临床儿科杂志 ›› 2014, Vol. 32 ›› Issue (11): 1076-.doi: 10.3969 j.issn.1000-3606.2014.11.019

• 综合报道 • 上一篇    下一篇

双源CT 低剂量扫描技术在诊断复杂性先天性心脏病中的应用

沈东挥,陈春霞,任艳   

  1. 福建医科大学附属协和医院放射科( 福建福州 350001)
  • 收稿日期:2014-11-15 出版日期:2014-11-15 发布日期:2014-11-15
  • 通讯作者: 任艳 E-mail:2072120@qq.com

Clinical application of dual-source CT using low-dose technology in diagnosing complex congenital heart diseases

 SHEN Donghui, CHEN Chunxia, REN Yan   

  1. Department of Radiology,Fujian Medical University Union Hospital, Fuzhou 350001, Fujian, China
  • Received:2014-11-15 Online:2014-11-15 Published:2014-11-15

摘要:  目的 探讨双源CT(DSCT)低剂量扫描技术诊断复杂性先天性心脏病的应用价值。方法 回顾性分析31例复杂性先天性心脏病患儿的DSCT资料,所有患儿均经手术证实,根据患儿年龄分为,≤4个月12例,~1岁3例;~6岁8例;>6岁8例。结果 DSCT与手术后诊断的符合率为94.59%,其中心内畸形DSCT检出率为92.86%,心脏与大血管连接畸形及心外畸形DSCT检出率为95.65%;各组平均有效辐射剂量分别为(1.16±0.06)mSv、(1.28±0.07)mSv、(1.96±0.54)mSv、(2.77±0.38)mSv。图像质量良好的占90.32%。结论 运用DSCT低剂量扫描技术能清晰显示复杂性先天性心脏病的心内外畸形,并能有效地降低辐射剂量,且图像质量良好。

Abstract:  Objective To evaluate the application of dual-source CT (DSCT) using low-dose technology in diagnosing complex congenital heart diseases. Methods The DSCT data of 31 cases with complex congenital heart diseases confirmed by operation were retrospectively analysed and classified into four groups: group A(≤4 months old, n=12); group B (>4 months old~1 year old, n=3); group C (>1 year~6 years old, n=8) and group D (>6 years old, n=8). Results The diagnosis conformation rate of DSCT with surgery were 94.59% . The diagnostic conformation rate of intracardic anormalies using DSCT was 92.86%. And the diagnostic conformation of DSCT in patients with abnormal connection of atrium or ventricle to great vessels and the extrocardic anormalies was 95.65%. The average effective dose in each group were 1.16±0.06 mSv, 1.28±0.07 mSv, 1.96±0.54 mSv and 2.77±0.38 mSv, respectively. The ratio of the high quality images was 90.32%. Conclusions The application of low dose technology in DSCT can clearly display the anomalies, and significantly reduce the radiation dose without losing image quality as well.