首页|二代双源CT大螺距、低管电压联合迭代重建技术在颈椎检查中的应用

二代双源CT大螺距、低管电压联合迭代重建技术在颈椎检查中的应用

扫码查看
目的 探讨二代双源CT大螺距、低管电压联合迭代重建技术在颈椎低剂量检查中的可行性.方法 选取60例因颈部疼痛行颈椎CT平扫患者.前30例纳入观察组:管电压100 kv,螺距2.5,迭代重建;后30例纳入对照组:管电压120 kv,螺距1.0,滤波重建.比较两组辐射剂量和图像质量差异.结果 两组CT容积剂量指数、辐射剂量长度乘积、有效辐射剂量差异有统计学意义(P<0.001).两组C6~7椎间盘平面的脊髓、C2椎体的信噪比差异有统计学意义(P<0.05).两组图像质量评分均达到诊断要求,观察组C6~7椎间盘图像质量评分高于对照组(P<0.05).结论 二代双源CT大螺距、低管电压联合迭代重建技术应用于颈椎CT扫描能明显降低辐射剂量,并能获得满足诊断要求的图像,可用于颈椎CT低剂量检查.
Objective To study the feasibility of two-generation dual-source CT with high-pitch and low tube voltage combined iterative reconstruction in low-dose examination of cervical spine.Methods 60 patients with cervical pain investigated by cervical spine CT were prospectively into two groups.The first 30 patients were included in the observation group:tube voltage 100 kV,pitch 2.5,iterative reconstruction.The last 30 patients were included in the control group:tube voltage 120 kv,pitch 1.0,filtered reconstruction.The difference of radiation dose and image quality between the two groups was compared.Results The differences in CT volumetric dose index,radiation dose length product,and effective radiation dose between the two groups were statistically significant(P<0.001).The differences in signal-to-noise ratios of the spinal cord and C2 vertebrae in the C6~7 disc plane between the two groups were statistically significant(P<0.05).The image quality scores of both groups met the diagnostic requirements,and the C6~7 intervertebral disc image quality score of the low-dose group was higher than that of the standard-dose group(P<0.05).Conclusion The application of two-generation dual-source CT with high-pitch and low tube voltage in cervical CT scan can significantly reduce the radiation dose and obtain images that meet the diagnostic requirements,and can be used for cervical CT low-dose examination.

Cervical vertebraTomographyHigh pitchIterative reconstructionRadiation exposure

蒋明巧、张雪、任蔺、王思凯

展开 >

646000 西南医科大学附属中医医院

颈椎 体层摄影术 大螺距 迭代重建 辐射剂量

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(7)