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篇名 雙射源電腦斷層:心臟冠狀動脈電腦斷層 R-R間期重組範圍研究
卷期 8:3
並列篇名 Dual-Source Computed Tomography: Research of Reconstruction Coronary Artery Computed Tomography Angiography Image in R-R Interval Phase
作者 方玉瑶黃武達林鼎裕
頁次 311-320
關鍵字 R-R間期雙射源電腦斷層心臟冠狀動脈電腦斷層攝影Spatial ResolutionTemperature ResolutionComputed Tomography Angiography
出刊日期 201209

中文摘要

此篇為評估 R-R間期最佳重組百分比:類神經網路結合心臟冠狀動脈影像量化數據之前期研究。R-R間期為聯繫兩個 QRS 波的 R 波時間,開始有著許多的文獻在探討心臟冠狀動脈電腦斷層攝影在臨床上的應用。心臟冠狀動脈疾病在不同檢查方式下的敏感度及特異性,其中心臟冠狀動脈電腦斷層攝影的敏感度(Sensitivity)(CCTA)達 91%及特異性(Specificity)達 93%。本研究使用西門子 128 列(128 detector-row)雙射源電腦斷層掃描儀(Dual-source computed tomography, DSCT),配合高壓顯影劑注射器。執行非侵入式的心臟冠狀動脈及微細血管檢查。收集的受檢者影像共 90 位,男性67 位,女性 23 位,依心律區分為 60-69 次/分、70-79 次/分和 80-89 次/分各收集 30 位受檢者影像,在每個 R-R間期的 1%中,R-R間期為聯繫兩個 QRS 波的 R波時間,進行影像重組為R-R 重組間期。由三位臨床放射線技術專家,在心臟冠狀動脈電腦斷層影像 R-R 重組間期 1%-100%中,隨機進
行 60 張心臟冠狀動脈電腦斷層軸位影像品質的判定,依照專家的標準,得到心臟冠狀動脈電腦斷層R-R 間期重組範圍之研究。心臟冠狀動脈電腦斷層影像重組收縮間期範圍,在心跳數 60-69 次/分時,為 32%-42%,平均為37%,舒張間期範圍為 65%-80%,平均為 72.5%。在心跳數 70-79 次/分時,收縮間期範圍為 34%-46.5%,平均為41.7%,部分(83%)舒張間期範圍為70.5%-75%,平均為73.1% 。在心跳數80-89次/分時,收縮間期範圍為38%-51.5%,無心臟冠狀動脈電腦斷層影像重組舒張間期範圍。此結果可以做為放射師進行心臟冠狀動脈電腦斷層影像重組之參考依據。

英文摘要

As the time went on, the development of CT were less than 50 years. The single detector raw has transformed into
multi-detector raw in this field. In the past, the scan time of CT was 40min. Until now, it is only several seconds. At the
spatial resolution and temperature resolution are much better than before. The CT equipment manufacturers in order to
improve the heart motion limitations that develop coronary artery computed tomography angiography which such as
16-raw detectors of CT scanner. In clinical applications, there were many technical literatures of coronary artery CT
angiography. After that, many literatures of 16-raw detectors of CT were compared with 64 raw detectors CT in coronary
artery images. In clinical applications, there were many technical literatures of coronary artery CT angiography. After that,
many literatures of 16-raw detectors of CT were compared with 64 raw detectors CT in coronary artery images. The best
of sensitivity (91%) and specificity (93%) is the Coronary artery computed tomography angiography of the examinations
in cardiac diseases. The Coronary artery computed tomography angiography was used 128 detector-row modality and high
pressure injection. In this research, we collected 90 patients that included 67 males and 23 females. The range of the
reconstruction is 32%-42% in systolic phase and 65%-80% in diastolic phase at 60-69 heartbeats/min. The range of the
reconstruction is 34.5%-46.5% in systolic phase and 70.5%-75% in part of diastolic phase (83%) at 70-79 heartbeats/min.
The range of the reconstruction is 38%-51.5% in systolic phase and at 70-79 heartbeats/min. The result of this research
could be the references in reconstruction CCTA image in R-R interval phase.

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