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宽体探测器联合ASIR-V在婴儿泌尿系成像中的应用

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目的 探讨160 mm宽体探测器联合自适应统计迭代重建V(ASIR-V)在婴儿泌尿系成像(CTU)中的应用价值。方法 收集2018年1月~2021年12月于本院行CTU检查的患儿和普通腹部CT平扫的患儿各13例,分别设为A组和B组。A组CTU扫描采用160 mm宽体探测器进行轴扫,ASiR-V设置为40%。B组腹部平扫采用40 mm探测器进行螺旋扫描。分别记录A组排泄期和B组腹部平扫的CT容积剂量指数(CTDIvol),并将两组的辐射剂量进行比较。由两名医师对A组图像质量进行主观评分。结果 A组排泄期的CTDIvol值为(1。55±0。10)mGy,B组的CTDIvol值为(1。66±0。15)mGy。两组间的CTDIvol差异具有统计学意义(P < 0。05)。两名医师对图像质量的主观评分为3。62分,主观评价的Kappa值为0。714,具有较高的一致性。结论 宽体探测器联合ASIR-V进行婴儿CTU检查,可在保证图像质量的前提下,有效降低受辐射剂量。
Application of wide body detector combined with ASIR-V in CT urography of infants
Objective To explore the clinical application value of 160 mm wide body detector combined with adaptive statistical iterative reconstruction V (ASIR-V) in CT urography (CTU) of infants. Methods 13 patients in group A and group B undertook CTU examinations and abdomen routine scan respectively. Group A underwent axial scanning with 160 mm detector and 40% ASIR-V. Group B underwent helical scanning with 40mm detector, The CT dose index volume (CTDIvol) about excretory phase of group A and group B were recorded and compared. The image quality of group A were assessed by two physicians subjectively with 5-point evaluation method. Results The CTDIvol of excretory phase of group A was (1.55±0.10)mGy. The CTDIvol of group B was (1.66±0.15)mGy. The CTDIvol was significantly different between the two groups (P<0.05). The image quality scores of the two physicians showed a strong consistency (k=0.714), and average score was 3.62. Conclusion On the premise of ensuring good quality of image for diagnosis, 160 mm wide body detector combined with ASIR-V in CTU of infant can reduce the radiation dose effectively.

Wide body detectorAdaptive statistical iterative reconstruction VinfantsCT urography

郑春燕、Wu Heng-ping、黄燕涛、Guo Huan、吕凤娇

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四川省自贡市第一人民医院放射科,四川 自贡 643000

Department of Radiology, The First People's Hospital of Zigong, Zigong 643000, China

宽体探测器 自适应统计迭代重建V 婴儿 泌尿系成像

2023

科学养生
中国医院管理杂志社

科学养生

影响因子:0.019
ISSN:1672-9714
年,卷(期):2023.26(3)
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