64层螺旋CT儿童鼻窦低剂量扫描.doc

 n  64 层螺旋 CT 儿童鼻窦低剂量扫描# 初建平1，杨智云1，范淼1，郑少燕2，周旭辉1，严超贵1** （1. 中山大学附属第一医院，广州 510080； 5 10 15 2. 汕头市中心医院放射科，广东 汕头 515031） 摘要：目的 探索 64 层螺旋 CT 低剂量扫描在儿童鼻窦中的应用，获得不同参数的辐射剂 量并对图像质量进行评估。方法 东芝 64 排螺旋 CT，分别选择管电压为 120kV 和 100kV 时， 转速 0.5s/rot，螺距 41 不变，用 80mA、40 mA、30 mA、20 mA、10mA 的剂量对 1 具儿童 尸体头颅标本鼻窦进行扫描，比较不同参数时的图像质量。选取能满足临床需求的最低辐射 剂量作为扫描参数。并用该参数对 33 例儿童鼻窦炎患者进行扫描。评价图像的质量和显示 精细结构的能力。结果 当 mA 从 100mA 降到 30mA 时，辐射剂量明显下降，保持 30mA 不 变，100kV 时有效 CT 剂量指数（CTDIvol）明显小于 120kV(3.1mGy4.8mGy)。当 mA 降至 20mA 以下，图像质量明显变差。用 100kV，30mA 进行 33 例儿童鼻窦扫描，鼻窦内各结构 显示清晰，所有图像均满足临床需求。CTDIVOL 平均为 3.03±0.09（mGy），剂量长度乘 积（DLP）为 30.63±2.58(mGy.cm)，有效辐射剂量为 0.07±0.003(mSv)，仅为常规剂量的 1/10。结论 64 层螺旋 CT 当 100kV, 30mA(15mAs)扫描儿童鼻窦时，可能是满足临床要求的 最低剂量。 关键词：体层摄影；X 线计算机成像；辐射剂量；多层螺旋 CT；鼻窦 中图分类号：ISSN－1005-8001 20 Multidetector CT of the Paranasal Sinus in Children: Optimal Strategies of Radiation Dose Reduction Chu Jianping1, Yang Zhiyun1, Fan Miao1, Zheng Shaoyan2, Zhou Xuhui1, Yan Chaogui1 25 30 35 40 (1. the first affiliated hospital of Sun Yat-sen University, Guangzhou 510080; 2. The center hospital of Shantou, Guangdong Shantou 515031) Abstract: Objective Our objective was to show that in low-dose MDCT of the sinuses in children the effective dose can be lowered to a level comparable to that used for standard radiographic images, with resultant CT scans that are still of diagnostic image quality. Methods With the same protocol (0.5s/rot and pitch 41), a pediatric cranium specimen were scanned with 120kV and 100kV respectively (Toshiba Aquilion 64-row spiral CT) at different mA (80，40，30，20，10). The CT dose index and images were compared among the different mA groups. The minimum kV and mA value was determined. Thirty-three children were examined to test the validity of the minimum kV and mA value. Results The CT radiation dose was significantly reduced when mA from 80mA to 10mA. With the same 30mA, the CT radiation dose of 100kV was obvious less than 120kV (3.1mGy4.8mGy). The minimum kV and mA value was 100kV and 30 mA