CT增强100 KVP扫描肝脏三期增强的可行性研究

Guan Li, Mingyu Zou, Benqiang Yang
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引用次数: 0

摘要

目的探讨100 KVP在肝脏三期增强扫描中的可行性。方法对60例体重指数在20 ~ 25kg /m2之间的疑似肝病患者行三期增强CT扫描,随机分为两组,每组30例。低剂量组以100 KVP和自动调制管电流(峰值电流600 mA)扫描。CT图像原始数据集以50%的ASIR复合重建。正常剂量组以120 KVP、250 mA扫描。用FBP重建CT图像原始数据集。造影剂注射速度和注射量根据患者体重(350 mgI/ml)进行个体化。计算每位患者的有效辐射剂量(ED)。对图像质量进行客观评价和主观评价。结果两组患者主客观影像质量比较,差异无统计学意义(P < 0.05)。低剂量组患者的平均有效辐射剂量明显低于正常剂量组(3.06 mSv vs 3.69 mSv, P<0.05)。结论BMI在20 ~ 25 kg/m2的患者,经100 KVP肝三期增强可获得较好的图像质量,且图像剂量小于辐射剂量,能满足临床诊断的需要。关键词:层析成像;x射线计算;腹部扫描;低剂量
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Feasibility study of CT enhanced 100 KVP scan on liver tri-phase enhancement
Objective To explore the feasibility of 100 KVP on liver tri-phase enhancement scan. Methods A total of 60 patients whose BMI from 20 - 25 kg/m2 with suspected liver disease underwent tri-phase enhanced CT scans divided into two groups randomly, and each group includes 30 cases. Low dose group were scanned with 100 KVP and auto modulation tube current(peak current 600 mA). CT image raw data sets were reconstructed with ASIR composite at 50%. Normal dose group were scanned with 120 KVP and 250 mA. CT image raw data sets were reconstructed with FBP. Contrast medium injection rate and volume were personalized by patients' weight (350 mgI/ml). The effective radiation dose (ED) of each patient was calculated. Image quality evaluation was assessed objectively and subjectively. Results There was no statistically significant difference in subjective and objective image quality between the two groups (P>0.05). Patients in low dose group suffered an average effective radiation dose which was obviously lower than that normal dose group (3.06 mSv vs 3.69 mSv, P<0.05). Conclusion Those BMI from 20 - 25 kg/m2 underwent liver tri-phase enhancement with 100 KVP may obtain better image quality and less than radiation dose, and could got the image quality to meet the needs of clinical diagnosis. Key words: Tomography; X-ray computed; Abdominal scanning; Low dose
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