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重建相位对64排螺旋CT冠状动脉造影图像质量的影响

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目的 分析重建相位对64排螺旋CT冠状动脉造影图像质量的影响.方法 选取2016年1月~2017年1月期间建德市第一人民医院收治的行CT冠状动脉检查的患者50例,根据心率的不同分组:A组(<70次/min),B组(70~90次/min),C组(>90次/min).所有患者CT扫描,采用syngo via独立工作站进行冠状动脉分析,并实施冠状动脉重建,主要包括容积再现、多平面重组、最大密度投影以及曲面重组等.对比分析不同重组时相各支冠状动脉的显示状况,并对所有患者给予氨氯地平联合阿托伐他汀治疗.结果 不同冠状动脉阶段的最佳重建时相不同,其中右冠状动脉近远段、左回旋支近段以及左前降支最佳重建时相为70%~75%,右冠状动脉中段、左回旋支以及后降支的最佳重建时相为35%~40%或70%~75%.结论 选择合适的最佳重建时相能够有效减少心脏运动诊断中的图像伪影,对提高图像质量具有积极的影响作用,根据诊断结果对患者给予氨氯地平、阿伐他汀药物治疗,能够改善临床诊断.
The effects of the reconstruction phase on the quality of the 64 spiral CT coronary angiography
Objective To analyze the effect of reconstruction phase on the quality of coronary angiography in 64 spiral CT. Methods From January 2016 to January 2017 jiande first people's hospital treated during the period of 50 patients with row CT coronary artery, according to the different groups of heart rate: group A (<70 times/min), group B (70-110 times/min), group C (>115 times/min). All patients with CT scan, USES the syngo analyses coronary artery via independent workstation, and implementation of coronary artery reconstruction, including volume representation, more plane projection and surface recombination, maximum density restructuring, etc. The status of the coronary arteries in different recombination was compared and analyzed, and all patients were treated with amlodipine combined with atorvastatin. Results Of different stages of coronary artery optimal reconstruction phase, when the right coronary artery nearly far segment, the left circumflex branch near segment of left anterior descending branch and the best reconstruction phase was 70%-75%, and the right coronary artery in the middle, left circumflex branch and descending branch after the best reconstruction phase is 35%-40% or 70%-75%. Conclusion To choose the appropriate optimal reconstruction phase can effectively reduce the diagnosis of cardiac motion image artifacts, to improve the image quality has a positive impact, according to the diagnosis of patients with amlodipine, o cut statin therapy, can improve the clinical diagnosis.

phase reconstructionspiral CTwhen the phase

虞慧灵

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建德市第一人民医院 放射科,浙江 杭州 311600

相位重建 螺旋CT 时相

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(11)
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