沈俊林,郭道德,杜祥颖,李岩,禹烜,李坤成.低电压技术在基于噪声的低电流扫描冠状动脉CTA中的应用[J].中国医学影像技术,2013,29(11):1891~1895
低电压技术在基于噪声的低电流扫描冠状动脉CTA中的应用
Application of low kilovoltage in noise-based low tube current scanning in coronary CT angiography
投稿时间:2013-02-25  修订日期:2013-04-07
DOI:
中文关键词:  冠状血管  体层摄影术,X线计算机  图像质量  辐射剂量
英文关键词:Coronary vessels  Tomography, X-ray computed  Image quality  Radiation dosage
基金项目:国家重点基础研究发展计划(973)项目(2010CB732600)、国家自然科学基金(30970821)、新疆兵团科技医药卫生专项重点项目(20123AB015)。
作者单位E-mail
沈俊林 首都医科大学宣武医院放射科, 北京 100053  
郭道德 首都医科大学宣武医院放射科, 北京 100053  
杜祥颖 首都医科大学宣武医院放射科, 北京 100053  
李岩 首都医科大学宣武医院放射科, 北京 100053  
禹烜 首都医科大学宣武医院放射科, 北京 100053  
李坤成 首都医科大学宣武医院放射科, 北京 100053 kuncheng.li@gmail.com 
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中文摘要:
      目的 探讨基于噪声的低电流扫描联合低电压技术对冠状动脉CTA(CCTA)图像质量和辐射剂量的影响。方法 纳入因疑似冠心病而接受CCTA的156例患者,其中常规电压组103例,采用基于噪声的低电流扫描,管电压120 kV;低电压组 53例,低电流扫描同时联合低电压技术,管电压100 kV。比较两组图像质量评分、CT值、噪声、SNR、CNR值及有效辐射剂量的差异。结果 低电压组图像质量评分、CT值、噪声、SNR和CNR值均大于常规电压组(P均<0.05);两组辐射剂量差异无统计学意义。结论 基于噪声的低电流扫描联合低电压技术可实现个性化低剂量扫描,同时提高CCTA图像质量。
英文摘要:
      Objective To evaluate the effect of noise-based low tube current scanning combined with low kilovoltage on image quality and radiation dose in coronary CT angiography (CCTA). Methods Totally 156 patients of suspected coronary artery disease who underwent CCTA with prospective ECG-triggering were involved. The patients were divided into regular kilovoltage group (n=103) scanned with noise-based tube current and normal kilovoltage (120 kV), and low kilovoltage group (n=53) scanned with noise-based tube current and low kilovoltage (100 kV). Image quality, CT value, noise, SNR, CNR and radiation dose were compared between the two groups. Results In low kilovoltage group, image quality score, CT value, noise, SNR and CNR value were all higher than those in regular kilovoltage group (all P<0.05). There was no significant difference in radiation dose between the two groups. Conclusion Noise-based low tube current scanning combined with low kilovoltage can not only decrease radiation dose but also improve image quality in CCTA.
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