Total Pageviews

Friday 17 May 2013

CASE 187: MEDIC RADIOLOGY CASE 04: 170 CORONARY ARTERY CASES SCANNING by MSCT 640, Dr DƯƠNG PHI SƠN-Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

      170 cases (79 male / 91 female) in our 2 weeks of setting up the new machine.
      Angina  pectoris and risks of coronary artery disease.
      Contrast agent: Ultravist, dose <1ml/kg
      Radiation dosage <1-4 mSv (DLP x K-factor =DLP x 0.014)
      Appropriate heart rate  < 70 p/min, if existing tachycardia can use Beta Blockers, Diltiazem... to slow down heart rate 
      Appropriate blood pressure under 140/90 mmHg
      Patients hold their breath during shooting.




 





CONCLUSIONS:
     Image quality greatly improved (increased levels of accuracy).
     Radiation dose reducing 50-90% and extremely low amount of contrast agent (competitive and beneficial to the patient).
     Cardiac arrhythmia still could be scanning (more advantage than the older generation machines).
     Shooting and find the cause of the chest pain emergency.

No comments :