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低管电压联合混合迭代重建的自由呼吸320排计算机断层血管造影术在复杂先天性心脏病婴儿中的应用

Free-breathing 320-row computed tomographic angiography with low-tube voltage and hybrid iterative reconstruction in infants with complex congenital heart disease.

作者信息

Yamasaki Yuzo, Kawanami Satoshi, Kamitani Takeshi, Sagiyama Koji, Shin Seitaro, Hino Takuya, Yamamura Kenichiro, Yabuuchi Hidetake, Nagao Michinobu, Honda Hiroshi

机构信息

Department of Molecular Imaging & Diagnosis, Graduate School of Medical Sciences, Kyushu University, Japan.

Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Japan.

出版信息

Clin Imaging. 2018 Jul-Aug;50:147-156. doi: 10.1016/j.clinimag.2018.02.008. Epub 2018 Feb 15.

Abstract

We explored the clinical value of low-tube voltage prospective second-generation ECG-triggered 320-row CT angiography in infants with complex CHD (37 male, 23 female, aged 0-2 years). The diagnostic accuracy of 320-row CT in complex CHD was 99.4% for intracardiac cardiovascular malformations, 99.8% for extracardiac cardiovascular malformations, and 100% for other malformations. The average subjective overall image quality score for cardiac structures was 3.7 ± 0.5 points. Second-generation 320-row CT angiography with low-tube voltage and prospective ECG-triggered volume target scanning allows accurate diagnosis of cardiovascular anomalies in infants with complex CHD.

摘要

我们探讨了低管电压前瞻性第二代心电图触发的320排CT血管造影在患有复杂先天性心脏病(CHD)婴儿(37例男性,23例女性,年龄0至2岁)中的临床价值。320排CT对复杂CHD中心内心血管畸形的诊断准确率为99.4%,心外心血管畸形的诊断准确率为99.8%,其他畸形的诊断准确率为100%。心脏结构的平均主观整体图像质量评分为3.7±0.5分。低管电压和前瞻性心电图触发容积靶向扫描的第二代320排CT血管造影能够准确诊断患有复杂CHD婴儿的心血管异常。

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