CT的发展及近年的成就.ppt

F91,145cm , 33kg-BMI:15.7 Scan: Acquisition :SnapShot Pulse Coverage :64X0.625m 104mm Tube :100kv140mA Gantry Rotation:0.35 sec 0.31mSv 0.47mSv F79, 145cm , 34kg-BMI:16.17 Scan: Acquisition :SnapShot Pulse Coverage :64X0.625m 104mm Tube :100kv190mA Gantry Rotation:0.35 sec Stent Follow Up Screening Less Dose  分辨物质成分的探索----能谱 痛风结节 融合像 70keV / Uric Acid MD 尿酸像 MD 钙基像 70keV / VOI 蓝色为尿酸成分的痛风结节 白色为普通磷酸钙沉积，即常说的韧带钙化，老年骨质增生等 物质分离像－尿酸－钙 物质分离：水成像 单能谱成像 物质分离：碘成像 肾脏低密度囊性病灶鉴别： 1、 水基呈低密度，碘基呈低密度－－ 囊肿 2、水基等密度，碘基呈稍高密度－－ 肿瘤 肾脏囊肿与肾透明细胞癌的对照图 物质分离像－水-碘 120keV~60keV 传统像 120keV 110keV 100keV 90keV 80keV 70keV 60keV 随着keV的变化，病灶逐渐清晰 对小病灶的检出率增加－肝脏病变 35岁，男，骨折术后复查 扫描方式 70keV 对细微结构显示-肌腱韧带病变的分析 潜在临床价值： 可以鉴别肌腱血肿和水肿 可以判断肌腱断裂确切位置 可以鉴别断裂程度：完全断裂和部分断裂 同时可以评估韧带断裂 肌腱钙化对运动医学影响 卫生部北京医院 上海交通大学附属仁济医院 人类探索永无止境，CT更多新的功能将不断被发现！ 谢谢！ * X-ray Source - X-ray tube. The X-ray tube contains a source of electrons(cathode) and a target(anode) contained in a vacuum. A high voltage (typically 80 - 140 kV )is used to propel an electron stream from the source to the target. The electrons striking it result in the production of X-rays. The higher the voltage used, the higher the energy of the resultant X-rays. X-ray Detector - is a device that converts the attenuated X-rays into an electrical signal. As a general rule, the more sensitive this device is, the better the resultant image quality will be. Image Processor - receives the electrical signals from the detector array and corrects the data of any machine induced errors. It then uses this corrected data to reconstruct a facsimile of what was scanned based on the objects ability to attenuate the X-ray beam. * * * Old vs. New - The image on the left shows an image matrix of 80 x 80 pixels. The image from the Somatom Plus 4 is generated at 512 x 512 pixels, but can be interpolated to 1024 x 1024 pixels. To put this into numerical terms: Let’s assume that the Field Of View is the same for both CT’s ab