多排螺旋CT血管成像显示大根髓动脉扫描方法的研究.pdfVIP

618 放射学实践 2008 年 6 月第 23 卷第 6 期 Radiol Practice.]un 2008. Vol 23.No. 6 ·血管影像学· 多排螺旋 CT 血管成像显示大根髓动脉扫描方法的研究 张沉石，董伟华，刘靖，刘士远 E铺票】 阔的:评价多排螺旋 CT 血管成像(MSCTA)对 Adamkiewicz 动脉(AKA) 的显示，探索显示 AKA 的最佳方 法。方法 :81 带1 受试者按各两种相似扫描方法被分为 A 、B 和 C 、D 组，即 A 组:闺定~i足扫描时间法 (25 s) 、 B 纽 g 闽值触 发技术 (230 HU) 、C 纸:层面测定循环时间法、D 组:在 C 纽计算的时间J:.再加 4 s。将原始图像进行容积显示 (VR) 、多-t i1:t建 (MPR) 、曲曲才在建 (CPR).观察和分析 AKA 的显示情况，对不同参数下的 AKA 显示效果进行比较。结果:总显示 牟 8 1. 48%.A 纽 57% 、启立且 90% 、C 组 80% 、D 纽 100%.日组显示率高于 A 级.;在示效果方面，日组优于 A 组 .0 组优于 C 组。编论 :M以~TA 可以成功的~示 AKA.适当的对比剂流旦辑、延迟扫描时间? 自动阀{1触发技术的合理应用是显示成 功的关键。 E关键词) Adarnkiewicz 动脉 I CT .?证管选影;二维重建 E中阁分类号】 R814.42 ， R543.5 [文献标识码】 A [文章编号11000唰0313(2008)侃-0618-05 Visualization of Adamkiewicz Arteηwith Mul叶剑ice cr Angiography and Optimlzation of the 胁plcti吨 Protocol ZHANG Chen-shi.OONG Wei-hua.LIU Ji吨. et al. Oepartrnent of Radiology. Shanghai Changzheng Hospital. Shanghai 200003. P. R. China [Abstractl Objective: To investigate the visualízation of Adarnkiewicz artery (AKA) using rnulti幡 slice CT angiography (MSCTA) and to optirnize the depicting protocoI. Methods: Eíghty-one patíents without vascular diseases were randornly di附 vided into 4 groups:group A.delay scan tirne;group B.Smartprep- triggering threshold scan,group C, tirning-bolus scan;and group O.delay tirning-bolus scan. Volume rendering (VR).rnultiplanar and curved planar reforrnation (MPR and CPR) were perforrned on the ba~is ofaxial irnages. The detailed anatorny of AKA and the displaying effects within differerrt groups were cornpared. Results: The total display rate of AKA was 81. 48%. with the rate in groups A. B. C and D beíng 57% .90% ,80% and 100% ,respectively ,which was signiCicantly higher in group 巳 than ín group A. The displaying effects in groups B and 0 were significantly better than in groups A and C, respectively. Concluslon: MSCT A can satisfactorily visu- alize AKA. Optirnized f10w velocity of contrast rnediurn and the use of scan-triggering threshold and scan tirne are the keys