ISSN 1004-4140
CN 11-3017/P

64排螺旋CT不同注射速率对肝脏动脉期增强效果影响的初步探讨

Influence of Different Injection Rates of Contrast Medium with 64-slice Helical CT on Effect of Liver Arterial Phase Enhanced Scanning

  • 摘要: 目的:探讨64排螺旋CT不同注射速率对肝脏动脉期增强效果的影响。方法:选取80例进行腹部CT扫描的患者,正常组(A组)40例和肝硬化组(B组)40例。各组根据注射速率不同分为2组,3.5mL/s组(A1、B1组)、2.5mL/s组(A2、B2组),采用Smartprep造影剂跟踪技术,当腹主动脉的CT值到达或超过150Hu,按下扫描键正式扫描。记录不同注射速率动脉期腹主动脉的CT值、触发时间,统计正常组和肝硬化组成像优良率,建立统计表并相互比较。结果:注射速率为3.5mL/s和2.5mL/s时,正常组优良率分别为96.4%和91.7%,P>0.05;肝硬化组优良率分别为95.5%和72.2%,P<0.05。注射速率为2.5mL/s时,正常组和肝硬化组腹主动脉平均强化峰值分别为196.40Hu±20Hu和186.02Hu±18Hu,P>0.05;正常组和肝硬化组动脉期平均触发时间分别为22s和24s,P<0.05。注射速率为3.5mL/s时,正常组和肝硬化组腹主动脉平均强化峰值分别为244.90Hu±37Hu和219.33Hu±33Hu,P<0.05;正常组和肝硬化组动脉期的平均触发时间分别为20s和22s,P<0.05。结论:无论是肝硬化组还是正常组注射速率越快,动脉期峰值越高,达峰时间越短。相同注射速率情况下,正常组腹主动脉平均强化峰值较肝硬化组高,平均触发时间较肝硬化组短。肝硬化组对注射速率要求高。

     

    Abstract: Objective: To discuss the influence of different injection rates of contrast medium with 64-slice helical CT on effect of liver arterial phase enhanced scanning.Methods: We retrospectively analyzed 80 patients for abdominal CT enhanced scanning.All patients were divided into two groups,the normal group(A group) and the cirrhosis group(B group),each group had 40 cases.According to the injection rate of contrast medium,each group was divided into 2 groups,the 3.5 mL/s group(group A1,B1) and 2.5 mL/s group(group A2,B2).Using Smartprep tracking technology of contrast medium,when the abdominal aorta CT value reached or exceeded 150 Hu,pressed the scan button and began formal scan.Under different injection rate of contrast medium,the peak enhancement of abdominal aorta and trigger time of arterial phase were measured.Recorded good and excellent rats of normal and cirrhotic group,then compared statistical results.Results: When the injection rate of contrast medium was 3.5 mL/s and 2.5 mL/s,The good and excellent rates of normal group was 96.4% and 91.7% respectively,P>0.05,and that of cirrhosis group was 95.5% and 72.2% respectively,P<0.05.When injection rate of contrast medium was 2.5 mL/s,the mean peak enhancement of abdominal aorta in normal and the liver cirrhosis group were 196.40 Hu ±20 Hu and 186.02 Hu ±18 Hu respectively,P>0.05;arterial phase average trigger time of normal group and cirrhosis group was 22 seconds and 24 seconds respectively,P<0.05.When the injection rate of contrast medium was 3.5 mL/s,the mean peak enhancement of abdominal aorta in normal group and cirrhosis group were 244.90 Hu ±37 Hu and 219.33 Hu ±33 Hu respectively,P<0.05;the average trigger time of arterial phase in normal group and the liver cirrhosis group was 20 seconds and 22 seconds respectively,P<0.05.Conclusion: The injection rate of contrast medium is faster,the arterial phase peak is higher,the triggering time is shorter.In the same injection rate,the mean peak enhancement of abdominal aorta of normal group is higher than that of cirrhosis group,and the average trigger time is shorter than that of cirrhosis group.Liver cirrhosis group needs higher speed on injection than normal group.

     

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