Application of high pitch dual source CT in the diagnosis of acute aortic dissection

VernacularTitle:大螺距双源CT在急性主动脉夹层诊断中的应用
Author: Xibin WANG ; Jiexin SHENG ; Bin XUE ; Xue ZHAO
Publication Type:Journal Article
Keywords: high pitch; computed tomography; radiation dose; aortic dissection
From: Journal of Practical Radiology 2016;32(7):1033-1035,1047
CountryChina
Language:Chinese
Abstract: Objective To investigate the application value of low dose high pitch dual source CT angiography technique in diagno-sis of acute aortic dissection.Methods 21 cases of critically ill patients with suspected aortic dissection underwent total aortic angiog-raphy without using ECG by adopting the second generation dual source CT Flash Technology (pitch 3 .2 ,1 0 0 kV and 1 0 0 mAs), using a lower contrast dose (60 mL).Results All subjects accepted as low as possible radiation doses and iodine intake;at the same time,accurate information including aortic intimal tear position,intimal flap,true and false lumen,and lesions involving the range vessel signs and anatomic relationship were received,2 cases of Stanford type A,type B 1 9 cases (2 cases of aortic rupture).Average scan time 2.6 s,average effective radiation dose cm 270 mGy·cm.Conclusion High quality images by using high pitch dual source CT low dose angiography with lower contrast dose provide safe,reliable,real-time screening method for critically ill patients with aor-tic dissection caused by systemic severe compound injury.