[1]谷青文,计佳杰,梁胜凯,等.新型国产DSA设备易用性和辐射剂量分析 [J].介入放射学杂志,2023,32(03):284-287.
 GU Qingwen,JI Jiajie,LIANG Shengkai,et al.New-type domestic DSA equipment: analysis of its ease-of-use and radiation dose[J].journal interventional radiology,2023,32(03):284-287.
点击复制

新型国产DSA设备易用性和辐射剂量分析
()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
32
期数:
2023年03
页码:
284-287
栏目:
管理
出版日期:
2023-03-31

文章信息/Info

Title:
New-type domestic DSA equipment: analysis of its ease-of-use and radiation dose
作者:
谷青文 计佳杰 梁胜凯 赵国峰 柏志斌 秦永林
Author(s):
GU Qingwen JI Jiajie LIANG Shengkai ZHAO Guofeng BAI Zhibin QIN Yonglin.
Department of Interventional Radiology and Vascular Surgery, Affiliated Zhongda Hospital, School of Medicine, Southeast University, Nanjing, Jiangsu Province 210009, China
关键词:
【关键词】 DSA设备 图像质量 临床易用性 辐射剂量
文献标志码:
A
摘要:
【摘要】 目的 探究新型国产低剂量DSA造影设备剂量降低技术的临床应用效果,为国产DSA设备改进提供参考。方法 选择接受择期脑血管造影患者并基于其体质量指数配对,配对成功后随机分配到试验组(联影uAngio)和对照组(西门子Axiom Zee Biplane)。评价术中图像质量和设备各操控性能,记录设备的剂量-面积乘积(DAP)率、空气比释动能率(K值率)。测定介入放射治疗过程中患者各测量点辐射剂量。综合评估联影uAngio剂量降低技术的临床应用效果。结果 国产DSA设备联影uAngio图像质量与西门子Axiom Zee Biplane无显著差异,多项操控性能显著优于西门子Axiom Zee Biplane。联影uAngio的DAP率显著低于西门子Axiom Zee Biplane(P=0.001)。两组患者各测量点辐射剂量无显著差异。结论 与西门子Axiom Zee Biplane相比,国产DSA设备联影uAngio在具备相似水准图像质量和更加良好的操作易用性前提下,其DAP率更低。

参考文献/References:

[1] Chang R,Kaufman SL,Kadir S,et al. Digital subtraction angiography in interventional radiology[J]. AJR Am J Roentgenol, 1984, 142: 363- 366.
[2] Crummy AB,Strother CM,Mistretta CA. The history of digital subtraction angiography[J]. J Vasc Interv Radiol, 2018, 29:1138- 1141.
[3] Rosch J,Keller FS,Kaufman JA. The birth, early years,and future of interventional radiology[J]. J Vasc Interv Radiol, 2003, 14: 841- 853.
[4] Gao Y,Song Y,Yin X,et al. Deep learning- based digital subtraction angiography image generation[J]. Int J Comput Assist Radiol Surg, 2019, 14: 1775-1784.
[5] Szikora I,Marosfoi M,Berentei Z,et al. Interventional neuro-radiology: current options[J]. Orv Hetil, 2015, 156: 680- 686.
[6] Mondschein JI. Perspectives from human interventional radiology[J]. Vet Clin North Am Small Anim Pract, 2018, 48: 743-749.
[7] Hadjiev J. Interventional radiology and radiation therapy[J]. Orv Hetil, 2015, 156: 706-710.
[8] Bartal G,Vano E,Paulo G,et al. Management of patient and staff radiation dose in interventional radiology: current concepts[J]. Cardiovasc Intervent Radiol, 2014, 37: 289- 298.
[9] Alkhorayef M,Al- Mohammed HI,Mayhoub FH,et al. Staff radiation dose and estimated risk in an interventional radiology department[J]. Radiat Phys Chem, 2021, 178: 108999.
[10] 中华医学会神经病学分会,中华医学会神经病学分会神经血管介入协作组. 脑血管造影术操作规范中国专家共识[J]. 中华神经科杂志, 2018, 51:7- 13.
[11] Lee TB, Shin SW, Choi D,et al. Risk factors of radiation dose in patients undergoing peripherally- inserted central catheter procedure using conventional angiography equipment and flat panel detector- based mobile C- arm fluoroscopy[J]. Acta Radiol, 2014, 55: 1234- 1238.
[12] GBZ 207- 2016.外照射个人剂量系统性能检验规范[S]. 2016.
[13] GBZ 128- 2019.职业性外照射个人监测规范[S]. 2019.
[14] Bacchim Neto FA,Alves AF,Mascarenhas YM,et al. Occupational radiation exposure in vascular interventional radiology: a complete evaluation of different body regions[J]. Phys Med, 2016, 32: 1019- 1024.
[15] van den Haak RF, Hamans BC, Zuurmond K, et al. Significant radiation dose reduction in the hybrid operating room using a novel X- ray imaging technology[J]. Eur J Vasc Endovasc Surg, 2015, 50: 480- 486.
[16] 刘伟宾,马晓海,吴文辉,等. 先心病患者在介入诊疗中辐射剂量控制分析[J]. 介入放射学杂志, 2021, 30:837- 841.
[17] 刘伟宾,黄连军,郭久芳,等. 心血管疾病患者在介入诊疗过程中辐射剂量分析[J]. 介入放射学杂志, 2014, 23:941- 944.
[18] Tsapaki V. Radiation dose optimization in diagnostic and inter-ventional radiology: current issues and future perspectives[J]. Phys Med, 2020, 79: 16- 21.
[19] Rousseau H,Vernhet- Kovacsik H, Mouroz PR,et al. Future of interventional radiology[J]. Presse Med, 2019, 48: 648- 654.
[20] Mastrangelo G,Fedeli U,Fadda E,et al. Increased cancer risk among surgeons in an orthopaedic hospital[J]. Occup Med, 2005, 55: 498- 500.

相似文献/References:

[1]周群慧,顾苏滨,欧阳雪晖,等.231例头颈部疾患IADSA的图像质量分析[J].介入放射学杂志,1997,(04):241.
[2]陈玉勤,许吉强.DSA图像质量的控制与保证[J].介入放射学杂志,1995,(02):105.
[3]高志梅,曾勇明,孙静坤,等.不同浓度对比剂对脑血管3D-DSA成像效果的影响[J].介入放射学杂志,2016,(12):1084.
 GAO Zhi- mei,ZENG Yong- ming,SUN Jing- kun,et al.The influence of different concentration contrast media on cerebral 3D- DSA imaging quality[J].journal interventional radiology,2016,(03):1084.
[4]张 堃,钱巧云,宁瑞鹏.介入磁共振技术进展[J].介入放射学杂志,2019,28(11):1020.
 ZHANG Kun,QIAN Qiaoyun,NING Ruipeng.Recent progress in the technology of interventional magnetic resonance[J].journal interventional radiology,2019,28(03):1020.
[5]袁 回,李 达,徐瑞瑞,等.迭代重建技术结合低剂量扫描在CT引导肝癌微波消融术中的运用[J].介入放射学杂志,2021,30(03):249.
 YUAN Hui,LI Da,XU Ruirui,et al.Clinical application of iterative reconstruction technique combined with low- dose CT scanning in CT- guided microwave ablation of hepatic carcinomas[J].journal interventional radiology,2021,30(03):249.
[6]赵芝敏,赵 卫,李自恒,等.静音MRA在颅内动脉瘤介入栓塞术后随访中的应用价值[J].介入放射学杂志,2022,31(08):825.
 ZHAO Zhimin,ZHAO Wei,LI Ziheng,et al.Clinical application value of silent MRA in the follow-up of patients with intracranial aneurysms after receiving interventional embolization[J].journal interventional radiology,2022,31(03):825.
[7]谢小为,王庆华,吴清华.DSA低剂量技术在急性冠状动脉综合征中的应用及对患者X线辐射剂量的影响[J].介入放射学杂志,2022,31(10):991.
 XIE Xiaowei,WANG Qinghua,WU Qinghua..Application of digital subtraction angiography low-dose technique in acute coronary syndrome and its effect on the patient’s X-ray radiation dose[J].journal interventional radiology,2022,31(03):991.
[8]钱 海,张玉琴,徐 艳,等.患者体型和图像采集模式对经皮冠状动脉造影射线剂量和图像质量的影响研究[J].介入放射学杂志,2024,33(06):599.
 QIAN Hai,ZHANG Yuqin,XU Yan,et al.The effect of patient’s body shape and image acquisition mode on the radiation dose and image quality in percutaneous coronary angiography [J].journal interventional radiology,2024,33(03):599.

备注/Memo

备注/Memo:
(收稿日期:2022- 01- 29)
(本文编辑:边 佶)
更新日期/Last Update: 2023-03-28