首页|柔性减影CE-Boost技术对胃癌供血血管的优化显示

柔性减影CE-Boost技术对胃癌供血血管的优化显示

CE-Boost Technique in Optimizing Blood Supply Vessels Display for Gastric Cancer

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目的:探讨基于腹部增强CT的对比增强(CE-Boost)技术对胃癌供血血管的优化显示价值.方法:前瞻性收集73例拟接受手术治疗的胃癌患者,采用佳能320排CT机SUB-Helical扫描协议进行平扫加强化CT检查.对平扫和增强动脉期薄层图像(记为A组)进行柔性减影,获得CE-Boost序列图像(记为B组).选择胃左动脉近段及同层面左侧竖脊肌测量并记录CT值及图像噪声(SD),计算信噪比(SNR)、对比度噪声比(CNR);统计2组图像显示的胃左动脉分支数目并进行主观评分.结果:B组图像胃癌供血血管CT值、CNR、SNR均较A组有所提高(均P<0.001);SD值差异无统计学意义(P=0.068).B组竖脊肌CT值较A组增高、SD值减低,差异有统计学意义(均P<0.001).B组图像可显示的胃左动脉分支数目较A组增多(Z=-7.47,P<0.001),且B组图像主观评分较A组提高(Z=-10.12,P<0.001).结论:CE-Boost技术能够优化显示胃癌供血血管,为制定手术方案提供更准确依据.
Purpose:To investigate the value of contrast-enhancement boost(CE-Boost)technique based on abdominal enhanced CT in improving the image quality of blood supply vessels for gastric cancer.Methods:Seventy-three patients with gastric cancer who underwent abdominal enhanced CT were collected prospectively.Flexible subtraction was performed on plain and enhanced arterial phase thin-slice images(group A)to obtain CE-Boost sequence images(group B).The CT value and image noise(SD)of the proximal segment of left gastric artery and the erector spine muscle were measured,and the signal-to-noise ratio(SNR)and contrast-to-noise ratio(CNR)were calculated.The number of left gastric artery branches displayed in the two groups of images was counted,and the two groups of images were subjectively scored.Results:Compared with group A,the CT value,CNR and SNR of blood supply vessels of gastric cancer were significantly increased in group B(P<0.001).There was no significant difference in SD value(P=0.068).Compared with group A,the CT value was higher and the SD value was decreased in group B,and the differences were with statistical significance.The number of left gastric artery branches in group B was more than that in group A(Z=-7.47,P<0.001),and the subjective score in group was significantly higher than that in group A(Z=-10.12,P<0.001).Conclusion:The blood supply vessels of gastric cancer can be optimally displayed by CE-Boost technology,which provides more accurate basis for surgical plans.

Gastric cancerBlood supply vesselsCE-BoostOptimization display

张敏、何顺成、李莹、袁立华、贾守强

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山东第一医科大学附属人民医院(济南市人民医院)影像科

山东第一医科大学附属人民医院(济南市人民医院)麻醉科

胃癌 供血血管 CE-Boost 优化显示

2024

中国医学计算机成像杂志
复旦大学附属华山医院

中国医学计算机成像杂志

CSTPCD北大核心
影响因子:1.297
ISSN:1006-5741
年,卷(期):2024.30(6)