乳腺CR技术规范化探讨

目的探讨乳腺CR技术规范化,提高乳腺CR照片的质量及其在临床诊断中的应用.方法对1 000例乳腺CR照片患者的乳腺类型、投照体位、CR图像处理方法等进行分类研究,总结乳腺CR技术规范.结果双侧同时对照,内外侧斜位,改良头尾加压放大位,并进行图像后处理后,可满足诊断要求者占96%.结论根据以上病例分析,认为改良头尾加压放大位可以提高微钙化显示率,多窗口显示与打印技术可为临床医师提供了更加丰富的照片诊断信息,并提出了乳腺CR体位、影像处理、影像显示及质量控制规范.

Discussion of CR mammography technique standardization

Objective To study the standard of CR mammography technique to meet the clinical application. Methods The mammography of 1 000 cases were classified according to breast type,projected position and CR mammography processing methods etc, then summarized the CR mammography criterion. Results If the bilateral breasts CR mammography were done simultaneously by both MLO position and improved CCM position, and conducted image processing, it could meet the demands for diagnosis in 96% of the cases. Conclusion According to the results we consider that CCM position can improve the sensitivity of microcalcifications. The technique of multi-windows at the aspect of display and printing could offer much more information for clinical doctors, and the standard position of CR mammography, the criterion of image processing, displaying and printing, and the quality control regularization were suggested.