LIU Jian-xin,LIU Jian,DOU Yan-bin,et al.Comparative study of image quality and radiation dose between prospective and retrospective ECG gating technique in coronary artery imaging with 64-slice spiral CT[J].Chinese Journal of Radiological Medicine and Protection,2009,29(3):320-322
Comparative study of image quality and radiation dose between prospective and retrospective ECG gating technique in coronary artery imaging with 64-slice spiral CT
Received:October 27, 2008  
DOI:10.3760/cma.j.issn.0254-5098.2009.03.028
KeyWords:64-slice spiral CT  ECG gating  Coronary artery  Radiation dose
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Author NameAffiliation
LIU Jian-xin Department of Radiology, Peking University First Hospital, Beijing 100034, China 
LIU Jian Department of Radiology, Peking University First Hospital, Beijing 100034, China 
DOU Yan-bin Department of Radiology, Peking University First Hospital, Beijing 100034, China 
WANG Ji-chen Department of Radiology, Peking University First Hospital, Beijing 100034, China 
SUN Hong-yue Department of Radiology, Peking University First Hospital, Beijing 100034, China 
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Abstract::
      Objective To compare the image quality and radiation dose between prospective ECG-trigering and retrospective ECG gating technique in coronary artery imaging. Methods 33 patients suspected coronary artery disease were included in this study and divided into experimental group (prospective ECG-triggering coronary artery imaging, heart rate <65bpm, 16 patients)and control group (retrospective ECG gating coronary artery imaging, heart rate<75bpm, 17 patients). Radiation dose was recorded for statistical analysis. At the same time, image quality was evaluated. Results There were no significant differences in image quality between two groups (P>0.05). The mean DLP of experimental group (234.4 mGy·cm) was DLP of control group (974.4mGy·cm) 24.1%. The mean effective dose of prospective ECG gating coronary artery imaging was 3.2 mSv. Effective dose reduced 76.47%. Conclusions Prospective ECG gating coronary artery imaging can obtain the similar image quality compared with prospective ECG gating coronary artery imaging but the effective dose reduced 76.47%. Prospective ECG gating coronary artery imaging has clinical value to peoples who are able to not accept high radiation dose and with low heart rate.
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