两种检查体位在胸部增强CT扫描中的对比研究
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- 论文作者：段海峰 ; 马光明 ; 于勇 ; 张兆国
- 年：2016
- 作者机构：陕西中医药大学附属医院医学影像科;
- 论文关键词：检查体位 ; 增强扫描 ; 计算机体层成像 ; X-线计算机 ; 胸部检查
- 英文论文关键词：Examination Position ; Contrast Enhanced ; Computer Tomography ; X-ray Computer ; Thorax Examination
- 会议召开时间：2016-11-25
- 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
- 语种：中文
- 分类号：R816.4
- 学会代码：HNZY
- 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
- 会议地点：中国广东珠海
- 主办单位：国际数字医学会、Digital Chinese Medicine
- 学会名称：湖南中医药大学期刊杂志社
- 页数：2
- 文件大小：2029k
- 原文格式：D
- 会议级别：全国
摘要
目的:对比头先进仰卧位、足先进仰卧位两种体位在胸部增强中的应用安全、便捷情况,确定一种较佳的胸部增强CT扫描体位。方法:对拟行胸部增强CT患者120人,随机分成两组,分别采用头先进仰卧位、足先进仰卧位进行增强多期扫描。对比两组间扫描前准备时间、扫描时间、患者配合程度(舒适度分级)、扫描中观察方便程度,紧急状况处理快捷程度、图像质量等指标。结果:足先进仰卧位进行胸部增强CT扫描所需扫描前准备时间短、患者配合程度高、扫描观察方便、紧急状况处理快捷、图像质量高。结论:足先进仰卧位进行胸部增强CT扫描相对于头先进仰卧位具有安全、快捷、患者接受程度较高、便于检查者观察及处理紧急情况、所获图像质量高的优点,值得临床广泛应用。
Objective: Compared the head-first supine position and the foot-first advanced position in the thoracal contrast enhanced CT scann about the safety and convenience, to determine abetter thoracal enhanced CT scan position. Methods: 120 people who were prepared to undergo thorax contrast enhanced CT scan were divided into two groups at random, and administrated the headfirst supine position or the feet-first supine position to enhanced scan respe ctively. The parameters of the two groups were compared, such as, p reparation time before scan, scanning time, the degree ofpatient comfort, the convenience of the observing and handling emergency processing, image quality, and so on. Results: It has many advantages that using the feet-first supine examination positionto thorax contrast enhanced CT scanning relative to the head-first supine scanning position, such as, security, short preparation time, easy acceptation to patients, easy observing patient and handlingemergency treatment for examiner, and high image quality. Conclusion: It is worth wide application in the clinical practice using the feet-first supine examination position to contrast enhanced thoraxCT scanning.
Objective: Compared the head-first supine position and the foot-first advanced position in the thoracal contrast enhanced CT scann about the safety and convenience, to determine abetter thoracal enhanced CT scan position. Methods: 120 people who were prepared to undergo thorax contrast enhanced CT scan were divided into two groups at random, and administrated the headfirst supine position or the feet-first supine position to enhanced scan respe ctively. The parameters of the two groups were compared, such as, p reparation time before scan, scanning time, the degree ofpatient comfort, the convenience of the observing and handling emergency processing, image quality, and so on. Results: It has many advantages that using the feet-first supine examination positionto thorax contrast enhanced CT scanning relative to the head-first supine scanning position, such as, security, short preparation time, easy acceptation to patients, easy observing patient and handlingemergency treatment for examiner, and high image quality. Conclusion: It is worth wide application in the clinical practice using the feet-first supine examination position to contrast enhanced thoraxCT scanning.
引文
[1]Araki T,Sholl LM,Gerbaudo VH,et al.Intrathymic cyst:clinical and radiological features in surgically resected cases[J].Clin Radiol,2014,69(7):732-738.
[2]Meng X,Wang R.Inflammatory myofibroblastic tumor occurs in the mediastinum[J].J Cancer Res Ther,2013,9(4):721-723.
[3]Ma y MS,Eller A,Stahl C,et al.Dose reduction in computed tomography of the chest:image quality of iterative reconstructions at a 50%radiation dose compared to filtered back projection at a 100%radiation dose[J].Rofo,2014,186(6):576-584.
[4]Tang S,Shao H,Yang Z,et al.[Contrast-enhanced MSCT features and predominant anatomic distribution of mediastinal tuberculous lymphadenitis][J].Sheng Wu Yi Xue Gong Cheng Xue Za Zhi,2013,30(2):283-286.
[5]Gorkem SB,Coskun A,Yikilmaz A,et al.Evaluation of pediatric thoracic disorders:comparison of unenhanced fast-imaging-sequence 1.5-T MRI and contrast-enhanced MDCT[J].AJR Am J Roentgenol,2013,200(6):1352-1357.
[6]G.Knobloch,G.Jost,A.Huppertz,等.对此双能量CT与动态增强CT及传统的单能量增强CT对瑞格非尼(Regorafenib)在临床前期肿瘤模型早期疗效的评估[J].国际医学放射学杂志,2014,(05).
[7]施珏倩,于红,范丽,等.CTA对慢性阻塞性肺疾病支气管动脉形态学变化的研究[J].实用放射学杂志,2015,(1).
[8]赵青兰,程文华,孙莉.超声引导下经肘上留置中心静脉导管的效果观察[J].解放军医药杂志,2013,25(9).
[9]Baumueller S,Alkadhi H,Stolzmann P,et al.Computed tomography of the lung in the high-pitch mode:is breath holding still required?[J].Invest Radiol,2011,46(4):240-245.
[10]Yamada S,Ueguchi T,Ogata T,et al.[Perceptual image dissimilarity--a novel metric for objective assessment of image quality in computed tomography with iterative reconstruction][J].Igaku Butsuri,2014,34(2):35-46.
[11]Sun K,Li K,Han R,et al.Evaluation of high-pitch dual-source CT angiography for evaluation of coronary and carotid-cerebrovascular arteries[J].Eur J Radiol,2015,84(3):398-406.
[12]Heyer CM,Thuring J,Lemburg SP,et al.Anxiety of patients undergoing CT imaging-an underestimated problem?[J].Acad Radiol,2015,22(1):105-112.
[2]Meng X,Wang R.Inflammatory myofibroblastic tumor occurs in the mediastinum[J].J Cancer Res Ther,2013,9(4):721-723.
[3]Ma y MS,Eller A,Stahl C,et al.Dose reduction in computed tomography of the chest:image quality of iterative reconstructions at a 50%radiation dose compared to filtered back projection at a 100%radiation dose[J].Rofo,2014,186(6):576-584.
[4]Tang S,Shao H,Yang Z,et al.[Contrast-enhanced MSCT features and predominant anatomic distribution of mediastinal tuberculous lymphadenitis][J].Sheng Wu Yi Xue Gong Cheng Xue Za Zhi,2013,30(2):283-286.
[5]Gorkem SB,Coskun A,Yikilmaz A,et al.Evaluation of pediatric thoracic disorders:comparison of unenhanced fast-imaging-sequence 1.5-T MRI and contrast-enhanced MDCT[J].AJR Am J Roentgenol,2013,200(6):1352-1357.
[6]G.Knobloch,G.Jost,A.Huppertz,等.对此双能量CT与动态增强CT及传统的单能量增强CT对瑞格非尼(Regorafenib)在临床前期肿瘤模型早期疗效的评估[J].国际医学放射学杂志,2014,(05).
[7]施珏倩,于红,范丽,等.CTA对慢性阻塞性肺疾病支气管动脉形态学变化的研究[J].实用放射学杂志,2015,(1).
[8]赵青兰,程文华,孙莉.超声引导下经肘上留置中心静脉导管的效果观察[J].解放军医药杂志,2013,25(9).
[9]Baumueller S,Alkadhi H,Stolzmann P,et al.Computed tomography of the lung in the high-pitch mode:is breath holding still required?[J].Invest Radiol,2011,46(4):240-245.
[10]Yamada S,Ueguchi T,Ogata T,et al.[Perceptual image dissimilarity--a novel metric for objective assessment of image quality in computed tomography with iterative reconstruction][J].Igaku Butsuri,2014,34(2):35-46.
[11]Sun K,Li K,Han R,et al.Evaluation of high-pitch dual-source CT angiography for evaluation of coronary and carotid-cerebrovascular arteries[J].Eur J Radiol,2015,84(3):398-406.
[12]Heyer CM,Thuring J,Lemburg SP,et al.Anxiety of patients undergoing CT imaging-an underestimated problem?[J].Acad Radiol,2015,22(1):105-112.