[Application and radiation dose research of dual-source CT in aortic dissection after endovascular exclusion]

To evaluate dual-source CT in the Standford B aortic dissection in the postoperative follow-up and to compare radiation dose of dual-energy mode with single-energy scanning.

A total of 40 patients with aortic dissection after endovascular exclusion underwent dualsource CT. Tweny patients took the dual-energy scanning mode (100 kV and 140 kV, pitch 1.0); the other 20 patients had single-energy mode (120 kV, pitch 2.0). In both groups CareDose4D technology was used to track the current method. All images were analyzed to observe the stent shape, with or without endoleaks and the rate of thrombosis absorption. Radiation dose, scan length, and scan time were recorded for all patients, and then compared between dual-energy mode and single-energy scanning.

The difference in scan length and image quality was not significant between the dualenergy group and the single-energy group. The acquisition time of the dual-energy group was longer than that of the single-energy group, with significant difference. Radiation dose of the single-energy group was lower than that of the dual-energy group, with significant difference.

Dual-source CT can objectively evaluate the conditions after the endovascular exclusion of aortic dissection. The operative effect and complications may be analyzed comprehensively. The radiation dose of the single-energy scan mode with medium pitch is lower than that of the dual-energy mode.