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胸部CT图像质量评价与辐射剂量的临床应用研究

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目的:归纳和分析影响胸部CT图像质量的因素,进一步对照分析常规剂量组和低剂量组两组图像质量有无差异,以论证胸部CT低剂量检查的可行性.方法:选取150例胸部CT查体的患者,A组为常规剂量组,管电压120kV,管电流自动调节;B组为低剂量组,管电压100kV,管电流自动调节.参照胸部CT的图像质量评价标准对常规剂量组和低剂量组图像质量进一步作出主观评价.对辐射剂量、信噪比等客观数据进行统计学处理,以P<0.05为差异有统计学意义.并与主观评价相比较.结果:主、客观评价两组图像质量均无统计学意义,A组辐射剂量与B组辐射剂量有统计学意义.结论:影响图像质量的因素包括患者的因素、设备的因素以及操作者的因素,胸部CT采用100kV低剂量检查可以作为常规扫描方案,获得的图像可以满足影像诊断的要求,具有可行性.
The Clinical Study of Imaging Quality Appraisal and Radiation Dose with Chest Computed Tomography
Objective:To summarize and analyze the factors affecting the quality of chest CT images,and to further compare and analyze whether the image quality of the conventional dose group and the low dose group was different,so as to demonstrate the feasibility of low dose chest CT examination.Methods:A total of 150 patients with chest CT examination were selected.Group A was the conventional dose group,the tube voltage was 120kV,and the tube current was automatically adjusted;group B was the low-dose group,the tube voltage was 100kV,and the tube current was automatically adjusted.The image qual-ity of conventional dose group and low dose group was further evaluated subjectively with reference to the image quality evaluation standard of chest CT.The objective data such as radiation dose and signal-to-noise ratio were statistically processed,and P<0.05 was regarded as statistically significant,and compared with subjective evaluation.Results:There was no statistical significance in the subjective and objective evaluation of the image quality of the two groups,and the radiation dose of group A and group B were sta-tistically significant.Conclusion:Factors affecting image quality include patient factors,equipment factors and operator factors.Chest CT using 100kV low-dose examination can be used as a routine scanning scheme,and the obtained images can meet the requirements of imaging diagnosis,which is feasible.

ChestComputed radiographyTomographyImage qualityLow dose

刘铁、李艳艳、李鹏、王健

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天津市第一中心医院放射科,天津 300192

胸部 计算机X线摄影 体层成像 图像质量 低剂量

2024

影像技术
中国感光学会 全国轻工感光材料信息中心

影像技术

影响因子:0.37
ISSN:1001-0270
年,卷(期):2024.36(1)
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