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ID:32141775
大小:2.26 MB
页数:54页
时间:2019-01-31
《回顾性心电门控螺旋ct冠状动脉成像单期相扫描的可行性分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、回顾性心电门控螺旋CT冠状动脉成像单期相扫描的可行性研究respectively.Conclusion:single-phasescancouldreduceradiationdoseobviouslyimpairmentofimagequality.一PartII:Factorsanalysisofsingle-phasescanincomputedtomogrcoronaryangiographyandClinicalfeasibilityObjective:toevaluateimagequalityandtheoptimalphasewindo
2、wofCoronaryartery,toanalyzethefactorsinfluencingcoronaryarteryimagingwithretrospective-gatingVCTatsingle-phase.MaterialsandMethods:Areviewanalysiswasperformedonallimagesdatasof108patientswhousingHPSin64-detectorspiralCTforcoronaryangiography.Obtainedtheincidenceofoptimalphasewin
3、dowat70-80%R--Rintervalandtherelationshipofheartrate,toformulatethesuitablequalificationof75%SPSinitially.SPSwasperformedon43patientswhomeetthequalification.Usingadouble-blindbytwophysicianstoassesstheimagequalityofeachcoronaryartery,andimagenoiseoftheascendingaortaweremeasured.
4、Thedoselengthproduct(DLP)wererecordedandeffectivedosewerecalculated.finally,statisticachievementratioofSPS.Results:1.In108cases,78cases(72.2%)reconstructionat75%R-Rinterval;atotalof95cases(88%)reconstructionat70-80%R--Rinterval;whenHRbelow65beatspermin,70in81casestheoptimalphase
5、at75%R--Rinterval,accountingfor87.4%,whenHRmorethan65beatspermin,17in27casestheoptimalphaseat75%R--Rinterval,accountingfor62.9%,andthereWassignificantdifferencebetweenheartrateandoptimalphase(p=0.00).Thesuitablequalificationof75%SPSwere①.sinusoidalandpredictionscanningheartratel
6、essthan65bpm②.predictionscanningheartratevariabilitylessthan5bpm;③.thedurationofbreathholdingmorethan15seconds;(爹.nomotionartifactsofrightcoronaryarteryatthecalciumscoringscanning.Theachievementratioof48patientsusingSPSwas100%,41wereat75%,2patientswere70%and80%R--Rinterval,respe
7、ctively,themeanscoreofimagequalitywas4.34士0.68,andtherewasnosignificantdifferenceamongimagenoiseoftheascendingaortaatthereconstruction70%、75%and80%(p=0.935).conclusions:Withtheheartrate<65bpm,andheartratevariability_<5bpm,ItwasfeasibleofSPSinCTCAwithretrospectiveECG-gating.V英文摘要
8、回顾性心电门控螺旋CT冠状动脉成像单期相扫描的可行性研究PartIII:Comparative
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