螺旋CT低剂量胃充气造影扫描在胃癌的临床研究.pdfVIP

·87 CHINESE JOURNAL OF CT AND MRI, MAY2015, Vol 13, No 5 Total No 67 论 著 1 0 . 3 9 6 9 / j . i s s n . 1 6 7 2 - 5131.2015.05.027 LUO Jin-wen, DENG Yi, LIU Yu-xin,et al., Department of radiology, the Fifth Hospital of Guangzhou Medical University Guangzhou, Guangzhou 510700,Guangdong province, China b ct O ve to analyze the value on the low-dose spiral CT scan of inflated stomach in the diagnosis of gastric cancer. Me o 90 cases of stomach cancer diagnosed by endoscopy who need to do spiral CT san examination were divided into three groups averagely in order. A group, the reference group was taking the way of a fixed tube mA, 120 KV, 150 mAs; B,C Group,as the low-dose group were taking the smart mA modulation method, the tube voltage of 120 KV, using smart mA law, the noise index values were SD 12 15, contrast agents are using iohexol (300 mgI/ml) 1.2 ml/kg. After scanning the original image on a thin layer were transferred into Toshiba 16-slice CT Vitrea workstation to do the postprocessing, and then the axial and reconstructive images were sended into NFPACS,the volume CT dose index (CTDIvol) were recorded in cases of each group, finally to evaluate the image quality. su A, B-scan image quality difference was not statistically significant (P0.05), the difference of A and B dose weighted index was statistically significant, the image quality between A and C, and their dose-weighted index decreased rate were statistically significant (P0.05). The image quality and dose-weighted index decreased rate was statistically significant. Conc u B, C using smart mA modulation can effectively reduce the radiation dose values, and group B scanning conditions can be a conventional scanning program to reduce radiation dose; Group C showed poor image quality, easily lead to misdiagnosis, the program is not recommended in the stomach tumor scans; Without affecting the diagnostic accuracy of the premise, within a certain range to reduce the radiation do