ISSN 1004-4140
CN 11-3017/P

64排与16排螺旋CT主动脉CTA质量因素的对比探讨

Image Quality Factors of 64-Slice Spiral CT Aorta Angiography: Comparison with 16-Slice Spiral CT

  • 摘要: 目的:比较64排与16排螺旋CTA对主动脉血管显示的影响并探讨碘对比剂量、辐射剂量的差异。方法:80例可疑主动脉病变患者,知情同意后按机器型号随机分两组(64排组、16排组)每组40例,64排组注射60mL对比剂+40mL生理盐水、16排组注射70mL对比剂+30mL生理盐水,均采用速率4mL.s-1,对比剂追踪触发技术行CTA检查,测量升主动脉、主动脉弓、胸7及腰2水平降主动脉、主动脉分叉、双侧髂外动脉末梢处CT值;由两位影像诊断高级职称医师对血管强化程度、重组分支血管显示进行评价。记录扫描时间、对比剂量、CT剂量指数、z轴范围、剂量长度乘积,并对各组数据进行统计学分析。结果:64排与16排螺旋CT在升主动脉、主动脉弓、胸7及腰2水平降主动脉、主动脉分叉、双侧髂外动脉末梢平均CT值分别为:347.35Hu、350.32Hu,两组间差异不具有统计学意义(P>0.05),重组血管清晰度及显示血管分支也无差异;两组的扫描时间分别为:7.12s,24.98s,对比剂量分别为:60mL、70mL;有效剂量分别为:12.25mSv、14.64mSv;64排的CTDIvol值是16排28.14%,64排与16排之间的剂量长度乘积值差异具有明显统计学意义(P<0.01)。结论:64排与16排螺旋CT对血管强化程度、重组分支血管显示具有较好的一致性,扫描时间明显缩短了71.50%,对比剂量减少16.67%,辐射剂量降低了16.33%。

     

    Abstract: Objective: To compare the image quality of aorta angiography detected by 64-slice spiral CT and 16-slice spiral CT, and to study the effects of different dose of contrast material with the same concentration and the same injection rate. Methods: 80 patients suspected aortic-diseases were divided into two groups randomly and underwent MSCT aortic-angiography with two different injection protocols respectively; i.e. group A (MSCT-64): 60 mL contrast material was injected followed by flushing with 40 mL saline solution; group B (MSCT-16): 70 mL contrast material was injected followed by flushing with 30 mL saline solution. The scanning delay time was adopted by the auto-trigger technique. Regions of interest were marked and their attenuation values were individually and respectively measured in the ascending aorta (AA), aortic arch, descending aorta (DA) in thoracic vertebra 7, lumbar 2, aortic artery forfication, two external iliac artery ending. The enhancement of arteries and the definition of the reconstructed vessels were evaluated respectively by two experienced doctors. The scan time (T), dose of contrast material (D), weighted CT dose index of volume (CTDIvol), z axis length (L), dose-length product (DLP) were recorded respectively and statistics analysis were performed with all data. Results: The average attenuation values by MSCT-64 and MSCT-16 in the ascending aorta (AA), aortic arch, descending aorta (DA) in thoracic vertebra 7, lumbar 2, aortic artery forfication were: 347.35, 350.32; the difference between the two groups was insignificant. The quality of reconstruction images and the manifestation of vessel branch between group A and group B was equal; The scan time of Group A and B: 7.12s, 24.98s; dose of contrast material of A and B: 60 mL, 70 mL, effective dose of A, B: 12.25 mSv, 14.64 mSv; the CTD Ivol of 64-slice spiral CT is 28.14% of 16-slice spiral CT. The difference of dose-length product is significant (p<0.01). Conclusion: There is fine consistence in vessel strengthening and manifestation of constructed vessel branch between 64-slice spiral CT and 16-slice spiral CT; The scan time shortened 71.50%, The dose of contrast material deplete 16.67%, Radiation dosage cut down 16.33%.

     

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