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成人胸部多层螺旋CT低剂量扫描和防护价值
引用本文:郑文龙,吴爱琴,许崇永,严志汉. 成人胸部多层螺旋CT低剂量扫描和防护价值[J]. 医学影像学杂志, 2010, 20(2): 182-184
作者姓名:郑文龙  吴爱琴  许崇永  严志汉
作者单位:1. 浙江省温州市第二人民医院放射科,浙江,温州,325000
2. 温州医学院附属第二医院放射科,浙江,温州,325000
摘    要:目的:探讨螺旋CT低剂量扫描在成人胸部应用的可行性和防护价值。方法:对35例近期(2周内)80mAs胸部常规剂量CT检查病例复查者,使用本机设置最低剂量(20mAs)扫描,盲式阅片评判两种扫描剂量图像对病变诊断、图片质量的差异,结果进行统计学分析。结果:当mAs从常规剂量80减低到20时,辐射剂量显著降低,CTDIvol从8.64mGy降低到2.16mGy,为原来剂量的25%。对照常规剂量组的诊断结果,低剂量组均能明确诊断,无一例漏诊或误诊。图像质量在常规剂量以优质片为主,低剂量以优和良为主,差别有显著性意义(P=0.00),说明降低扫描剂量后图像质量有所下降,但不影响疾病的诊断。结论:多层螺旋CT成人胸部低剂量扫描,对于胸部复查病例,既不影响胸部疾病的诊断,又能显著降低扫描剂量,具有显著的防护价值。

关 键 词:胸部  辐射剂量  防护  体层摄影术,X线计算机

The application of low-dose multi-slice spiral CT scanning and shielding in adult chest
ZHENG Wen-long,WU Ai-qin,XU Chong-yong,YAN Zhi-han. The application of low-dose multi-slice spiral CT scanning and shielding in adult chest[J]. Journal of Medical Imaging, 2010, 20(2): 182-184
Authors:ZHENG Wen-long  WU Ai-qin  XU Chong-yong  YAN Zhi-han
Affiliation:ZHENG Wen-long1,WU Ai-qin2,XU Chong-yong2,YAN Zhihan2 1.Department of Radiology,the Second People's Hospital of Wenzhou,Zhejiang 325000,P.R.China2.Department of Radiology,The Second Affiliated Hospital of Wenzhou Medical College,Wenzhou 325000,P.R.China
Abstract:Objective:To investigate the feasibility and shielding value of multi-slice spiral CT scanning with low-dose in adult chest.Methods:35 re-examination cases scanned with 80 mAs routine dose for chest CT scanning in recent days(in two weeks) were scanned with the lowest dose(20 mAs),which was installed in CT machine.The image quality,appearance of lesions,and diagnoses were blindly evaluated in two different dose groups.Results:When mAs reduced from 80(conventional dose) to 20,the radiation dose was prominent...
Keywords:Chest  Radiation dose  Shielding  Tomography  X-ray computed  
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