夏迎洪,刘红艳,王艳,任永芳,张林川.模拟心率在64排螺旋CT冠状动脉成像中的应用[J].中国医学影像技术,2008,24(12):2013~2016
模拟心率在64排螺旋CT冠状动脉成像中的应用
Value of coronary arterial imaging with simulated heart rate on 64-slice spiral CT
投稿时间:2008-04-18  修订日期:2008-08-21
DOI:
中文关键词:  心率  冠状血管  体层摄影术,X线计算机
英文关键词:Heart rate  Coronary vessels  Tomography, X-ray computed
基金项目:
作者单位E-mail
夏迎洪 新疆维吾尔自治区人民医院CT室,新疆 乌鲁木齐 830001 yinghong-xia@163.com 
刘红艳 新疆维吾尔自治区人民医院CT室,新疆 乌鲁木齐 830001  
王艳 新疆维吾尔自治区人民医院CT室,新疆 乌鲁木齐 830001  
任永芳 新疆维吾尔自治区人民医院CT室,新疆 乌鲁木齐 830001  
张林川 新疆维吾尔自治区人民医院CT室,新疆 乌鲁木齐 830001  
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中文摘要:
      目的 探讨使用模拟心率对心电压过低患者行64排螺旋CT冠状动脉成像的价值。 方法 对29例心电压过低患者,经呼吸训练,获取屏气后心率平稳期的时间和心率值,设置模拟心率行64排螺旋CT冠状动脉成像。 结果 29例患者顺利完成检查,共计290段冠状动脉,其中129段冠状动脉显示为优,107段冠状动脉显示为良,优良率达到81.38%;屏气后扫描和屏气≥8 s后扫描2组图像质量的优等率分别为27.78%、52.00%,χ2检验P<0.05,两组图像优等率差异有统计学意义。 结论 使用模拟心率在64排螺旋CT冠状动脉成像中有一定的临床应用价值。
英文摘要:
      Objective To study the value of coronary arterial imaging with simulated heart rate in patients with low electrocardiogram (ECG) peaks on 64-slice spiral CT. Methods Twenty-nine patients underwent 64-slice spiral CT coronary artery angiography with simulated heart rate. After breathholding training, it was possible to obtain a steady heart rate on ECG which was taken as simulated heart rate, and to get the time to steady heart rate. Results All 29 patients were successfully examined, and a total of 290 coronary artery segments were obtained, including 129 segments rated excellent and 107 segments rated as reduced but still diagnostic. Image quality of both rated segments was 81.38%. In the two groups including immediate CT check after breath holding and 8 seconds in advance breathholding before check, the images rated as excellent were 27.78% and 52.00%, respectively (χ2=15.376, P<0.05). Conclusion The usage of simulated heart rate in 64-slice spiral CT coronary artery imaging has some extent applicable value.
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