CORONARY ANGIOGRAPHY WITH DUAL SOURCE COMPUTED TOMOGRAPHY:INITIAL EXPERIENCE

作     者：Zhu-hua Zhang Zheng-yu Jin Shu-yang Zhang Song-bai Lin Dong-jing Li Ling-yan Kong Yi-ning Wang Lan Song Yun Wang Wen-min Zhao Wen-bin Mou Li-ren Zhang Wen-ling Zhu Qi Miao Qi Fang 

作者机构：Department of Radiology Peking Union Medical College Hospital Chinese Academy of Medical Sciences ＆ Peking Union Medical College Beijing 100730 Department of Cardiology Peking Union Medical College Hospital Chinese Academy of Medical Sciences ＆ Peking Union Medical College Beijing 100730 Special Medical Care Center Peking Union Medical College Hospital Chinese Academy of Medical Sciences ＆ Peking Union Medical College Beijing 100730 Department of Cardiac Surgery Peking Union Medical College Hospital Chinese Academy of Medical Sciences ＆ Peking Union Medical College Beijing 100730 

出 版 物：《Chinese Medical Sciences Journal》 (中国医学科学杂志（英文版）)

年 卷 期：2007年第22卷第4期

页      面：205-210页

核心收录：

学科分类：0831[工学-生物医学工程（可授工学、理学、医学学位）] 08[工学] 1010[医学-医学技术（可授医学、理学学位）] 10[医学] 

主　　题：computed tomography coronary angiography coronary heart disease 

摘      要：Objective To explore the scan technique and image quality of coronary angiography with dual source computed tomography(CT) without oral metoprolol *** Plain and enhanced dual source CT coronary angiography without oral metoprolol preparation was prospectively performed in 600 *** scoring with plain scan images as well as multi-planar reconstruction(MPR),maximum intensity projection(MIP),and volume rendering technique(VRT) reconstruction with enhanced scan images were performed in all *** scan technique and post-reconstruction experience was *** image quality was classified as 1 to 4 points,and coronary segments classified according to the American Heart Association standards were *** The average calcium score of the 600 cases was 213.6±298.7(0-3 216.5).The average heart rate of the enhanced scan was 82.1±16.2(47-139) *** post-reconstruction methods with which coronary segments could be shown as best as possible consisted of single phase reconstruction method,two or more phases supplemented method,and electrocardiogram editing *** 8 457 coronary segments were evaluated,among which 97.2% were evaluated as point 1,1.7% point 2,0.5% point 3,and 0.6% point *** coronary segments in 261 cases were completely normal,while 360 segments were diagnosed with 50% stenosis and 625 segments with ≥50% *** Excellent coronary artery image can be obtained with dual source CT in patients with any heart rate without oral metoprolol *** rate is not a major source of the artifact,coronary segments can be well shown with single or multiple-phase reconstruction method.