肋骨骨折骨性骨痂形成期不同体位低剂量CT图像质量分析.docVIP

精品论文 参考文献 肋骨骨折骨性骨痂形成期不同体位低剂量CT图像质量分析 范志奎1 魏东旺2 王 宇3 常 君4 葛 伟*3 李玉勤3 　　（1. 河北承德钢铁集团有限公司职工医院放射科，河北 承德 067102； 2. 河北承德市中医院影像科；3. 河北承德市第六医院067000；4. 河北承德市鹰手营子矿区铜城人民医院067200） 　　中图分类号: R816.8;R683 文献标识码:A 　　摘要：目的：分析 肋骨骨折骨性骨痂形成期不同体位低剂量CT图像质量。方法：回顾30例肋骨骨折患者资料。均于创伤3d内行首次常规CT扫描，骨性骨痂形成期以常规体位、肩区改良位进行2次低剂量（30mA）扫描。评估不同体位第1~4后肋区、其余肋区低剂量图像质量，记录各肋区显示骨折处数。对同一肋区不同体位图像质量评分进行配对t检验，显示骨折处数进行非参数秩和检验。结果：常规体位及肩区改良位全部患者第1~4后肋区平均图??诊断可接受率分别为1.97plusmn;0.72、3.17plusmn;0.46，主观噪声和伪影分别为1.97plusmn;0.72、3.17plusmn;0.46，显示骨折处数分别为10、30；其余肋区平均图像诊断可接受率分别为3.23plusmn;0.43、2.93plusmn;0.25，主观噪声和伪影分别为3.23plusmn;0.43、2.97plusmn;0.18，显示骨折处数分别为90、86。两种体位相比，各肋区图像质量评分及第1~4后肋区骨折显示处数均有统计学意义（P＜0.05），其余肋区骨折显示处数无统计学意义（P＞0.05）。结论：肋骨骨折骨性骨痂形成期低剂量CT复查患者，如第1~4后肋区有创伤宜选用肩区改良位，无创伤宜选用常规体位。 　　关键词：肋骨骨折；低剂量；体层摄影术，X线计算机；辐射计量 　　Image Quality Analysis of Low-dose CT in Patients with Different Postures Rib Fractures in Bony Callus Formation Periods 　　FAN Zhikui，WANG Shenglin，WEI Dongwang，et al 　　（Department of Radiology,Chenggang Branch of the affiliated Hospital of Chengde Medical College, Hebei, Chengde 067102,China） 　　Abstract:Objective: To analyze images quality of low-dose CT in patients with different postures rib fractures bony callus formation. Methods: 30 cases data of patients with rib fractures were retrospectively analyzed,All the cases were underwent firstly conventional dose CT within 3days after trauma,the patients in bony callus formationphases were underwent low dose CT examination(30mA) conventional position and shoulder area improved position. Then evaluated low-dose image quality of different position from the first to fourth posterior rib section and the remaining rib section, and recorded the number of the ribs fracture. Paired t testwas used to compare image quality score of the same rib area in different postures .The number of the ribs fracture were tested using the Wilcoxon signed rank sum test. Results: The average acceptable image diagnosis rate of the two position from the first t