双源CT双能量虚拟平扫在上腹部不同扫描时期的应用研究.pdfVIP

VNC 出现伪影，其中2 例影响病灶检出；3 例门静脉期VNC 出现伪影，未影响病灶 的检出。动脉期VNC 图像中伪影较门静脉期VNC 明显，同时动脉期VNC 图像中心 腔、下腔静脉内碘剂去除不如门静脉期VNC 完全。动脉期或门静脉期双能量增强扫 描的辐射剂量（CTDIvol、DLP 、ED ）均低于常规平扫，差异有统计学意义（P0.05 ）， 动脉期、门静脉期双能量增强扫描辐射剂量的差异无统计学意义（P0.05 ），通过双 能量增强扫描获得VNC 图像减少一次常规平扫，受检者接受的有效辐射剂量减少了 38.73% 。 结论：动脉期VNC 及门静脉期VNC 图像质量评分均低于CNC，感兴趣区VNC 的 CT 值、SNR 与CNC 有差别，但其病灶检出率无差别，均能够满足影像诊断的需要， 并且明显减少了患者所接受的辐射剂量，使其取代常规平扫成为可能，具有潜在的临 床应用价值。相对于动脉期VNC 图像而言，门静脉期VNC 的图像质量评分及病灶 检出率更接近于CNC，同时门静脉期VNC 图像心腔、下腔静脉内碘剂的去除较动脉 期VNC 图像完全，故推荐门静脉期行双能量虚拟平扫。 关键词：上腹部；体层摄影术，X 线计算机；双能量；虚拟平扫；辐射 剂量 3 Application study of different periods of dual-source CT dual-energy virtual non-contrast in the upper abdomen Abstract Objective: To estimate the image quality and radiation dose of arterial and portal phase of dual-energy virtual non-contrast(VNC) and investigate advantages and limitations of dual-source CT dual-energy virtual non-contrast in the upper abdomen . Methods: Abdominal CT conventional and enhanced scans were performed in 200 patients with suspected abdominal lesions by using dual-source CT(Siemens Somatom definition flash).The conventional non-contrast (CNC) using the single energy mode (120kV / 350mAs), while the arterial and portal phase using dual-energy mode (100kV / 230mAs and Sn140kV / 178mAs). Arterial and portal phase virtual non-contrast images were acquired by sending the reconstruction datum (1.5mm in thickness and 1mm in interval ) of the arterial and portal phase enhancement images to an application procedure (Liver VNC) available in the workstation (Dual Energy), and changed their window width and window level to bring them correspondence with the conventional scan. Then got the arterial and portal phase VNC images by rebuilting them into