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快速精准的冠状动脉CT成像

Rapid and Precise Coronary CT Angiography


作者:Jacques Feignoux, M.D.CCN心血管中心,法国)

翻译:刘士辰 刘华阳
审校:任心爽吕滨(中国医学科学院阜外心血管医院)


病史 Patient History


女性,60岁。主诉不典型胸痛。因合并其他风险因素。行CT检查进行冠状动脉评估。

A woman in her 60s with multiple risk factors andcomplaining about atypical chest pain was referred to CT for coronaryassessment.


Revolution CT采集参数

1-beat 心脏成像(图1

  • 心电门控下120mm轴位扫描

  • 智能kV及智能mA以确保与患者体型相适应的射线剂量:80kV370mA、噪声指数30

  • 体重指数BMI23

  • 应用ASiR-V进一步降低剂量

  • 球管转速0.28s/rot

  • 心率:69 bpm

  • DLP 18 mGy*cm

  • 0.25 mSv


1: 1-beat 心脏采集


结论

该患者心率较快(屏气前心率为77 BPM,扫描时心率为69 BPM),采用80kV、单心跳舒张期采集,得到满足临床诊断的图像质量,而患者所受射线剂量仅为 0.25 mSv。(图2)。

On this patient with a relatively high heart rate & #40;77 BPMbefore apnea, 69 BPM during acquisition& #41;, the exam was performed within asingle diastolic phase, at 80 kV, enabling diagnostic quality images to beacquired at a quarter of a milliSievert.

2: CCTA 图像


Jacques Feignoux医生的评价

单心动周期的轴位采集、新的ASiR-V迭代重建、低kV下高质量的图像,这些技术使Revolution CT可以常规应用非常低的射线剂量得到非常优秀的心脏图像。

Thanks to the one-beat axial acquisition, the newiterative reconstruction technology ASiR-V and the high image quality at low kV, Revolution CT delivers cardiac CT with excellent image quality at very low dose routinely.