320排脑血管CT双期扫描时相选择和临床应用.pdfVIP

神经影像进展 -454- ADVANCE OG THE NEUROLOGICAL IMAGING 320 排脑血管 CT 双期扫描时相选择和临床应用 向勇生赵小虎徐卫国 黄芳 [摘要]目的:探讨分析 320 排螺旋 CT 脑动静脉双期扫描时相的合理选择以及临床应用价值。方法:回顾 性分析2014 年 10 月至2015 年 1 月于我院行全脑动态增强扫描的48 例患者的影像资料，进行最大密度投影 和容积显示后，经双盲邑分别确定每一例脑动脉和静脉显示的最佳时间点，取48 例患者最佳的动静脉显示 时间点的算数平均值为最佳动静脉期延迟时相。将此时相应用于 80 例患者的脑血管检查中，采取双盲陆对 所得脑血管双期影像评分 (0 - 5 分)，并以合格条件为评分分数二 2 分来计算脑血管双期 CT 检查成功率。 结果:最佳动静脉期时相为 (20.55 士 2.3 8)s 和 (34.84 士 2.50)s 。动脉期和静脉期检查成像成功率分别为9叨7.5% 和 96 (34.ι.84 土2.5到O)s 时，一次检查成功率高。可获得满意的纯动脉和静脉图像，为临床提供可靠全面的图像信息。 [关键词]血管造影术g 体层摄影术， X 线计算机g 最佳时相 中图分类号: R445.3 文献标志码:A 文章编号: 1006-5741 (2015 ) -05-0454-05 Clinical Application and Optimal Phases of 320-slice CT Cerebral Double-phase Angiography XlANG Yong-she吨， ZHAO Xiao-hu , XUWei-guo , HUANGFang [ Abstract] Purpose: To investigate the clinical value and analyze the appropriate moment for double-phase cerebral angiography examination using 320-slice spiral CT. Methods:Totally 48cases ,who underwent whole-brain dynamic CT angiography during the period from 2014 October to 2015 January,were analyzed retrospectively to find the best phase for imaging cerebral arteries and veins. Then the result was applied to 80 cases.The reconstruction techniques including maximum intensity projection (MIP) and volume rendering (VR) were used in all cases. The images quality were graded by 2 readers(5-0 point , 5=excellent) in a double-blind way. When the score was greater than or equal to 2 point , the examination was judged as successful, and the successive rate of this examination was calculated.ResuIts: The optimal time for arterial phase