不同管电压及噪声指数在双下肢CTA中的应用.docVIP

[摘要]目的 研究应用不同的管电压和图像噪声指数并且保证图像质量来降低患者所受的辐射剂量在双下肢CTA中的应用。方法 70例行双下肢CTA血管成像的患者，根据不同身体质量指数分成了两组分别是对照组以及观察组，管电压分别为100kV、80kV，噪声指数分别为15、20。使用GE Light Speed64 VCT机，采用自动管电流调节技术。计算两组患者所受辐射剂量。统计学根据计量资料以（x±s）实行标识，利用t检验方法，根据P＜0.05为差异存在一定的统计学意义。结果 观察组剂量长度乘积（ DLP）和有效剂量（ ED）均较对照组降低53%，两组间差异有统计学意义（ P＜0.05）。结论 根据患者BMI数值，减轻管电压和合适的范围之内加强噪声指数，可能够更好的减轻病人所受到的辐射剂量。 [关键词]低管电压；噪声指数；双下肢CTA；辐射剂量 Application of different tube voltage and noise index in CTA of two lower extremities [Abstract] Objective To study the selection of different tube voltage and image noise index and ensure the quality of images to reduce the radiation dose received by patients in CTA of lower extremities. Methods Seventy patients undergoing CTA angiography with lower limbs were divided into control group and observation group. The tube voltages were 100kV and 80kV, and the noise indexes were 15 and 20, respectively. Use the GE Light Speed64 VCT machine with automatic tube current regulation. Calculate the radiation dose to both groups of patients. Statistical data were measured with (x±s) markers and t test was used. P[0.05 was considered statistically significant. Results The dose length product (DLP) and effective dose (ED) in the observation group were 53% lower than those in the control group. There was a statistically significant difference between the two groups (P[0.05). Conclusion According to the BMI value of the patient, reducing the tube voltage and raising the noise index within the appropriate range can effectively reduce the radiation dose to the patient. [Key words] low tube voltage; noise index; CTA of lower limbs; radiation dose 目前高血压以及糖尿病这两种病症的发病率仍属于逐渐上升的阶段，随之引发的下肢动脉狭窄和闭塞性病变的发病率也随之增加，临床上接受双下肢CTA检查的人数也日益增多。由于双下肢CTA检查范围广、常规检查条件剂量大，所致的公众辐射剂量也在增多，如果患者的辐射剂量仍持续增多，那么该剂量必定会在CTA临床应用当中受到一定的限制。本文的目的是保证图像质量的前提下，对应用不同的管电压和图像噪声指数（noise index，NI）进行讨论，以降低患者所受的辐射剂量。 1材料和方法 1材料：收取在本院我院2015年3月到2017年6月70名伴有下肢动脉硬化闭塞症和下肢血管超声检查存在血管斑块、 血管瘤的病人以及已经确诊下肢动脉硬化行支架介入后了解血管再通情况的病人，分别利用双下肢CTA血管成像进行扫描检验。依照数字表法共分成35名对照组，患者身体质量指数（Body M