Wenli Huo, Blessed Kondowe, Brave Kadoko Nyirenda, Hui Zhang, Gang Niu, Jin Shang
{"title":"马拉维Mzuzu中心医院胸部低剂量多层计算机断层扫描方案的价值。","authors":"Wenli Huo, Blessed Kondowe, Brave Kadoko Nyirenda, Hui Zhang, Gang Niu, Jin Shang","doi":"10.4314/mmj.v36i5.5","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate low-dose Computed Tomography (LDCT) chest vs. routine CT chest for image quality and diagnosis in suspected lung lesions, aiming to optimize LDCT protocol.</p><p><strong>Methods: </strong>We retrospectively analyzed 85 patients with suspected lung lesions who underwent non-contrast enhanced (NCE) CT chest at Mzuzu Central Hospital from July 2023 to April 2024. The study divided patients into routine dose (43 patients, 120 kV, 300 mAs) and low-dose groups (42 patients, 120 kV with automatic tube current modulation) based on a transition point on February 16th, 2024. Both groups used filtered back projection (FBP) reconstruction with a 1mm layer thickness. Data were analyzed for signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and radiation dose parameters on AVW post-processing workstation, and for background noise and image quality on PACS.</p><p><strong>Results: </strong>(1) Objective evaluation revealed significantly higher SNR and CNR (6.58 ± 1.70, 175.96 ± 26.06) in the routine dose group compared to the low-dose group (4.17 ± 1.02, 141.23 ± 19.04) (P < 0.001). Additionally, the routine dose group had significantly higher CTDIvol, DLP, and ED [(9.95 ± 0) mGy, (372.84 ± 25.52) mGy·cm, (5.22 ± 0.37) mSv] compared to the low-dose group [(5.76 ± 1.12) mGy, (211.48 ± 50.64) mGy·cm, (2.96 ± 0.71) mSv] (P < 0.001). (2) Subjective evaluation showed no significant difference in scoring for background noise and overall image quality between the routine dose group [(1.95 ± 0.21) points, (4.09 ± 0.42) points] and the low-dose group [(1.93 ± 0.26) points, (3.98 ± 0.34) points] (P > 0.05).</p><p><strong>Conclusion: </strong>The image quality of LDCT protocol is comparable to that of routine dose, while radiation dose is significantly reduced. The image quality meets the requirements for imaging diagnosis of lung lesions, and this protocol can be widely promoted in clinical practice.</p>","PeriodicalId":18185,"journal":{"name":"Malawi Medical Journal","volume":"36 5","pages":"318-322"},"PeriodicalIF":1.2000,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11862846/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Value of Low-dose Multi-slice Computed Tomography protocol of the Chest at Mzuzu Central Hospital, Malawi.\",\"authors\":\"Wenli Huo, Blessed Kondowe, Brave Kadoko Nyirenda, Hui Zhang, Gang Niu, Jin Shang\",\"doi\":\"10.4314/mmj.v36i5.5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate low-dose Computed Tomography (LDCT) chest vs. routine CT chest for image quality and diagnosis in suspected lung lesions, aiming to optimize LDCT protocol.</p><p><strong>Methods: </strong>We retrospectively analyzed 85 patients with suspected lung lesions who underwent non-contrast enhanced (NCE) CT chest at Mzuzu Central Hospital from July 2023 to April 2024. The study divided patients into routine dose (43 patients, 120 kV, 300 mAs) and low-dose groups (42 patients, 120 kV with automatic tube current modulation) based on a transition point on February 16th, 2024. Both groups used filtered back projection (FBP) reconstruction with a 1mm layer thickness. Data were analyzed for signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and radiation dose parameters on AVW post-processing workstation, and for background noise and image quality on PACS.</p><p><strong>Results: </strong>(1) Objective evaluation revealed significantly higher SNR and CNR (6.58 ± 1.70, 175.96 ± 26.06) in the routine dose group compared to the low-dose group (4.17 ± 1.02, 141.23 ± 19.04) (P < 0.001). Additionally, the routine dose group had significantly higher CTDIvol, DLP, and ED [(9.95 ± 0) mGy, (372.84 ± 25.52) mGy·cm, (5.22 ± 0.37) mSv] compared to the low-dose group [(5.76 ± 1.12) mGy, (211.48 ± 50.64) mGy·cm, (2.96 ± 0.71) mSv] (P < 0.001). (2) Subjective evaluation showed no significant difference in scoring for background noise and overall image quality between the routine dose group [(1.95 ± 0.21) points, (4.09 ± 0.42) points] and the low-dose group [(1.93 ± 0.26) points, (3.98 ± 0.34) points] (P > 0.05).</p><p><strong>Conclusion: </strong>The image quality of LDCT protocol is comparable to that of routine dose, while radiation dose is significantly reduced. 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The Value of Low-dose Multi-slice Computed Tomography protocol of the Chest at Mzuzu Central Hospital, Malawi.
Objective: To evaluate low-dose Computed Tomography (LDCT) chest vs. routine CT chest for image quality and diagnosis in suspected lung lesions, aiming to optimize LDCT protocol.
Methods: We retrospectively analyzed 85 patients with suspected lung lesions who underwent non-contrast enhanced (NCE) CT chest at Mzuzu Central Hospital from July 2023 to April 2024. The study divided patients into routine dose (43 patients, 120 kV, 300 mAs) and low-dose groups (42 patients, 120 kV with automatic tube current modulation) based on a transition point on February 16th, 2024. Both groups used filtered back projection (FBP) reconstruction with a 1mm layer thickness. Data were analyzed for signal-to-noise ratio (SNR), contrast-to-noise ratio (CNR), and radiation dose parameters on AVW post-processing workstation, and for background noise and image quality on PACS.
Results: (1) Objective evaluation revealed significantly higher SNR and CNR (6.58 ± 1.70, 175.96 ± 26.06) in the routine dose group compared to the low-dose group (4.17 ± 1.02, 141.23 ± 19.04) (P < 0.001). Additionally, the routine dose group had significantly higher CTDIvol, DLP, and ED [(9.95 ± 0) mGy, (372.84 ± 25.52) mGy·cm, (5.22 ± 0.37) mSv] compared to the low-dose group [(5.76 ± 1.12) mGy, (211.48 ± 50.64) mGy·cm, (2.96 ± 0.71) mSv] (P < 0.001). (2) Subjective evaluation showed no significant difference in scoring for background noise and overall image quality between the routine dose group [(1.95 ± 0.21) points, (4.09 ± 0.42) points] and the low-dose group [(1.93 ± 0.26) points, (3.98 ± 0.34) points] (P > 0.05).
Conclusion: The image quality of LDCT protocol is comparable to that of routine dose, while radiation dose is significantly reduced. The image quality meets the requirements for imaging diagnosis of lung lesions, and this protocol can be widely promoted in clinical practice.
期刊介绍：
Driven and guided by the priorities articulated in the Malawi National Health Research Agenda, the Malawi Medical Journal publishes original research, short reports, case reports, viewpoints, insightful editorials and commentaries that are of high quality, informative and applicable to the Malawian and sub-Saharan Africa regions. Our particular interest is to publish evidence-based research that impacts and informs national health policies and medical practice in Malawi and the broader region.
Topics covered in the journal include, but are not limited to:
- Communicable diseases (HIV and AIDS, Malaria, TB, etc.)
- Non-communicable diseases (Cardiovascular diseases, cancer, diabetes, etc.)
- Sexual and Reproductive Health (Adolescent health, education, pregnancy and abortion, STDs and HIV and AIDS, etc.)
- Mental health
- Environmental health
- Nutrition
- Health systems and health policy (Leadership, ethics, and governance)
- Community systems strengthening research
- Injury, trauma, and surgical disorders
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