ISSN 1004-4140
CN 11-3017/P

多层螺旋CT胸部扫描参数的优化研究

Multislice Spiral CT Scanning on Chest of Optimization of Therapeutic

  • 摘要: 目的:比较16层螺旋CT的4种不同胸部的扫描技术参数,探讨胸部检查最适合的扫描参数。资料与方法:回顾性分析2003年6月至2011年4月间CT检查采用此4种扫描参数的患者100例,肺部低剂量检查和常规剂量检查均分别采用1.5mm×16(24mm)及0.75mm×16(12mm)宽探测器进行扫描;有效mAs分别为20mAs及100mAs;管电压、扫描周期及重建层厚等均相同,为120kV、0.5s、5mm。再分别重叠50%重组2mm及1mm的最薄层图像用于三维后处理用,对照分析其影像及后处理重建图像的质量。结果:4种扫描检查方法所得的肺部影像正常结构及所显示的病灶均无明显差异,图像质量优良;采用较宽探测器和低剂量扫描方案的扫描时间及X线剂量均明显减少,所产生的X线辐射也大幅减少。结论:胸部CT扫描采用宽(1.5mm)探测器和低剂量扫描方案进行时,其辐射剂量(CTDIvol)只为窄(0.75mm)探测器和常规剂量扫描方案的20%,但能提供相近的诊断信息。

     

    Abstract: Objective:To compare the radiation dose between two different collimations on chest low-dose screen and normal using a 16-slice spiral CT,in order to provide guideline for lung low-dose screen.Methods:100 physical examination objectors use 1.5 mm × 16(24 mm) collimation in lung low-dose screen of anomalous.Then use 0.75 mm × 16(12 mm) collimation to screen.They use KVP,Effective mAs,time of ration and image of thick were the same.120 kV,20 mAs,0.5 s/rotation,5 mm.To different overlap 50% reconstruct 2 mm and 1mm thick images for 3D-process.To compare image quality.Results:Four screen technique to display the focus and normal organization of the Lung were not difference.Image quality were excellent,use the wide collimation screen time and X-ray radiation protection too decrease.Conclusion:Radiation dose of 1.5 mm collimation.In lung low-dose screen is less of 0.75 mm collimation,and scan time is low.The radiation dose(CTDIvol) only for the narrow(0.75mm) detector and the conventional dose scanning for 20%,but can provide similar diagnostic information.So a collimation of 1.5mm is recommended in lung low-dose screen using a 16-slice spiral CT.

     

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