首页|双源CT双能量低剂量扫描技术在甲状腺病变诊断中的应用及辐射剂量降低效果分析

双源CT双能量低剂量扫描技术在甲状腺病变诊断中的应用及辐射剂量降低效果分析

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目的:探讨双源CT双能量低剂量扫描技术在甲状腺病变诊断中的可行性及其对患者辐射剂量的影响.方法:60例甲状腺病变患者随机分为对照组(A组)和实验组(B组),A组接受常规单能量CT扫描方案:管电压设定为120 KV,管电流180 mAs;B组接受双能量低剂量CT扫描方案:管电压设定为80/140 KV,管电流以180 mAs为基准的自动补偿扫描.两组扫描均采用滤波反向投影算法重建图像.评价两组的主客观图像质量及辐射剂量,并将数据进行统计学分析.结果:实验B组(双能量低剂量扫描)的背景噪声和软组织CT值均显著高于对照A组(P<0.001),而信噪比和主观质量评价在两组间无显著差异(P>0.05).实验组的CT容积剂量指数(CTDIvol)、剂量长度乘积(DLP)和有效剂量(ED)分别比对照组降低了52.9%、32.8%和32.9%(P<0.001).结论:双源CT双能量低剂量扫描技术在保持图像质量的同时,显著降低了甲状腺病变患者的辐射剂量,具有较高的临床应用价值.
Application of Dual-source CT Dual-energy Low-dose Scanning Technology in the Diagnosis of Thyroid Diseases and Analysis of Radiation Dose Reduction Effect
Objective:To investigate the feasibility of dual-source CT dual-energy low-dose scan-ning technology in the diagnosis of thyroid diseases and its influence on the radiation dose of patients.Methods:Sixty patients with thyroid lesions were randomly divided into control group(group A)and ex-perimental group(group B).Group A received conventional single-energy CT scanning scheme:tube volt-age was set at 120 KV and tube current was 180 mAs,while group B received dual-energy low-dose CT scanning scheme:tube voltage was set at 80/140 KV and tube current was automatically compensated scanning based on 180mAs.The image was reconstructed by filtered back projection algorithm in both scanning groups.The subjective and objective image quality and radiation dose of the two groups were evaluated,and the data were statistically analyzed.Results:The background noise and soft tissue CT val-ues of experimental group B(dual-energy low-dose scanning)were significantly higher than those of con-trol group A(P<0.00l),but there were no significant differences in SNR and subjective quality assess-ment between the two groups(P>0.05).The CT volume dose index(CTDIvol),dose length product(DLP)and effective dose(ED)of the experimental group were reduced by 52.9%,32.8%and 32.9%,respec-tively,compared with the control group(P<0.001).Conclusion:Dual-source CT dual-energy low-dose scanning technology can significantly reduce the radiation dose of patients with thyroid disease while maintaining the image quality,and has high clinical application value.

dual-energy CT scanthyroid diseaselow radiation dose

陆荣、尹胜男

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苏州市第九人民医院影像科,江苏 215200

双能量CT扫描 甲状腺病变 低辐射剂量

江苏省苏州市"科教兴卫"青年科技项目

KJXW2022077

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(5)