放射学实践2024,Vol.39Issue(9) :1228-1232.DOI:10.13609/j.cnki.1000-0313.2024.09.017

Revolution CT低剂量扫描方案对腹主动脉钙化的定量诊断价值

The value of Revolution CT low dose scanning in quantitative analysis of abdominal aortic calcification

高娜 何花 马嘉乐 刘欣然 王志军
放射学实践2024,Vol.39Issue(9) :1228-1232.DOI:10.13609/j.cnki.1000-0313.2024.09.017

Revolution CT低剂量扫描方案对腹主动脉钙化的定量诊断价值

The value of Revolution CT low dose scanning in quantitative analysis of abdominal aortic calcification

高娜 1何花 2马嘉乐 2刘欣然 2王志军2
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作者信息

  • 1. 750000 银川,宁夏医科大学临床医学院
  • 2. 750000 银川,宁夏医科大学总医院放射科
  • 折叠

摘要

目的:探讨Revolution CT低剂量扫描方案对腹主动脉钙化的定量诊断价值.方法:搜集2021年9月至2022年3月宁夏医科大学总医院行CT尿路造影(CTU)合并腹主动脉钙化的35例患者,平扫采用GSI扫描模式联合40%全新迭代算法(ASiR-V)(A组),排泄期采用常规平扫(FBP重建)(B组).测量两组图像的腹主动脉钙化指数(AACI)、腹主动脉CT值、SD值及A组腹主动脉钙化能谱定量参数(钙化体积、平均钙化浓度),计算A、B两组钙化质量积分、信噪比(SNR)和对比噪声比(CNR);并由2位医生对两组图像质量进行主观评分.采用Mann-Whitney U检验比较两组的AACI差异,采用配对样本t检验比较两组腹主动脉CT值、SD值、SNR及CNR差异.采用Pearson相关分析法对A组腹主动脉钙化各定量参数与B组AACI进行相关性分析,并对两组的辐射剂量进行比较.结果:A组AACI(0.20±0.03)与B组AACI(0.18±0.03)比较差异无统计学意义(P>0.05);A组腹主动脉钙化体积、平均钙化浓度、钙化质量积分与B组AACI间均呈正相关(r值分别为0.926、0.513、0.877,P<0.05).A组SNR、CNR与B组比较差异有统计学意义(P<0.05).两组图像的主观评分差异有统计学意义(P<0.05);A组的有效辐射剂量较B组降低了 29.3%,差异有统计学意义(P<0.05).结论:Revolution CT可为腹主动脉钙化的评估提供多种定量指标,测量过程简便、省时,更适合常规临床应用,低剂量扫描方案可以降低辐射剂量并提升图像质量.

Abstract

Objietive:To explore the quantitative analysis of abdominal aortic calcification(AAC)using Revolution CT low dose scanning.Methods:The imaging data of CT urography(CTU)accompanied with abdominal aortic calcification in the General Hospital of Ningxia Medical University from September 2021 to March 2022 was collected.GSI scanning mode combined with the adaptive sta-tistical iterative reconstruction-Veo algorithm(ASiR-V)was used in CT scanning without contrast,and the routine plain scan was used in the excretory phase.The optimal ASiR-V weight was performed on the original image of the energy spectrum(group A),and FBP reconstruction was performed on routine scanning(group B).The abdominal aortic calcification index(AACI),abdominal aortic CT val-ue,SD value,and abdominal aortic calcification parameters(calcification volume,average calcification concentration)in group A were measured in 35 cases.The Calcification quality score,signal-to-noisera-tio(SNR)and contrast noise ratio(CNR)were calculated.The image quality of two groups was scored by 2 doctors subjectively.The AACI,CT value,SD value,SNR,and CNR were compared be-tween two groups using independent sample t-test.Pearson correlation analysis was used to analyze the parameters of abdominal aorta calcification in group A and AACI in group B,and the radiation dose of the two groups was analyzed.Results:There was no significant difference between the AACI(0.20±0.03)in group A and AACI(0.18±0.03)in group B(P>0.05);The calcification volume,average calcification concentration,and mass score in group A were positively correlated with AACI in group B(r values were 0.926,0.513 and 0.877,respectively,P<0.05);The difference of SNR and CNR be-tween two groups were statistically significant(P<0.05),and the difference of subjective score be-tween two groups was statistically significant(P<0.05);The effective radiation dose(6.36±0.26)mSv in group A was 29.3%lower than in group B(8.99±0.20)mSv(P<0.05).Conclusion:Revolution CT can provide quantitative information for abdominal aortic calcification using various methods.The measurement process is simple and time-saving,so it is suitable for routine clinical applications.Low dose scanning schemes can reduce patients'radiation dose and may improve image quality.

关键词

腹主动脉钙化/体层摄影术,X线计算机/能谱CT/辐射剂量/图像质量评估

Key words

Calcification of abdominal aorta/Tomography,X-ray computed/Energy spectrum CT/Radiation dose/Image quality assessment

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基金项目

宁夏自然科学基金(基金2022AAC03560)

出版年

2024
放射学实践
华中科技大学同济医学院

放射学实践

CSTPCDCSCD北大核心
影响因子:1.08
ISSN:1000-0313
参考文献量24
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