陈金磊,李洪杰,陈明山,王学民.基于左心室和冠状动脉动态体模系统观察不同心率下CT图像重建最佳期相[J].中国医学影像技术,2024,40(6):917~921
基于左心室和冠状动脉动态体模系统观察不同心率下CT图像重建最佳期相
Optimal phases of reconstructed CT images under different heart rates based on dynamic phantom system of left ventricle and coronary arteries
投稿时间:2023-12-27  修订日期:2024-03-07
DOI:10.13929/j.issn.1003-3289.2024.06.025
中文关键词:  心脏  体模,显像术  体层摄影术,X线计算机  图像质量
英文关键词:heart  phantoms, imaging  tomography, X-ray computed  image quality
基金项目:
作者单位E-mail
陈金磊 天津市泰达医院医疗设备部, 天津 300457 rone1220@sina.com 
李洪杰 天津市泰达医院医学影像科, 天津 300457  
陈明山 天津市泰达医院医学影像科, 天津 300457  
王学民 天津大学精密仪器与光电子工程学院, 天津 300072
天津市生物医学检测技术与仪器重点实验室, 天津 300072 
 
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中文摘要:
      目的 观察以左心室和冠状动脉动态体模系统模拟左心室及冠状动脉运动时在不同心率下重建CT图像的最佳期相。方法 构建可模拟50~120次/分心率下心脏周期性运动及心电信号输出的左心室和冠状动脉动态体模系统。于体模系统R-R间期行CT扫描,0~90%期相范围内每10%间隔重建图像。评估观察者间主观评估图像质量结果的一致性;对不同心率、不同期相图像进行比较。结果 观察者间主观评价图像质量结果的一致性较高(Kendall W=0.83,P<0.05)。设定体模心率为50~60次/分时,大部分期相下重建图像质量均为良好,尤以30%、70%及80%期相最佳(P均<0.05);心率为65~75次/分时,最佳重建期相为40%、70%及80%(P均<0.05),以舒张期图像质量较好;心率80~95次/分时,30%为最佳重建期相(P均<0.05);心率为100次/分及以上时,所有期相重建图像质量均较差。结论 以左心室和冠状动脉动态体模系统模拟左心室及冠状动脉运动时,不同心率下CT图像最佳重建期相不同;心率高于100次/分后所有重建图像质量均不佳。
英文摘要:
      Objective To explore the optimal phases of reconstructed CT images under different heart rates based on dynamic phantom system simulating the motion of left ventricle and coronary arteries. Methods A dynamic phantom system which could simulate the periodic movements of the heart at 50—120 beats per minute (bpm) and the output of electrocardiogram signals was constructed. CT scanning were performed in the simulated R-R interval, and images were reconstructed with every 10% interval between 0 to 90% phases. Then subjective image quality scoring was performed, and inter-observer consistency of image quality scores was assessed. Finally the qualities of reconstructed images were compared among different phases under different heart rates. Results The inter-observer consistency of subjective imaging quality scores was high (Kendall W=0.83, P<0.05). Under 50—60 bpm simulated heart rates, good reconstructed image qualities were obtained at most phases, especially at 30%, 70% and 80% (all P<0.05). When simulated heart rates were set as 65—75 bpm, the best reconstructing phases included 40%, 70% and 80% (all P<0.05), and images obtained in diastolic phase were better. Under 80—95 bpm, the best reconstructing phase was 30% (all P<0.05). When the simulated heart rate reached 100 bpm and above, the reconstructed image qualities were poor at all phases. Conclusion The optimal reconstructed phases were different under different heart rates based on dynamic phantom system simulating the motion of left ventricle and coronary arteries. When the simulated heart rate reached 100 bpm and above, the qualities of reconstructed images were poor under all phases.
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