模拟青少年脊柱多层CT低剂量扫描的动物实验.pdfVIP

第 29 ~接第 4期 2∞8 年 7 月 中山大学学报(医学科学版) JOURNAL OF SUN YAT-SEN UNIVERSITY(MEDICAL SCIENCES) Vo1.29 No.4 July 2∞8 模拟青少年脊柱多层 CT 低剂量扫描的动物实验 彭谦 1，范在 1，严趟贵 1，张普昕 2，荒俊非 1，陈 (中山大学 1.附属第一眩院放射科，广东广州 510080; 2. 公共卫生学院统计学教研蜜，广东广州 51ω80) 摘 粟: [目的}通过动物模珊逐步降低管电流，初步摸索出相对应的模拟显示青少年脊柱正常解剖锚 构的低剂量去多展 CT 扣锚的最低管电流。[方法) v...( 30 - 40 kg 幼猪模拟青少年进行脊柱多层 CT 扫捕。先行 预试验，初步确定最低剂最值后，进行实骏。每只幼猪扫描常规翔l锺:;;!:l: 2ω mA(A 组)、最低剂量值(C 组)、其上 位 10 mA(B 组)、下位 10 mA(D 组)进行平扫。将扫描后重建图像随机交由两位有经验的高年资放射学医师 果用双育法进行阅片、评价图像质量，以取得…敷意见为准。以常规剂量罔像为基础片，从图像伪影、质地(噪 声)、脊柱结构(骨皮质、骨松质、管小蝶)的显示、脊柱与周围组织的对比四个方面评价，进行配对设计两样本 的卡方检验。{结果] 30 mA 与正常剂盘组 CT扫描阁像经统计学分析 ，P 0.05 0 20 mA与正常剂最组 CT 扫 描罔像经统计学分析 ，P 0.05 0 30 mA可以获得与正常剂暨组同样显示清晰的 CT 罔像。本动物实验得到模 拟青少年脊柱多层 CT 低剂量扫描管电流的最低值是 30 mA o [结论}低剂量多愿 CT 扫描可以可获得符合 临床诊断需求的脊柱结构的图像信息，剧而能在青少年脊柱侧突的l临床诊断中应用。 关键询:青少年;脊柱;体屠摄影术，X 钱计算机;低剂最 中罔分提号:民814.2 文献标识码:A 文章编号: 1672-3554(2∞8)04-0431-04 Animal Experiment of Low-dose Scanniog of Multi-slices CT 00 Simulated Adolescent Vertebral Columo PENG Qian 1 , FAN Miao 1 , YAN Chao翩伊i l ， ZHANG Jin明in2 ， MENG Quan-feil , CH配N Xing1 (1. Department of Radiology ，白le First Affiliated Hospita1; 2. Department of Medical Statistics , SUN Yat-sen University , Guangzhou 510080 , Chìna) Abs伽ct: [Objective] To figure out 阳 lowest current that could 酬仙5t the normal structure of adolescent vertebral column by decreasing 由e current step by step in animal m叫el. [Me仙。ds] Adolescent vertebral column were examined by mul协slices Cγand modeled by pigs wei庐ted 30 - 40 kg. Preliminary 悦目t were done at fiIllt and the lower current dose wωfound. The pigs were scωmed respectively by the routine dose (Group A) , the lower d脚 (Group C) , the dose 胁。，ve (Group B) and below (Group D) 1伽A to the lower d帆叽le reconstruct ima吕e quality w刷刷aluated by two radiologists randomly with double-blind method.ηle image quality of plain film which wωscanned by routine dωe was u辅d as the standard. The image qualiti例。f all the films were evaluated respectively from artifact , no时， display of vert