多层螺旋CT扫描降低仟伏值对婴幼儿胸部图像质量的影响.pdfVIP

放射学实践 2008 年 12 月第 23 ~墨第 12 期 Radiol Practice.Dcc 2008.Vol23.No.12 1373 ·影像技术学· 多层螺旋 CT 扫描降低忏伏值对婴幼儿胸部图像质嚣的影响 徐小静，孔秋麟，许崇永，陈宇，陈延港 E摘要】 臼的 1 比较婴幼儿胸部低仔伏值 CT 扫描与常规扫描的图像质量，探讨降低作伏他低剂量扫描应用于..幼 儿胸部检查的可行性。方法:体模测试 g 用 120 和 90 kV 条件扫描体模的空间分辨力插仲，选择相同位置的 4 锁图像测量 平均空间分辨力 z再用相同的方法扫描体模的水晨，测费每组 4 帧阁像的平均 CT 低标准是，作 2 组的噪声水平比较。病 例扫描 g 选择胸部检寰的怠Jl.， 80 例，随机分成 2 组，每组 40 例。 2 级分MII JIl常规剂囊(120 kV , 80 mAs)和低知~(90kV ， 80 mAs)扫描，层厚 5mm. 比较不同剂量的 CT 权宣剂量指数(CTDI叫)J.t剂量*~乘积 CDLP) ，测量、比较 2 组阁像降主 动脉处的噪声像 z 并由 2 位医师按优、合格、不合格的等级育法评价 2 纽图像磺1:.编呆 :90 kV 扫描的 CTDIvol ~ 2.3 mGy.DLP 为 26.4 mGy.棚，与常规剂蜜的比低为 43.4%和 43.1%。低剂...朋像的电来卢水平 (H=0.66%)较常规组 (H埠。.44%) 病，两者差异有统计学意义(t= l1. 邸，PO.OOl).虽然低剂量组的优质图像所占比牟有所降低，但不存在不 合格阁像，所有低剂量图像都符令临床诊断要求。结论 :90 kV 可以作为多层螺旋 CT 婴幼儿日常胸部枪蠢的扫描命仲. 【关键词】 体层摄影术，X 线计算机 4 放射极影术，胸部 z 辐射剂最 E中团分类号) R814. 42; R323.2 (文献标识码】 A (文章编号】 1000-0313(2008)12-1373-03 Evaluation of Low也i1ovoltage MSCT Chest Imaging in Children XU Xiao-pu. KONG Qiu啊n. XU Chong-yo吨， et a1. De- partment of Clinic Engineering , the Second Affiliated Hospital of Wenzhou Medical College ,Zhejiang 325027 .P. R. China (Abstract] Objective: To compare the image qualities of the low-kilovoltage with the conventional-kV in the pediatric chest MSCT examination and to evaluate its application in routine pediatric chest study. Meth叫5 ， Phantom measurement , The phantom scans were performed on the same location of the multi翩pin layer using tube voltage 120 and 90kV , and the spatial resolution of images with dífferent kVs were measured. Then the noíse level of ímages wjth different protocols were apprai树d after same scans had been perform叫 on the water layer. Patients scans I80 children requiring chest CT were ran- domly assigned to one of two protocol groups (n=40 in each group). The MSC丁 scans were performed in one group with parameter 90kV and 80 mAs and the standard protocol (l2okV and 80mAs) wωused in another group. The weighted CT dose index (CTDIvoi) and dose length product (DLP) of two groups were compared. The noi