ISSN 1004-4140
CN 11-3017/P

颅脑CT扫描中不同基线下铋屏蔽以及器官剂量调制技术的应用

Application of Bismuth Shielding and Organ Dose Modulation Techniques in Brain CT Scanning with Different Scanning Baselines

  • 摘要: 目的:探讨颅脑CT扫描采用不同扫描基线时使用铋屏蔽以及器官剂量调制技术(ODM)对影像质量及眼晶状体辐射剂量的影响。方法:使用GE Revolution CT对离体头颅标本进行扫描,扫描基线分别为听眶上线和听眶下线,保持容积CT剂量指数(CTDIvol)不变,采用固定mA、固定mA联合铋屏蔽、ODM、ODM联合铋屏蔽四种方式扫描,每组扫描9次,用剂量计测量每次扫描的晶状体辐射剂量,读取头颅标本左侧小脑、颞叶脑组织和左侧眶脂体的CT值及图像噪声,采用双盲法对图像进行3分制主观评分。结果:以听眶下线为基线固定mA扫描时眼晶状体剂量最高(43.49 mGy),以听眶上线为基线ODM联合铋屏蔽扫描时眼晶状体剂量最低(14.81 mGy)。使用铋屏蔽和ODM联合铋屏蔽时眶脂体CT值和噪声均有所增加,其余各组扫描所得影像质量无统计学差异。结论:颅脑CT采用听眶上线为扫描基线,同时应用铋屏蔽联合ODM能够有效地降低眼晶状体的辐射剂量,但可能会对眶内软组织影像产生一定影响,临床工作中可视不同患者情况及其诊断需求使用合适的扫描方法。

     

    Abstract: Objective: To investigate the effects of bismuth shielding and organ dose modulation (ODM) on image quality and lens radiation dose in brain computed tomography (CT) with different scanning baselines. Methods: GE (General Electric Company) Revolution CT was used to scan isolated skull specimens, with the glabellomeatal and orbitomeatal lines established as the scanning baselines. The volume CT dosimetry index (CTDIvol) remained constant. Four scanning methods were adopted as follows: fixed mA, fixed mA combined with bismuth shielding, ODM, and ODM combined with bismuth shielding. The lens radiation dose for each scan was measured using a dosimeter. CT values and image noise levels were measured in the left cerebellum, temporal lobe of the brain, and left adipose body of the orbit. Results:The lens dose was highest when the baseline was the orbitomeatal line with a fixed mA (43.49mGy), while the dose was lowest when the baseline was the glabellomeatal line with ODM combined with bismuth shielding (14.81mGy). The CT values and image noise levels in the adipose body of the orbit increased when bismuth shielding and ODM combined with bismuth shielding were used. No significant difference was observed in image quality among the other groups. Conclusion: The organ dose of the eye lens could be reduced using the glabellomeatal line, and bismuth shielding combined with ODM were used for brain CT. However, the image quality of the intraorbital soft tissue might be decreased. In clinical practice, appropriate scanning methods can be used according to different patient conditions and diagnostic requirements.

     

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