ISSN 1004-4140
CN 11-3017/P
ZHANG Y H, MA Z X, HU L J, et al. Comparative Study of Different Scanning Modes in Thoracic Aortic Computed Tomography Angiography[J]. CT Theory and Applications, xxxx, x(x): 1-6. DOI: 10.15953/j.ctta.2024.346. (in Chinese).
Citation: ZHANG Y H, MA Z X, HU L J, et al. Comparative Study of Different Scanning Modes in Thoracic Aortic Computed Tomography Angiography[J]. CT Theory and Applications, xxxx, x(x): 1-6. DOI: 10.15953/j.ctta.2024.346. (in Chinese).

Comparative Study of Different Scanning Modes in Thoracic Aortic Computed Tomography Angiography

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  • Received Date: December 30, 2024
  • Revised Date: February 12, 2025
  • Accepted Date: February 18, 2025
  • Available Online: March 15, 2025
  • Objective: This study aimed to compare the effects of different scanning modes on image quality and radiation dose in thoracic aortic computed tomography angiography (CTA). Methods: The image quality and radiation dose of 30 cases of thoracic aortic CTA (Group 1, control group), 30 cases of retrospective CTA diastolic phase (Group 2) and systolic phase (Group 3), and 30 cases of wide-exposure pulse prospective electrocardiogram (ECG) (Group 4) were retrospectively analyzed. The CT value, noise, contrast-to-noise ratio (CNR), signal-to-noise ratio (SNR), and radiation dose (volume CT dose index [CTDIvol]) were recorded and measured. The image quality was evaluated subjectively using the four points method. The subjective and objective indicators were analyzed statistically. Results: No differences were observed in the objective indexes of noise, CNR and SNR among the groups. The subjective score of pairwise comparison of Groups 2~4 was significantly higher than that of Group 1, and no difference was observed among Groups 2~4. The CTDIvol values of the non-gated group (Group 1), retrospective gated groups (Groups 2 and 3), and prospective gated group (Group 4) were 13.70 (11.87,16.58), 12.62 (10.03,15.01), and 11.54 (8.92,15.56), respectively, without a statistically significant difference.

  • [1]
    中华医学会放射学分会心胸学组. 主动脉夹层CT血管成像标注专家共识[J]. 中华放射学杂志, 2024, 58(3): 250-257. DOI: 10.3760/cma.j.cn112149-20230719-00010.

    CHINESE MEDICAL ASSOCIATION RADIOLOGY BRANCH, CARDIOTHORACIC GROUP. Expert consensus on CT angiography for aortic dissection[J]. Chin J Radiol, 2024, 58(3): 250-257. DOI: 10.3760/cma.j.cn112149-20230719-00010. (in Chinese).
    [2]
    朱玉春, 王建良, 吴志娟. 升主动脉搏动样伪影的螺旋CT表现及其消除措施[C]//中华医学会影像技术分会第二届数字影像技术论坛暨江苏省第十二次影像技术学术会议论文集. 2015: 90-90.

    ZHU Y C, WANG J L, WU Z J. Spiral CT manifestations and elimination measures of pulsatile artifacts in the ascending aorta[C]//Proceedings of the 2nd Digital Imaging Technology Forum of the Imaging Technology Branch of the Chinese Medical Association and the 12th Imaging Technology Academic Conference of Jiangsu Province. 2015: 90-90. (in Chinese).
    [3]
    任心爽, 安云强, 吕滨, 等. 中国冠状动脉CT血管成像扫描技术及辐射剂量的现状调查[J]. 中华放射学杂志, 2022, 56(4): 405-410. DOI: 10.3760/cma.j.cn112149-20210720-00689.

    REN X S, AN Y Q, Lü B, et al. Current survey on coronary CT angiography scanning techniques and radiation doses in China[J]. Chinese Journal of Radiology, 2022, 56(4): 405-410. DOI: 10.3760/cma.j.cn112149-20210720-00689.
    [4]
    HUANG B, LI J, LAW M W, et al. Radiation dose and cancer risk in retrospectively and prospectively ECG-gated coronary angiography using 64-slice multidetector CT[J]. The British Journal of Radiology, 2010, 83(986): 152-158. DOI: 10.1259/bjr/29879495.
    [5]
    陈坤源, 徐新申, 章思竹. 256层螺旋CT idose4迭代重建结合“三低”主动脉增强成像的可行性[J]. 现代医用影像学, 2023, 32(12): 2366-2369. DOI: 10.3969/j.issn.1006-7035.2023.12.051.

    CHEN K Y, XU X S, ZHANG S Z. Feasibility of 256-slice spiral CT idose4 iterative reconstruction combined with “three low” aortic enhancement imaging[J]. Modern Medical Imagelogy, 2023, 32(12): 2366-2369. DOI: 10.3969/j.issn.1006-7035.2023.12.051.
    [6]
    马孝琛, 冯家烜, 景在平. 主动脉疾病无创治疗的研究进展[J]. 中华外科杂志, 2024, 62(6): 532-536. DOI: 10.3760/cma.j.cn112139-20231204-00253.

    MA X C, FENG J X, JING Z P. Research progress on noninvasive treatment of aortic diseases[J]. Chinese Journal of Surgery, 2024, 62(6): 532-536. DOI: 10.3760/cma.j.cn112139-20231204-00253.
    [7]
    吴晶晶, 普福顺, 罗家滨, 等. 64排CT前瞻性心电门控冠状动脉成像降低辐射剂量的研究[J]. 中国CT和MRI杂志, 2015(2): 30-33. DOI: 10.3969/j.issn.1672-5131.2015.02.11.

    WU J J, PU F S, LUO J B, et al. Study on reducing radiation dose in 64-slice CT prospective ECG-gated coronary angiography[J]. Chinese Journal of CT and MRI, 2015(2): 30-33. DOI: 10.3969/j.issn.1672-5131.2015.02.11.
    [8]
    袁旭春, 王贤主, 廖文凌, 等. 前瞻性心电门控在64层CT冠状动脉成像的初步应用[J]. 中华放射学杂志, 2008, 42(10): 1053-1055. DOI: 10.3321/j.issn:1005-1201.2008.10.011.

    YUAN X C, WANG X Z, LIAO W L, et al. Preliminary application of prospective ECG-gated imaging in 64-slice CT coronary artery imaging[J]. Chinese Journal of Radiology, 2008, 42(10): 1053-1055. DOI: 10.3321/j.issn:1005-1201.2008.10.011.
    [9]
    管延芳, 范丽娟, 于杰, 等. 单一时相前瞻性心电门控CT冠状动脉成像的临床应用[J]. 中国医学计算机成像杂志, 2015, 21(6): 528-532.

    GUAN Y F, FAN L J, YU J, et al. Clinical application of single-phase prospective ECG-gated CT coronary imaging[J]. Chinese Computed Medical Imaging, 2015, 21(6): 528-532. (in Chinese).
    [10]
    郑启元, 赵希鹏. 回顾性心电门控CTA在主动脉夹层中的应用价值[J]. 医学信息, 2015(13): 338-338. DOI: 10.3969/j.issn.1006-1959.2015.13.506.

    ZHENG Q Y, ZHAO X P. The application value of retrospective ECG-gated CTA in aortic dissection[J]. Journal of Medical Information, 2015(13): 338-338. DOI: 10.3969/j.issn.1006-1959.2015.13.506.
    [11]
    林观生, 董昔山, 马周鹏, 王龙停. 回顾性心电门控下双低剂量支气管动脉CTA的应用研究[J]. CT理论与应用研究, 2021, 30(1): 91-98. DOI: 10.15953/j.1004-4140.2021.30.01.09.

    LIN G S, DONG X S, MA Z P, et al. Application study of dual low-dose bronchial artery CTA under retrospective electrocardiogram gating[J]. CT Theory and Applications Research, 2021, 30(1): 91-98. DOI: 10.15953/j.1004-4140.2021.30.01.09.
    [12]
    黄涛, 何其舟, 张艳丽, 等. 双源CT自适应前瞻性心电门控在老年冠心病患者冠脉成像中的应用[J]. 中国老年学杂志, 2021, 41(3): 459-462. DOI: 10.3969/j.issn.1005-9202.2021.03.004.

    HUANG T, HE Q Z, ZHANG Y L, et al. Application of dual-source CT adaptive prospective ECG-gating in coronary artery imaging of elderly patients with coronary heart disease[J]. Chinese Journal of Gerontology, 2021, 41(3): 459-462. DOI: 10.3969/j.issn.1005-9202.2021.03.004.
    [13]
    蒋朝龙, 余水莲. 前瞻性心电门控及迭代重建算法在256层螺旋CT冠状动脉成像中的应用价值[J]. 影像研究与医学应用, 2020, 4(9): 66-68.

    JIANG C L, YU S L. Application value of prospective electrocardiogram gating and iterative reconstruction algorithm in coronary artery imaging with 256-slice spiral CT[J]. Imaging Research and Medical Applications, 2020, 4(9): 66-68. (in Chinese).
    [14]
    黄伟. 双源CT低剂量前瞻性序列扫描冠状动脉成像研究[D]. 广州: 南方医科大学, 2016.

    HUANG W. Study on coronary artery imaging with low-dose prospective sequential scanning of dual-source CT[D]. Guamgzhou: Southern Medical University, 2016. (in Chinese).

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