自适应迭代重建法在低剂量肾动脉CTA扫描中的应用研究.pdfVIP

80· 中国CT和MRI杂志 2015年10月 第13卷 第10期 总第72期 论 著 O 1 0 . 3 9 6 9 / j . i s s n . 1 6 7 2 - 5131.2015.10.026 YE Feng-ping, XU Bing, WANG Min-jie. Department of Radiology, Changhai Hospital of the Second Military Medical University, Shanghai, 200433, China t O c To compare the image qualities of low tube voltage renal artery computed tomography angiography (CTA) using adaptive iterative dose reduction (AIDR) and filter back projection (FBP) algorithm, and evaluate the clinical application value of AIDR. e o Twenty consecutive patients underwent renal artery CTA. The collected raw data were reconstructed by ADIR and FBP algorithm respectively. CT and background SD value of abdominal arota, renal artery and erector muscle of spine were measured, the SNR and CNR were calculated, and the image quality were compared with subjective grading. e In subjective evaluation of the image quality as a whole and blood vessel sharpness, the AIDR group was higher than that in FBP group. There were no significant differences in the vessel branches displayed on MRP, VR and MIP. For objective evaluation, there were no significant differences of the CT value of abdominal arota, renal artery and erector muscle of spine between two groups. The SNR and CNR in AIDR group were higher than that in FBP group, the SD values were lower than that in FBP group. n The image quality of AIDR group was better than that of FBP. AIDR could reduce the imaging noise, improve the image quality and has the potential of radiation reduction. o Renal Artery; Angiography; Image Quality; Adaptive Iterative dose Reduction; Tomography; X-ray Computed 多排螺旋C T肾动脉血管成像( c o m p u t e d t o m o g r a p h y angiography，CTA)技术是诊断肾动脉疾病以及指导肾脏肿瘤手术的 常用检查方法 [1] ，作为传统的CT图像重建技术，滤波反投影(filtered back projection，FBP)算法对噪声敏感，降低辐射剂量的空间有限， 而新近出现的基于原始数据的自适应迭代重建技术使得在较低辐射剂 量、较少对比剂的基础上，也可以得到符合临床诊断需要的CT血管造 影图像成为可能。本研究利用东芝公司320排容积CT行低剂量肾动脉 CTA扫描，采用AIDR与FBP算法对同一原始数据进行图像重建，并对二 者图像质量、噪声进行比较分析，探讨其在临床推广应用的可能价 值。 1 材料与方法 材