低剂量CT在肺癌术后短期复查中的应用价值 |
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引用本文: | 俞新华,汪福康,宋敏,冯惠勇,王簕,张志. 低剂量CT在肺癌术后短期复查中的应用价值[J]. 中国肿瘤临床, 2014, 41(15): 975-978. DOI: 10.3969/j.issn.1000-8179.20132110 |
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作者姓名: | 俞新华 汪福康 宋敏 冯惠勇 王簕 张志 |
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作者单位: | ①.广州市胸科医院放射科(广州市 510095) |
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基金项目: | 国家自然科学基金项目31200726广东省自然科学基金项目S2013010011532 |
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摘 要: | 目的 通过常规CT和低剂量CT的对比研究,探讨低剂量CT在肺癌术后短期复查中的应用价值。 方法 83例肺癌术后短期内复查CT的患者,50例(A组)行常规CT扫描,33例(B组)行低剂量CT扫描。分别从图像质量和临床需求角度出发对所有CT图像进行评分,并记录每个病例的辐射剂量指标CTDIvol、DLP。比较二组之间的评分和辐射剂量是否存在显著性差异。 结果 二组在图像质量方面的平均得分分别为3.705±0.314、3.311±0.442,在临床需求方面的平均得分为2.670±0.373、2.561±0.410,CTDIvol分别为(19.248±1.532)mGy、(10.138±1.113)mGy,DLP分别为(170.180±19.259)mGy*cm、(99.061±14.504)mGy*cm。二组在图像质量、CTDIvol、DLP方面均存在显著性差异,在临床需求评分方面无显著性差异。 结论 低剂量CT完全能满足临床对于肺癌术后短期复查的需求,并明显降低了辐射剂量。
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关 键 词: | 辐射剂量 肺癌 体层摄影术 X线计算机 |
收稿时间: | 2013-12-11 |
Application value of low-dose CT in a short-term review of lung cancer after operation |
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Affiliation: | ①.Department of Radiology, Guangzhou Chest Hospital, Guangzhou 510095, China②.The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou 510150, China |
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Abstract: | Objective To explore the application value of low-dose CT in lung cancer after operation in a short-term review by comparing conventional and low-dose CT. Methods In 83 cases of lung cancer during the immediate postoperative period review, 50 cases (group A) underwent conventional CT scanning, whereas 33 cases (group B) underwent low-dose CT scanning. All CT scans were scored on the basis of image quality and clinical needs. The radiation dose indexes CTDIvol and DLP were recorded for each case. A comparison of the score and radiation dose between the two groups helped determine the existence of significant differences. Results The average image quality scores of the two groups were 3.705±0.314 and 3.311±0.442, those for clinical demand were 2.670±0.373 and 2.561±0.410, those for CTDIvol were (19.248±1.532) mGy and (10.138±1.113) mGy, and those for DLP were (170.180±19.259) mGy*cm and (99.061±14.504) mGy*cm. The two groups exhibited significant differences in image quality, CTDIvol, and DLP but revealed no significant dissimilarity in clinical demand. Conclusion Low-dose CT completely meets the clinical requirements for short-term follow-up after resection of lung cancer and significant reduction in radiation dose. |
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