低剂量颞骨螺旋CT扫描技术临床应用.docVIP

低剂量颞骨螺旋CT扫描技术的临床应用 王东军 罗利彬 黑龙江省牡丹江医学院附属二院157011 [摘要]方法：使用GE Light Speed 4层螺旋CT扫描机，在其它扫描参数不变情况下，分别以100mA和50mA管电流进行颞骨轴位和冠状位扫描。应用图像融合技术，重建出2组冠状位、2组轴位图像。全部图像行高分辩率骨密度算法，再利用MPR技术对4组数据分别重组轴位和冠状位图像。全部40例单次扫描加权CT剂量指数（CTDIw）值，均按机器设备直接显示记录。结果：通过对颞骨低剂量多层螺旋CT扫描技术的临床研究，证明采用低剂量扫描，曝光量由100mA降至50mA，单次扫描CTDIw值下降达50%，图像噪声虽增大，但不影响解剖结构的显示。能够满足对中耳炎、颞骨病变、外伤骨折、先天性耳畸形筛查及耳蜗植入的诊断要求。意义：由于颞骨解剖结构具有天然高对比，应用高分辨CT扫描技术，通过单纯降低mA值来减少射线量。在能较好的保证诊断质量前提下，使受检者的照射剂量明显减少，降低检查费用、缩短检查时间和减少管球消耗。 [关键词]颞骨 低剂量 多层螺旋CT 中图分类号 R445 文献标识码A Clinical Application of Low-dosage Temporal-bone Spiral CT Technology Dongjun Wang Libin Luo The?Second Affiliated Hospital of Mudanjiang College Mudanjiang [Abstract]: Methods: Without changing all the other parameters, GE Light Speed4-layer spiral CT was used to scan the temporal bone and corona positions respectively with 100mA and 50mA tube current.2groups of corona position images and 2groups of axis position images were rebuilt through image fusion. All the pictures are calculated with the method of full-resolution bone density. the axis position images and corona position images of the 4froupa of data were recombined. The values of all the 40-case scanning weighting CTDIw were recorded according to what the machines showed. Results: Through the clinical study on CT scanning technology of low-dosage multi-layer of temporal bone, it is proved that by using low-dosage scanning, reducing exposure from 100mA to 50mA,and reducing one single CTDIw value by 50%,although the noise lf the images increase, it will not affect the exposure of anatomic structure. It can meet the diagnostic requirement for tympanitis, temporal bone diseases, trauma, fracture, inborn ear-malformation, and cochlea implantation. Significance: As temporal bone has the character of naturally high relative property, using high-resolution CT scanning technology and reducing mA values will lead to the reduction of radial. On the premise of high-quality diagnosis, the exposure dosage of th