能谱CT临床应用进展
摘要
<正>CT的发展经历了几次革命性的飞跃,目前已成为临床广泛应用于诊断和筛查疾病的一种重要手段。CT能谱成像是一种新兴技术,最早产生于20世纪70年代,但由于受到软硬件的限制而未能广泛应用。21世纪出现的以瞬时双k Vp为核心技术的能谱CT图像,为能谱成像的临床应用与研究创造了可能性。能谱CT利用其四大平台(单能量图像、能谱吸收曲线、物质定量与分离、有效原子序数)及三大后处理工具(最佳信噪比、直方图、散点图),为
引文
[1]Lin XZ,Miao F,Li JY,et al.High-definition CT gemstone spectral imaging of the brain:initial results of selecting optimal monochromatic image for beam-harding artifacts and image noise reduction[J].J Comput Assist Tomogr,2011,35(2):294-297.
[2]付雨菲,王弘,邱晓明,等.双能量CT单能谱成像技术在颅内动脉瘤夹闭术后的应用[J].临床放射学杂志,2015,34(5)813-817.
[3]赵宾,王继红.宝石能谱CT在骨科患者术后检查中的应用效果分析[J].中国医疗设,2016,31(3):74-75.
[4]林晓霞,王文娟,赵兴圣,等.能谱成像技术减少口腔修复材料金属伪影的应用价值[J].临床放射学杂志,2017,36(12):1868-1872.
[5]吕培杰.CT能谱成像在小肝癌中的应用价值[J].放射学实践,2011,26(3):321-324.
[6]程路得,刘斌,吴兴旺,等.能谱CT单能成像对乏血供肝癌的诊断价值[J].安徽医科大学学报,2012,47(1):60-62.
[7]Tian SF,Liu AL,Liu JF,et al.Application of computed tomography virtual noncontrast spectral imaging in evaluation of hepatic metastases:a preliminary study[J].Chin Med J(Engl),2015,128(5):610-614.
[8]王君君.宝石能谱CT在手足肌腱病变中的初步应用[D].山东大学,2012.
[9]Sun C,Miao F,Wang XM,et al.An initial qualitative study of dual-energy CT in the knee ligaments[J].Surg Radiol Anat,2008,30(5):443-447.
[10]史燕杰,孙应实,齐丽萍,等.能谱CT显示胰腺血管网:与混合能量CT对照[J].中国医学影像技术,2014,30(2):245-249.
[11]He J,Ma X,Wang Q,et al.Spectral CT demonstration of the superiormesentericartery:comparison of monochromatic and polychromatic imaging[J].Acad Radiol,2014,21(3):364-368.
[12]Pinho DF,Kulkarni NM,Krishnaraj A,et al.Initial experience with single-source dual-energy CT abdominal angiography and comparison with single-energy CT angiography:Image quality,enhancement,diagnosis and radiation dose[J].Eur Radiol,2013,23(2):351-359.
[13]Fuchs TA,Stehli J,Fiechter M,et al.First experience with monochromatic coronary computed tomography angiography from a 64-slice CT scanner with Gemstone Spectral Imaging(GSI)[J].J Cardiovasc Comput Tomogr,2013,7(1):25-31.
[14]Yuan R,Shuman WP,Earls JP,et al.Reduced Iodine load at CT pulmonary angiography with dual-energy monochromatic imaging:Comparison with standard CT pulmonary angiography-a prospective randomized trial[J].Radiology,2012,262(1):290-297.
[15]Zhao LQ,He W,Li JY,et al.Improving image quality in portal venography with spectral CT imaging[J].Eur J Radiol,2012,81(8):1677-1681.
[16]李英豪,彭新佳,金晖,等.能谱CT最佳单能量图提高下肢动脉造影成像质量研究[J].介入放射学杂志,2016,25(11):997-1001.
[17]Lv P,Lin XZ,Li J,et al.Differentiation of Small Hepatic Hemangioma from Small Hepatocellular Carcinoma:Recently Introduced Spectral CT Method[J].Radiology,2011,259(3):720-9.
[18]Glazer DI,Keshavarzi NR,Maturen KE,et al.Adrenal incidentaloma triage with single source(fast k Vp switch)dual energy CT[J].AJR Am J Roentgenol,2014,203(2):329-335.
[19]王夏婉,高剑波,柴亚如,等.CT能谱成像在胃癌与高度侵袭危险性胃间质瘤鉴别诊断中的应用[J].临床放射学杂志,2017,36(6):834-837.
[20]杨创勃,李新胜,任成龙,等.能谱CT在鉴别小肠腺癌与原发小肠淋巴瘤中的临床价值[J].中国医学影像学杂志,2016,24(11):834-838.
[21]赵娜,程琦.CT能谱成像在鉴别肾血管平滑肌脂肪瘤和肾癌的应用价值[J].临床放射学杂志,2015,34(6):945-950.
[22]张小鹏.探索的精神与乐趣-CT能谱成像临床应用研究中的思考[J].中华放射学杂志,2011,45(8):709-712.
[23]Wang G,Zhang C,Li M,et al.Preliminary application of high-definition computed tomographic gemstone spectral imaging in lung cancer[J].J Comput Assist Tomogr,2014,38(1):73-76.
[24]李明英,王广丽,崔丁也,等.能谱CT成像对肺癌分型的初步研究[J].山东大学学报(医学版),2012,50(12):73-76.
[25]陈燕,宋卫东,王成林.CT能谱成像对肺部占位性病变鉴别诊断价值的初步研究[J].罕少疾病杂志,2013,20(1):56-59.
[26]石义志,杨明慧,邱晓明,等.宝石能谱CT成像对结直肠管状腺癌分化程度评估的应用价值[J].临床放射学杂志,2017,36(9):1283-1287.
[27]王夏婉,高剑波,柴亚如.CT能谱成像在胃腺癌分化程度评估中的应用价值[J].放射学实践,2017,32(4):410-413.
[28]杨伟洪,沈新平,潘娜,等.能谱CT诊断腹部多发病灶同源性的初步研究[J].CT理论与应用研究,2013,22(3):395-400.
[29]陈俐君,魏清顺,成满平,等.能谱CT在乳腺癌诊断中的初步应用[J].中国医学影像学杂志,2017,25(11):825-828.
[30]任小璐,刘云,王杏娟,等.能谱CT评估颈动脉粥样硬化非钙化斑块成分[J].中国医学影像技术,2013,29(2):202-205.
[31]Tomasz K,Przemyslaw P,Maciej G,et al.Novel clinical application of dual energy computed tomography[J].Adv Clin Exp Med,2012,21(6):831-841.
[32]张玉娇,李小虎,江兆翔,等.双能量能谱CT分析体内尿酸结石的诊断价值[J].安徽医科大学学报,2017,52(7):1091-1094.
[33]T Lestra,S Mule,I Millet,et al.Applications of dual energy computed tomography in abdominal imaging[J].Diagn Interv Imaging,2016,97(6):593-603.
[34]李小虎,王旭,余永强,等.双能量能谱CT基物质图像检测痛风患者尿酸盐沉积的价值[J].中华放射学杂志,2014,48(4):303-307.
[35]Fornaro J,Leschka S,Hibbeln D,et al.Dual-and multienergy CT:approach to functional imaging[J].Insights Imaging,2011,2(2):149-159.
[36]郑健辉,王秀河,张俊成,等.能谱CT碘基图对肝细胞癌化疗栓塞术后瘤体血供的分析[J].暨南大学学报(自然科学与医学版),2015,36(3):269-274.
[37]Pang LF,Zhang H,Lu W,et al.Spectral CT imaging of myocardial infarction:preliminary animal experience[J].Eur Radiol,2013,23(1):133-138.
[38]陈婧,郑邵微,苗延巍,等.能谱CT定量钙(水)密度技术对腰椎椎体内及椎体间骨密度差异的研究[J].大连医科大学学报,2015,37(3):289-292.
[39]Lv PJ,Lin XJ,Gao JB,et al.Spectral CT:preliminary studies in the liver cirrhosis[J].Korean J Radiol,2012,13(4):434-442.
[40]Zhao LQ,He W,Yan B,et al.The evaluation of haemodynamics in cirrhotic patients with spectral CT[J].Br J Radiol,2013,86(1028):20130228.
[41]赵莹,刘爱连,李烨,等.单源双能CT成像碘(水)浓度值评估脂肪肝和肝岛血供的价值[J].放射学实践,2017,32(5):498-503.
[42]陈步东,贺文,李剑颖,等.双能能谱CT定量检测尘肺Si O2[J].中国医学影像技术,2011,27(12):2393-2397.
[43]杨亮,罗德红,赵燕凤,等.头颈部肿瘤检查中能谱CT虚拟平扫替代常规平扫的可行性研究[J].中华放射学杂志,2015,49(8):572-576.
[44]刘力,金梅,高振兴,等.DECT虚拟平扫在鉴别良恶性甲状腺结节的临床应用价值[J].临床放射学杂志,2017,36(4):571-576.
[2]付雨菲,王弘,邱晓明,等.双能量CT单能谱成像技术在颅内动脉瘤夹闭术后的应用[J].临床放射学杂志,2015,34(5)813-817.
[3]赵宾,王继红.宝石能谱CT在骨科患者术后检查中的应用效果分析[J].中国医疗设,2016,31(3):74-75.
[4]林晓霞,王文娟,赵兴圣,等.能谱成像技术减少口腔修复材料金属伪影的应用价值[J].临床放射学杂志,2017,36(12):1868-1872.
[5]吕培杰.CT能谱成像在小肝癌中的应用价值[J].放射学实践,2011,26(3):321-324.
[6]程路得,刘斌,吴兴旺,等.能谱CT单能成像对乏血供肝癌的诊断价值[J].安徽医科大学学报,2012,47(1):60-62.
[7]Tian SF,Liu AL,Liu JF,et al.Application of computed tomography virtual noncontrast spectral imaging in evaluation of hepatic metastases:a preliminary study[J].Chin Med J(Engl),2015,128(5):610-614.
[8]王君君.宝石能谱CT在手足肌腱病变中的初步应用[D].山东大学,2012.
[9]Sun C,Miao F,Wang XM,et al.An initial qualitative study of dual-energy CT in the knee ligaments[J].Surg Radiol Anat,2008,30(5):443-447.
[10]史燕杰,孙应实,齐丽萍,等.能谱CT显示胰腺血管网:与混合能量CT对照[J].中国医学影像技术,2014,30(2):245-249.
[11]He J,Ma X,Wang Q,et al.Spectral CT demonstration of the superiormesentericartery:comparison of monochromatic and polychromatic imaging[J].Acad Radiol,2014,21(3):364-368.
[12]Pinho DF,Kulkarni NM,Krishnaraj A,et al.Initial experience with single-source dual-energy CT abdominal angiography and comparison with single-energy CT angiography:Image quality,enhancement,diagnosis and radiation dose[J].Eur Radiol,2013,23(2):351-359.
[13]Fuchs TA,Stehli J,Fiechter M,et al.First experience with monochromatic coronary computed tomography angiography from a 64-slice CT scanner with Gemstone Spectral Imaging(GSI)[J].J Cardiovasc Comput Tomogr,2013,7(1):25-31.
[14]Yuan R,Shuman WP,Earls JP,et al.Reduced Iodine load at CT pulmonary angiography with dual-energy monochromatic imaging:Comparison with standard CT pulmonary angiography-a prospective randomized trial[J].Radiology,2012,262(1):290-297.
[15]Zhao LQ,He W,Li JY,et al.Improving image quality in portal venography with spectral CT imaging[J].Eur J Radiol,2012,81(8):1677-1681.
[16]李英豪,彭新佳,金晖,等.能谱CT最佳单能量图提高下肢动脉造影成像质量研究[J].介入放射学杂志,2016,25(11):997-1001.
[17]Lv P,Lin XZ,Li J,et al.Differentiation of Small Hepatic Hemangioma from Small Hepatocellular Carcinoma:Recently Introduced Spectral CT Method[J].Radiology,2011,259(3):720-9.
[18]Glazer DI,Keshavarzi NR,Maturen KE,et al.Adrenal incidentaloma triage with single source(fast k Vp switch)dual energy CT[J].AJR Am J Roentgenol,2014,203(2):329-335.
[19]王夏婉,高剑波,柴亚如,等.CT能谱成像在胃癌与高度侵袭危险性胃间质瘤鉴别诊断中的应用[J].临床放射学杂志,2017,36(6):834-837.
[20]杨创勃,李新胜,任成龙,等.能谱CT在鉴别小肠腺癌与原发小肠淋巴瘤中的临床价值[J].中国医学影像学杂志,2016,24(11):834-838.
[21]赵娜,程琦.CT能谱成像在鉴别肾血管平滑肌脂肪瘤和肾癌的应用价值[J].临床放射学杂志,2015,34(6):945-950.
[22]张小鹏.探索的精神与乐趣-CT能谱成像临床应用研究中的思考[J].中华放射学杂志,2011,45(8):709-712.
[23]Wang G,Zhang C,Li M,et al.Preliminary application of high-definition computed tomographic gemstone spectral imaging in lung cancer[J].J Comput Assist Tomogr,2014,38(1):73-76.
[24]李明英,王广丽,崔丁也,等.能谱CT成像对肺癌分型的初步研究[J].山东大学学报(医学版),2012,50(12):73-76.
[25]陈燕,宋卫东,王成林.CT能谱成像对肺部占位性病变鉴别诊断价值的初步研究[J].罕少疾病杂志,2013,20(1):56-59.
[26]石义志,杨明慧,邱晓明,等.宝石能谱CT成像对结直肠管状腺癌分化程度评估的应用价值[J].临床放射学杂志,2017,36(9):1283-1287.
[27]王夏婉,高剑波,柴亚如.CT能谱成像在胃腺癌分化程度评估中的应用价值[J].放射学实践,2017,32(4):410-413.
[28]杨伟洪,沈新平,潘娜,等.能谱CT诊断腹部多发病灶同源性的初步研究[J].CT理论与应用研究,2013,22(3):395-400.
[29]陈俐君,魏清顺,成满平,等.能谱CT在乳腺癌诊断中的初步应用[J].中国医学影像学杂志,2017,25(11):825-828.
[30]任小璐,刘云,王杏娟,等.能谱CT评估颈动脉粥样硬化非钙化斑块成分[J].中国医学影像技术,2013,29(2):202-205.
[31]Tomasz K,Przemyslaw P,Maciej G,et al.Novel clinical application of dual energy computed tomography[J].Adv Clin Exp Med,2012,21(6):831-841.
[32]张玉娇,李小虎,江兆翔,等.双能量能谱CT分析体内尿酸结石的诊断价值[J].安徽医科大学学报,2017,52(7):1091-1094.
[33]T Lestra,S Mule,I Millet,et al.Applications of dual energy computed tomography in abdominal imaging[J].Diagn Interv Imaging,2016,97(6):593-603.
[34]李小虎,王旭,余永强,等.双能量能谱CT基物质图像检测痛风患者尿酸盐沉积的价值[J].中华放射学杂志,2014,48(4):303-307.
[35]Fornaro J,Leschka S,Hibbeln D,et al.Dual-and multienergy CT:approach to functional imaging[J].Insights Imaging,2011,2(2):149-159.
[36]郑健辉,王秀河,张俊成,等.能谱CT碘基图对肝细胞癌化疗栓塞术后瘤体血供的分析[J].暨南大学学报(自然科学与医学版),2015,36(3):269-274.
[37]Pang LF,Zhang H,Lu W,et al.Spectral CT imaging of myocardial infarction:preliminary animal experience[J].Eur Radiol,2013,23(1):133-138.
[38]陈婧,郑邵微,苗延巍,等.能谱CT定量钙(水)密度技术对腰椎椎体内及椎体间骨密度差异的研究[J].大连医科大学学报,2015,37(3):289-292.
[39]Lv PJ,Lin XJ,Gao JB,et al.Spectral CT:preliminary studies in the liver cirrhosis[J].Korean J Radiol,2012,13(4):434-442.
[40]Zhao LQ,He W,Yan B,et al.The evaluation of haemodynamics in cirrhotic patients with spectral CT[J].Br J Radiol,2013,86(1028):20130228.
[41]赵莹,刘爱连,李烨,等.单源双能CT成像碘(水)浓度值评估脂肪肝和肝岛血供的价值[J].放射学实践,2017,32(5):498-503.
[42]陈步东,贺文,李剑颖,等.双能能谱CT定量检测尘肺Si O2[J].中国医学影像技术,2011,27(12):2393-2397.
[43]杨亮,罗德红,赵燕凤,等.头颈部肿瘤检查中能谱CT虚拟平扫替代常规平扫的可行性研究[J].中华放射学杂志,2015,49(8):572-576.
[44]刘力,金梅,高振兴,等.DECT虚拟平扫在鉴别良恶性甲状腺结节的临床应用价值[J].临床放射学杂志,2017,36(4):571-576.