多层螺旋CT肝脏增强扫描技术探讨.docVIP

64排螺旋CT不同注射速率对肝脏动脉期增强效果的影响 夏振营 陈枫 首都医科大学附属北京佑安医院 【摘要】 目的：探讨64排螺旋CT不同注射速率对肝脏动脉期增强效果的影响 方法：选取80例进行腹部CT扫描的患者，正常组（A组）40例和肝硬化组（B组）40例，各组根据注射速率不同分为2组，3.5ml/s组（A1、B1组）、2.5ml/s组（A2、B2组），采用Smartprep造影剂跟踪技术，当腹主动脉的CT值到达或超过150HU，按下扫描键正式扫描。记录不同注射速率动脉期腹主动脉的CT值、触发时间，统计正常组和肝硬化组成像优良率，建立统计表并相互比较。 结果：注射速率为3.5ml/s和2.5ml/s时，正常组优良率分别为 96.4%和91.7%，P0.05；肝硬化组优良率分别为95.5%和72.2%，P0.05。注射速率为2.5ml/s时，正常组和肝硬化组腹主动脉平均强化峰值分别为196.40±20HU和186.02±18HU，P0.05；正常组和肝硬化组动脉期平均触发时间分别为22秒和24秒，P0.05。注射速率为3.5ml/s时，正常组和肝硬化组腹主动脉平均强化峰值分别为244.90±37HU和 219.33±33HU，P0.05；正常组和肝硬化组动脉期的平均触发时间分别为20秒和22秒，P0.05。 结论：无论是肝硬化组还是正常组注射速率越快，动脉期峰值越高，触发时间越短。相同注射速率情况下，正常组腹主动脉平均强化峰值较肝硬化组高，平均触发时间较肝硬化组短。肝硬化组对注射速率要求高。 关键字：64排螺旋CT；肝脏增强扫描；注射速率 Influence of different injection rates of contrast medium with 64-slice helical CT on effect of liver arterial phase enhanced scanning XIA Zhen-ying CHEN Feng Department of Radiology, Beijing Youan Hospital, Capital Medical University, Beijing 100069, China 【Abstract】Objective: To discuss the Influence of different injection rates of contrast medium with 64-slice helical CT on effect of liver arterial phase enhanced scanning Methods: We retrospectively analyzed 80 patients for abdominal CT enhanced scanning .All patients were divided into two groups, the normal group( A group) and the cirrhosis group( B group) ,each group had 40 cases. According to the injection rate of contrast medium, each group was divided into 2 groups, the 3.5ml / s group (group A1, B1) and 2.5ml / s group (group A2, B2).Using Smartprep tracking technology of contrast medium, when the abdominal aorta CT value reached or exceeded 150HU, pressed the scan button and began formal scan. Under different injection rate of contrast medium, the peak enhancement of abdominal aorta and trigger time of arterial phase were measured. Recorded good and excellent rats of normal and cirrhotic group , then compared statistical results. Results: When the injection rate of contrast medium was 3.5ml / s and 2.5ml / s, The good and excellent rate