多层螺旋CT不同层厚最大密度投影对尘肺小结节检出数的研究.docVIP

多层螺旋CT不同层厚最大密度投影对尘肺小结节检出数的研究 肖云华，吕富荣1，吕发金1，王 辛，但 睿2（1重庆医科大学附属第一医院放射科，重庆400016；2重庆市职业病防治院职业病科，重庆400060） 摘要：目的 探讨多层螺旋CT（multislice spiral CT，MSCT）不同层厚冠状位最大密度投影（maximum intensity projection，MIP）对尘肺小结节的检出数目。方法 选取2008年11月至2009年5月期间，在重庆市职业病防治院诊断为尘肺Ⅰ期的患者45名，均为男性，平均年龄46.7岁，平均接尘工龄13.9年，对所选受检者进行胸部MSCT常规扫描，标准算法0.625 mm薄层图像重建，数据以DICOM格式传输到ADW4.2工作站，右肺野以主动脉弓上缘为基准，向下取20 mm厚度容积数据为分析对象，将此容积数据分成两层10 mm横断位MIP透视图，沿胸膜下去除胸廓及纵隔结构，计数此两层图像上发现的结节数，将其作为结节检出数标准。对所选定的容积数据进行冠状位3、5、8、10mm最大密度投影成像，按肯定是结节、可能是结节、可疑是结节和肯定不是结节记录结果，将前二者合并视为有结节检出，后二者合并视为无结节检出。结果 横断位及冠状位3、5、8、10 mm MIP图像检出尘肺小结节数分别为6705、9023、6953、5200、4561。以横断位检出数为标准，5 mm层厚差异不显著（χ2=0.6339，P﹥0.01），其余3种层厚差异显著（χ2=44.5060,657.6827,844.3803，P﹤0.01）。结论 5 mm层厚MIP图像重叠较少，病灶显示直观清晰，最能客观显示尘肺小结节数。 关键词：多层螺旋CT，最大密度投影，尘肺，小结节 中图法分类号：R445.3；R135.2 文献标识码：A Study of the quantities of pneumonoconiosis micronodular examined by maximum intensity projection of different slab thickness of multislice spiral CT XIAO Yun-hua,LV Fu-rong,LV Fa-jin,WANG Xin,DAN Rui(Department of Radiology,The First Affiliated Hospital,Chongqing Medical University,Chongqing 400016,China) Abstract：Objective This article aims to explore the quantities of pneumonoconiosis micronodular examined by maximum intensity projection (MIP) in coronal view of different slab thickness of multislice spiral CT (MSCT). Method forty-five male patients, 46.7-year-old on average and 13.9 years’ dusty occupation on average, with pneumonoconiosis in stage I, examined by Chongqing occupation disease prevention and treatment center during 2008 Nov. to 2009 May, are chose to undergo the conventional scan of multislice spiral CT (MSCT). 0.625mm thick of thin-slab-image is reconstructed by standard algorithm, the data is transferred to work station ADW4.2 by DICM format, and 20mm thick of volumetric data in right lung field on the basis of the upper edge of aortic arch are used to analyze. The volumetric data are divided into two 10mm slide crossing MIP visulization image, and