新生儿颅脑低剂量螺旋CT扫描技术研究.pdfVIP

成都医学院学报 2016 年第 11 卷第 4 期 Journal of Chengdu Medical College , 2016 , Vol. 11 , No. 4 网络出版地址: /kcms/detail/51. 1705. R.1101. 006. html doi: 10. 3969/j. issn. 1674-2257. 2016.04.011 ? 435 ? ·论著· 新生儿颅脑低剂量螺旋 CT 扫描技术研究 张志1 ，史勇跃且，曾金光1 ，谭兵l ，王卫l 1.成都医学院第一附属医院放射科(成都 610500) ;2. 解放军第 37 医院放射科(雅安 625000) E摘要】 目的 探讨 64 排 128 层螺旋 CT 检查新生儿颅脑低剂量扫描方案的可行性。方法 采用数字表法， 将连续受检的 123 例新生儿(77 例足月新生儿和 46 例早产儿)随机分为 3 组，分别行颅脑常规剂量及低剂量扫描， 扫描管电压均为 120 kv.管电流分别为 150 mAs、40 mAs 及 30 mAso 比较 3 组 CT 吸收剂量指数(CTDIw) 、剂量 长度乘积CDLP)及图像质量差异。结果 低剂量组 X线吸收剂量明显减低。随管电流降低 .3 组被试图像质量逐 渐降低(PO. 001).不合格图像逐渐增加，但 40 mAs 组与常规组可满足诊断要求的图像数量比较，差异元统计学 意义(PO. 05) ;30 mAs 组的足月新生儿不合格图像较多，而 30 mAs 组和 40 mAs 组可满足诊断要求的早产儿图 像数量比较，差异无统计学意义(P0.05) 。结论 128 层螺旋 CT 40 mAs 及 30 mAs 新生儿颅脑扫描可满足临 床诊断需求，能有效降低新生儿的辐射剂量，40 mAs 及 30 mAs 扫描法可分别作为足月儿及早产儿颅脑 CT 检查 的首选方案。 E关键词】 新生儿 F多层螺旋 CT;低剂量扫描 【申图分类号】 R445.3 (文献标志码】 A Research of Low-dωe Spiral CT Scanning Technol呗0 in Neonatal Cerebral Examination Zhang Zhi 1 , Shi Yongyue丛 ， Zeng Jinguang 1 , Tan Bingl , Wang Wei 1 ? 1. Detartment of Radiology , The First Affiliated Hosρital of Chengdu Medical College , Chengdu 610500 , China; 2. Deρartment of Radiology , No. 37 Hostital ofPLA , Yaan 625000 , China [Abstract Objective To investigate the optimal protocol of low-dose CT imaging in the neonatal cerebral examination with 128-s1ice spiral CT. Methods 123 newborns including 77 mature infants and 46 premature infants were randomly divided into 3 groups , which are the standard-dose groups with the tube current of 150 mA. the low- dose group with 40 mA. and the low-dose group of 30 mA. All the three groups underwent the same tube voltage of 129 KV. The weighted CT dose index (CTDIw). the dose-length product (DLP) and the image quality were compared among the three groups. Results The X-ray absorbed doses in the low-dose groups were significantly reduced. With the decrease of the tube current , the image quality became significantly worse (PO. 001) and the unqualified images