数字化X线摄影应用价值探析.docVIP

数字化X线摄影应用价值探析 　【关键词】 数字化X线摄影 　　［摘要］ 目的：探讨数字化X线摄影临床应用价值。方法：按连号抽取片库中常规照片与调PACS(图像传输与储存)系统中数字化照片各1 000例进行影像质量评价；收集120例肺部有病灶病例，行数字化及常规X线摄影，将其两者病灶检出结论与CT检查结果相比较。结果：数字化相比常规X线片甲级照片率提高30.2%，乙级、丙级照片率降低28.8%；肺癌检出率提高10%，肺癌检出率特异性提高20%。结论：数字化比常规X线片图片影像质量及肺癌检出率和特异性都有提高。 　　［关键词］ 数字化X线摄影；常规X线片；应用价值 　　A Probe into APPlied Value of Digital Xray Radiotive 　　Abdtract：Objective This essay is to probe the clinical applied value of the digital Xray Radiotive.Method Evaluate the quality of the 1000 photographs which are dawn out from the routine photographs in the bank in the joining number and the 1000 digital photographs which are drawn from the PACS system.Collect 120 cases of having nonatural shadows in their lumgs,have digital and routine Xray radiotive and then compare the tested results of the two focuses with the results of CT.Results The of digital photographs in Aclass is increased by 30.2 percent compared with the routine Xray photographs;the rate of the photographs in Bclass and Cclass is decreased by 28.8 percent;the rate of examining the lung cancer is increased by 10 percent;the rate of examining the abnormal in xeamining the lung cancer is increased by 20 percent.Conclusion Compared with the routine Xray photographs,the quality of the digital photographs,and its examined diaguoses,rate of examining the iung cancer and its abnormal are all increased. 　　Key words：Digital Xray Radiotive；Routine Xray photographs；Applied value 数字化X线摄影(Digital Xray Radiotive，简称DR)以其功能强、性能稳定、图像清晰、投照成功率高、操作便捷而备受医务人员青睐。DR的临床应用，实现了放射科无胶片化、数字化、网络化以及信息资源共享的美好前景［1，2］。为进一步了解推广DR在临床诊断中的应用，我们通过临床实践对DR应用价值进行了评价。 　　1 资料与方法 　　1.1 一般资料 随机抽取我院放射科片库中常规X线片与调PACS系统中DR照片各1 000例进行照片影像质量评价；收集2004年10月至2005年9月120例肺部有病灶病例，临床表现以咳嗽、发热、胸痛、胸闷不适为主要症状。 　　1.2 成像设备 DR系统：荷兰飞利浦公司Digital Diagnost System。激光打印机：DRYSAR5500P，配套DRY MEDICL FILM打印胶片；X线机：日本岛津SHLMADZU型照片机，自动冲洗机：德国COMPACT型，配富士感绿胶片显影定影药水；CT机：GE公司Hispeed NX/Ⅰ。 　　1.3 方法 对1 000例常规X线片按照《国家放射科QA、QC学术研讨会纪要》的评定标准［3］，进行甲、乙、丙、废片的评定；DR照片也参照此标准评定。对120例肺部有症状病例，都行常规X线照片与DR检查,并与CT检查比较证实进