Hybrid digital subtraction angiography: Initial clinical experience

Mutsumasa Takahashi, Nobuyuki Sato, Kotaro Fukui, Yukunori Kohrogi, Yasuyuki Yamashita, Jintetsu Shinzato, Ryuichi Saito, Yoshiharu Higashida
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引用次数: 5

Abstract

Hybrid digital subtraction angiography was performed after modification of a DSA system. Alternate high voltage (110–120 kV) and low voltage (65–70 kV) were obtained within short time intervals of 60–70 ms with a high voltage switching generator. Experimental phantom studies revealed the exposure dose per single image of hybrid subtraction was approximately 30% of that of conventional DSA. The SNR of hybrid subtraction was improved by increasing the exposure dose and application of postprocessing programs. Clinical application of intraarterial and intravenous DSA revealed that soft tissue artifacts were removed surprisingly well, but image quality decreased because of lowered SNR. Frame integration and matched filtering improved image quality of hybrid subtraction.

混合数字减影血管造影:初步临床经验
改良DSA系统后进行混合数字减影血管造影。高压开关发电机在60 ~ 70 ms的短时间间隔内可获得110 ~ 120 kV的交变高压和65 ~ 70 kV的交变低压。实验幻影研究表明,混合减法的单幅图像暴露剂量约为传统DSA的30%。通过增加暴露剂量和应用后处理程序,提高了混合减法的信噪比。动脉内和静脉内DSA的临床应用表明,软组织伪影被很好地去除,但由于信噪比降低,图像质量下降。帧集成和匹配滤波提高了混合减法的图像质量。
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