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Abstract: Objective Cardiac endsystolic and enddiastolic images were obtained by 64slice spiral CT ECG gating technique. Then, theborderline of the four heart chambers as the measurement baseline, the normal range of the heart chambers were measured and analyzed, and the characteristics were compared between the two phases.Methods Retrospective analysis of cardiac endsystolic and enddiastolic CT images was performed on 133 healthy subjects.The 95% confidence interval (CI) of the left to right diameter (RL) and the anteroposterior diameter (AP) of the heart chambers were measured separately and analyzed statistically. And the endsystolic and enddiastolic measurements were compared and analyzed. Results In the endsystolic phase, the AP and RL of the left and right atrium were significantly greater than those in the enddiastolic phase (P<0.05). For left and right ventricles, theRL and AP in enddiastolic phase were significantly larger than that in endsystolic (P<0.05). The RL ratio of Left/ right atrial, the RL ratio of left / right ventricular and the AP ratio of left/right ventricular were greater than 1, and in the endsystolic phase significantly greater than in the enddiastolic phase (P<0.05). The AP ratio ofleft/right atrium was less than 1, with that in the endsystolic phase being significantly less than that in the enddiastolic phase (P<0.05).There was no significant difference in left atrium RL: AP between the two phases (P>0.05), and the rest ratio of each cardiac cavity parameters had significant difference between the two phases.Left ventricular angle (β) between endsystolic and enddiastolic contrast was nosignificant difference (P>0.05). Conclusion By means of measuring the cardiac diameters in the endsystolic and enddiastolic phases, the characteristics and 95%CI were statistically analyzed with multislice spiral CT, and the range and upper limit was obtained. Thus, it provides a theoretical basis for further exploration of the use of nonenhanced chest CT images to observe the size of each cardiac cavity.
Key words: tomography, , Xray computed;heart;morphology
Xu Qian, Guo Zhijun, Feng Wenqiu, Zhao Baohong, Liu Haitao, Lan Qing. Contrast of cardiac measurements between systolic and diastolic with multislice spiral CT[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2018.08.008.
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URL: https://huicui.hebmu.edu.cn/EN/10.3969/j.issn.1004-583X.2018.08.008
https://huicui.hebmu.edu.cn/EN/Y2018/V33/I8/678