Application of dual-source CT combined with intelligent modulation and iterative reconstruction in aortic dissection imaging

Objective: To explore the clinical application value of second-generation dual-source CT combined with intelligent modulation and iterative reconstruction in emergency aortic dissection imaging. Methods: A total of 40 emergency patients with clinical suspected aortic dissection were included in this study. Conventional scanning was performed in the control group, and large-pitch intelligent modulation and iterative reconstruction were performed in the test group. The mean CT value, mean noise, signal noise ratio (SNR), contrast noise ratio (CNR), effective dose, image quality and aortic root image quality were evaluated and analyzed. Results: Totally 40 patients successfully completed CT aortic dissection imaging. There was no difference in image quality between the two groups (P > 0.05). The quality of aortic root images in the test group was better than that in the control group, and the difference was statistically significant (x² = 22.556, P < 0.05). The mean CT value and mean noise of aorta in the control group were slightly higher than those in the test group. However, SNR and CNR in the test group were higher than those in the control group, and the difference was statistically significant (t = -21.042, -15.924, 8.530, 11.495, P < 0.05). The effective dose of the control group [(10.59 ± 3.89) mSv] was significantly higher than that [(6.39 ± 0.81) mSv] of the test group, the difference was statistically significant (t = -12.327, P < 0.05). Conclusions: The combined intelligent modulation technique and iterative reconstruction technique with dual-source CT large pitch scanning can meet the requirements of image quality and reduce the effective dose, and can be used as a conventional imaging method for emergency CT of aortic dissection. (authors)