兔颅脑低剂量CT扫描的图像质量评价及辐射防护意义.pdfVIP

苏州大学学报(医学版)2ω8;28(2) 兔颅脑低剂量 C丁扫描的图像质量评价及辐射防护意义 张树清，龚沈初，正夭乐，沈云霞，崔 磊 (南通大学第二附属医院影像科，江苏南通 226001) 摘要:阔的 研究兔颅脑扫描中降低管电流及改变螺距与阁像质量的关系，探讨低剂囊相描的可行性及其辐射 215 防护价值。方法 将 15 只新西..l.兔分别按以下 6 组条件行颅脑 CT 检查 :2∞mAs、螺距1.0 组 ;2∞ mAs 、蝶距1.5 组 ;110 mAs 、螺距1.0 组 ;110 mAs、蝶距1.5 组 ;70mAs 、螺距1.0 组 ;70 mAs 、螺距1.5 组。由两名有经验的放射科医 师以双富的方法使用 4 分制评分，对 6 组图像中头部 6 个部位的解剖结构的清晰度进行质量评分，比较各组问图像 质最及 CT 剂量加权指数(weíghted CT dose índex ， CTDlw)的袭异性。结果 所有图像质最均能满足诊断要求。两名阅 读者对 6 组图像中 6 个解剖部位的总评分差异均无统计学意义 (PO.05) ， 对每个解剖部位的评分中，6 组图像两两 比较，差异均无统计学意义(均 P0.05)。而 7仙I叭队螺距1.5 组较 2∞mAs、螺距1.0 组的 CTDlw 降低约 76.7%。结论 应用 70 mAs 低剂最颅脑 CT 扫描是可行的，阁像质最能够满足临床要求，而辐射剂最大幅下降。 关键词:低剂量 CT; 兔:头颅;体层摄影术;X 射线计算机;辐射防护 中阳分类号 :R814.42; 民142 文献标识码 :A 义意编寄 :1673-0399(2ω8)02斗215-03 The Evaluation of Radioprotection with Low Dose CT Scanning in Normal Rabbits Brain ZHANG Shu气qing ， GONG She1阿阳 ， WANG Tian-le ,SHEN Yun-xia ， CUJ μi (Dept of Radiology , the Second Hospital Affiliated to Nantong University ， Jian萨u Nantong 22ω01 ， China) Abstract: Objective To detennine wheather a lower radiation dose technique and various pitch could be used in CT of the rabbits brain without jeopardizing the diagnostic accuracy of the images, and determine the evaluation of radioprotection with low dose CT scanning. Methods Fifteen rabbits underwent CT using 200 mAs , 110 mAs or 70 mAs , and pitch 1.0 or 1.5. Anatomy details and the confidence level in reaching a diagnosis were evaluated by two radiologists in a double-blinded manner using a 4.….point scoring system. The CTDIw of eve可伊up were compared. R四川ts For both reader there was no statistically significant difference between 6 group total score of 1 -6 anatomical detail and each of 6 anatomical detail although score for each of 6 anatomical detail. The CTDIw of 70 mAs,in pitch 1.5 group decreased about 76.7%. Conclusion Radiation dose reduction in brain CT is feasible in clinical use, and quality of images can be re- served. It plays an important role in radiation protection. Key words:low-dose