全脊柱数字化拼接成像技术临床应用价值.docVIP

全脊柱数字化拼接成像技术临床应用价值[摘要] 目的 探讨拼接法数字化全脊柱成像在脊柱侧弯、旋转畸形的诊断、治疗及治疗后复查的临床应用价值。方法 在DR数字化成像设备及PACS影像处理系统上，检查134例脊柱侧弯、旋转病例，共获得168帧全脊柱影像，进行图像质量评估和图像观察、测量。 结果 拼接后的图像与拼接前的图像甲片率差异无统计学意义（自由度=2，χ2=1.48，P＞0.05）。全脊柱图像质量能满足临床对全脊柱进行观察、诊断及对Cobb角、临床人体平衡线的测量要求。结论 拼接法全脊柱成像清晰显示全段脊柱结构，满足临床脊柱侧弯、旋转畸形测量要求，具有较大临床应用价值。 [关键词]脊柱侧弯；脊柱旋转；体层摄影术；X线计算机；图像处理；计算机辅助 [中图分类号] R681.5 [文献标识码] B [文章编号] 1673-9701（2011）22-113-03 Application of the Digital Radiography Joint for the Total Spinal Column ZHOU Xingning XU Zhongyou ZHOU Yi HE Wanlin TANG Lei ZHOU Zan ZENG Yan Department of Radiography，Hospital of Tibet Office to Chengdu Branch of West China Hospital， Sichuan University，Chengdu 610041，China [Abstract] Objective To investigate the digital radiography（DR） having been jointed for the total spinal column in the diagnosis，treating and rechecking for scoliolosis and spinal rotation. Methods All 134 patients who had scoliolosis or spinal rotation were examined with DR equipment and all original imaging were prosessed on PACS，168 jointed total spinal column imaging had been analysed，including imaging quality，spinal observation and measurement. Results The difference of grade A between original and jointed spine imaging showed no statistical siginificance（P＞0.05）. The jointed total spinal imaging were satisfied in observing total spinal structure and measuring Cobb angle and demic balancing line. Conclusion The jointed total spinal column imaging provided significant value in diagnosing and measuring for scoliolosis and spinal rotation ，due to its ability to display spinal structure clearly. [Key words] Scoliolosis；Spinal rotation；Imaging prosessing；Computer-assisted； Tomography/x-ray computed 脊柱侧弯、旋转矫形是骨科近年来发展迅速的一门学科，全脊柱影像是决定脊柱侧弯、旋转畸形治疗方案的主要依据，并对矫形术后的疗效评估等临床应用具有十分重要的意义。人体脊柱是人体的中轴，上承头颅，下连下肢带骨，全长较长；目前已有的摄影技术对身高120cm以上患者的脊柱不能一次曝光获得符合临床要求的脊柱全长图像。我院放射科采用DR数字化摄影，通过分段连续、重叠采集数字化图像信息进行拼接的方式来获得脊柱全长的图像，总结报道如下。 1 资料与方法 1.1 一般资料 收集我院2008年11月～2010年10月所摄的DR全脊柱影像134例，术前76例，术后58例；男82例，女52例；年龄6～40岁