首页|Revolution CT联合不同权重ASIR-V在胸痛三联征成像中的应用价值比较

Revolution CT联合不同权重ASIR-V在胸痛三联征成像中的应用价值比较

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目的 探讨Revolution CT联合不同权重多模型迭代重建技术(ASIR-V)在胸痛三联征(TRO)成像中的应用价值.方法 选取我院2022年8月~2023年3月收治的90例胸痛患者进行研究,入院后接受TRO-Revolution CT平扫.按随机数字表法分成滤波反投影(FBP)组与ASIR-V组各45例.FBP组采用FBP技术进行图像重组,ASIR-V组采用不同权重(10%、30%、50%、70%、90%)前置ASIR-V技术重组.记录两组辐射剂量长度乘积(DLP)、有效剂量(ED),比较不同重组方式及不同权重下冠状动脉、升主动脉、降主动脉、肺动脉干的平均CT值、噪声值、信噪比(SNR)、对比信噪比(CNR),由2名经验丰富的影像科医生进行主观图像质量评分.结果 ASIR-V组DLP、ED低于FBP组(P<0.05).ASIR-V不同权重的血管腔噪声值低于FBP,血管腔SNR、CNR与主观图像质量评分高于FBP(P<0.05).ASIR-V权重50%、70%、90%的噪声值低于ASIR-V权重10%、30%的噪声值(P<0.05).ASIR-V权重50%、70%、90%的SNR、CNR高于ASIR-V权重 10%、30%的SNR、CNR(P<0.05).ASIR-V权重50%、70%的主观评分高于ASIR-V权重10%、30%、90%的主观评分(P<0.05).结论 Revolution CT联合ASIR-V技术能减少辐射剂量,ASIR-V权重50%、70%时对血管腔与解剖结构的显示良好,血管腔噪声值较低,SNR、CNR较高,能满足诊断需求.
Comparison of Application Value of Revolution CT Combined with Different Weights of ASIR-V in Chest Pain Triad Imaging
Objective To investigate the application value of Revolution CT combined with multi-model iterative reconstruction technique with different weights(ASIR-V)in chest pain triad(TRO)imaging.Methods 90 patients with chest pain admitted to our hospital from August 2022 to March 2023 were selected for study.After admission,TRO-Revolution CT plain scan was performed.They were divided into filter back projection(FBP)group and ASIR-V group with 45 cases respectively according to random number table method.FBP group was reconstructed by FBP technology,and ASIR-V group was reconstructed by ASIR-V technology with different weights(10%,30%,50%,70%,90%).The radiation dose length product(DLP)and effective dose(ED)of the two groups were recorded.The mean CT values,noise values,signal-to-noise ratio(SNR)and contrast-to-noise ratio(CNR)of coronary arteries,ascending aorta,descending aorta and pulmonary trunk under different recombination methods and different weights were compared.Subjective image quality scores were performed by two experienced imaging doctors.Results The DLP and ED of ASIR-V group were lower than those of FBP group(P<0.05).The noise value of ASIR-V was lower than that of FBP,while SNR,CNR and subjective image quality score of ASIR-V were higher than that of FBP(P<0.05).The noise values of 50%,70%and 90%of ASIR-V weight were lower than those of 10%and 30%of ASIR-V weight(P<0.05).SNR and CNR with ASIR-V weight of 50%,70%and 90%were higher than those with 10%and 30%SNR with ASIR-V weight(P<0.05).The subjective scores of 50%and 70%of ASIR-V weight were higher than those of 10%,30%and 90%of ASIR-V weight(P<0.05).Condlusion Revolution CT combined with ASIR-V technology can reduce the radiation dose.When the weight of ASIR-V is 50%and 70%,the vascular cavity and anatomical structure can be displayed well.The vascular cavity noise value is low,and the SNR and CNR are high,which can meet the diagnostic requirements.

Chest Pain TriadWeightMulti-model Iterative Reconstruction TechniqueRevolution CT

郑晓娜、周方丽、刘雅兰

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河南省信阳市中心医院CT诊断科(河南信阳 464000)

胸痛三联征 权重 多模型迭代重建技术 Revolution CT

河南省医学科技攻关计划河南省卫生健康委项目

LHGJ20210255212102310142

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(4)
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