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Comparative study of cervical angiography with 64 slice spiral CT at different injection sites |
SHEN Mengqiu1,2, DU Qicong2, DONG Yuru3 |
1. Department of Imaging, Wuxi Second People’s Hospital, Wuxi 214000,China; 2. Department of Medical Imaging, Beijing Municipal Corps Hospital of Chinese People’s Armed Police Force, Beijing 100027,China; 3. Department of Medical Imaging, the Third Medical Center of PLA General Hospital, Beijing 100039,China |
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Abstract Objective To investigate the effect of contrast agent injection on the image quality of carotid artery CTA imaging through left and right elbow.Methods A retrospective analysis was performed on 100 patients who underwent head and neck CTA examination in the medical imaging department of Beijing Provincial Corps Hospital of Chinese People’s Armed Police Force from September 2019 to June 2021.Fifty patients who received contrast agent through the right elbow vein were in the right arm group, and the other fifty patients were in the left arm group. The CT values of bilateral carotid arteries and the excellent and good rate of venous development were compared between the two groups.Results The CT values of left common carotid artery in right arm group and left arm group were (335.25±20.67) Hu and (315.78±20.67) Hu, respectively, the CT values of right common carotid artery were (330.28±18.45) Hu and (313.56±19.45) Hu, respectively, and the difference was not statistically significant. The excellent and good rate of vein imaging in right arm group was 86.00%, which was higher than 63.00% in left arm group, and the difference was statistically significant (P<0.05).Conclusions Carotid CT angiography with right arm vein injection of contrast agent can reduce artifacts of superior vena cava, brachiocephalic vein and subclavian vein, and provide a reliable foundation for clinical diagnosis and treatment.
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Received: 20 December 2021
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[1] |
谭宝高.头颈CTA联合脑CT灌注检查在早期脑卒中患者的临床应用研究[J]. 影像研究与医学应用,2020,4(19):58-60.
|
[2] |
余燕武,江 敏,陆国云.头颈CTA对急性缺血性脑卒中侧支循环及动脉狭窄的诊断价值 [J]. 中国临床医学影像杂志,2020,31(12):862-866.
|
[3] |
王耀彬, 王 凯, 韩向东,等.64层螺旋CT头颈动脉联合成像诊断颅内动脉瘤的应用价值[J]. 武警医学, 2013,24(10):846-848.
|
[4] |
刘海兵,王赞鑫,魏民新. 正常主动脉弓的形态特点[J].天津医药,2017,45(4):397-401.
|
[5] |
李 亚, 许海弦.山东省64排及以上CT配置使用情况分析[J]. 中国医疗设备, 2020,35(5):144-148.
|
[6] |
高 宏. 头颈部CT血管成像扫描方案与注射方案专家共识[J]. 中华放射学杂志, 2019,53(2):81.
|
[7] |
赵 华, 周雁玲, 郑国良. 迭代重建技术对头颈部动脉CT血管成像图像质量和辐射剂量的影响[J]. 海南医学, 2017,28(12):1971-1974.
|
[8] |
沈孟秋,刘 靖,李 辉,等. 碘对比剂每秒注入量对64排螺旋CT冠脉成像质量的影响[J].武警医学, 2021,32(7):603-606.
|
[9] |
胡广柱, 陈 峰, 朱大荣,等. 对比剂双流技术注射方案在头颈联合CTA检查中的初步应用[J].影像科学与光化学, 2021,39(1):40-43.
|
[10] |
王贤坤,邹才盛. 不同管电压对头颈CTA图像质量及辐射剂量的影响分析[J].影像研究与医学应用, 2019,3(5):21-23.
|
[11] |
王良东. 低电压、低碘对比剂剂量应用于头颈CTA患者的临床研究[J].中国CT和MRI杂志, 2019,17(4): 23-25.
|
[12] |
许大波,顾文豪. GE256排CT头颈CTA联合扫描的作用价值[J]. 影像研究与医学应用,2020,4(2):177-178.
|
[13] |
岳 泉, 郏立志, 王莉娜,等. 左,右肘静脉注射对比剂行颈动脉CT血管成像的成功率及质量差异[J]. 中国数字医学, 2020, 15(3):112-114.
|
[14] |
方 红,孟利民,王 萍,等. 多层螺旋CT头颈部血管成像不同注射部位的对比研究[J].医疗卫生装备,2016,37(10):78-80.
|
[15] |
Yun E J, Yoon D Y, Han A, et al. Central venous stenosis of left versus right arm: its prevalence and effects on image quality in CT of the neck[J]. European J of Rad, 2012,81(2):e126-e131.
|
[16] |
马爱新, 刘 强, 赵 卫. 左右肘静脉注射对比剂对肺动脉CT成像效果的对比研究[J].中国药物与临床, 2018,18(1):43-44.
|
[17] |
唐立钧, 王德杭, 徐 怡. 颈部CTA图像后处理的临床应用[J]. 医学影像学杂志, 2009,15(8):80-82.
|
|
|
|