多排螺旋CT骨盆低剂量扫描技术的应用.docxVIP

多排螺旋CT骨盆低剂量扫描技术的应用 李耀平 邱国华 梁飞虎(广东省高州市中医院 广东高州525200) 【摘要】目的 评价骨盆螺旋CT低剂量与常规剂量扫描的图像质量，探讨骨盆低 剂量螺旋CT扫描时合理剂量选择及其应用价值。方法 回顾性总结120例需行 骨盆CT检查患者，在常规剂量(200mA)螺旋CT扫描后，其它参数不变，仅改变管 电流(100mA50mA和30mA)进行螺旋CT扫描，根据不同mA值共分成4组，分 析比较常规剂量与低剂量图像及辐射剂量的差异。结果①低剂量(100mA50mA 和30mA)的CTDIvol值为常规剂量(200mA)的50%、25%和15%。②图像质量评价 结果100mA与50mA的可诊断图像进行t检验,Pgt;0.05,差异无统计学意义，满足 诊断要求;30mA可诊断图像t检验,Plt;0.01,提示图像质量差，不能满足诊断要求。 结论合理选择低剂量骨盆螺旋CT扫描技术，有利于降低患者所接受的射线剂 量，也能取得与常规CT扫描相同的图像质量，同时减少性腺辐射剂量，延长昂贵 球管寿命，值得进一步推广应用。 【关键词】多排螺旋CT低剂量 图像质量 骨盆 【中图分类号】R445 【文献标识码】A 【文章编号】2095-1752 (2013) 18-0104-02 Applicati on of multi-slice low-dose spiral CT scan ning tech no logy in the pelvis liYaoping, Qiuguohuajiangfeihu (Guangdong Province TCM Hospital of Gaozhou, Gaozhou 525200) 【Abstract 】 Objective: To evaluate the image quality of low-dose spiral CT searrning and conven tional dose, low dose spiral CT scan ning of the pelvis is reas on able choice of dose and its application value. Methods: a retrospective review of 120 cases of pelvic CT examination for patients, in the conventional dose (200mA) of spiral CT seanning, the other parameters constant, changing only the tube current (100mA 50, mA and 30mA ) were scanned by spiral Cl； according to the different mA values were divided into 4 groups, an alysis of d iff ere nee betwee n conventional dose and low dose image and radiati on dose. Results: ① low dose (100mA 50 mA and 30mA) of CTD Ivol value of routine dose (200mA) of 50%, 25% and 15%. Results the image quality evaluati on of 100mA and 50mA can be diag no Stic images by using t test, P gt; 0.05, the differenee was not statistically significant, meet the diagnostic requirements; 30mA diagnosis image t test, P lt; 0.01, indicating that image quality is poor, can not meet the diagnostic requirements. Conclusions: selection of low dose pelvic spiral CT sea nning tech nology, helps to reduce the radiati on dose received by the patients, also can obtain the same image quality and conventional CT seanning, while reduci ng t