MDCT을 이용한 Cardica CT 검사에서 ECG-pulsing기능의 사용 경험 및 고찰

The using experiences and consideration of the ECG-pulsing method in Cardiac CT using MDCT

Purpose Cardiac CT comparing with other region’s same scan range very much radiation dose. so, I wanted to know the method which can reduce radiation dose through the effective methode of ECG-pulsing method. Materials and Methods I performed the test of patients which were prescribed for Cardiac CT because of chest pain, etc. I measured patients’ heart rate before the test. When their heart rate was more than 65 times, I used the ‘B-Blocker and I analyzed the use probability and success rates of ECG-pulsing, DPL and the optimum image reconstruction data. Results Among the 200 patients, I used the ECG-pulsing in 136 cases (68%) and DPL (mSv-cm) value was from 513 to 836 (mean value : 649). Ca scoring was from 44 times to 65 times (the mean : 57 times) in HR and from 36 times to 69 times (the mean : 53 times) in CTA. I didn’t use the ECG-pulsing in 62 cases (32%). DPL (mSv-cm) value was from 922 to 1320 and mean value was 1074. Ca scoring was from 53 times to 90 times (the mean : 66 times) in HR and from 38 times to 73 times (the mean : 59 times) in CTA. I didn’t the ECG-pulsing method because when I got the Ca scoring data, mostly BPM’s maximum was more than 64 (46cases, 73%). Image reconstruction R-R interval was shown from 65% to 69%. Conclusion When I used the ECG-pulsing method, DPL dose decreased by 39.6% than I didn’t use that. With the recent development of CT equipment, I recommend much use of the ECG-pulsing method because I think that the use of ECG-pulsing method has radiation dose decreased without a drop in image quality through the supplement of diverse ECG-pulsing methods and the maximum use of ECG-pulsing in fast CT.