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优化工作流对PET/MR检查中患者舒适度及图像配准精度影响

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目的 探讨优化工作流对PET/MR检查中患者舒适度及图像配准精度的影响。方法 选取复旦大学附属中山医院自2019 年4 月至2020 年4 月收治的192 例临床怀疑患有肿瘤或处在肿瘤分期阶段的患者为研究对象。根据不同的工作流将患者分为A组(n =62)、B组(n =35)、C组(n =95)。A组患者采用常规工作流,取平卧位;B组患者采用常规工作流,同时使用腰垫与膝垫;C 组患者采用优化工作流。记录并比较 3 组患者的舒适度评分、图像质量评分、图像配准精度。结果 A组、B组患者的舒适度评分均低于C组,差异均有统计学意义(P<0。05)。3 组患者全身PET图像、全身MR图像、腹部PET图像、腹部MR图像质量评分比较,差异均无统计学意义(P>0。05)。全身序列采集的图像中,A组患者配准精度低于C组,差异有统计学意义(P<0。05);腹部序列采集的图像中,A组、B组患者配准精度均低于C组,差异均有统计学意义(P<0。05)。结论 优化工作流可以提高PET/MR检查中患者的舒适度及图像配准精度。
Effects of optimized patient-centered workflow on patient's comfort and image registration accuracy in PET/MR examina-tions
Objective To investigate the effect of workflow optimization on patient comfort and image registration accuracy of PET/MR.Methods A total of 192 patients with suspected tumor or tumor stage admitted to Zhongshan Hospital Affiliated to Fudan Univer-sity from April 2019 to April 2020 were selected as the study objects.Patients were divided into group A(n =62),group B(n =35)and group C(n =95)according to different workflows.Group A adopted the conventional workflow,and the patient took the horizontal position.Group B adopted conventional workflow,patients used waist pad and knee pad at the same time.Group C uses an optimized workflow.The comfort scores,image quality scores and image registration accuracy of the three groups were recorded and compared.Results The comfort scores of group A and group B were lower than those of group C,and the differences were statistically significant(P<0.05).There was no significant difference in the quality scores of whole body PET image,whole body MR image,abdominal PET image and abdominal MR image among 3 groups(P>0.05).In the whole-body sequence images,the registration accuracy of patients in group A was lower than that in group C,and the difference was statistically significant(P<0.05).In the abdominal sequence ima-ges,the registration accuracy of patients in group A and group B was lower than that in group C,and the differences were statistically significant(P<0.05).Conclusion Optimizing workflow canimprovepatientcomfortandimageregistrationaccuracyin PET/MRex-amination.

WorkflowPET/MRComfort levelImage registration

杨斐星、肖杰、吴冰、王思阳、胡鹏程、陈曙光

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复旦大学附属中山医院 核医学科,上海 200032

上海医学影像研究所,上海 200032

复旦大学核医学研究所,上海 200032

工作流 正电子发射断层扫描/磁共振成像仪 舒适度 图像配准

国家临床重点专科项目

YWP2022-007

2024

临床军医杂志
解放军沈阳军区卫生人员训练基地

临床军医杂志

CSTPCD
影响因子:0.465
ISSN:1671-3826
年,卷(期):2024.52(3)
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