双能量数字减影胸片对肺内小结节检出的意义

目的探讨双能量数字减影胸片对肺内小结节检出的意义。方法27例病理证实恶性肿瘤伴肺内转移的患者,分别行增强CT扫描、双能量数字减影胸片与常规DR胸片。使用柯达质量控制检测仪比较双能量数字减影DR与常规DR胸片的图像质量。再以CT扫描结果为金标准,由2位高年资放射科医师采用双盲法对双能量数字减影胸片与常规DR胸片进行分析,比较两者对肺内转移瘤的检出有无显著差异。结果双能量数字减影DR与常规DR图像在噪声上(均匀度)无差异,但清晰度稍差。双能量数字化减影的胸片对肺内小结节的检出率为91.2%;而常规DR胸片对肺转移瘤的检出率为85.0%,两者之间有显著差异(P<0.05)。结论双能量数字减影技术可减少肺野内骨骼及其它钙化影响,对肺内结节的检出能力高于常规DR胸片。

Evaluation of Dual - energy Digital Subtraction Chest Radiography in Detection of Small Pulmonary Nodules

Objective To investigate the value of dual-energy digital subtraction chest radiography in detection of small pulmonarynodules.Methods CT scanning,dual-energy digital subtraction chest radiographs and routine digital chest radiographs were obtainedrespectively from 27 consecutive oncology patients with pulmonary metastasis.The image quality of these two kinds of DR by quality control phantom of Kodak was compared. The images of dual-energy digital subtract radiographs and the routine digital radiography were analysedby two radiologists in biblind method and the detecting rate of pulmonary metastasis by both DR was compared based on the results CTscanning. Results The quality of dual-energy digital subtraction chest radiographs is equal to the routine one except the definition. The detectable rate of pulmonary nodules by dual-energy digital subtraction chest radiographs was 91.2%, by the routine DR was 85.0%. There was significant difference (P<0.05) between the two kind of imagis.Conclusion Dual-energy digital subtraction chest radiography can eliminate the influence of bones and other calcium, which is superior to regular DR image on detecting small pulmonary nodules.