首页|双能量CT非线性融合技术在双下肢CTA检查中的应用

双能量CT非线性融合技术在双下肢CTA检查中的应用

Application of the dual-energy CT non-linear blending technique in bilateral lower limbs CTA examination

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目的:探讨双能量CT非线性融合(NLB)技术在双下肢CTA检查中的应用价值.方法:回顾性收集疑似双下肢血管病变并行双能量CTA检查的患者52例,扫描后分别行线性融合(LB)技术和NLB技术重建,得到LB和NLB图像.对比LB、NLB及原始图像低kV(80 kV组)3组图像质量,包括客观评价(CT值、SD、SNR、CNR)和主观评分,以及图像优良率和图像可诊断率.结果:3组图像主观评分差异有统计学意义(P<0.05),NLB组评分最高.80 kV组、LB组、NLB组图像可诊断率分别为61.54%(32/52)、38.46%(20/52)、65.38%(34/52),优良率分别为30.77%(16/52)、0(0/52)、38.46%(20/52).3组图像对应部位血管CT值、SD及CNR组间比较差异均有统计学意义(均P<0.05),NLB组CT值最高,且CT值、SD及CNR均高于LB组(均P<0.05).3组图像对应部位血管SNR差异均无统计学意义(均P>0.05).结论:双能量CT的NLB技术可提高双下肢CTA检查的图像质量,有望增加双下肢血管疾病的检出率及诊断准确率,值得临床深入研究.
Objective:To explore the application value of dual-energy CT non-linear blending(NLB)technology in CTA for the bilateral lower limbs.Methods:Fifty-two patients with suspected vascular disease of bilateral lower limbs were retrospectively enrolled.All patients underwent dual-energy CTA,and the CTA images were reconstructed via linear blending(LB)and NLB techniques to obtain the LB and NLB images.The image quality of the LB,NLB and original images in the low-kV(80 kV)was compared,including objective evaluation(CT value,SD,SNR,and CNR),subjective score,and the excellent rate and availability of images.Results:There was no significant difference in subjective score among the three groups(P<0.05),the highest score was in the NLB group.The availabilities of 80 kV,LB,NLB images were 61.54%,38.46%and 65.38%,respectively,and the excellent rates were 30.77%,0%and 38.46%,respectively.The CT value,SD and CNR of blood vessels in the three groups were significantly different(all P<0.05),the CT value of the NLB group was the highest,and the CT value,SD and CNR of the NLB group were all greater than those of the LB group(all P<0.05).There were no significant differences in SNR of the three vessels among the three groups(all P>0.05).Conclusions:NLB technology can improve the image quality of CTA images and is expected to increase the detection rate and diagnostic accuracy for vascular diseases of bilateral lower limbs,which is worthy of further clinical research.

Tomography,X-ray computedLower limbAngiographyLinear blendingNon-linear blendingImage quality

陈昌美、胡容、刘宗才、王荣品、曾宪春

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贵州省人民医院医学影像科,贵州 贵阳 550002

贵州医科大学公共卫生与健康学院,贵州 贵阳 550025

贵州省第二人民医院感染管理科,贵州 贵阳 550004

体层摄影术,X线计算机 下肢 血管造影术 线性融合技术 非线性融合技术 图像质量

贵州省卫生健康委科学技术基金贵州省中医药、民族医药科学技术研究专项

gzwkj2023-214QZYY-2020-018

2024

中国中西医结合影像学杂志
中国中西医结合学会,山东中医药大学附属医院

中国中西医结合影像学杂志

CSTPCD
影响因子:0.857
ISSN:1672-0512
年,卷(期):2024.22(2)
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