多排螺旋CT评估脾脏大小方法探讨.docVIP

How to properly determine the size of adult spleen with multislice spiral CT Chen Hong-xuan1, Liu Bin2*，Wu Xing-wang2, Wang Wan-qin2 (Anhui Medical University Graduate Department1, Department of Radiology, the First Affiliated Hospital, Anhui Medical University2, Hefei Anhui, 230022) Abstract Objective : To explore a simple and accurate method for determining the size of adult spleen using multislice spiral CT. Methods : 101 adult splenic volumes were measured by three kinds of Three-dimensional reconstruction technics（0.625mm ADD STRUCTURE, 0.625mm PRINT,5mm PRINT）of 64-slice spiral CT. Rib units were counts.Splenic thickness,splenic width,splenic length was measured.Splenic index was calculated. Results : The difference among the 101 adult splenic volumes measured by three kinds of reconstruction technics of 64-slice spiral CT were not statistically significant (P 0.05).The correlation coefficients between volumes of“normal spleen” measured by “0.625mm PRINT”reconstruction technic with rib units, splenic thickness splenic width,splenic lengt and splenic index were 0.413,0.572,0.696,0.766,0.923(P0.01).The percentages of rib units, splenic thickness splenic width,splenic lengt and splenic index of“abnormal spleen”in the full range of those variables of “normal spleen”were 89.3%,96.4%,57.1%, 46.4%, 28.6%. Conclusion : Measuring volume using “5mm PRINT” reconstruction technic is the prior method of determine the size of adult spleen with multislice spiral CT. Key words spleen，organ size，volume，64-slice spiral CT，multislice spiral CT Three-dimensional reconstruction 多排螺旋CT评估脾脏大小方法探讨 陈鸿轩1，刘斌*2，吴兴旺2，王万勤2 (安徽医科大学研究学院1, 安徽医科大学第一附属医院放射科2. 安徽 合肥　230022) [摘要]目的: 在多排螺旋CT条件下对CT诊断脾大小的各种方法进行比较，探索准确且简便评估脾大小的方法。方法: 选取101例成人病例，应用64排CT的三种三维重组技术（0.625mm ADD STRUCTURE法、0.625mm PRINT法、5mm PRINT法）测量101例成人脾的体积，行Kruskal-Wallis检验；测量脾厚径、脾长径、脾上下径，计算脾指数，计数肋单元；分别行“正常体积”脾各径线、肋单元数、脾指数与脾体积的Spearman相关分析；分别计算“异常体积”脾肋单元数、各径线及脾指数位于“正常体积”脾肋单元数、各径线及脾指数全距内外百分比。结果: 0.625mm ADD STRUCTURE法、0.625mm