首页|GE256排冠状动脉CT血管成像中常规呼吸训练与特殊呼吸训练对质控影响的探讨

GE256排冠状动脉CT血管成像中常规呼吸训练与特殊呼吸训练对质控影响的探讨

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目的:研究 GE256排 Revolution冠状动脉 CT血管成像(coronary computed tomography angiography,CCTA)中患者常规训练呼吸与特殊训练呼吸对心率、图像质量和辐射剂量的影响.方法:应用前瞻性心电门控技术扫描,结合冠状动脉追踪冻结技术(SSF)行CCTA检查.共纳入108例患者,分为两组,A组54例患者采取特殊训练呼吸训练方式,B组54例患者行常规训练呼吸,对两组的心率、图像质量、辐射剂量进行统计学分析.结果:A组患者心率慢于B组(P<0.05,t=2.14);A组患者的3支冠状动脉主干(右冠状动脉,左前降支,左回旋支)图像质量显著优于B组(Fisher's exact P=0.010);两组之间的辐射剂量差异无统计学意义(P>0.05).结论:在GE256排Revolution CCTA检查中,特殊呼吸训练在提高CCTA图像质量方面具有重要价值.
Influence of Conventional and Special Breathing Training on Heart Rate,Image Quality,and Radiation Dose in GE 256-row Coronary
Objective:To investigate the impact of respiratory training on heart rate,image quality and radiation dose during coronary computed tomography angiography(CCTA)with GE Revolution CT mo-dality.Methods:CCTA with prospective ECG-gating and Step-and-Shoot Freeze(SSF)technique was performed for respiratory training.A total of 108 patients were divided into two groups:Group A(54 pa-tients)underwent special breathing training-holding their breath at the end of inhalation,while Group B(54 patients)received routine breathing instructions and held their breath as prompted by the GE 256-row Revolution CT system.Statistical analysis was performed for heart rates,image quality,and radiation dose of both groups.Results:The heart rate was significantly lower in Group A compared to Group B(P<0.05).The image quality of the three main coronary arteries(right coronary artery,left anterior descending artery,and left circumflex artery)was significantly better in Group A than in Group B(Fisher's exact test,P=0.010).No difference in radiation dose was observed between the two groups(P>0.05).Conclusion:Special respiratory training significantly improves image quality in GE 256-row Revolution CCTA with-out increasing radiation dose,highlighting its importance in enhancing the diagnostic accuracy of CCTA.

coronary CT angiography(CCTA)breathing trainingimage qualityheart rateradia-tion dose

李艳艳、黄慧敏、龙淼淼、刘铁

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天津市第一中心医院,天津 300192

天津市黄河医院,天津 300110

冠状动脉CT血管成像(CCTA) 呼吸训练 图像质量 心率 辐射剂量

天津市科技计划项目

21JCYBJC00840

2024

影像技术
中国感光学会 全国轻工感光材料信息中心

影像技术

影响因子:0.37
ISSN:1001-0270
年,卷(期):2024.36(4)