【产品擂台】不是所有的CT都叫心脏CT！

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                    <section data-role="paragraph" data-color="rgb(182, 228, 253)" data-custom="rgb(182, 228, 253)"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section><p><p><img src="image/20201014/86b79d371e9862b01189f0252a03b2cd_1.png" /></p></p></section><section><section><span><strong></strong></span></section><p><span>医疗器械媒体报道先锋</span></p><p><span>分享专业医疗器械知识</span></p></section><section><section><section><span>关注</span></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section><p><br  /></p><p><span></span></p><section><section powered-by="gulangu"><p>临床上用来诊断冠心病的检查手段包括两种：心脏血管造影DSA和心脏血管CT。</p><p><br  /></p><p>因自然误差率少，诊断准确度高，冠脉造影术被认为是冠心病诊断的金标准。但冠脉造影术也有缺点，比如冠脉造影检查需要从胳膊或者大腿处穿刺入导丝、导管，至心脏血管处打造影剂，穿刺动脉的过程中可能出现出血、血管破损甚至撕裂的危险，属于有创检查；此外，冠脉造影检查需要住院，相对冠脉CT检查，冠脉造影术的费用更高，而冠脉CT在门诊就可以做，对于非急性心肌梗死、典型不稳定心绞痛等特殊患者而言，冠脉CT可能是更适合的选择。</p><p><br  /></p><p>但并不是市面上所有的CT都能够达到心脏扫查的要求，心脏扫查对CT技术的要求非常高，比如CT的扫查速度。</p><p><br  /></p></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><p><br  /></p></section></section></section></section></section></section><section powered-by="gulangu"><p>CT的扫描速度是指的扫描架的转动部分带动X线路和探测器对病人完成360旋转扫描所用的时间。CT的时间分辨率越快，则扫描架围绕患者旋转的速度就越快。传统的CT做心脏扫查时对心率是有要求的，因为心脏跳得快，伪影的可能性就越高，而心脏专用CT的扫查速度能够做到在一个心跳周期内完成心脏的扫查并获得完整的CT成像。</p></section></section></section><section powered-by="gulangu"><p><br  /></p><p><span>目前，在心脏CT扫查技术取得突破性进展的主要有GE医疗、西门子医疗和佳能医疗等医疗影像巨头，而中国在这方面尚要较大进步空间。</span></p><p><span><br  /></span></p><p><br  /></p></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section></section></section></section><section><section powered-by="gulangu"><section><section></section><section></section><section><p>1</p></section><section><section></section></section></section></section></section><section><section powered-by="gulangu"><section></section></section></section></section><section powered-by="gulangu"><p><span><strong>GE医疗——Cardiographe</strong></span><span><strong><span></span></strong></span></p><p><br  /></p><p><br  /></p><p>Cardiographe CT由以色列初创公司Arineta根据医院多位杰出医生的建议研制而成，它结合了许多专用于改善冠状动脉CT血管造影的技术，经与GE医疗合作，Cardiographe CT成功实现了商业化，同时，GE医疗将Revolution CT许多最新的CT技术融入了Cardiographe CT中，用于减少剂量，迭代重建，减少金属伪影和其他功能。</p><p><br  /></p><p><p><img src="image/20201014/40167198c8b7a9836b3d5fc67847d005_2.jpg" /></p></p><p><br  /></p><p>Cardiographe CT是行业内第一台心血管专用CT设备，它在硬件技术以及影像后处理方面进行了前所未有的更加有针对性的创新。例如：CardioGraphe CT采用140 mm宽体探测器、双球管设计、0.24s极速机架、专利技术的立体CT（Stereo CT ?）设计，实现了业界更高水平的转速，能够捕捉一个心跳内更丰富的信号和诊断信息。</p><p><br  /></p><p><video width="100%" height="580" controls="controls"><source src="http://mpvideo.qpic.cn/tjg_3084203512_50000_92eb5f27cd9a46e29b7b69d220d744f2.f10002.mp4?dis_k=00973ec8c86c5aadc323dc1b9da0db74&dis_t=1602654025" type="video/mp4"></source></video></p><p><span></span></p><p><br  /></p><p>整体造型上看，Cardiographe CT的设计非常紧凑，所需选址仅为15平方米，因此可以放入医生的办公室，或者安放在比标准64层CT更小的房间里使用。</p><p><br  /></p><section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section><p><img src="image/20201014/4269ae558a6ee7eef6287b849e01553a_3.jpg" /></p></section></section></section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section><p>62岁的女性 - 62 BPM，BMI 29</p><p><br  /></p></section></section></section></section></section></section></section><section><section powered-by="gulangu"><section><section><p><img src="image/20201014/d2723e92251b68343bd8eb569fedb299_4.jpg" /></p></section></section></section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section><p>可视化钙化RCA上的腔，BMI 28，HR 57</p><p><br  /></p></section></section></section></section></section></section></section></section></section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section><p><img src="image/20201014/918c82a906a175da5d4f20193f8b25a7_5.jpg" /></p></section></section></section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section><p>RCA上的斑块可视化为124 kg，男性，BMI 40,57岁</p></section></section></section></section></section></section></section><section><section powered-by="gulangu"><section><section><p><img src="image/20201014/93fdc9b4f6f7b4f662ee25964268df87_6.jpg" /></p></section></section></section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><section><p>118 kg患者的钙化斑块，63 BPM，BMI 40.3</p></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section><p><br  /><span></span></p><p><br  /></p></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section></section></section></section><section><section powered-by="gulangu"><section><section></section><section></section><section><p>2</p></section><section><section></section></section></section></section></section><section><section powered-by="gulangu"><section></section></section></section></section><section powered-by="gulangu"><p><span>&nbsp;</span><span><strong><span>佳能医疗——Aquilion Precision</span></strong></span><span><strong><span></span></strong></span></p><p><br  /></p><p><br  /></p><p>Aquilion Precision是佳能医疗经过10余年研发推出的全新一代CT产品，其最大的特点在于它突破了之前探测器薄层采集的瓶颈，将探测器的采集精度从之前的0.5mm进一步提升到0.25mm，将传统CT最大512×512的矩阵提升到2048×2048，首次实现了CT 4K高清成像，使CT的空间分辨率达到50lp/cm，让人体更多的细节呈现给临床医生。</p><p><br  /></p><p><p><img src="image/20201014/226178e78966e9d8f0bac034e8819f26_7.jpg" /></p></p><p><iframe src="https://v.qq.com/iframe/player.html?width=500&height=375&auto=0&vid=x0915pg6573&auto=0" width="100%" height="580" frameborder="0"></iframe></p><p><br  /></p><p>除了硬件革新外，Aquilion Precision在业界首次引入了基于深度学习技术的人工智能重建引擎--AiCE（Advanced Intelligent Clear-IQ Engine）。</p><p><br  /></p><section powered-by="gulangu"><section><section><p><img src="image/20201014/55a10b20b4dc3bed6e9a89cac8425fd3_8.jpg" /></p></section></section></section><section powered-by="gulangu"><section><section><p><img src="image/20201014/2379c376fdebc6a0b59a587f277e29e3_9.jpg" /></p></section></section></section><section powered-by="gulangu"><section><section><p>内耳高清成像</p></section></section></section><p><br  /></p><p><p><img src="image/20201014/522826c46a0abfac949f3634880f6033_10.jpg" /></p></p><p><br  /></p></section><section powered-by="gulangu"><section><section powered-by="gulangu"><section></section></section></section><section><section powered-by="gulangu"><section><section></section><section></section><section><p>3</p></section><section><section></section></section></section></section></section><section><section powered-by="gulangu"><section></section></section></section></section><section powered-by="gulangu"><p><span><strong><span>西门子——SOMATOM go.Top</span></strong></span><span><strong><span></span></strong></span><br  /></p><p><br  /></p><p><br  /></p><p>继GE医疗推出心脏专用CT后，西门子也推出了128层 SOMATOM go.Top心血管版CT，这款产品为常规心血管扫查提供先进的辐射剂量管理和精准的个性化诊断信息。</p><section powered-by="gulangu"><section><section><p><img src="image/20201014/2ae7f20ecd76ea879448a113ee109477_11.png" /></p></section></section></section><section powered-by="gulangu"><section><section><p><br  /></p></section></section></section><p>SOMATOM go.Top单圈扫描速度0.33秒/360°，与传统CT一般只提供3-4档kV选择相比，配备了Athlon球管的SOMATOM go.Top 能够提供13档无级变速，独有的kV纯谱技术能够过滤对成像无用的低能级射线，极大程度上降低辐射剂量，同时可以去除图像噪声和伪影。</p><p><br  /></p><p><video width="100%" height="580" controls="controls"><source src="http://mpvideo.qpic.cn/tjg_3084203512_50000_b0a4d444d5694596977640a2660abba9.f10002.mp4?dis_k=5dd03a4943dabbf931ed0d3137beeb65&dis_t=1602654025" type="video/mp4"></source></video></p><p><br  /></p><p>SOMATOM go. Top 采用AI集成智能平台，可以将CT扫描和AI前处理同步进行，扫描完成后即刻就能获得诊断信息。诊立得，即拍即诊断，很大程度上减轻了一线影像科医生的工作压力。此外，医生可以将更多的时间陪伴在患者身边，缓解他们紧张的情绪或指导患者配合检查，这可以在很大程度上助于提升患者的就诊体验和对医疗机构的信任感。</p><p><br  /></p><section><section powered-by="gulangu"><section><section></section><section><p><img src="image/20201014/5bdc81c8e8d12e4f8743ee41f3ce0213_12.png" /></p></section><section></section></section></section></section><section><section powered-by="gulangu"><section><section><p><img src="image/20201014/88f225a1deefbe99c0b0960dec9a3464_13.png" /></p></section></section></section></section><p><br  /></p></section></section><p><span></span><span><iframe src="https://mp.weixin.qq.com/cgi-bin/readtemplate?t=vote/vote-new_tmpl&__biz=MzA4NDIwMzUxMg==&supervoteid=461438251&token=2072742389&lang=zh_CN&auto=0" width="100%" height="580" frameborder="0"></iframe><span></span><span></span></span></p><p><span>&nbsp;</span></p><section powered-by="gulangu"><section powered-by="gulangu"><section data-role="outer" label="Powered by gulangu"><section data-role="paragraph"><p><a data-miniprogram-appid="wxdc7efe409d688f37" data-miniprogram-path="pages/authorizationLogin/authorizationLogin" data-miniprogram-nickname="" href="" data-miniprogram-type="image" data-miniprogram-servicetype="" href=""><p><img src="image/20201014/35f76f6b81e0268d3d1cd7a4c17599c7_14.gif" /></p></a></p><p><br  /></p><h2><span></span></h2><section><section><section data-brushtype="text"><strong>相关阅读</strong><br  /></section></section></section><section><section></section></section><section data-width="100%"><section><section><section><section data-width="100%"><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><section><p><img src="image/20201014/2aac877ff9233ba5a66e7a5ff3a4febf_15.gif" /></p></section><section data-brushtype="text">戳下文，更有料！</section></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><br  /></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><span>重磅！西门子医疗即将推出SOMATOM go.Top心血管版CT！</span><br  /></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><br  /></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><span>『大开眼界』GE医疗发布CardioGraphe?心血管专用CT</span><br  /></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><br  /></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><span>【盘点】国产PET-CT品牌哪家强？</span><br  /></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><br  /></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><span>器械专访丨揭开国产512层CT的神秘面纱，专访明峰医疗。</span></section><h2><span></span></h2></section></section></section></section></section><p><br  /></p></section></section></section></section><p><p><img src="image/20201014/cd6e6da350853c459044672a7cf353fb_16.jpg" /></p></p>