心脏计算机断层扫描剂量降低策略的最新进展：科学证据与技术发展综述
Recent advances in cardiac computed tomography dose reduction strategies: a review of scientific evidence and technical developments.
作者信息
Hedgire Sandeep S, Baliyan Vinit, Ghoshhajra Brian B, Kalra Mannudeep K
机构信息
Massachusetts General Hospital, Department of Imaging, Division of Cardiovascular Imaging, Boston, Massachusetts, United States.
出版信息
J Med Imaging (Bellingham). 2017 Jul;4(3):031211. doi: 10.1117/1.JMI.4.3.031211. Epub 2017 Aug 24.
Abstract
Cardiac imagers worldwide are bracing for increased utilization of cardiac computed tomography (CT) in clinical practice. This expanding opportunity brings along a responsibility to produce diagnostic quality images with optimized radiation dose. The following review aims to address the dose reduction strategies in cardiac CT in light of recent scientific evidence and technical developments.
摘要
全球的心脏成像专家都在为心脏计算机断层扫描（CT）在临床实践中的更多应用做准备。这个不断扩大的机遇也带来了一项责任，即要以优化的辐射剂量生成具有诊断质量的图像。以下综述旨在根据最近的科学证据和技术发展，探讨心脏CT中的剂量降低策略。
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2
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Br J Radiol. 2017 Feb;90(1070):20160669. doi: 10.1259/bjr.20160669. Epub 2016 Dec 7.
3
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Medicine (Baltimore). 2016 Nov;95(46):e5459. doi: 10.1097/MD.0000000000005459.
4
Myocardial ischemia detection with single-phase CT perfusion in symptomatic patients using high-pitch helical image acquisition technique.采用高螺距螺旋图像采集技术对有症状患者进行单相CT灌注心肌缺血检测。
Int J Cardiovasc Imaging. 2017 Apr;33(4):569-576. doi: 10.1007/s10554-016-1020-z. Epub 2016 Nov 15.
5
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J Clin Imaging Sci. 2016 Oct 21;6:44. doi: 10.4103/2156-7514.192840. eCollection 2016.
6
Submillisievert Radiation Dose Coronary CT Angiography: Clinical Impact of the Knowledge-Based Iterative Model Reconstruction.亚毫西弗辐射剂量冠状动脉CT血管造影：基于知识的迭代模型重建的临床影响
Acad Radiol. 2016 Nov;23(11):1393-1401. doi: 10.1016/j.acra.2016.07.005. Epub 2016 Sep 21.
7
Optimization of hybrid iterative reconstruction level and evaluation of image quality and radiation dose for pediatric cardiac computed tomography angiography.儿童心脏计算机断层扫描血管造影术混合迭代重建水平的优化及图像质量与辐射剂量评估
Pediatr Radiol. 2017 Jan;47(1):31-38. doi: 10.1007/s00247-016-3698-4. Epub 2016 Sep 16.
8
Prospective evaluation of the influence of iterative reconstruction on the reproducibility of coronary calcium quantification in reduced radiation dose 320 detector row CT.迭代重建对低辐射剂量320排探测器CT冠状动脉钙化定量可重复性影响的前瞻性评估。
J Cardiovasc Comput Tomogr. 2016 Sep-Oct;10(5):359-63. doi: 10.1016/j.jcct.2016.07.016. Epub 2016 Jul 27.
9
Adaptive Statistical Iterative Reconstruction-V: Impact on Image Quality in Ultralow-Dose Coronary Computed Tomography Angiography.自适应统计迭代重建-V：对超低剂量冠状动脉计算机断层扫描血管造影图像质量的影响
J Comput Assist Tomogr. 2016 Nov/Dec;40(6):958-963. doi: 10.1097/RCT.0000000000000460.
10
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Pediatr Radiol. 2016 Nov;46(12):1663-1670. doi: 10.1007/s00247-016-3676-x. Epub 2016 Aug 16.
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