decrease the ED of patients receiving CCTA examinations for clinical diagnosis.
文摘目的探讨双源CT CARE Dose 4D(管电流调节技术)在儿童牙齿CT扫描中的运用价值。方法疑牙齿畸形行CT平扫及重建了解根尖情况的患儿70例,按时间先后分A、B两组,A组常规扫描(100kVp/150mAs),B组开启CARE Dose4D扫描(100kVp/参考电流150mAs),其余条件保持不变。比较A、B两组扫描方案的辐射剂量及所得图像的平均CT值、噪声、信号噪声比(SNR)、对比噪声比(CNR)、主观评分等。结果 A、B两组辐射剂量差异有统计学意义(t=-2.24,P=0.03)。与A组比较,B组有效剂量(ED)下降约23.15%;图像的平均CT值、噪声、SNR、CNR及主观评分比较差异无统计学意义(P>0.05)。结论应用双源CT CARE Dose 4D技术行儿童牙齿CT扫描,在降低辐射剂量的同时,不影响图像质量,值得临床推广。
文摘目的:探讨iDose4迭代重建在冠状动脉CT血管造影(coronary CT angiography,CCTA)中的应用价值。方法:选择冠心病患者124例,均行CT扫描iDose4迭代重建与滤波反投影(filtered back-projection,FBP)重建。iDose4迭代重建患者依体质量指数(body mass index,BMI)进行分组,BMI≥20 kg/m2为迭代组1(135 k V),共56人,BMI<20 kg/m2为迭代组2(110 k V),共68人;FBP组均采用110 k V管电压进行扫描。分别对信噪比(signal noise ratio,SNR)、对比噪声比(contrast to noise ratio,CNR)及图像质量进行比较分析。结果:迭代组1与FBP组的SNR、CNR、辐射剂量及图像质量评分差异均存在且差异具有统计学意义(P<0.05)。迭代组2与FBP组的CNR及辐射剂量差异均存在且差异具有统计学意义(P<0.05),SNR、图像质量评分差异不具有统计学意义(P>0.05)。结论:低压iDose4重建法在64排CCTA中辐射剂量小且图像质量好,值得在临床中推广应用。
文摘Objective: To compare and analyze the image quality and radiation dose of three scanning modes of dual-source CT coronary artery retrospectively, and to discuss the application value of TurboFlash coarse pitch scanning mode. Methods: The imaging data of 100 patients who underwent CT coronary angiography (CCTA) using Siemens force CT retrospective gated triggering spiral scan (RES-SPIRAL), adaptive prospective gated triggering sequence scan (SEQ) and prospective coarse pitch scan (TurboFlash) retrospectively was collected. The image quality was evaluated by objective and subjective methods. The effective radiation dose of patients was compared and analyzed, and the indications of the three scanning modes were analyzed. The application value of dual-source CT TurboFlash coarse pitch scanning in coronary artery imaging was evaluated. Results: The results showed that the left main coronary artery, the right coronary artery and their tertiary branches could be clearly displayed in the three groups of images: the left anterior descending branch, the left circumflex branch, and their three-level branches. There was no statistical difference in subjective image quality among the three groups of pictures (P > 0.05). There was no statistical difference in objective evaluation indexes, such as CT value, SNR, CNR and Noise among the three groups (P > 0.05). The patient radiation dose results showed that the effective radiation dose ED of RES-SPIRA scan was (9.22 ± 1.33) mSv. The dose of SEQ was (2.88 ± 2.47) mSv, and the dose of TurboFlash was (0.51 ± 0.16) mSv. There was significant difference in comparison of the three groups (P 0.05). RES-spiral scanning had the highest radiation dose and TurboFlash coarse pitch scanning (TurboFlash) had the lowest radiation dose. Conclusion: TurboFlash coarse pitch scanning is low in dosage, fast in speed and wide in adaptability. It is especially suitable for the elderly, children, coma and other patients who cannot cooperate with breath-holding examination, as well as for the screening and examination of coronary artery diseases in asymptomatic population. Undoubtedly, it is a worthy method of heart coronary artery examination.