探讨双低技术在胸腹联合CTA中的应用.docVIP

探讨双低技术在胸腹联合CTA中的应用 苟杰杨帆林伟汤化民 成都市第一人民医院放射科610041 摘 要 目的探讨双低技术■■低千伏（80kVp）技术联合低对比剂摄入量在 胸腹联合CTA中的应用效果。方法收集2014年1月到2015年10月在我院行 胸腹联合CTA的87例患者，按入院编号随机分为A组（29例，采用常规120kVp, 螺距0.8, 370mgl/mL碘帕醇注射液，总量为1.5mL/kg体重）、B组（26例，采 用80kVp,螺距0.8, 370mgl/mL碘帕醇注射液，总量为ImL/kg体重）、C组（32 例，釆用80kVp,联合FLASH炫速模式加SAFIRE迭代重建算法，螺距3.4, 370mgl/mL碘帕醇注射液，总量为ImL/kg体重），对比三组患者胸腹部各主要动 脉CT值、图像噪声、对比噪声比、主观图像质量评分、辐射剂量及对比剂碘摄 入量。结果A组患者胸腹各项CT值与B、C组相比明显较低，PV0.05。B组与 C组患者胸腹各项CT值相比无差异（P0.05）o A组患者图像噪声、CNR、主观 图像质量评分与C组对比无差异（P0.05）o A组、C组患者图像噪声、CNR、 主观图像质量评分均高于B组（PV0.05）。A组患者辐射剂量、对比剂碘摄入量 明显高于B组，B组明显高于C组（PV0.05）。结论临床上使用低电压低对比 剂联合FLASH炫速模式及SAFIRE迭代重建算法进行胸腹联合CTA检测时不影响 患者CT扫描图像质量，且能提高图像CT值，减少对比剂碘摄入量，有效减少扫 描过程对患者肾脏的影响，同时可以有效地减少辐射剂量，可在胸腹主动脉CTA 检测中推广运用。 关键词 双低技术；胸腹联合；CT血管成像；辐射剂量；碘 To explore the application of low-output tube voltage and low-intake iodine of contrast media in thoracoabdominal CTA Abstract Objective To evaluate the feasibility of using low-output tube voltage (80kVp) and low-intake iodine of contrast media in thoracoabdominal CT angiography (CIA) .Methods Eighty-seven patients from January 2014 to October 2015 in our hospital with suspected thoracoabdominal arterial diseases were randomly assigned to three groups for thoracoabdominal CTA.Group A 29 cases, 120kVp, pitch of 0.8, 370mgl/mL of lopamidol with 1.5mL/kg.Group B 26 cases, 80kVp, pitch of 0.8, 370mgl/mL of iopamidol with ImL/kg.Group C 32 cases, 80kVp, combined with FLASH spiral and sinogram affirmed iterative reconstruction (SAFIRE) technique, pitch of 3.4, 370mgl/mL of iopamidol with ImL/kg.The CT values of thoracic and abdominal arteries, image noise, contrast-noise-ratio (CNR). the scores of image quality on a scale of 1 to 4, radiati on dose and iodine intake of contrast media among the three groups were compared.Results The CT value of group A was sign ifica ntly lower tha n that of group B and group C (P lt; 0.05) .There was no difference in the CT values between group B and group C (P gt; 0.05)」mage noise, CNR and the srores of image quality