竺陈,荀冲,郭斌,杨明,李姝.模拟心电门控技术用于3岁以下儿童心脏CT检查的可行性[J].中国介入影像与治疗学,2023,20(11):694-697
模拟心电门控技术用于3岁以下儿童心脏CT检查的可行性
Feasibility of simulated electrocardiogram-gated technology applicated in cardiac CT scanning in children under 3 years old
投稿时间:2023-06-09  修订日期:2023-08-08
DOI:10.13929/j.issn.1672-8475.2023.11.012
中文关键词:  儿童  心脏  体层摄影术,X线计算机  图像质量  心电门控技术
英文关键词:child  heart  tomography, X-ray computed  image quality  electrocardiogram-gated technology
基金项目:
作者单位E-mail
竺陈 南京医科大学附属儿童医院放射科, 江苏 南京 210008  
荀冲 南京医科大学附属儿童医院放射科, 江苏 南京 210008  
郭斌 南京医科大学附属儿童医院放射科, 江苏 南京 210008  
杨明 南京医科大学附属儿童医院放射科, 江苏 南京 210008  
李姝 南京医科大学附属儿童医院放射科, 江苏 南京 210008 15850677726@163.com 
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中文摘要:
      目的 评估模拟心电门控技术用于3岁以下儿童心脏CT检查的的可行性。方法 回顾性分析接受心脏CT检查的100例3岁以下先天性心脏病患儿,其中50例以儿童真实心电门控(真实心电组)、50例以模拟心电门控(模拟心电组)进行扫描;比较组间图像质量主观评分,包括解剖结构显示评分、光束硬化伪影评分及整体图像质量评分。结果 2组图像质量均符合要求。真实心电组解剖结构显示评分2(2,3)、光束硬化伪影评分3(2,3)、整体图像质量评分4(3,5),模拟心电组分别为2(2,2)、2(2,3)、4(4,5),组间差异均无统计学意义(Z=0.259、1.424、0.373,P=0.796、0.154、0.709)。结论 模拟心电门控技术可用于3岁以下儿童心脏CT检查。
英文摘要:
      Objective To investigate the feasibility of simulated electrocardiogram (ECG)-gated technology applicated in cardiac CT scanning in children under 3 years old. Methods Totally 100 children under 3 years old with congenital cardiac diseases who received cardiac CT examinations (50 underwent real ECG gating [real ECG group] and 50 underwent simulated ECG gating [simulated ECG group]) were retrospectively analyzed. The subjective scores of imaging quality, including anatomical structure display score, beam-hardening artifact and overall image quality score were evaluated and compared between groups. Results The imaging quality of both groups met the requirements of clinical diagnosis. The anatomical structure display score was 2 (2, 3), the beam hardening artifact score was 3 (2, 3) and the overall image quality score was 4 (3, 5) in real ECG group, while those of simulated ECG group was 2 (2, 2), 2 (2, 3) and 4 (4, 5), respectively. No significant difference of the above scores was found between groups (Z=0.259, 1.424, 0.373, P=0.796, 0.154, 0.709). Conclusion Simulated ECG-gated technology could be used in cardiac CT of children under 3 years old.
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