首页|双能CT非线性融合参数优化在腹部血管成像中的价值研究

双能CT非线性融合参数优化在腹部血管成像中的价值研究

Value of the optimization selection of non-linear blending parameters of dual-energy CT in the abdominal angiography imaging

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目的:通过对双源双能CT非线性融合参数的优化,寻找腹部血管图像质量最佳时融合中心、融合宽度参数值,以提高图像质量.方法:回顾性分析8 0例行全腹部双能C T增强检查患者的影像资料.以线性融合(LB)为对照组,非线性融合(NLB)为实验组,将融合宽度ω固定为0 HU,通过调整融合中心 λ 的值,将 NLB 分为 4 组(NLB1:λ=0 HU,NLB2:λ=150 HU,NLB3:λ=250 HU,NLB4:λ=350 HU).选取腹部非成对动脉(腹腔干、肠系膜上动脉、肠系膜下动脉)作为研究对象,每例患者比较5组图像中3支血管分叉处感兴趣区(ROI)的CT值、信噪比(SNR)、对比噪声比(CNR),并对NLB1~4组中SNR、CNR最高和最低的两组(NLB1、NLB4组)及LB组进行图像质量评分.结果:NLB1~4组的血管CT值、SNR、CNR均高于LB组(P<0.001).在腹腔干、肠系膜上动脉NLB1~4组中,NLB1~3 组的血管 CT 值、SNR、CNR 均高于 NLB4 组(P<0.001),NLB1>NLB2>NLB3,但 NLB1、NLB2、NLB3三组间的血管CT值、SNR、CNR差异无统计学意义(P>0.05).在肠系膜下动脉中,NLB1 和 NLB2 组的血管 CT 值、SNR、CNR 高于 NLB3 和 NLB4 组(P<0.05),NLB1>NLB2,差异无统计学意义(P>0.05);NLB3组的血管CT值高于NLB4组(P<0.05),NLB3组的SNR、CNR高于NLB4组,但差异无统计学意义(P>0.05).NLB1~4组的图像噪声均低于LB组,差异有统计学意义(P<0.01),NLB1~4组间比较差异无统计学意义(P>0.05).NLB1、NLB4、LB三组图像质量主观评分优良率均大于80%,NLB1>NLB4>LB,差异有统计学意义(P<0.05),2位医师间主观评分一致性良好(ICC值均>0.75).结论:双源双能CT非线性融合技术在腹部血管成像方面具有明显优势,当融合中心λ和融合宽度ω均取0 HU时,对于非大体重的患者,可以显著提高腹部血管图像质量.
Objective:To find the optimal blending center and blending width to improve the im-age quality of the abdominal artery by using a non-linear blending method.Methods:Retrospectively analyze the imaging data of 80 patients who underwent whole-abdomen dual-energy CT enhancement.Use linear blending images as the control group and non-linear blending images as the experimental group.The blending width ω is fixed at 0HU,and by adjusting the value of blending center λ,NLB is divided into four groups(NLB1:λ=0HU,NLB2:λ=150HU,NLB3:λ=250HU,NLB4:λ=350HU).Unpaired arteries in the abdomen(coeliac trunk,superior mesenteric artery and inferior mesenteric ar-tery)were selected as the observation objects.CT values,signal-to-noise ratio(SNR)and contrast-to-noise ratio(CNR)of the region of interest(ROI)at the bifurcation of the three vessels in 5 groups of images were compared for each patient.The two groups with the highest and lowest SNR and CNR in NLB1~4(NLB1,NLB4)and LB were scored subjectively.Results:The CT values,SNR and CNR of NLB1~4 groups were higher than those in the LB group(P<0.001).In the NLB1~4 group of coeliac trunk and superior mesenteric artery,the CT values,SNR and CNR of NLB1~3 were higher than NLB4(P<0.001),NLB1>NLB2>NLB3,there was no statistical difference in CT value,SNR and CNR among NLB1,NLB2 and NLB3 groups(P>0.05).In the inferior mesenteric artery,the CT val-ues,SNR and CNR of NLB1 and NLB2 were higher than those of NLB3 and NLB4(P<0.05),NLB1>NLB2,with no statistically significant difference(P>0.05);the CT value of NLB3 was higher than NLB4(P<0.05);the SNR and CNR of NLB3 were higher than NLB4,with no statistically significant difference(P>0.05).The noise of NLB1~4 groups was lower than LB,the difference was statistically significant(P<0.01),but there was no statistically significant difference between NLB1~4 groups(P>0.05).The distinguished achiever ratio of subjective scores of NLB1,NLB4 and LB were all grea-ter than 80%,NLB1>NLB4>LB,the difference was statistically significant(P<0.05).The consis-tency of subjective scores between the two physicians was good(ICC values were both greater than 0.75).Conclusion:The dual-source dual-energy CT nonlinear fusion technology has significant advanta-ges in abdominal vascular imaging.When the blending center and blending width are both set to 0HU,the NLB can significantly improve the image quality of abdominal artery,especially for non-heavy-weight patients.

Dual-energy CTAbdominal vascular emergenciesNon-linear blendingLinear blendingBlending parameters

田红斌、李晓光、刘衡、杨孟于、张伟国

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400042 重庆,陆军军医大学大坪医院放射科,重庆市影像医学与核医学临床研究中心

双能CT 腹部血管急症 非线性融合 线性融合 融合参数

重庆市临床重点专科建设项目重庆市影像医学与核医学临床医学研究中心

425Z41CSTC2015YFPT-gcjsyjzx0175

2024

放射学实践
华中科技大学同济医学院

放射学实践

CSTPCD北大核心
影响因子:1.08
ISSN:1000-0313
年,卷(期):2024.39(9)