首页|全身PET/CT 1 min采集图像与常规PET/CT图像质量比较:自身对照研究

全身PET/CT 1 min采集图像与常规PET/CT图像质量比较:自身对照研究

Comparison of the image quality between total-body PET/CT with 1 min acquisition and conven-tional PET/CT:a self-control study

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目的 探讨全身PET/CT(TB PET/CT)1 min采集图像质量能否满足临床诊断需求.方法 回顾性分析2019年5月至2021年9月间复旦大学附属中山医院病理证实的90例肿瘤患者(男60例、女30例,年龄31~86岁)PET/CT影像资料.注射18F-FDG后,患者按照顺序随机原则先后完成TB PET/CT 1 min采集及常规PET/CT(C PET/CT)常规图像采集,采用配对样本t检验或Wilcoxon符号秩检验比较不同PET/CT采集所获得的图像质量.结果 C PET/CT 1 min采集与TB PET/CT 1 min采集的病灶 SUVmax分别为 12.5(5.8,16.6)和 15.9(7.9,24.6)(z=8.14,P<0.001),纵隔血池、肝脏、肌肉的信噪比(SNR)分别为 6.2±1.7、9.4(7.7,11.8)、6.0(4.9,7.1)与 9.3±3.0、11.4(9.5,14.2)、8.3(7.3,10.1),肿瘤-血池比(TBR)、肿瘤-肝脏比(TLR)、肿瘤-肌肉比(TMR)分别为8.5(4.3,11.1)、6.1(2.9,7.7)、18.3(9.6,26.6)和 9.3(4.3,14.8)、6.7(3.0,10.4)、23.2(11.5,38.0),差异均有统计学意义(t=9.36,2值:4.44~7.40,均P<0.001).结论 TB PET/CT 1 min采集的图像质量能够满足诊断需求,且优于C PET/CT常规采集的图像.
Objective To investigate whether the image quality of total-body PET/CT(TB PET/CT)with 1 min acquisition can meet the clinical diagnostic requirements.Methods From May 2019 to September 2021,a total of 90 malignant tumor patients(60 males,30 females,age 31-86 years)with pri-mary lesions confirmed by pathological diagnosis in Zhongshan Hospital,Fudan University were respectively analyzed.All patients underwent conventional PET/CT(C PET/CT)scan with conventional clinical acqui-sition and TB PET/CT scan with 1 min acquisition after injecting 18F-FDG in random order.Paired t test or Wilcoxon signed rank test was used to analyze the image quality of these two scans.Results SUVmax of pri-mary lesions in TB PET/CT group was significantly higher than that in C PET/CT group(15.9(7.9,24.6)vs 12.5(5.8,16.6);z=8.14,P<0.001),so were signal-to-noise ratio(SNR)of the blood pool,liver,mus-cles(9.3±3.0,11.4(9.5,14.2),8.3(7.3,10.1)vs6.2±1.7,9.4(7.7,11.8),6.0(4.9,7.1)),tumor-to-blood pool ratio(TBR)(9.3(4.3,14.8)vs 8.5(4.3,11.1)),tumor-to-liver ratio(TLR)(6.7(3.0,10.4)vs 6.1(2.9,7.7)),tumor-to-muscle ratio(TMR)(23.2(11.5,38.0)vs 18.3(9.6,26.6);t=9.36,z values:4.44-7.40,all P<0.001).Conclusion The image quality of TB PET/CT scan with 1 min acquisition can meet the diagnostic requirements,and is better than the C PET/CT image quality with conventional clinical acquisition.

Image processing,computer-assistedTime factorsPositron-emission tomographyTomography,X-ray computedFluorodeoxyglucose F18

杨润君、陈雪琪、余浩军、胡鹏程、石洪成

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复旦大学附属中山医院核医学科、复旦大学核医学研究所、上海市影像医学研究所,上海 200032

图像处理,计算机辅助 时间因素 正电子发射断层显像术 体层摄影术,X线计算机 氟脱氧葡萄糖F18

上海市临床重点专科建设项目促进市市级医院临床技能与临床创新能力三年行动计划

shslczdzk03401SHDC2020CR3079B

2024

中华核医学与分子影像杂志
中华医学会

中华核医学与分子影像杂志

CSTPCD北大核心
影响因子:1.107
ISSN:2095-2848
年,卷(期):2024.44(1)
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