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  1. Preliminary Reports on the Accuracy of Coronary CT-Angiography Using 64-slice Multi-slice Spiral CT (MSCT in Iran

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    "A. Arjmand Shabestari

    2005-08-01

    Full Text Available Introduction & Background: Coronary artery disease (CAD is the leading cause of death in many western countries. Its prevalence and incidence among Irani-ans particularly in the urban areas are increasing. Ac-cording to the newest Tehran annual mortality re-port, the most common cause of death in Tehran is cardiovascular disease. Diagnostic gold standard in CAD is fluoroscopic coronary angiography (FCA us-ing catheterization. Nevertheless, it is an invasive method and in recent years, some non-invasive or less-invasive imaging modalities such as MRI and CT scans have been used to investigate CAD. One of the most attractive new methods in this regard is Coro-nary CT-Angiography (CCTA, which has gained considerable attention. Multi-slice spiral CT (MSCT scanners with simultaneous acquisition of multiple (up to 64 slices in less than half a second of gantry rotation time (in our study, 0.33 second, have be-come available, resulting in minimally-invasive coro-nary artery imaging. The purpose of this study is to determine the diagnostic accuracy of a new 64-slice MSCT scanner in the diagnosis of coronary artery and/or bypass grafts occlusion or hemodynamically significant stenosis. Parients & Methods: This investigation is underway in patients undergoing elective FCA. A 64-channel per rotation MSCT scanner (Somatom Sensation 64, Siemens Medical Systems, Forchheim, Germany, with 0.6 mm collimation, 0.33 second gantry rotation time and 120 KVp was used to perform CCTA. Ap-proximately 70-90 mL of a nonionic contrast medium was injected intravenously. All coronary artery seg-ments, according to American Heart Association (AHA classification & nomenclature system were analyzed. Patients who had undergone previous coronary artery bypass grafts (CABGs, or used coro-nary stents were enrolled in the study, as well. MSCT scans were carried out within 10 days of catheteriza-tion, and the most dramatically stenotic lesions were analyzed in CCTA by a semi

  2. Assessment of Coronary Stents by 64-slice Computed Tomography:In-stent Lumen Visibility and Patency

    Institute of Scientific and Technical Information of China (English)

    Ling-yan Kong; Zheng-yu Jin; Shu-yang Zhang; Zhu-hua Zhang; Yi-ning Wang; Lan Song; Xiao-na Zhang; Yun-qing Zhang

    2009-01-01

    Objective To assess lumen visibility of coronary stents by 64-slice computed tomography(CT)coronary angiography,and determine the value of 64-slice CT in non-invasive detecting of in-stent restenosis after coronary artery stent implantation.Methods Totally,60 patients(54 males,aged 57.0±12.7 years)and 105 stents were investigated by 64-slice CT at a mean interval of 20.0±16.6 months after coronary stents implantation.Axial multi-planar reconstruction images of the stents and curved-planar reconstruction images through the median of the stents were reconstructed for evaluating stent image quality on a 5-point scale(1=excellent,5=nonassessable),and stent lumen diameter was detected.Conventional coronary angiography was performed in 18 patients,and 32 stents were evaluated.Results Image quality was good to excellent on average(score 1.71±0.76).Stent image quality score was correlated to heart rate(r=0.281,P<0.01)and stent diameter(r=0.480,P<0.001).All the stents were assessable in lumen visibility with an average visible lumen diameter percentage of 60.7% ±13.6% .Visible lumen diameter percentage was correlated to heart rate(r=-0.193,P<0.05),stent diameter (r=0.403,P<0.001),and stent image quality score(r=-0.500,P<0.001).Visible lumen diameter percentage also varied depending on the stent type.In comparison with the conventional coronary angiography,4 of 6 in-stent stenoses were correctly detected.The sensitivity and specificity for the detection of in-stent stenosis were 66.7% and 84.6% ,respectively.Conclusions Using a 64-slice CT,the stent lumen is partly visible in most of the stents.And 64-slice CT may be useful in the assessment of stent patency.

  3. Influence of cardiac hemodynamic parameters on coronary artery opacification with 64-slice computed tomography

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    Husmann, Lars; Alkadhi, Hatem; Boehm, Thomas; Leschka, Sebastian; Desbiolles, Lotus; Marincek, Borut [University Hospital of Zurich, Department of Medical Radiology, Institute of Diagnostic Radiology, Zurich (Switzerland); Schepis, Tiziano; Koepfli, Pascal; Wildermuth, Simon [University Hospital of Zurich, Cardiovascular Center, Zurich (Switzerland); Kaufmann, Philipp A. [University Hospital of Zurich, Cardiovascular Center, Zurich (Switzerland); University of Zurich, Center for Integrative Human Physiology, Zurich (Switzerland)

    2006-05-15

    The purpose of this study was to evaluate the influence of ejection fraction (EF), stroke volume (SV), heart rate, and cardiac output (CO) on coronary artery opacification with 64-slice computed tomography (CT). Sixty patients underwent, retrospectively, electrocardiography-gated 64-slice CT coronary angiography. Left ventricular EF, SV, and CO were calculated with semi-automated software. Attenuation values were measured and contrast-to-noise ratios (CNRs) were calculated in the proximal right coronary artery (RCA) and left main artery (LMA). Mean EF during scanning was 61.5{+-}12.4%, SV was 63.2{+-}15.6 ml, heart rate was 62.5{+-}11.8 beats per minute (bpm), and CO was 3.88{+-}1.06 l/min. There was no significant correlation between the EF and heart rate and the attenuation and CNR in either coronary artery. A significant negative correlation was found in both arteries between SV and attenuation (RCA r=-0.26, P<0.05; LMA r=-0.34, P<0.01) and between SV and CNR (RCA r=-0.26, P<0.05; LMA r=-0.26, P<0.05). Similarly, a significant negative correlation was found between the CO and attenuation (RCA r=-0.42, P<0.05; LMA r=-0.56, P<0.001) and between the CO and CNR (RCA r=-0.39, P<0.05; LMA r=-0.44, P<0.001). The actual hemodynamic status of the patient influences the coronary artery opacification with 64-slice CT, in that vessel opacification decreases as SV and CO increase. (orig.)

  4. Influence of coronary calcification on the diagnostic accuracy of 64-slice computed tomography coronary angiography

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    Abdulla, Jawdat; Pedersen, Kasper; Budoff, Matthew;

    2012-01-01

    To determine via meta-analysis the diagnostic accuracy of 64-slice computed tomography coronary angiography (CTA) for assessment of significant obstructive coronary artery stenosis at different coronary artery calcium score (CACS) levels. Data of 12,053 versus 5,890 segments, 906 versus 758...... arteries and 1,120 versus 514 patients in low versus high CACS subgroups from 19 eligible studies were compared. The per-patient prevalence of coronary artery disease was 48% versus 68%, respectively. Subgroups were stratified by different CACS thresholds ranging from 100 to 400. Meta-analyses of per......-patient data comparing overall low versus high CACS subgroups resulted in a sensitivity of 97.5 (95.5-99)% versus 97 (94.5-98.5)%, specificity of 85 (82-88)% versus 66.5 (58-74.5)%, diagnostic odds ratio of 153 (81-290) versus 40 (20-83), positive predictive value of 85 (82-87)% versus 86 (84-88)%, negative...

  5. Hemodynamic study of hepatocellular car-cinoma nodules by multi-slice spiral computed tomographic perfusion

    Institute of Scientific and Technical Information of China (English)

    马国林

    2013-01-01

    Objective To analyze the 64-slice computed tomographic(CT) perfusion parameters of hepatocellular carcinoma(HCC) nodule so as to assess the diagnostic value of hemodynamic changes of HCC nodule by this perfusion

  6. Coronary artery stent geometry and in-stent contrast attenuation with 64-slice computed tomography

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    Schepis, Tiziano; Koepfli, Pascal; Gaemperli, Oliver; Eberli, Franz R.; Luescher, Thomas F. [University Hospital Zurich, Cardiovascular Center, Zurich (Switzerland); Leschka, Sebastian; Desbiolles, Lotus; Husmann, Lars; Wildermuth, Simon; Marincek, Borut; Alkadhi, Hatem [University Hospital Zurich, Institute of Diagnostic Radiology, Zurich (Switzerland); Kaufmann, Philipp A. [University Hospital Zurich, Cardiovascular Center, Zurich (Switzerland); Zurich Center for Integrative Human Physiology, Zurich (Switzerland)

    2007-06-15

    We aimed at assessing stent geometry and in-stent contrast attenuation with 64-slice CT in patients with various coronary stents. Twenty-nine patients (mean age 60 {+-} 11 years; 24 men) with 50 stents underwent CT within 2 weeks after stent placement. Mean in-stent luminal diameter and reference vessel diameter proximal and distal to the stent were assessed with CT, and compared to quantitative coronary angiography (QCA). Stent length was also compared to the manufacturer's values. Images were reconstructed using a medium-smooth (B30f) and sharp (B46f) kernel. All 50 stents could be visualized with CT. Mean in-stent luminal diameter was systematically underestimated with CT compared to QCA (1.60 {+-} 0.39 mm versus 2.49 {+-} 0.45 mm; P < 0.0001), resulting in a modest correlation of QCA versus CT (r = 0.49; P < 0.0001). Stent length as given by the manufacturer was 18.2 {+-} 6.2 mm, correlating well with CT (18.5 {+-} 5.7 mm; r = 0.95; P < 0.0001) and QCA (17.4 {+-} 5.6 mm; r = 0.87; P < 0.0001). Proximal and distal reference vessel diameters were similar with CT and QCA (P = 0.06 and P = 0.03). B46f kernel images showed higher image noise (P < 0.05) and lower in-stent CT attenuation values (P < 0.001) than images reconstructed with the B30f kernel. 64-slice CT allows measurement of coronary artery in-stent density, and significantly underestimates the true in-stent diameter compared to QCA. (orig.)

  7. Serial changes of coronary atherosclerotic plaque: Assessment with 64-slice multi-detector computed tomography

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    Kim, Eun Young; Kang, Doo Kyoung; Sun, Joo Sung; Choi, So Yeon [Ajou University School of Medicine, Suwon (Korea, Republic of)

    2013-12-15

    Evaluate the progression of coronary atherosclerotic plaque during follow-up, and its association with cardiovascular risk factors. Fifty-six atherosclerotic patients with plaque were enrolled in this retrospective study. Patient's plaque was detected on repeat 64-slice multidetector CT scans with a mean interval of 25 ± 10 months changes in calcified and non-calcified plaque volumes and cardiovascular risk factors were assessed over time. Absolute and relative changes in plaque volume were compared, and the association between rapid progression and cardiovascular risk factors was determined. Diameter of the stenosis, length, calcified and non-calcified lesion plaque volumes increased significantly on follow-up CT. Absolute and relative annual changes in plaque volumes were significantly greater in non-calcified plaque (median, 22.7 mm{sup 3}, 90.4%) than in calcified plaque (median, 0.7 mm{sup 3}, 0%). Obesity, smoking, hypertension, hypercholesterolemia, and low high-density lipoprotein were significant predictors of progression of non-calcified plaque. Progression of calcified plaque was not associated with any cardiovascular risk factors. Coronary plaque volume increased significantly on follow-up CT. The rate of progression is related to non-calcified plaque than to calcified plaque. Cardiovascular risk factors are independently associated with the rapid progression of non-calcified plaque volume, but not associated with the progression of calcified plaque.

  8. Acute stent thrombosis after bifurcation stenting with the crush technique visualized with 64-slice computed tomography

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    Kristensen, T.S.; Engstrom, T.; Kofoed, Klaus Fuglsang

    2008-01-01

    Acute stent thrombosis remains a potential complication after stent implantation. With the introduction of electrocardiographic gated multidetector row computed tomography (MDCT), a new nonnvasive imaging modality has become available that may contribute to the detection of complications after...

  9. Beam hardening artifacts by dental implants: Comparison of cone-beam and 64-slice computed tomography scanners

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    Farzad Esmaeili

    2013-01-01

    Full Text Available Background: Cone beam computed tomography (CBCT is an alternative to a computed tomography (CT scan, which is appropriate for a wide range of craniomaxillofacial indications. The long-term use of metallic materials in dentistry means that artifacts caused by metallic restorations in the oral cavity should be taken into account when utilizing CBCT and CT scanners. The aim of this study was to quantitatively compare the beam hardening artifacts produced by dental implants between CBCT and a 64-Slice CT scanner. Materials and Methods: In this descriptive study , an implant drilling model similar to the human mandible was used in the present study. The implants (Dentis were placed in the canine, premolar and molar areas. Three series of scans were provided from the implant areas using Somatom Sensation 64-slice and NewTom VGi (CBCT CT scanners. Identical images were evaluated by three radiologists. The artifacts in each image were determined based on pre-determined criteria. Kruskal-Wallis test was used to compare mean values; Mann-Whitney U test was used for two-by-two comparisons when there was a statistical significance ( P < 0.05. Results: The images of the two scanners had similar resolutions in axial sections ( P = 0.299. In coronal sections, there were significant differences in the resolutions of the images produced by the two scanners ( P < 0.001, with a higher resolution in the images produced by NewTom VGi scanner. On the whole, there were significant differences between the resolutions of the images produced by the two CT scanners ( P < 0.001, with higher resolution in the images produced by NewTom VGi scanner in comparison to those of Somatom Sensation. Conclusion: Given the high quality of the images produced by NewTom VGi and the lower costs in comparison to CT, the use of the images of this scanner in dental procedures is recommended, especially in patients with extensive restorations, multiple prostheses and previous implants.

  10. Effect of obesity on coronary artery plaque using 64 slice multidetector cardiac computed tomography angiography.

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    Isma'eel, Hussain; Tellalian, David; Hamirani, Yasmin S; Kadakia, Jigar; Nasir, Khurram; Budoff, Matthew J

    2010-04-30

    Patients with a coronary artery calcification score (CACS) of zero and an intermediate risk of coronary artery disease have been shown to have a low prevalence of non-calcified coronary artery plaque (NCP). 181 consecutive patients with CAC 'zero', undergoing cardiac computed tomography angiography (CCTA) angiography at our center were evaluated. Presence of detectable NCP on CCTA in these patients was 13.8%. Mild non-obstructive disease (50%). Traditional risk factors were not found to be associated with the presence of NCP. However higher body mass index (BMI) was strongly found to be associated with NCP (31.6 in patients with NCP vs. 27.6 kg/m(2) in patients without NCP, pNCP as compared to normal BMI (p<0.05).

  11. Computer aided diagnosis of osteoporosis using multi-slice CT images

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    Takahashi, Eiji; Saita, Shinsuke; Kawata, Yoshiki; Niki, Noboru; Ito, Masako; Nishitani, Hiromu; Moriyama, Noriyuki

    2010-03-01

    The patients of osteoporosis comprised about 11 million people in Japan and it is one of the problems the aging society has. In order to prevent the osteoporosis, it is necessary to do early detection and treatment. The development of Multislice CT technology made it possible to perform the three dimensional (3-D) image analysis with higher body axis resolution and shorter scan time. The 3-D image analysis using multi-slice CT images of thoracic vertebra can be used as a support to diagnose osteoporosis and at the same time can be used for lung cancer screening which may lead to its early detection. We develop an automatic extraction algorithm of vertebra, and the analysis algorithm of the vertebral body using shape analysis and a bone density measurement for the computer aided diagnosis of osteoporosis.

  12. Diagnostic performance of prospectively ECG triggered versus retrospectively ECG gated 64-slice computed tomography coronary angiography in a heterogeneous patient population

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    Lehmkuhl, Lukas, E-mail: lukas.lehmkuhl@med.uni-leipzig.de [University of Leipzig - Heart Center, Department of Diagnostic and Interventional Radiology, Struempellstrasse 39, D-04289 Leipzig (Germany); Herz, Franziska; Foldyna, Borek [University of Leipzig - Heart Center, Department of Diagnostic and Interventional Radiology, Struempellstrasse 39, D-04289 Leipzig (Germany); Nagel, Hans Dieter [Dr. HD Nagel - Science and Technology for Radiology, Buchholz (Germany); Grothoff, Matthias; Nitzsche, Stefan [University of Leipzig - Heart Center, Department of Diagnostic and Interventional Radiology, Struempellstrasse 39, D-04289 Leipzig (Germany); Thiele, Holger [University of Leipzig - Heart Center, Department for Cardiology (Germany); Mohr, Friedrich-Wilhelm [University of Leipzig - Heart Center, Department for Cardiovascular Surgery (Germany); Hindricks, Gerhard [University of Leipzig - Heart Center, Department for Cardiology (Germany); Gutberlet, Matthias [University of Leipzig - Heart Center, Department of Diagnostic and Interventional Radiology, Struempellstrasse 39, D-04289 Leipzig (Germany)

    2011-11-15

    Objective: To compare diagnostic performance and applicability of prospectively versus retrospectively gated 64-slice computed tomography coronary angiography (pro-CTCA vs. retro-CTCA) in a heterogeneous patient population compared to invasive coronary angiography. Methods: 77 patients referred to an ECG-gated-CT of the chest were retrospectively included. Pro-CTCA was applied, whenever possible, alternatively retro-CTCA was performed. All coronary artery segments {>=}1.5 mm were analysed and image quality was assessed. Results: In 39 patients retro-CTCA and in 38 patients pro-CTCA was applied, mean heart rate (HR) was 69.5 {+-} 9.1 min{sup -1} and 62.8 {+-} 5.9, respectively. For a stenosis {>=}50% segment-based (patient-based) analysis revealed a sensitivity, specificity, positive (PPV) and negative predictive value (NPV) of 97%, 98%, 71%, 100% (91%, 82%, 67%, 96%) using retro-CTCA and 94%, 97%, 75%, 99% (93%, 96%, 93%, 96%) using pro-CTCA. Sensitivity and NPV increased in the pro-CTCA group in patients with a HR < 65. Vessel-based analysis showed lower diagnostic performance for the right coronary artery (RCA) using pro-CTCA, which increased when HR < 65. Image quality did not differ significantly in both groups. Conclusions: Prospectively triggered CTCA in a heterogeneous patient group has a very high diagnostic accuracy and image quality, when used in HR {<=} 65. A low HR is of special importance for the evaluation of the RCA.

  13. Establishment of multi-slice computed tomography (MSCT) reference level in Johor, Malaysia

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    Karim, M. K. A.; Hashim, S.; Bakar, K. A.; Muhammad, H.; Sabarudin, A.; Ang, W. C.; Bahruddin, N. A.

    2016-03-01

    Radiation doses from computed tomography (CT) are the highest and most hazardous compared to other imaging modalities. This study aimed to evaluate radiation dose in Johor, Malaysia to patients during computed tomography examinations of the brain, chest and abdomen and to establish the local diagnostic reference levels (DRLs) as are present with the current, state- of-art, multi-slice CT scanners. Survey forms were sent to five centres performing CT to obtain data regarding acquisition parameters as well as the dose information from CT consoles. CT- EXPO (Version 2.3.1, Germany) was used to validate the dose information. The proposed DRLs were indicated by rounding the third quartiles of whole dose distributions where mean values of CTDIw (mGy), CTDIvol (mGy) and DLP (mGy.cm) were comparable with other reference levels; 63, 63, and 1015 respectively for CT Brain; 15, 14, and 450 respectively for CT thorax and 16, 17, and 590 respectively for CT abdomen. The study revealed that the CT practice and dose output were revolutionised, and must keep up with the pace of introductory technology. We suggest that CTDIvol should be included in current national DRLs, as modern CTs are configured with a higher number of detectors and are independent of pitch factors.

  14. Multi-slice computed tomography urography after diuretic injection in children with urinary tract dilatation

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    Kosucu, P.; Ahmetoglu, A.; Imamoglu, M.; Cay, A.; Ozdemir, O.; Dinc, H.; Kosucu, M.; Sari, A.; Saruhan, H.; Gumele, H.R. [Farabi Hospital, Trabzon (Turkey). Dept. of Radiology

    2004-02-01

    To evaluate the potential use of multi-slice computed tomography urography (MSCTU) after diuretic injection in children with urinary tract dilatation. MSCTU was performed in 19 patients (11 boys, 8 girls, mean age 5.4 years) with suspicion of urinary tract obstruction and dilatation. Furosemide, 1 mg/kg, was injected 3 min before contrast material administration and followed by a bolus of 30 ml of physiologic saline solution immediately after application of contrast material. Excretory-phase images were obtained through the abdomen and pelvis beginning 10 min after initiation of the injection of contrast material. Maximum intensity projection (MIP) and volume rendering (VR) images were post-processed to obtain urographic views. MSCTU revealed pathology in 16 of 19 patients, while 3 patients had normal findings. Ureteropelvic obstruction was found in 4 patients, obstructive megaureter in 8. Both ureteropelvic obstruction and obstructive megaureter were disclosed in 1 patient, partial ureteral duplication in 1 patient, and both complete ureteral duplication and ureterocele in 2 patients. In all patients, MIP and VR images could satisfactorily show the pathologies of the urinary tract. The estimated effective average doses of MSCTU were higher than IVU. Preliminary results of furosemide-enhanced MSCTU demonstrated consistently dilated urinary tracts, obstruction levels, and underlying pathologies better than US and IVU.

  15. Virtual colonoscopy with multi-slice computed tomography; Virtuelle Koloskopie mit der Mehrschichtcomputertomographie. Vorlaeufige Ergebnisse

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    Rust, G.-F.; Eisele, O.; Reiser, M. [Institut fuer Klinische Radiologie, Klinikum Grosshadern, Muenchen Univ. (Germany); Hoffmann, J.N.; Kopp, R.; Fuerst, H. [Chirurgische Klinik und Poliklinik, Klinikum der Univ. Muenchen (Germany)

    2000-03-01

    Subject: Using multi-slice computed tomography (MSCT) large body areas can scanned with high spatial resolution. In this study, MSCT was employed for virtual colonoscopy in various pathologies of the colon. Results: Nine polyps and four of five colon carcinomas were detected using MSCT virtual colonoscopy. In three patients with ulcerative colitis virtual coloscopy revealed morphological alterations compatible with this disease. In two of four patients with multiple diverticula of the colon the true extent of the disorder could be assessed in virtual colonoscopy. (orig.) [German] Fragestellung: Die Mehrschichtcomputertomographie (MSCT) vermag, grosse Organbereiche mit hoher raeumlicher Aufloesung zu untersuchen. Daher koennen auch fuer die virtuelle Koloskopie eine bisher nicht erreichbare Ortsaufloesung und Detailtreue erwartet werden. Die ersten Ergebnisse mit der MSCT-Koloskopie bei unterschiedlichen pathologischen Veraenderungen des Kolons werden vorgestellt. Ergebnisse: 4 von 5 Kolonkarzinomen konnten mit der virtuellen Koloskopie dargestellt werden. Bei 3 Patienten wurden mit der virtuellen Koloskopie typische Veraenderungen der Colitis ulcerosa dargestellt, wovon ein Patient die konventionelle Koloskopie nicht tolerierte. Bei 9 Patienten mit Kolonpolypen stimmten die virtuelle und konventionelle Koloksopie vollstaendig ueberein. Bei 4 Patienten mit Divertikulose war mit der virtuellen Koloskopie nur in 2 Faellen der Befund vollstaendig zu sichern. (orig.)

  16. Scanning protocol optimization and dose evaluation in coronary stenosis using multi-slices computed tomography

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    Huang, Yung-hui; Chen, Chia-lin; Sheu, Chin-yin; Lee, Jason J. S.

    2007-02-01

    Cardiovascular diseases are the most common incidence for premature death in developed countries. A major fraction is attributable to atherosclerotic coronary artery disease, which may result in sudden cardiac failure. A reduction of mortality caused by myocardial infarction may be achieved if coronary atherosclerosis can be detected and treated at an early stage before symptoms occur. Therefore, there is need for an effective tool that allows identification of patients at increased risk for future cardiac events. The current multi-detector CT has been widely used for detection and quantification of coronary calcifications as a sign of coronary atherosclerosis. The aim of this study is to optimize the diagnostic values and radiation exposure in coronary artery calcium-screening examination using multi-slice CT (MSCT) with different image scan protocols. The radiation exposure for all protocols is evaluated by using computed tomography dose index (CTDI) phantom measurements. We chose an optimal scanning protocol and evaluated patient radiation dose in the MSCT coronary artery screenings and preserved its expecting diagnostic accuracy. These changes make the MSCT have more operation flexibility and provide more diagnostic values in current practice.

  17. Multi-slice computed tomography for diagnosis of combined thoracoabdominal injury

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    Liu Jun

    2015-07-01

    Full Text Available Purpose: To investigate the diagnostic value of multi-slice computed tomography (MSCT for combined thoracoabdominal injury. Methods: A retrospective study was conducted to analyze the clinical data and MSCT images of 68 patients who sustained a combined thoracoabdominal injury associated with diaphragm rupture, and 18 patients without diaphragm rupture. All the patients were admitted and treated in the Chongqing Emergency Medical Center (a level I trauma center between July 2005 and February 2014. There were 71 males and 15 females with a mean age of 39.1 years (range 13e88 years. Among the 86 patients, 40 patients suffered a penetrating injury, 46 suffered a blunt injury as a result of road traffic accident in 21 cases, fall from a height in 16, and crushing injury in 9. The MSCT images were retrospectively reviewed by two radiologists. The results of CT diagnosis were compared with surgical findings and/or follow-up results. Results: Among the 86 cases, diaphragm discontinuity was found in 29 cases, segmental nonrecognition of the diaphragm in 14, diaphragmatic hernia in 21, collar sign in 14, dependent viscera sign in 18, elevated abdominal organs in 21, bowel wall thickening and/or hematoma in 6, and pneumoperitoneum in 8. CT diagnostic accuracy for diaphragm rupture was 88.4% in the right side and 90.7% in the left side. CT diagnostic accuracy for hemopneumothorax, pulmonary contusion, mediastinal hemorrhage, kidney and adrenal gland injuries was 100%, while for liver, spleen and pancreas injuries was 96.5%, 96.5%, 94.2% respectively. Conclusion: To reach an early diagnosis of combined thoracoabdominal injury, surgeons and radiologists should be familiar with all kinds of images which might show signs of diaphragm rupture, such as diaphragm discontinuity, segmental nonrecognition of the diaphragm, dangling diaphragm sign, diaphragm herniation, collar sign, dependent viscera sign, and elevated abdominal organs.

  18. A comparative evaluation of Cone Beam Computed Tomography (CBCT) and Multi-Slice CT (MSCT)

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    Liang Xin, E-mail: Xin.Liang@med.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); College of Stomatology, Dalian Medical University (China); Jacobs, Reinhilde, E-mail: Reinhilde.Jacobs@uz.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Hassan, Bassam, E-mail: b.hassan@acta.n [Department of Oral Radiology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam (Netherlands); Li Limin, E-mail: Limin.Li@uz.kuleuven.b [Department of Paediatric Dentistry and Special Dental Care, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Pauwels, Ruben, E-mail: Ruben.Pauwels@med.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Corpas, Livia, E-mail: LiviaCorpas@gmail.co [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Souza, Paulo Couto, E-mail: Paulo.CoutoSouza@med.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Martens, Wendy, E-mail: wendy.martens@uhasselt.b [Department of Basic Medical Sciences, Faculty of Medicine, University of Hasselt, Diepenbeek (Belgium); Shahbazian, Maryam, E-mail: Maryam.Shahbazian@student.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Alonso, Arie, E-mail: ariel.alonso@uhasselt.b [Department of Biostatistics and Statistical Bioinformatics, Universiteit Hasselt (Belgium)

    2010-08-15

    Aims: To compare image quality and visibility of anatomical structures in the mandible between five Cone Beam Computed Tomography (CBCT) scanners and one Multi-Slice CT (MSCT) system. Materials and methods: One dry mandible was scanned with five CBCT scanners (Accuitomo 3D, i-CAT, NewTom 3G, Galileos, Scanora 3D) and one MSCT system (Somatom Sensation 16) using 13 different scan protocols. Visibility of 11 anatomical structures and overall image noise were compared between CBCT and MSCT. Five independent observers reviewed the CBCT and the MSCT images in the three orthographic planes (axial, sagittal and coronal) and assessed image quality on a five-point scale. Results: Significant differences were found in the visibility of the different anatomical structures and image noise level between MSCT and CBCT and among the five CBCT systems (p = 0.0001). Delicate structures such as trabecular bone and periodontal ligament were significantly less visible and more variable among the systems in comparison with other anatomical structures (p = 0.0001). Visibility of relatively large structures such as mandibular canal and mental foramen was satisfactory for all devices. The Accuitomo system was superior to MSCT and all other CBCT systems in depicting anatomical structures while MSCT was superior to all other CBCT systems in terms of reduced image noise. Conclusions: CBCT image quality is comparable or even superior to MSCT even though some variability exists among the different CBCT systems in depicting delicate structures. Considering the low radiation dose and high-resolution imaging, CBCT could be beneficial for dentomaxillofacial radiology.

  19. Case series of 64 slice computed tomography-computed tomographic angiography with 3D reconstruction to diagnose symptomatic cerebral aneurysms: new standard of care?

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    Dietrich Jehle

    2012-02-01

    Full Text Available CT angiography (CTA has improved significantly over the past few years such that the reconstructed images of the cerebral arteries may now be equivalent to conventional digital angiography. The new technology of 64 slice multi-detector CTA can reconstruct detailed images that can reliably identify small cerebral aneurysms, even those <3mm. In addition, it is estimated that CT followed by lumbar puncture (LP misses up to 4% of symptomatic aneurysms. We present a series of cases that illustrates how CT followed by CTA may be replacing CT-LP as the standard of care in working up patients for symptomatic cerebral aneurysms and the importance of performing three dimensional (3D reconstructions. A series of seven cases of symptomatic cerebral aneurysms were identified that illustrate the sensitivity of CT-CTA versus CT-LP and the importance of 3D reconstruction in identifying these aneurysms. Surgical treatment was recommended for 6 of the 7 patients with aneurysms and strict hypertension control was recommended for the seventh patient. Some of these patients demonstrated subarachnoid hemorrhage on presentation while others had negative LPs. A number of these patients with negative LPs were clearly symptomatic from their aneurysms. At least one of these cerebral aneurysms was not apparent on CTA without 3D reconstruction. 3D reconstruction of CTA is crucial to adequately identify cerebral aneurysms. This case series helps reinforce the importance of 3D reconstruction. There is some data to suggest that 64 slice CT-CTA may be equivalent or superior to CT-LP in the detection of symptomatic cerebral aneurysms.

  20. 64层锥束CT扫描的优化系统%Optimization of System Design for 64-slice Cone Beam Computed Tomography

    Institute of Scientific and Technical Information of China (English)

    谢强; Eugene Williams; Charlie Shaughnessy; 唐向阳

    2005-01-01

    The technology for x-ray computed tomography (CT) has experienced tremendous growth in recent years. Since the introduction of 4-slice helical scanners in 1998, rapid improvement has been made on CT scanners in terms of the volume coverage, spatial resolution, scan speed, and the number of slices. These advancements not only significantly impact clinical applications, but also bring huge challenges to the CT system design. Because of the complexity of the volumetric CT (VCT) system, various strategies have to be utilized in the design process. These methodologies include theoretical analysis, computer simulation for system performance prediction, bench-top experiments for analysis confirmation, automated image analysis tools for automatically evaluating image performance, and double-blind tests with human observers for parameter optimization. In this paper, we present some of the system design considerations and optimization processes for a 64-slice scanner. These design processes ensure the optimal performance of the cone beam CT scanner. Initial clinical feedback has demonstrated the effectiveness of our approach.%近年来X射线断层成像(CT)技术获得了突飞猛进的发展,自1998年推出4层螺旋CT后,CT扫描设备在容积覆盖,空间分辨率,扫描速度,切片数方面取得了长足进展.这不仅给医学应用带来了深远的影响,同时也给CT系统设计提出了巨大的挑战.容积CT(VCT)的设计过程引入了各种策略来战胜其复杂性.这些方法学包括:理论分析,系统性能预测的图像分析工具,各种基于专家背对背评价的参数优化.本文论述了64层CT系统设计中的一些考虑因素及优化过程.这些设计过程保证了锥束CT的优化性能.首批客户的应用反馈显示了我们设计实践的有效率性.

  1. Multi-slice computed tomography assessment of bronchial compression with absent pulmonary valve

    Energy Technology Data Exchange (ETDEWEB)

    Zhong, Yu-Min; Sun, Ai-Min; Wang, Qian; Zhu, Ming; Qiu, Hai-Sheng [Shanghai Children' s Medical Center and Shanghai Jiao Tong University Medical School, Department of Radiology, Shanghai (China); Jaffe, Richard B. [Primary Children' s Medical Center, Department of Medical Imaging, Salt Lake City, UT (United States); Liu, Jin-Fen [Shanghai Children' s Medical Center, Department of Cardiothoracic Surgery, Shanghai (China); Gao, Wei [Shanghai Children' s Medical Center and Shanghai Jiao Tong University Medical School, Department of Cardiology, Shanghai (China); Berdon, Walter E. [Children' s Hospital of New York, Department of Radiology, New York, NY (United States)

    2014-07-15

    Absent pulmonary valve is a rare cardiovascular anomaly that can result in profound tracheobronchial compression. To demonstrate the advantage of multi-slice CT in diagnosing tracheobronchial compression, its severity as related to the adjacent dilated pulmonary arteries, and associated lung and cardiac lesions. We included children with absent pulmonary valve who were reviewed by multi-slice CT during a 17-year period. The number and locations of stenoses and lung lesions were noted and the severity of stenosis was categorized. The diameter of the pulmonary artery was measured and associated cardiac defects were demonstrated. Thirty-one children (14 girls and 17 boys) were included. Of these, 29 had ventricular septal defect and 2 had an intact ventricular septum. Twenty-nine children (94%) had tracheobronchial compression, judged to be mild in nine children (31%), moderate in 10 (34%) and severe in 10 (34%). The different locations of the stenosis (carina, main bronchi, lobar and segmental bronchi) were observed. And the number and location of lung lesions demonstrated that the right middle and left upper and lower lobes were often affected. The diameter of the pulmonary artery in these children was well above normal published values, and Spearman rank correlation analysis showed a correlation between the size of the pulmonary artery and the severity of the tracheobronchial stenosis. Nineteen children (61%) underwent surgery and 4 of these children had a multi-slice CT post-operative follow-up study. Absent pulmonary valve can cause significant morbidity and mortality in children. Multi-slice CT can accurately depict areas of tracheobronchial compression, associated lung lesions and cardiac defects, helping to direct the surgeon. (orig.)

  2. Combined use of 64-slice computed tomography angiography and gated myocardial perfusion SPECT for the detection of functionally relevant coronary artery stenoses. First results in a clinical setting concerning patients with stable angina

    Energy Technology Data Exchange (ETDEWEB)

    Hacker, M.; Hack, N.; Tiling, R. [Klinikum Grosshadern (Germany). Dept. of Nuclear Medicine; Jakobs, T.; Nikolaou, K.; Becker, C. [Klinikum Grosshadern (Germany). Dept. of Clinical Radiology; Ziegler, F. von; Knez, A. [Klinikum Grosshadern (Germany). Dept. of Cardiology; Koenig, A.; Klauss, V. [Medizinische Poliklinik-Innenstadt, Univ. of Munich (Germany). Dept. of Cardiology

    2007-07-01

    Aim: In patients with stable angina pectoris both morphological and functional information about the coronary artery tree should be present before revascularization therapy is performed. High accuracy was shown for spiral computed tomography (MDCT) angiography acquired with a 64-slice CT scanner compared to invasive coronary angiography (ICA) in detecting ''obstructive'' coronary artery disease (CAD). Gated myocardial SPECT (MPI) is an established method for the noninvasive assessment of functional significance of coronary stenoses. Aim of the study was to evaluate the combination of 64-slice CT angiography plus MPI in comparison to ICA plus MPI in the detection of hemodynamically relevant coronary artery stenoses in a clinical setting. Patients, methods: 30 patients (63 {+-} 10.8 years, 23 men) with stable angina (21 with suspected, 9 with known CAD) were investigated. MPI, 64-slice CT angiography and ICA were performed, reversible and fixed perfusion defects were allocated to determining lesions separately for MDCT angiography and ICA. The combination of MDCT angiography plus MPI was compared to the results of ICA plus MPI. Results: Sensitivity, specificity, negative and positive predictive value for the combination of MDCT angiography plus MPI was 85%, 97%, 98% and 79%, respectively, on a vessel-based and 93%, 87%, 93% and 88%, respectively, on a patient-based level. 19 coronary arteries with stenoses =50% in both ICA and MDCT angiography showed no ischemia in MPI. Conclusion: The combination of 64-slice CT angiography and gated myocardial SPECT enabled a comprehensive non-invasive view of the anatomical and functional status of the coronary artery tree. (orig.)

  3. Evaluation of Blood Flow Patterns of Solitary Pulmonary Nodules with Dynamic Multi-slice Spiral Computed Tomography

    Institute of Scientific and Technical Information of China (English)

    LIShenjiang; XIAOXiangsheng; LIHuimin; LIUShiyuan; LIChengzhou; ZHANGChenshi; TAOZhiwei; YANGChunshan

    2004-01-01

    To evaluate the efficacy of dynamic multi-slice spiral computed tomography (MSCT) for providing quantitative information about blood flow patterns of solitary pulmonary nodules (SPNs) and differentiating solitary pulmonary nodules (SPNs). Methods: 37 patients with SPNs (diameter0.01). SFN-to-aorta ratio in inflammatory SPNs (20.78%±4.14) was significantly higher than that in benign (2.00%±2.26) and malig nant (14.63%±6.22) SPNs (P0.01). Conclusion: MSCT provides quantitative information about blood flow patterns of solitary pulmonary nodules (SPNs) and is applicable diagnostic method for differentiating SPNs.

  4. Hepatic focal nodular hyperplasia in children: Imaging features on multi-slice computed tomography

    Institute of Scientific and Technical Information of China (English)

    Qing-Yu Liu; Wei-Dong Zhang; Dong-Ming Lai; Ying Ou-yang; Ming Gao; Xiao-Feng Lin

    2012-01-01

    AIM:To retrospectively analyze the imaging features of hepatic focal nodular hyperplasia (FNH) in children on dynamic contrast-enhanced multi-slice computed tomography (MSCT) and computed tomography angiography (CTA) images.METHODS:From September 1999 to April 2012,a total of 218 cases of hepatic FNH were confirmed by either surgical resection or biopsy in the Sun Yat-sen Memorial Hospital of Sun Yat-sen University and the Cancer center of Sun Yat-sen University,including 12 cases (5.5%) of FNH in children (age ≤ 18 years old).All the 12 pediatric patients underwent MSCT.We retrospectively analyzed the imaging features of FNH lesions,including the number,location,size,margin,density of FNH demonstrated on pre-contrast and contrastenhanced computed tomography (CT) scanning,central scar,fibrous sepia,pseudocapsule,the morphology of the feeding arteries and the presence of draining vessels (portal vein or hepatic vein).RESULTS:All the 12 pediatric cases of FNH had solitary lesion.The maximum diameter of the lesions was 4.0-12.9 cm,with an average diameter of 5.5 ± 2.5 cm.The majority of the FNH lesions (10/12,83.3%) had well-defined margins.Central scar (10/12,83.3%) and fibrous septa (11/12,91.7%) were commonly found in children with FNH.Central scar was either isodense (n =7) or hypodense (n =3) on pre-contrast CT images and showed progressive enhancement in 8 cases in the equilibrium phase.Fibrous septa were linear hypodense areas in the arterial phase and isodense in the portal and equilibrium phases.Pseudocapsule was very rare (1/12,8.3%) in pediatric FNH.With the exception of central scars and fibrous septa within the lesions,all 12 cases of pediatric FNH were homogenously enhanced on the contrast-enhanced CT images,significantly hyperdense in the arterial phase (12/12,100.0%),and isodense in the portal venous phase (7/12,58.3%) and equilibrium phase (11/12,91.7%).Central feeding arteries inside the tumors were observed on CTA images for all

  5. A comparative evaluation of Cone Beam Computed Tomography (CBCT) and Multi-Slice CT (MSCT). Part II: On 3D model accuracy

    NARCIS (Netherlands)

    Liang, X.; Lambrichts, I.; Sun, Y.; Denis, K.; Hassan, B.; Li, L.; Pauwels, R.; Jacobs, R.

    2010-01-01

    Aim: The study aim was to compare the geometric accuracy of three-dimensional (3D) surface model reconstructions between five Cone Beam Computed Tomography (CBCT) scanners and one Multi-Slice CT (MSCT) system. Materials and methods: A dry human mandible was scanned with five CBCT systems (NewTom 3G,

  6. A comparative evaluation of Cone Beam Computed Tomography (CBCT) and Multi-Slice CT (MSCT) Part I. On subjective image quality

    NARCIS (Netherlands)

    Liang, X.; Jacobs, R.; Hassan, B.; Li, L.M.; Pauwels, R.; Corpas, L.; Souza, P.C.; Martens, W.; Alonso, A.; Lambrichts, I.

    2010-01-01

    Aims: To compare image quality and visibility of anatomical structures in the mandible between five Cone Beam Computed Tomography (CBCT) scanners and one Multi-Slice CT (MSCT) system. Materials and methods: One dry mandible was scanned with five CBCT scanners (Accuitomo 3D, i-CAT, NewTom 3G, Galileo

  7. Correlation of coronary artery stenosis evaluation with left heart structure and function by multi-slice computed tomography.

    Science.gov (United States)

    Song, L N; Cao, A D; Niu, Y J; Liu, N

    2014-08-07

    The aim of this study was to determine the impact of multi-slice computed tomography (MSCT) evaluation of coronary artery stenosis on left heart structure and systolic function. Coronary artery CT angiography was performed in 200 patients diagnosed with coronary heart disease, and then according to the AHA coronary artery 17-segment fractionation method, the Gensini score (GS) was determined for every narrow segment, and one-stop assessment of the correlation between left heart structure and function was performed. After the grouping of GS quartiles from low to high, there were differences between different patients with regard to LVDD, LADD, LVEDV, LVESV, MM, LVEF, and FS, while no difference in SV and CO. GS showed linear negative correlation with LVEF and FS, and linear positive correlation with LVDD, LADD, LVEDV, LVESV, and MM, while no correlation with SV and CO. That is, GS of coronary artery stenosis was negatively correlated with left ventricular systolic function and positively correlated with myocardial mass. The narrower the coronary artery, the worse the cardiac function and the higher the myocardial hypertrophy. Coronary artery stenosis was one of the important causes of the decrease in left ventricular systolic function and cardiac remodeling.

  8. 64层螺旋CT三维重建活体肝静脉的研究及临床意义%3D-reconstruction of hepatic vein by 64-Slice Spiral Computed Tomography and its significance

    Institute of Scientific and Technical Information of China (English)

    杨新文; 王剑华; 周庭永; 吕发金; 洪永华

    2009-01-01

    目的:探讨64层螺旋CT应用于正常人活体体肝静脉研究的可行性,观察三维重建肝静脉的一般形态及走行规律.方法:153例正常受试者经肘正中静脉注射造影剂后,使用64层螺旋CT进行上腹部扫描,图像采集后经容积再现(volume rendering,VR)技术重建肝静脉.结果:重建图像清晰,可显示出6~8级血管及与周围组织间的关系.其中153例肝静脉的分型结果如下:①3分支型,占35.3%(54例);②中左共干型,占41.8%(64例);③中左合干型,占20.9%(32例);④中右共干型,占2.0%(3例).结论:64层螺旋CT可以作为研究活体肝静脉形态的有效手段,三维重建能更准确、全方位地显示肝静脉的正常解剖类型和发现变异,而且图像清晰,对于活体肝静脉的研究有较好的临床应用价值.%Objective: To explore the feasibility of 64-Slice spiral computed tomography (CT) on reconstructing hepatic vein according to its morphology and distribution. Methods: After injecting contrast materials through median cubital vein, 153 voluneers underwent contrast-enhanced CT angiography of epigastric zone utilizing 64-Slice spiral computed tomography. Images were collected and dealt with the technique of volume rendering (VR),and then hepatic vein were reconstructed into 3D-images. Results: On reconstructed images, the vessels of the 6th and the 8th level, and their surrounding structures can be identified.According to the reconstruction images of 153 eases, hepatic.vein can be divided as follow types: ①Trifurcate type with the pencentage of 35.3% (54eases): left, middle and right hepatic veins drained into the inferior vena eava separately; ②Common trunk type of middle and left veins, 41.8% (64 cases): right hepatic vein drained into the inferior vena cava, however, left and middle hepatic veins confluened before their draining into the inferior vena cava; ③Common trunk type of left and right hepatic vein, 20.9% (32eases): left and middle

  9. Global and regional left ventricular function: a comparison between gated SPECT, 2D echocardiography and multi-slice computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Henneman, Maureen M.; Bax, Jeroen J.; Holman, Eduard R. [Leiden University Medical Center, Department of Cardiology, Leiden (Netherlands); Schuijf, Joanne D.; Jukema, J.W.; Wall, Ernst E. van der [Leiden University Medical Center, Department of Cardiology, Leiden (Netherlands); The Interuniversity Cardiology Institute of the Netherlands, Utrecht (Netherlands); Stokkel, Marcel P.M. [Leiden University Medical Center, Department of Nuclear Medicine, Leiden (Netherlands); Lamb, Hildo J.; Roos, Albert de [Leiden University Medical Center, Department of Radiology, Leiden (Netherlands)

    2006-12-15

    Global and regional left ventricular (LV) function are important indicators of the cardiac status in patients with coronary artery disease (CAD). Therapy and prognosis are to a large extent dependent on LV function. Multi-slice computed tomography (MSCT) has already earned its place as an imaging modality for non-invasive assessment of the coronary arteries, but since retrospective gating to the patient's ECG is performed, information on LV function can be derived. In 49 patients with known or suspected CAD, coronary angiography with MSCT imaging was performed, in addition to gated SPECT and 2D echocardiography. LV end-diastolic and LV end-systolic volumes and LV ejection fraction were analysed with dedicated software (CMR Analytical Software System, Medis, Leiden, The Netherlands for MSCT; gated SPECT by QGS, Cedars-Sinai Medical Center, Los Angeles, CA, USA), and by the biplane Simpson's rule for 2D echocardiography. Regional wall motion was evaluated according to a 17-segment model and a three-point score system. Correlations were fairly good between gated SPECT and MSCT (LVEDV: r=0.65; LVESV: r=0.63; LVEF: r=0.60), and excellent between 2D echocardiography and MSCT (LVEDV: r=0.92; LVESV: r=0.93; LVEF: r=0.80). Agreement for regional wall motion was 95% ({kappa}=0.66) between gated SPECT and MSCT, and 96% ({kappa}=0.73) between 2D echocardiography and MSCT. Global and regional LV function and LV volumes can be adequately assessed with MSCT. Correlations with 2D echocardiography are stronger than with gated SPECT. (orig.)

  10. Diagnostic accuracy of 64-slice multidetector CT for detection of in-stent restenosis in an unselected, consecutive patient population

    Energy Technology Data Exchange (ETDEWEB)

    Haraldsdottir, Sigurdis, E-mail: sigurdisha@gmail.com [Boston Medical Center, 72 East Concord Street (Evans 124), Boston, MA, 02118 (United States); Gudnason, Thorarinn, E-mail: thorgudn@landspitali.is [Landspitali University Hospital, Hringbraut, 101 Reykjavik (Iceland); Sigurdsson, Axel F., E-mail: axelfsig@landspitali.is [Landspitali University Hospital, Hringbraut, 101 Reykjavik (Iceland); Gudjonsdottir, Jonina, E-mail: jonina@rd.is [Rontgen Domus Medica, Egilsgata 3, 101 Reykjavik (Iceland); Lehman, Sam J., E-mail: slehman@partners.org [Massachusetts General Hospital, 165 Cambridge Street, Suite 400, Boston, MA 02114 (United States); Eyjolfsson, Kristjan, E-mail: kristey@landspitali.is [Landspitali University Hospital, Hringbraut, 101 Reykjavik (Iceland); Scheving, Sigurpall S., E-mail: sigurpal@landspitali.is [Landspitali University Hospital, Hringbraut, 101 Reykjavik (Iceland); Gibson, C. Michael, E-mail: mgibson@perfuse.org [Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02115 (United States); Hoffmann, Udo, E-mail: uhoffmann@partners.org [Massachusetts General Hospital, 165 Cambridge Street, Suite 400, Boston, MA 02114 (United States); Jonsdottir, Birna, E-mail: birna@rd.is [Rontgen Domus Medica, Egilsgata 3, 101 Reykjavik (Iceland); Andersen, Karl, E-mail: andersen@landspitali.is [Landspitali University Hospital, Hringbraut, 101 Reykjavik (Iceland)

    2010-11-15

    Objectives: To investigate the diagnostic accuracy of 64-slice multidetector computed tomography (64-CT) for detection of in-stent restenosis (ISR) in an unselected, consecutive patient population. Background: Detection of in-stent restenosis by cardiac CT would be a major advance for the evaluation of patients suspected of having ISR. However, the diagnostic accuracy of current generation 64-CT in this context is not fully established. Methods: We conducted a prospective study on patients with stable angina or acute coronary syndrome with no prior history of coronary artery disease. Six months after percutaneous coronary intervention (PCI) with stent placement they underwent a 64-CT scan (Toshiba Multi-Slice Aquilion 64) and consequently a repeat coronary angiography for comparison. Cardiac CT data sets were analyzed for the presence of in-stent restenosis by two independent expert readers blinded to the coronary angiographic data. Results: Ninety-three patients with a total of 140 stents were evaluated. Males comprised 82% of the study group and the mean age was 63 {+-} 10 years. The mean time from PCI to the repeat coronary angiography was 208 {+-} 37 days and the mean time from 64-CT to repeat coronary angiography was 3.7 {+-} 4.9 days. The restenosis rate according to coronary angiography was 26%. Stent diameter, strut thickness, heart rate and body mass index (BMI) significantly affected image quality. The sensitivity, specificity, positive and negative predictive values of 64-CT for detection of in-stent restenosis were 27%, 95%, 67% and 78%, respectively. Conclusions: Current generation, 64-slice CT, remains limited in its ability to accurately detect in-stent restenosis.

  11. Value of 64-slices spiral computed tomography in the diagnosis of cavernous transformation of portal vein%64层螺旋CT对门静脉海绵样变性的诊断价值

    Institute of Scientific and Technical Information of China (English)

    李金平; 赵德利; 王彦民; 李大庆; 李艳英; 姜慧杰

    2011-01-01

    目的 探讨64层螺旋CT在门静脉海绵样变性(CTPV)诊断中的价值.方法 对CT检查发现的CTPV患者22例,采用MPR、MIP、VR等图像后处理技术显示异常的门静脉及侧支血管情况.结果 22例CTPV 在CT平扫上显示门静脉结构不清,肝门区可见多发的结节状、条状软组织影.增强扫描显示6例动脉期肝实质灌注异常;门静脉期11例患者门静脉主干和(或)左右分支增粗,内可见充盈缺损,4例门静脉显示不清;2例门静脉主干和(或)左右分支在正常范围内;4例门静脉主干变细;1例门静脉主干受侵致管腔狭窄.胆管周围静脉丛(86.36%)、胆囊静脉(77.27%)及食管胃底静脉(77.27%)呈点状、细网状、簇状扩张.结论 64层螺旋CT能准确显示CTPV的部位、范围,立体地显示各曲张血管的走行及曲张程度,是检查CTPV的有效手段.%Objective To investigate the value of 64-slice spiral computed tomography in the diagnosis of cavemous transformation of portal vein (CTPV). Methods A 64-slices spiral CT scanner was used to perform plain and three-phase contrast enhanced abdominal scanning in 22 patients with CTPV. Image post-processing techniques,including MPR,MIP and VR,were applied to depict the abnormal portal vein and its collateral vessels.Results The portal vein was not clearly seen on plain in 22 cases,while multiple soft tissue nodules and strips were found in the porta hepatis region. On dynamic enhanced scans,abnormal hepatic perfusion during arterial phase in 6 cases was demonstrated. On portal vein phase images the main trunk of portal vein and/or its left and right branches were dilated with filling defects in 11 cases. Inconspicuous portal veins were demonstrated. The main trunk of portal vein looked thin in 4 cases. The main trunk of portal vein was lumen stenosis as a result of tumor-infiltrating in 1 case. Pericholedochal venous plexus (86.36%) , cystic vein (77.27%)and esophageal gastric veins (77.27

  12. Solitary pulmonary nodules: comparison of multi-slice computed tomography perfusion study with vascular endothelial growth factor and microvessel density

    Institute of Scientific and Technical Information of China (English)

    BAI Rong-jie; CHENG Xiao-guang; QU Hui; SHEN Bao-zhong; HAN Ming-jun; WU Zhen-hua

    2009-01-01

    Background The solitary pulmonary nodule (SPN) is one of the most common findings on chest radiographs. The objectives of clinical practice are to differentiate malignant nodules from benign nodules in the least invasive way and to make a specific diagnosis. This study was aimed to evaluate the correlation between perfusion imaging features and microvessel density (MVD) and vascular endothelial growth factors (VEGF) in SPNs using multi-slice computed tomography (MSCT); and to provide the theoretical basis for SPN blood flow pattern and blood flow quantitative features.Also, the study called for the discussion of the method's clinical application value in the differential diagnosis of benign and malignant SPNs.Methods Sixty-eight patients with SPN underwent multi-location dynamic contrast enhanced (nonionic contrast material was administrated via the antecubital vein at a rate of 4 ml/s) MSCT. Precontrast and postcontrast attenuations on every scan was studied. Perfusion, peak height, and the ratio of the peak height of the SPN to that of the aorta were analyzed. Perfusion was calculated using the maximum gradient of the time-density curves (TDC) and the peak height of the aorta. The quantitative parameters (perfusion, peak height, ratio of peak height of the SPN to that of the aorta) of the blood flow pattern were compared with MVD and the VEGF expression of immunohistochemistry.Results The perfusion peak heights of malignant ((96.15±11.55) HU) and inflammatory ((101.15±8.41) HU) SPNs were significantly higher than those of benign ((47.24±9.15) HU) SPNs (P<0.05, P<0.05). Ratios of SPN-to-aorta of malignant and inflammatory SPNs were significantly higher than those of benign SPNs (P<0.05, P<0.05). No significant differences were found between the peak height and SPN-to-aorta ratio of malignant SPNs and inflammatory SPNs (P>0.05, P>0.05). The precontrast densities of inflammatory SPNs were lower than those of malignant SPNs (P<0.05).Perfusion values

  13. Values of multi-slice spiral computed tomography on predicting hypovolemic shock in patients with severe multiple trauma

    Directory of Open Access Journals (Sweden)

    Yang LI

    2013-01-01

    Full Text Available Objective  To investigate the value of multi-slice spiral computed tomography (MSCT on predicting hypovolemic shock in patients with severe multiple trauma. Methods  The clinical and MSCT data of 63 patients with severe multiple trauma admitted to the Trauma Center from Jan. 2008 to Dec. 2011 were retrospectively reviewed. According to the occurrence of hypovolemic shock in 24 hours after CT scan, the patients were divided into shock group (n=34 and stable group (n=29. Blood pressure, heart rate, shock index and injury severity score (ISS on admission were collected and analyzed. Transverse (T and anteroposterior (AP diameter of inferior vena cava (IVC, diameter of abdominal aorta, CT values of enhanced CT of abdominal organs both in early and late phase were measured. The differences of aforementioned parameters between the two groups were compared by Student's ttest. The values of above indexes showing significant difference between the two groups on predicting hypovolemic shock were analyzed by using receiver operating characteristic (ROC curve and logistic regression analysis. Results  The shock index, ISS and collapsibility index (T/AP of IVC in 4 abdominal levels were significantly greater in shock group than in stable group (P<0.05. In early phase of enhanced CT, the mean CT value of spleen was significantly lower in shock group (93±16HU than in stable group (112±24HU, P<0.01, while the mean CT value of adrenal gland was higher in shock group (153±35HU than in stable group (131±24HU, P<0.01. In delayed phase, the mean CT value of renal medulla was significantly lower in shock group (193±57HU than in stable group (228±53HU, P<0.05. The diagnostic cutoff value of ROC curve of shock index, ISS, collapsibility index (T/AP of IVC, CT value of spleen and adrenal gland in early phase, CT value of renal medulla in delayed phase were 1.19, 19.5, 3.02, 115HU, 150HU and 184HU, respectively. Logistic regression analysis showed that ISS, T

  14. Quantitativa analysis by 64-slice computed tomography in diagnosis of intermediate coronary artery stenosis%64排CT冠状动脉造影定量分析在冠状动脉临界病变中的价值

    Institute of Scientific and Technical Information of China (English)

    施鸿毓; 陈晖; 仇兴标; 曲新凯; 方唯一

    2012-01-01

    目的 评价64排CT冠状动脉造影对临界病变定量分析的可行性.方法 入选2009年5月-2010年8月于上海交通大学附属胸科医院行64排CT冠状动脉造影检查提示为临界病变的91例患者,共205处病变.在2周内进行经皮冠状动脉造影及定量冠状动脉造影(QCA)分析.采用Bland-Altman分析和Pearson相关分析对比64排CT冠状动脉造影定量分析与QCA的结果.结果 64排CT冠状动脉造影检查示,病变参考直径为(3.1±0.4) mm,病变长度为(14.2±11.3)mm;狭窄程度为(57.8±0.7)%,与QCA测定的(58.2±13.9)%的差异无统计学意义(P=0.64).205个经64排CT冠状动脉造影定量分析示冠状动脉狭窄程度为40%~70%的病变中,QCA检查示27个病变(13.2%)的狭窄程度低于40%,43个病变(21.0%)高于70%,135个病变(65.9%)属于冠状动脉狭窄程度为40%~70%的临界病变.64排CT冠状动脉造影定量分析与QCA结果呈中度相关(r=0.599,P<0.001),但一致性较差(平均偏差为0.4%,95%一致性可信区间为-22.1%~22.9%).结论 64排CT冠状动脉造影对临界病变的诊断价值有限,其定量分析与QCA的一致性欠佳,目前临床实用价值有限.%Objective To evaluate the feasibility of quantitative analysis by 64-slice computed tomography (CT) in intermediate coronary artery lesions. Methods Totally 91 patients with 205 lesions were diagnosed as intermediate coronary artery stenosis by 64-slice CT from May 2009 to August 2010. Conventional percutaneous coronary angiography was performed within 2 weeks after CT scan. The results of 64-slice CT quantitative analysis and quantitive coronary angiography (OCA) were compared by Bland-Altman analysis and Pearson correlations. Results The average reference values of lesions were (3.1 ±0.4) mm in diameter and (14.2±11.3) mm in length by CT scan. Diameter stenosis was (57.8 + 0.7)% by CT quantification and (58.2 + 13.91)% by OCAi there was no significant difference

  15. Virtopsy post-mortem multi-slice computed tomograhy (MSCT) and magnetic resonance imaging (MRI) demonstrating descending tonsillar herniation: comparison to clinical studies

    Energy Technology Data Exchange (ETDEWEB)

    Aghayev, Emin; Yen, Kathrin; Thali, Michael; Jackowski, Christian; Dirnhofer, Richard [Institute of Forensic Medicine, University of Bern, IRM-Buehlstrasse 20, 3012, Bern (Switzerland); Sonnenschein, Martin [Institute of Diagnostic Radiology, Inselspital, 3010, Bern (Switzerland); Ozdoba, Christoph [Department of Neuroradiology, Inselspital, 3010, Bern (Switzerland)

    2004-07-01

    Descending cerebellar tonsillar herniation is a serious and common complication of intracranial mass lesions. We documented three cases of fatal blunt head injury using post-mortem multi-slice computed tomography (MSCT) and magnetic resonance imaging (MRI). The results showed massive bone and soft-tissue injuries of the head and signs of high intracranial pressure with herniation of the cerebellar tonsils. The diagnosis of tonsillar herniation by post-mortem radiological examination was performed prior to autopsy. This paper describes the detailed retrospective evaluation of the position of the cerebellar tonsils in post-mortem imaging in comparison to clinical studies. (orig.)

  16. Evaluation of MRI-based Polymer Gel Dosimetry for Measurement of CT Dose Index (CTDI on 64 slices CT Scanners

    Directory of Open Access Journals (Sweden)

    Leaila Karimi-Afshar

    2009-06-01

    Full Text Available Introduction: Computed tomography (CT has numerous applications in clinical procedures but its main problem is its high radiation dose to the patients compared to other imaging modalities using x-ray. CT delivers approximately high doses to the nearby tissues due to the scattering effect, fan beam (beam divergence and limited collimator efficiency. The radiation dose from multi-slice scanners is greater than the single-slice scanners and since multi-slice scanners increasingly employ a wide beam, 100 mm ion chambers currently used in measuring the CTDI100, are not capable of accurately measuring the total dose profile of the slice width. Therefore, the CT dose is underestimated by using them. The purpose of this study is to measure the Computed Tomography Dose Index (CTDI of a GE multi-slice CT scanner (64-slice using polymer gel dosimetry based on MRI imaging (MRPD. CTDI is the sum of point doses along the central axis and estimates the average patient dose during CT scanning. Materials and Methods: For measuring CTDI, after designing and fabricating the phantom and preparing the MAGIC gel, MRI imaging using a 1.5 T Siemens MRI scanner was performed with the imaging parameters of ST = 2 mm, NEX = 1, TE = 20-640 ms and TR = 2000 ms. CTDI was measured with a 100 mm ion chamber (CTDI100 and also the MAGIC gel with MRPD method for 10 mm and 40 mm CT scan nominal widths. Results: Following the measurement of the CTDI100 for 10 mm and 40 mm nominal slice widths of the multi-slice scanner using both ion chamber and MAGIC gel, the results showed that the ion chamber underestimates CTDI100 by 28.71% and 14.03% compared to gel for 10 mm and 40 mm respectively. Discussion and Conclusion: It was concluded from this study that gel dosimeters have the capability to measure CTDI in wide beams of multi-slice CT scanners whereas 100 mm standard ion chamber due to its limited length is not reliable even for a 10 mm beam width. In addition, due to the 3

  17. 64层螺旋CT血管成像在脊髓血管介入术前评估中的价值%Value of 64-slice spiral computed tomography angiography in preoperative evaluation of spinal vascular intervention

    Institute of Scientific and Technical Information of China (English)

    肖云华; 吕富荣; 吕发金; 孙向前; 彭冈力

    2011-01-01

    目的 探讨64层螺旋CT在脊髓血管介入术前评估中的价值.方法 选择17例胸腰段脊髓损伤患者行脊柱64层螺旋CT增强扫描,重建薄层图像,层厚0.625 mm,间隔0.625 mm,以DICOM格式传输到ADW4.2工作站,采用容积显示(volume rendering,VR)、最大密度投影(maximum intensity projection,MIP)及多平面重建(multi-planar reformat,MPR)等后处理技术进行三维重建,分析脊髓供血动脉的走行特征.结果 17例患者中有16例患者(94%)胸腰段均可见根髓动脉供血脊髓,其中1支(6%)自T4/5左侧椎间孔进入椎管,2支(12%)自T10/11左侧椎间孔进入椎管,1支(6%)自T11/12左侧椎间孔进入椎管,4支(24%)根髓动脉自L1/2左侧椎间孔进入椎管,2支(12%)自L2/3左侧椎间孔进入椎管,2支(12%)自T11/12右侧椎间孔进入椎管,2支(12%)自T12/L1右侧椎间孔进入椎管,2支(12%)自L2/3右侧椎间孔进入椎管,10例(59%)患者根髓动脉自左侧椎间孔进入椎管.另有1例(6%)患者行CT和DSA检查均未发现根髓动脉.结论 64层螺旋CT能准确直观反映脊髓供血动脉的开口位置、走行方向、管径大小及其与周围血管的空间关系,为脊髓血管介入术前提供丰富的评估信息.%Objective To investigate the value of 64-slice spiral computed tomography(CT)angiography in preoperative evaluation of spinal vascular intervention.Methods Seventeen patients with segmental injury of the spinal cord underwent the enhanced 64-slice CT scan of the spine.Thin-slice reconstruction was done,with the slice thickness of 0.625 mm and interval of 0.625 mm.The data were transferred to the work station ADW4.2 in DICM format.Image postprocessing technologies such as volume rendering(VR),maximum intensity projection(MIP)and multi-planar reformat(MPR)were used to conduct three-dimensional reconstruction and analyze the anatomical characteristics of radiculomedullary artery.Results Radiculomedullary artery could be found in the thoracolumbar segment of

  18. Evaluation of morphologic characteristics of the aortic root with 64-slice spiral computed tomography%64层螺旋CT对主动脉根部形态结构的评价

    Institute of Scientific and Technical Information of China (English)

    陈华; 黄新苗; 赵仙先; 曹江; 秦永文

    2011-01-01

    目的 研究主动脉根部及临近组织结构64层螺旋CT(MSCT)成像技术、影像解剖及其临床意义.方法 60例无明显主动脉、主动脉瓣膜疾病患者行MSCT检查,采用多平面重建(MPR)、容积再现(VR)及仿真内镜(VE)等方法重建并测量相关数据.结果 测得主动脉根部直径(22.79±3.31)mm,主动脉窦间距(33.43±3.34)mm,冠脉开口处直径(30.06±2.70) mm,升主动脉内径(30.39±3.42),窦底平面至窦顶平面距离(19.18±2.21) mm.左右冠状动脉开口距主动脉根部距离分别为(15.71±3.53) mm、(15.96±3.78) mm.结论 应用MSCT增强扫描可清楚显示主动脉开口大小、冠脉开口位置、有无发育畸形及与周边结构关系,为带瓣膜支架的设计与经皮主动脉瓣膜植入手术顺利施行提供影像学依据.%Objective To explore the imaging technique for demonstrating the aortic root and its neighbouring structures with 64-slice spiral computed tomography, and to discuss the morphologic characteristics of the aortic root as well as their clinical signif'icance. Methods Multislice spiral CT scanning was performed in sixty adult patients who had no obvious ascending aorta diseases or aortic valve abnormalities. Multi-plane reconstruction (MPR) . volume rendering (VR)and virtual endoscopy (VE)were employed to demonstrate the anatomy of the aortic root, while the relevant data concerning the aorta and coronary smus were also determined. The results were analyzed. Results The mean aortic diameter at aortic root was(22.79 ± 3.3l)mm. the mean distance between coronary sinuses was (33.43 ± 3.34) mm, and the mean coronary diameter at its orifice was (30.06 ± 2.70) mm. The measurements also included the inner diameter of middle ascending aorta(30.39 ± 3.42) mm , the distance between the bottom plane and top plane of the coronary sinus(19.18 ± 2.21) mm, the distance between left coronary orifice and aortic root( 15.71 ± 3.53) mm and the distance between right coronary

  19. Comparison of Cone Beam Computed Tomography and Multi Slice Computed Tomography Image Quality of Human Dried Mandible using 10 Anatomical Landmarks

    Science.gov (United States)

    Saati, Samira; Kaveh, Fatemeh

    2017-01-01

    Introduction Cone Beam Computed Tomography (CBCT) has gained a broad acceptance in dentomaxillofacial imaging. Computed Tomography (CT) is another imaging modality for diagnosis and preoperative assessments of the head and neck region. Aim Considering the increased radiation exposure and high cost of CT, this study sought to subjectively assess the image quality of CBCT and Multi Slice CT (MSCT). Materials and Methods A dry human mandible was scanned by five CBCT systems (New Tom 3G, Scanora, CRANEX 3D, Promax and Galileos) and one MSCT system. Three independent oral and maxillofacial radiologists reviewed the CBCT and MSCT scans for the quality of 10 landmarks namely mental foramen, trabecular bone, Periodontal Ligament (PDL), dentin, incisive canal, mandibular canal, dental pulp, enamel, lamina dura and cortical bone using a five-point scale. Results Significant differences were found between MSCT and CBCT and among the five CBCT systems (p<0.05) in visualization of different anatomical structures. A fine structure such as the incisive canal was significantly less visible and more variable among the systems in comparison with other anatomical landmarks such as the mental foramen, mandibular canal, cortical bone, dental pulp, enamel and dentin (p<0.05). The Cranex 3D and Promax systems were superior to MSCT and all other CBCT systems in visualizing anatomical structures. Conclusion The CBCT image quality was superior to that of MSCT even though some variability existed among different CBCT systems in visualizing fine structures. Considering the low radiation dose and high resolution, CBCT may be beneficial for dentomaxillofacial imaging. PMID:28384972

  20. Clinical application of 64-slice spiral computed tomography perfusion imaging technology in kidney disease%64层CT灌注成像技术在肾脏疾病中的应用价值

    Institute of Scientific and Technical Information of China (English)

    唐烨真; 杜涛明; 唐光才; 兰永树; 涂永波; 林伟

    2013-01-01

    Objective: To investigate the clinical application value of 64-slice spiral CT perfusion imaging in kidney diseases diagnosis. Methods: Totally 40 patients met the case criteria, 64-slice spiral CT was used for renal perfusion scan. To observe the sharp of TDC, to records and count BF、BV、MTT and PS of every group. Results: To the same client, the perfusion parameters, index of BF, BV and PS averages and standard deviations of both sides of the kidney had no significant difference (P>0. 05). The BF, BV, MTT and PS among group of renal tumor, cirrhosis, hypertension and control had statistical differences ( P <0. 05). Conclusion: CTPI technologies can evaluate renal function in many aspects, with a promising application prospect.%目的:探讨64层CT灌注扫描技术在肾脏疾病诊断中的临床应用价值.方法:对40例符合入选标准的受检者行双肾灌注扫描,观察TDC形态,记录各组血流量(blood flow,BF)、血容量(blood volume,BV)、平均通过时间(mean transit time,MTT)、表面渗透性(permeability surface,PS)值,并进行统计学分析.结果:同一受检者两侧肾脏BF、BV和PS等参数差异无统计学意义(P>0.05).肾脏肿瘤、肝硬化、高血压及正常组各组间BF、BV及PS差异均有统计学意义(P<0.05).结论:CT灌注成像能从多方面对肾功能进行评价,具有良好的应用前景.

  1. Trabecular bone structure parameters from 3D image processing of clinical multi-slice and cone-beam computed tomography data

    Energy Technology Data Exchange (ETDEWEB)

    Klintstroem, Eva; Smedby, Oerjan [Linkoeping University, Center for Medical Image Science and Visualization (CMIV), Linkoeping (Sweden); UHL County Council of Oestergoetland, Department of Radiology, Linkoeping (Sweden); Linkoeping University, Department of Medical and Health Sciences (IMH)/Radiology, Linkoeping (Sweden); Moreno, Rodrigo [Linkoeping University, Center for Medical Image Science and Visualization (CMIV), Linkoeping (Sweden); Linkoeping University, Department of Medical and Health Sciences (IMH)/Radiology, Linkoeping (Sweden); Brismar, Torkel B. [KUS Huddinge, Department of Clinical Science, Intervention and Technology at Karolinska Institutet and Department of Radiology, Stockholm (Sweden)

    2014-02-15

    Bone strength depends on both mineral content and bone structure. The aim of this in vitro study was to develop a method of quantitatively assessing trabecular bone structure by applying three-dimensional image processing to data acquired with multi-slice and cone-beam computed tomography using micro-computed tomography as a reference. Fifteen bone samples from the radius were examined. After segmentation, quantitative measures of bone volume, trabecular thickness, trabecular separation, trabecular number, trabecular nodes, and trabecular termini were obtained. The clinical machines overestimated bone volume and trabecular thickness and underestimated trabecular nodes and number, but cone-beam CT to a lesser extent. Parameters obtained from cone beam CT were strongly correlated with μCT, with correlation coefficients between 0.93 and 0.98 for all parameters except trabecular termini. The high correlation between cone-beam CT and micro-CT suggest the possibility of quantifying and monitoring changes of trabecular bone microarchitecture in vivo using cone beam CT. (orig.)

  2. Calculation of the Scattered Radiation Profile in 64 Slice CT Scanners Using Experimental Measurement

    Directory of Open Access Journals (Sweden)

    Afshin Akbarzadeh

    2009-06-01

    Full Text Available Introduction: One of the most important parameters in x-ray CT imaging is the noise induced by detected scattered radiation. The detected scattered radiation is completely dependent on the scanner geometry as well as size, shape and material of the scanned object. The magnitude and spatial distribution of the scattered radiation in x-ray CT should be quantified for development of robust scatter correction techniques. Empirical methods based on blocking the primary photons in a small region are not able to extract scatter in all elements of the detector array while the scatter profile is required for a scatter correction procedure. In this study, we measured scatter profiles in 64 slice CT scanners using a new experimental measurement. Material and Methods: To measure the scatter profile, a lead block array was inserted under the collimator and the phantom was exposed at the isocenter. The raw data file, which contained detector array readouts, was transferred to a PC and was read using a dedicated GUI running under MatLab 7.5. The scatter profile was extracted by interpolating the shadowed area. Results: The scatter and SPR profiles were measured. Increasing the tube voltage from 80 to 140 kVp resulted in an 80% fall off in SPR for a water phantom (d=210 mm and 86% for a polypropylene phantom (d = 350 mm. Increasing the air gap to 20.9 cm caused a 30% decrease in SPR. Conclusion: In this study, we presented a novel approach for measurement of scattered radiation distribution and SPR in a CT scanner with 64-slice capability using a lead block array. The method can also be used on other multi-slice CT scanners. The proposed technique can accurately estimate scatter profiles. It is relatively straightforward, easy to use, and can be used for any related measurement.

  3. A comparative evaluation of Cone Beam Computed Tomography (CBCT) and Multi-Slice CT (MSCT). Part II: On 3D model accuracy

    Energy Technology Data Exchange (ETDEWEB)

    Liang Xin, E-mail: Xin.Liang@med.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); College of Stomatology, Dalian Medical University (China); Lambrichts, Ivo, E-mail: Ivo.Lambrichts@uhasselt.b [Department of Basic Medical Sciences, Histology and Electron Microscopy, Faculty of Medicine, University of Hasselt, Diepenbeek (Belgium); Sun Yi, E-mail: Sunyihello@hotmail.co [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Denis, Kathleen, E-mail: kathleen.denis@groept.b [Department of Industrial Sciences and Techology-Engineering (IWT), XIOS Hogeschool Limburg, Hasselt (Belgium); Hassan, Bassam, E-mail: b.hassan@acta.n [Department of Oral Radiology, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam (Netherlands); Li Limin, E-mail: Limin.Li@uz.kuleuven.b [Department of Paediatric Dentistry and Special Dental Care, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Pauwels, Ruben, E-mail: Ruben.Pauwels@med.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium); Jacobs, Reinhilde, E-mail: Reinhilde.Jacobs@uz.kuleuven.b [Oral Imaging Centre, School of Dentistry, Oral Pathology and Maxillofacial Surgery, Faculty of Medicine, Catholic University of Leuven (Belgium)

    2010-08-15

    Aim: The study aim was to compare the geometric accuracy of three-dimensional (3D) surface model reconstructions between five Cone Beam Computed Tomography (CBCT) scanners and one Multi-Slice CT (MSCT) system. Materials and methods: A dry human mandible was scanned with five CBCT systems (NewTom 3G, Accuitomo 3D, i-CAT, Galileos, Scanora 3D) and one MSCT scanner (Somatom Sensation 16). A 3D surface bone model was created from the six systems. The reference (gold standard) 3D model was obtained with a high resolution laser surface scanner. The 3D models from the five systems were compared with the gold standard using a point-based rigid registration algorithm. Results: The mean deviation from the gold standard for MSCT was 0.137 mm and for CBCT were 0.282, 0.225, 0.165, 0.386 and 0.206 mm for the i-CAT, Accuitomo, NewTom, Scanora and Galileos, respectively. Conclusion: The results show that the accuracy of CBCT 3D surface model reconstructions is somewhat lower but acceptable comparing to MSCT from the gold standard.

  4. Reverse Redistribution in Myocardial Perfusion Imaging: Revisited with 64-slice MDCT

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Min Kyung; Kim, Jeong Ho; Hwang, Kyung Hoon; Choi, In Suck; Choi, Soo Jin; Choe, Won Sick [Gachon University Gil Hospital, Incheon (Korea, Republic of); Yoon, Min Ki [Good Samaritan Hospital, Pohang (Korea, Republic of)

    2010-06-15

    The authors report myocardial perfusion imaging of a patient showing reverse redistribution (RR) and a 64-slice multidetector-row computed tomography (MDCT) with corresponding findings. The patient had subendocardial myocardial infarction (MI) with positive electrocardiogram (EMG) findings and elevated levels of cardiac isoenzymes. Experiencing this case emphasizes the importance of complementary correlation of a new diagnostic modality that helps us to understand the nature of RR.

  5. The evaluation of anti-angiogenic treatment effects for implanted rabbit VX2 breast tumors using functional multi-slice spiral computed tomography (f-MSCT)

    Energy Technology Data Exchange (ETDEWEB)

    Lei Zhen, E-mail: leizhen2004@163.com [Department of Anatomy, Chinese Medical University, No. 92, Beiermalu Road, Heping District, Shenyang, 110001 (China) and Department of Radiology, The First Hospital of Liaoning Medical College, No. 2, Wuduan, Renmin Street, Jinzhou, 121001 (China); Ma Heji, E-mail: maheji9831@sina.com [Department of Radiology, The First Hospital of Liaoning Medical College, No. 2, Wuduan, Renmin Street, Jinzhou, 121001 (China); Xu Na, E-mail: xuna821230@sohu.com [Department of Radiology, The First Hospital of Liaoning Medical College, No. 2, Wuduan, Renmin Street, Jinzhou, 121001 (China); Xi Huanjiu, E-mail: xihuanjiu2004@yahoo.cn [Anthropology Institute, Liaoning Medical College, No. 40, Sanduan, Songpo Rd, Jinzhou, 121001 (China)

    2011-05-15

    Objective: Investigate the benefit of functional multi-slice spiral computed tomography (f-MSCT) perfusion imaging in the non-invasive assessment of targeted anti-angiogenesis therapy on an implanted rabbit VX2 breast tumor model. Method: 69 female pure New Zealand white rabbits were randomly assigned to one of the 4 groups and received treatment accordingly: control (saline), Endostar, neoadjuvant chemotherapy (Cyclophosphamide, Epirubicin and 5-Fluorouracil, CEF), combination therapy (Endostar and CEF). After 2 weeks of treatment, f-MSCT perfusion scannings were performed for all rabbits and information about blood flow (BF), blood volume (BV), mean transit time (MTT) and surface permeability (SP) was collected. After perfusion imaging, tumor tissues were sampled for immunohistochemistry and the Western blot test of VEGF protein expression. Results: (1) The VEGF expression level, measured by immunohistochemistry and Western blot, decreased by treatment group (control > Endostar > CEF > combination therapy). The same was true for the mean BF, BV, MTT and PS, which decreased from the control group to the combination therapy group gradually. The mean MTT level increased in reverse order from the control to the combination therapy group. The difference between any 2 groups on these measures was statistically significant (P < 0.05). (2) There was moderate positive correlation between VEGF expression and BE, BV, or PS level (P < 0.05) and a negative correlation between VEGF expression and MTT level for all 4 groups (P < 0.05). Conclusion: Therefore, f-MSCT can be used as a non-invasive approach to evaluate the effect of anti-angiogenic therapy for implanted rabbit VX2 breast tumors.

  6. Development of modern human subadult age and sex estimation standards using multi-slice computed tomography images from medical examiner's offices

    Science.gov (United States)

    Stock, Michala K.; Stull, Kyra E.; Garvin, Heather M.; Klales, Alexandra R.

    2016-10-01

    Forensic anthropologists are routinely asked to estimate a biological profile (i.e., age, sex, ancestry and stature) from a set of unidentified remains. In contrast to the abundance of collections and techniques associated with adult skeletons, there is a paucity of modern, documented subadult skeletal material, which limits the creation and validation of appropriate forensic standards. Many are forced to use antiquated methods derived from small sample sizes, which given documented secular changes in the growth and development of children, are not appropriate for application in the medico-legal setting. Therefore, the aim of this project is to use multi-slice computed tomography (MSCT) data from a large, diverse sample of modern subadults to develop new methods to estimate subadult age and sex for practical forensic applications. The research sample will consist of over 1,500 full-body MSCT scans of modern subadult individuals (aged birth to 20 years) obtained from two U.S. medical examiner's offices. Statistical analysis of epiphyseal union scores, long bone osteometrics, and os coxae landmark data will be used to develop modern subadult age and sex estimation standards. This project will result in a database of information gathered from the MSCT scans, as well as the creation of modern, statistically rigorous standards for skeletal age and sex estimation in subadults. Furthermore, the research and methods developed in this project will be applicable to dry bone specimens, MSCT scans, and radiographic images, thus providing both tools and continued access to data for forensic practitioners in a variety of settings.

  7. Genetic association of glutathione peroxidase-1 with coronary artery calcification in type 2 diabetes: a case control study with multi-slice computed tomography

    Directory of Open Access Journals (Sweden)

    Fujimoto Kei

    2007-09-01

    Full Text Available Abstract Background Although oxidative stress by accumulation of reactive oxygen species (ROS in diabetes has become evident, it remains unclear what genes, involved in redox balance, would determine susceptibility for development of atherosclerosis in diabetes. This study evaluated the effect of genetic polymorphism of enzymes producing or responsible for reducing ROS on coronary artery calcification in type 2 diabetes (T2D. Methods An index for coronary-arteriosclerosis, coronary artery calcium score (CACS was evaluated in 91 T2D patients using a multi-slice computed tomography. Patients were genotyped for ROS-scavenging enzymes, Glutathione peroxidase-1 (GPx-1, Catalase, Mn-SOD, Cu/Zn-SOD, as well as SNPs of NADPH oxidase as ROS-promoting elements, genes related to onset of T2D (CAPN10, ADRB3, PPAR gamma, FATP4. Age, blood pressure, BMI, HbA1c, lipid and duration of diabetes were evaluated for a multivariate regression analysis. Results CACS with Pro/Leu genotype of the GPx-1 gene was significantly higher than in those with Pro/Pro (744 ± 1,291 vs. 245 ± 399, respectively, p = 0.006. In addition, genotype frequency of Pro/Leu in those with CACS ≥ 1000 was significantly higher than in those with CACS OR = 3.61, CI = 0.97–13.42; p = 0.045 when tested for deviation from Hardy-Weinberg's equilibrium. Multivariate regression analyses revealed that CACS significantly correlated with GPx-1 genotypes and age. Conclusion The presence of Pro197Leu substitution of the GPx-1 gene may play a crucial role in determining genetic susceptibility to coronary-arteriosclerosis in T2D. The mechanism may be associated with a decreased ability to scavenge ROS with the variant GPx-1.

  8. Comparison of SAPIEN 3 and SAPIEN XT transcatheter heart valve stent-frame expansion: evaluation using multi-slice computed tomography

    Science.gov (United States)

    Kazuno, Yoshio; Maeno, Yoshio; Kawamori, Hiroyuki; Takahashi, Nobuyuki; Abramowitz, Yigal; Babak, Hariri; Kashif, Mohammad; Chakravarty, Tarun; Nakamura, Mamoo; Cheng, Wen; Friedman, John; Berman, Daniel; Makkar, Raj R.; Jilaihawi, Hasan

    2016-01-01

    Aims Stent-frame morphology of the newer-generation, balloon-expandable transcatheter heart valve (THV), the SAPIEN 3 (S3), after transcatheter aortic valve implantation (TAVI) is unknown. We evaluated the THV stent-frame morphology post TAVI of the S3 using multi-slice computed tomography (MSCT) compared with the prior-generation THV, SAPIEN XT (S-XT). Methods and results A total of 94 consecutive participants of RESOLVE registry (NCT02318342) had MSCT after balloon-expandable TAVI (S3 = 39 and S-XT = 55). The morphology of the THV stent-frame was evaluated for expansion area and eccentricity at the THV-inflow, native annulus, mid-THV and THV-outflow levels. Mean %-expansion area for the S3 and the S-XT was 100.9 ± 5.7 and 96.1 ± 5.5%, respectively (P < 0.001). In the S3 group, the THV-inflow level had the largest value of %-expansion area, which decreased from THV-inflow to mid-THV level (105.2 ± 6.4 to 96.5 ± 5.9%, P < 0.001). However, in the S-XT group, %-expansion area increased from THV-inflow level to mid-THV level (93.2 ± 6.2 to 95.1 ± 6.1%, P = 0.0058). On nominal delivery balloon volume, the S3 in 88.5% of cases had overexpansion at the THV-inflow level. The observed degree of THV oversizing of the S3 was significantly lower than the S-XT (6.3 ± 8.6 vs. 11.8 ± 8.5%, P = 0.0027). Nonetheless, the incidence of post-procedural paravalvular aortic regurgitation (PVR) ≥ mild following the S3 TAVI was also significantly lower than the S-XT TAVI (17.9 vs. 43.6%, P = 0.014). Conclusion The newer-generation, balloon-expandable device, the S3, has a flared inflow morphology, whereas the prior-generation device, the S-XT, has relatively constrained inflow morphology post TAVI. This may contribute to a lesser degree of PVR with the S3. PMID:27002141

  9. Coronary ostial involvement in acute aortic dissection: detection with 64-slice cardiac CT.

    LENUS (Irish Health Repository)

    Ryan, E Ronan

    2012-02-01

    A 41-year-old man collapsed after lifting weights at a gym. Following admission to the emergency department, a 64-slice cardiac computed tomography (CT) revealed a Stanford Type A aortic dissection arising from a previous coarctation repair. Multiphasic reconstructions demonstrated an unstable, highly mobile aortic dissection flap that extended proximally to involve the right coronary artery ostium. Our case is an example of the application of electrocardiogram-gated cardiac CT in directly visualizing involvement of the coronary ostia in acute aortic dissection, which may influence surgical management.

  10. Eigenvalues of collective emission in multi-slice slab configurations

    Energy Technology Data Exchange (ETDEWEB)

    Friedberg, Richard [Department of Physics, Columbia University, New York, NY 10027 (United States); Manassah, Jamal T. [HMS Consultants, Inc., PO Box 592, New York, NY 10028 (United States)], E-mail: jmanassah@gmail.com

    2008-06-02

    We compute the eigenmodes of collective emission from multi-slice slab configurations, using the transfer matrix formalism. We elucidate within this formalism the phenomena of 'Invisible Gaps' in multiple-slice configuration and of 'Precocious Superradiance' in periodic structures previously observed in numerical solutions of Maxwell-Bloch equations.

  11. Multi-slice spiral computed tomography assessment of cardiac diverticula%多层螺旋CT对心脏憩室的诊断价值

    Institute of Scientific and Technical Information of China (English)

    周碧; 赵静; 朱洪章; 杨有优

    2015-01-01

    目的:探讨多层螺旋CT(MSCT)在心脏憩室诊断中的临床价值。方法回顾性分析11例心脏憩室患者的临床及MSCT资料,行多种后处理技术分析心脏憩室形态表现及其他并发异常。结果11例患者心脏憩室均为单发,分别位于左心室(4例)、右心房(3例)、左心房(2例)、右心室(2例)。10例憩室呈囊袋状,1例憩室呈不规则管状,以窄颈与心腔相通,最大径2.5~8.8 cm。本组3例纤维型心室憩室壁薄、伴钙化,2例肌肉型心室憩室壁较厚。3例右心房憩室合并房间隔缺损,1例左心室憩室合并复杂心内外畸形。结论 MSCT能清楚显示心脏憩室位置、形态及大小,可为心室憩室类型判断提供依据,并能提示合并的心内外异常,是较为理想的心脏憩室非侵入性检查手段。%Objective To assess the value of multi-slice spiral computed tomography (MSCT) in the diagnosis of cardiac diverticula. Methods Cardiac MSCT of 11 patients with surgically or pathologically confirmed cardiac diverticula were retrospectively analyzed. Results The cardiac diverticula were isolated and located in the left ventricle (4), right atrium (3), left atrium (2) and right ventricle(2). The diverticula were protruding sac-like(10) or irregular tube-like(1) in shape with longitudinal diameters of 2.5-8.8 cm and were connected to the cardiac cavity by a narrow neck. The diverticular walls were unevenly thin and calcified in 3 fibrous ventricular diverticula and thick in 2 muscular diverticula..Three right atrial diverticula were associated with atrial septal defect and 1 left ventricular diverticulum was accompanied with complex malformations. Conclusion MSCT can clearly depict the location, morphology, size and type of cardiac diverticula and the associated cardiac malformation.

  12. Optimal image reconstruction intervals for non-invasive coronary angiography with 64-slice CT

    Energy Technology Data Exchange (ETDEWEB)

    Leschka, Sebastian; Husmann, Lars; Desbiolles, Lotus M.; Boehm, Thomas; Marincek, Borut; Alkadhi, Hatem [University Hospital Zurich, Institute of Diagnostic Radiology, Zurich (Switzerland); Gaemperli, Oliver; Schepis, Tiziano; Koepfli, Pascal [University Hospital Zurich, Cardiovascular Center, Zurich (Switzerland); Kaufmann, Philipp A. [University Hospital Zurich, Cardiovascular Center, Zurich (Switzerland); University of Zurich, Center for Integrative Human Physiology, Zurich (Switzerland)

    2006-09-15

    The reconstruction intervals providing best image quality for non-invasive coronary angiography with 64-slice computed tomography (CT) were evaluated. Contrast-enhanced, retrospectively electrocardiography (ECG)-gated 64-slice CT coronary angiography was performed in 80 patients (47 male, 33 female; mean age 62.1{+-}10.6 years). Thirteen data sets were reconstructed in 5% increments from 20 to 80% of the R-R interval. Depending on the average heart rate during scanning, patients were grouped as <65 bpm (n=49) and {>=}65 bpm (n=31). Two blinded and independent readers assessed the image quality of each coronary segment with a diameter {>=}1.5 mm using the following scores: 1, no motion artifacts; 2, minor artifacts; 3, moderate artifacts; 4, severe artifacts; and 5, not evaluative. The average heart rate was 63.3{+-}13.1 bpm (range 38-102). Acceptable image quality (scores 1-3) was achieved in 99.1% of all coronary segments (1,162/1,172; mean image quality score 1.55{+-}0.77) in the best reconstruction interval. Best image quality was found at 60% and 65% of the R-R interval for all patients and for each heart rate subgroup, whereas motion artifacts occurred significantly more often (P<0.01) at other reconstruction intervals. At heart rates <65 bpm, acceptable image quality was found in all coronary segments at 60%. At heart rates {>=}65 bpm, the whole coronary artery tree could be visualized with acceptable image quality in 87% (27/31) of the patients at 60%, while ten segments in four patients were rated as non-diagnostic (scores 4-5) at any reconstruction interval. In conclusion, 64-slice CT coronary angiography provides best overall image quality in mid-diastole. At heart rates <65 bpm, diagnostic image quality of all coronary segments can be obtained at a single reconstruction interval of 60%. (orig.)

  13. Diagnostic value of 64-slice spiral computed tomography chest angiography triple examination in acute chest pain%64排螺旋CT血管成像胸部三联检查对急性胸痛的诊断价值

    Institute of Scientific and Technical Information of China (English)

    齐晨晖; 范红燕; 史琼玉

    2012-01-01

    Objective To explore the clinical value of triple examination with 64-slice spiral CT chest angiography(CTA) in diagnosis of acute chest pain. Methods 80 patients with acute chest pain as study group underwent CTA. The examinations of coronary artery,pulmonary artery and aorta were done one time under ECG-gated. 50 patients received only 64-slice computed tomography coronary angiography, pulmonary angiography and aortic angiography as control group. The image quality of CTA in two groups was evaluated. Results The image quality of control group was better than that of study group, but there was of significant statistical difference between study group and the control group (χ =324. 4,P = 0. 00). There were no statistical difference between two groups and intragroup about the image quality of aorta, pulmonary artery including ascending aorta,aortic arch,descending aorta and the central pulmonary artery, peripheral pulmonary artery (P>0. 05) , the image quality of two groups was as the same as batter. Conclusion 64-slice spiral CT chest angiography triple examination can display aorta, pulmonary artery and coronary artery with good image quality, it has a important clinical value in differential diagnosis of the cause of acute chest pain.%目的 探讨64排螺旋CT血管成像(computed tomography angiography,CTA)胸部三联检查在急性胸痛诊断中的临床应用价值.方法 收集本院以急性胸痛为首发症状者80例为研究组,行64排螺旋CT胸部动脉成像,在心电门控下一次性完成主动脉、肺动脉及冠状动脉扫描;选择单纯行冠状动脉、肺动脉及主动脉CTA扫描者各50例为对照组,评价胸部CTA三联检查成像质量.结果 冠状动脉成像质量研究组与对照组比较有显著统计学差异(χ2=324.4,P=0.00),对照组优于研究组.主动脉和肺动脉成像质量在升主动脉、主动脉弓、降主动脉及中央肺动、外周肺动脉2组整体和组间比均无统计学差异(P>0.05),2

  14. Impact of 64-slice coronary CT on the management of patients presenting with acute chest pain: results of a prospective two-centre study

    Energy Technology Data Exchange (ETDEWEB)

    Christiaens, Luc [Departement d' imagerie Cardiovasculaire, Assistance Publique- Hopitaux de Paris, Hopital Lariboisiere, Paris (France); CHU de Poitiers, Departement de Cardiologie, Poitiers (France); Duchat, Florent; Boudiaf, Mourad; Fargeaudou, Yann; Ledref, Olivier; Soyer, Philippe [Departement d' imagerie Cardiovasculaire, Assistance Publique- Hopitaux de Paris, Hopital Lariboisiere, Paris (France); Tasu, Jean-Pierre [CHU de Poitiers, Departement de Radiologie, Poitiers (France); Sirol, Marc [Departement d' imagerie Cardiovasculaire, Assistance Publique- Hopitaux de Paris, Hopital Lariboisiere, Paris (France); INSERM UFR U942, Insuffisance Cardiaque et Biomarqueurs, Universite Paris 7 - Denis Diderot, Hopital Lariboisiere, Paris (France); Universite Paris VII - Denis Diderot, Assistance Publique - Hopitaux de Paris, Service de Radiologie Vasculaire, Hopital Lariboisiere, Paris (France)

    2012-05-15

    Our two-centre prospective study evaluates the usefulness of 64-slice coronary computed tomography (CCT) to rule out significant coronary artery stenosis in patients admitted in emergency departments (ED) for acute coronary syndromes (ACS) with low-to-intermediate risk score. Patients (175) admitted for acute chest pain (ACP), unmodified electrocardiogram and first troponin measurement within normal ranges were included. A second troponin measurement and a 64-slice CCT within 24 h were performed. Major adverse cardiac events (MACE) were recorded during follow-up (6 months {+-} 2). 64-slice CCT was either normal or showed non-significant coronary stenosis in the majority of patients (78%). 64-slice CCT depicted significant stenosis (>50% diameter) in 22% of patient whereas initial clinical and biological evaluation was reassuring. For negative CCTs, elevated troponin at second measurement did not modify the strategy or treatment of patients. No MACEs were noted during follow up. In 12% of patients CCT identified unsuspected non-coronary abnormalities. Our study confirms 64-slice CCT utility to rule out significant coronary artery stenosis in 8/10 patients admitted in ED with ACP or ACS with low-to-intermediate risk score. Early discharge with a negative 64-slice CCT is associated with very low risk of cardiac events at 6 months. (orig.)

  15. 64-slice coronary computed tomography angiography using low tube voltage of 80 kV in subjects with normal body mass indices: comparative study using 120 kV

    Energy Technology Data Exchange (ETDEWEB)

    Jun, Bo Ram; Yong, Hwan Seok; Kang, Eun-Young; Woo, Ok Hee; Choi, Eun Jung [Department of Radiology, Korea University Guro Hospital, Korea University College of Medicine, Seoul (Korea, Republic of)], E-mail: yhwanseok@naver.com

    2012-12-15

    Background. The radiation dose of coronary computed tomography (CT) angiography (CCTA) is generally higher than that of CT scans of other parts of the body, and there is concern that the high radiation dose may result in increased cancer risk. Although various techniques have recently been introduced to lower the radiation dose of CCTA, there has been no direct comparison between protocols with 80 and 120 kV. Purpose. To assess the image quality and radiation dose of 80-kV electrocardiography (ECG)-gated CCTA in subjects with a normal body mass index (BMI), compared to 120-kV ECG-gated CCTA. Material and Methods. This retrospective study was approved by our local ethics board, and the requirement of written informed consent was waived. We analyzed the CCTA images of 100 subjects with BMIs <25 kg/m2. Fifty subjects underwent 120-kV CCTA, and the other 50 subjects underwent 80-kV CCTA. Two blinded observers independently evaluated the subjective image quality of the coronary arteries. The objective image quality (signal-to-noise ratio [SNR] and contrast-to-noise ratio [CNR]) and radiation dose were also measured in each group. Results. Although the objective image quality of the 80-kV protocol images was significantly poorer than that of 120-kV protocol images (mean SNR, 14.9 {+-} 4.7 vs. 19.8 {+-} 4.4, P < 0.0001; mean CNR, 15.2 {+-} 4.8 vs. 21.6 {+-} 4.7, P < 0.0001), there was no significant difference in the subjective image quality between the two groups (mean image score, 4.7 {+-} 1.1 vs. 4.5 {+-} 0.7 for radiologist 1, P 0.273; 5.0 {+-} 1.0 vs. 4.8 {+-} 1.0 for radiologist 2, P = 0.197). The radiation dose was reduced by 70% with the 80-kV protocol and by 88% with the 80-kV and ECG-based tube current modulation than with the 120-kV protocol (3.42 {+-} 1.16 and 2.9 {+-} 0.8 vs. 11.49 {+-} 3.62 mSv, P < 0.0001). Conclusion. The low tube voltage CCTA protocol using 80 kV allows significant reduction of the radiation dose without impairing the subjective image

  16. Elective vs non-elective radial artery grafts: comparing midterm results through 64-Slice computed tomography Enxertos de artéria radial eletivos vs emergência: comparando resultados em seguimento a médio prazo

    Directory of Open Access Journals (Sweden)

    Roberto Rocha-e-Silva

    2007-01-01

    Full Text Available BACKGROUND: Left internal thoracic artery to left anterior descending artery (LITA-LADA grafting has become a fundamental part of the coronary artery bypass graft procedure (CABG. This grafting in turn has led to an increased use of other arterial conduits, of which the radial artery (RA is most popular. Whether RA grafting can be used in the emergency patient is controversial. METHODS: 47 patients with critical stenosis (>70% in all target vessels underwent CABG with LITA and RA grafts from 1996 to 2003. Patients were divided into elective (23 patients and non-elective groups (24 patients with LITA and RA grafts per patient being similar in both groups. Of these 47 patients, 5 died from non-cardiac complications and 12 were unavailable. Thus, 30 patients (71% of survivors were studied by multidetector computed tomography. A total of 36 LITA and 64 RA grafts were studied. RESULTS: The RA patency rate for elective and non-elective grafts were 82% (31/38 and 85% (22/26, respectively (p=0.75. The RA had a similar patency rate for all target vessels ranging from 73% to 100%. Only one patient had a redo CABG and 29 (97% are free from angina or re-intervention. LITA-LADA had a 92% (11/12 and 100% (10/10 patency rate for elective and non-elective groups, respectively (p=0.37. The sequential LITA-diagonal-LADA in the elective group had a 50% (03/06 patency rate, which was significantly lower than the 100% (08/08 patency rate of the non-elective group (p=0.02. CONCLUSION: Radial Artery grafts can be used in both elective and non-elective patients with excellent results.INTRODUÇÃO: A anastomose da artéria torácica interna esquerda com a artéria descendente anterior (ATIE-DA se tornou parte fundamental da cirurgia de revascularização do miocárdio (RM. Esta técnica levou ao aumento de utilização de outros enxertos arteriais, entre os quais, a artéria radial (AR é muito usasa. Na literatura há controvérsia se a AR pode ser usada em pacientes

  17. β受体阻滞剂对健康成人64层螺旋 CT冠状动脉造影左心室功能的影响%The effects of propranolol on the left ventricular function by 64-slice multi-slice computed tomography

    Institute of Scientific and Technical Information of China (English)

    张春红; 刘军; 梁立华; 彭述平

    2014-01-01

    目的:研究64层螺旋 CT(64SCT)冠状动脉造影,β受体阻滞剂对健康成人左心室功能的影响。方法收集行64SCT 冠状动脉造影(64SCTA)检查未发现冠状动脉狭窄的被试178例,其中89例检查前未服用β受体阻滞剂(普萘洛尔),另外89例年龄和性别相匹配的患者(检查前心率>70次/min)服用β受体阻滞剂调整心率。记录用药前后心率(HR)、收缩压(SBP)和舒张压(DBP)及普萘洛尔剂量。测定左心功能指标:舒张末期容积(EDV)、收缩末期容积(ESV)、射血分数(EF)。未服用和服用普萘洛尔组左心功能结果应用配对 t 检验进行统计分析。结果未服用和服用普萘洛尔两组间的 SBP 和 DBP 的差异无统计学意义[分别为(124±14)mmHg 和(121±13)mmHg,t =1.04, P >0.05;(81±9)mmHg 和(79±10)mmHg,t=1.44,P>0.05;(1 mmHg =0.133 pKa)]。EDV 两组之间差异无统计学意义[分别为(127.5±16.4)ml 和(129.8±15.1)ml,t =-1.22,P >0.05],而 ESV和 EF 在这两组之间的差异有统计学意义[分别为(44.7±12.3)ml 和(47.3±13.4)ml,t =2.47,P <0.05;(65.1±8.4)%和(62.0±7.8)%,t =2.39,P<0.05];服用普萘洛尔组 ESV 不同程度的增加,而 EF 下降。结论64SCTA 应用β受体阻滞剂,可致 ESV 增加,EF 降低,而 SBP、DBP 和 EDV 的差异无统计学意义。%Objective To investigate the effects of propranolol on the left ventricular (LV)function by CT coronary angiography.Methods One hundred and seventy-eight subjects without coronary artery stenosis were examined by 64SCT coronary angiography (64SCTA).Eight-nine subjects did not take propranolol while another eight-nine age-and gender-matched subjects whose heart rates above 70 beats were chosen to take propranolol.The heart rate,systolic blood pressure (SBP),and diastolic blood pressure (DBP)before and after the administration of propranolol and the dosage of propranolol were recorded.The left ventricular function was calculated by parameters of end-diastolic volume(EDV),end systolic volume (ESV)and ejection fraction (EF).The paired-t test was used to compare the left ventricular function between the two groups (no taking and taking propranolol).Results There were no significant differences in the SBP and DBP between the groups without and with propranolol medication [(124 ±14)mmHg and (81 ±9)mmHg;(121 ±1 3)mmHg and (79 ±10)mmHg,respectively)].The EDV showed no significant differences between the two groups,but the ESV and EF showed significant differences between the two groups[(44.7 ±1 2.3)mL and (47.3 ±1 3.4)mL;(65.1 ±8.4)% and (62.0 ±7.8)%,respectively)]. Conclusions Taking propranolol increases ESV and decreases EF,while the SBP,DBP and EDV don′t change.

  18. Diagnostic accuracy of non-invasive 64-slice CT coronary angiography in patients with stable angina pectoris

    Energy Technology Data Exchange (ETDEWEB)

    Pugliese, Francesca; Krestin, Gabriel P. [Erasmus Medical Center, Department of Radiology, Rotterdam (Netherlands); Mollet, Nico R.A.; deFeyter, Pim J. [Erasmus Medical Center, Department of Radiology, Rotterdam (Netherlands); Erasmus Medical Center, Department of Cardiology, Rotterdam (Netherlands); Runza, Giuseppe [University of Palermo, Department of Radiology, Palermo (Italy); Azienda Ospedaliera di Parma, Department of Radiology, Parma (Italy); Mieghem, Carlos van; Meijboom, Willem B.; Baks, Timo [Erasmus Medical Center, Department of Cardiology, Rotterdam (Netherlands); Malagutti, Patrizia [Erasmus Medical Center, Department of Cardiology, Rotterdam (Netherlands); University of Ferrara, Department of Cardiology, Ferrara (Italy); Cademartiri, Filippo [Erasmus Medical Center, Department of Radiology, Rotterdam (Netherlands); Azienda Ospedaliera di Parma, Department of Radiology, Parma (Italy)

    2006-03-15

    Multislice computed tomography (CT) is an emerging technique for the non-invasive detection of coronary stenoses. While the diagnostic accuracy of 4-slice scanners was limited, 16-slice CT imagers showed promising results due to increased temporal and spatial resolution. These technical advances prompted us to evaluate the diagnostic performance of 64-slice CT coronary angiography in the detection of significant stenoses (defined as {>=} 50% luminal diameter reduction) versus invasive quantitative coronary angiography (QCA). Thirty-five patients with stable angina pectoris underwent CT coronary angiography performed with a 64-slice scanner (gantry rotation time 330 ms, individual detector width 0.6 mm) prior to conventional coronary angiography. Patients with heart rates >70 beats/min received 100 mg metoprolol orally. One hundred millilitres of contrast agent with an iodine concentration of 400 mgl/ml were injected at a rate of 5 ml/s into the antecubital vein. The CT scan was triggered with the bolus tracking technique. The sensitivity, specificity and the positive and negative predictive values of 64-slice CT were 99%, 96%, 78% and 99%, respectively, on a per-segment basis. The values obtained on a per-patient basis were 100%, 90%, 96% and 100%, respectively. When referral to catheterisation is questionable, CT coronary angiography may identify subjects with normal angiograms and consistently decrease the number of unnecessary invasive procedures. (orig.)

  19. Current State and Progress of Coronary Angiography in Multi-slice Spiral Computed Tomography Imaging Techniques%多排螺旋CT在冠状动脉成像技术中的现状与进展

    Institute of Scientific and Technical Information of China (English)

    胡斌; 徐文坚; 陈海松

    2012-01-01

    多层螺旋CT( mulil slice spiral CT,MSCT)技术的进步为无创性冠状动脉造影提供了广阔的前景,临床应用备受关注.特别是64层CT的出现,空间分辨率、时间分辨率大大提高,心电门控技术及三维后处理技术拓宽了CT在冠状动脉成像中的应用范围.本文阐述了CT在冠状动脉成像技术及影响因素,并对其现状及进展情况作综述.%Multi-detector row CT imaging techniques has great potential for development of noninvasive imaging of the coronary arteries. Coronary CT angiography in clinical utility field was paid highly attention to. Especially current computed tomography (64 slice CT) techniques combine high speed and spatial resolution with electrocardiography synchronization and three-dimensional post processing technology, the scope of coronary CT angiography was widen. This review article will describe the coronary angiography technology of multi-detector row CT and the factors as they relate to the current and future role of coronary CT angiography.

  20. 64排螺旋CT检测冠状动脉病变与同型半胱氨酸水平的相关性研究%Correlation between 64-slice spiral computed tomography coronary angiography and homocystein in coronary artery disease

    Institute of Scientific and Technical Information of China (English)

    刘丽; 贺延; 王松涛; 吕俊刚

    2012-01-01

    目的 探讨64排螺旋CT(MSCT)检测冠状动脉病变与同型半胱氨酸水平的相关性.方法 入选研究对象87例,均未接受叶酸和(或)维生素B12等治疗,分为急性冠状动脉综合征(ACS)组33例、稳定型心绞痛(SAP)组29例和正常对照组25例,均行冠状动脉MSCT成像检查,根据CT值进一步将ACS和SAP患者分为易损斑块组26例,混合斑块组19例,钙化斑块组17例;对所有研究对象检测血清同型半胱氨酸(Hcy)浓度.结果 3组间血清Hcy浓度按ACS组(16.44±5.48) μmol/L、SAP组(13.06±5.80) μmol/L、正常对照组(9.94±4.23) μmol/L顺序递减(均P<0.01);易损斑块组和混合斑块组血清Hcy浓度均高于钙化斑块组,为(16.50±5.24) μmol/L、(15.51±6.24) μmol/L vs(11.63±5.21) μmol/L(均P<0.01);ACS组与SAP组斑块构成比不同(x2=7.628,P<0.05);ACS组易损斑块检出率(42.4%)高于SAP组(17.2%),ACS组钙化斑块检出率(18.2%)低于SAP组(48.3%)(均P<0.05);斑块的不同性质与血清Hcy浓度间存在相关关系(rs=0.467,P<0.01).结论 冠状动脉MSCT联合血清Hcy化验检查可作为诊断冠心病并预测其严重程度的无创方法在临床上得以应用.%Objective To explore the correlation between 64-slice spiral computed tomography ( MSCT) coronary angiography and homocystein( Hey) in coronary artery disease. Methods Eighty-seven patients were divided into three groups:coronary artery syndrome (ACS) group 33 cases, stable angina pectoris(SAP) group 29 cases and healthy control group 25 cases. No one had received drug therapy with folic acid and/or vitamin B12. All patients underwent 64-slice spiral computed tomography angiography to distinguish the different quality of coronary plaques. According to the CT scale, all coronary artery disease patients were divided into vulnerable plaque group, mix plaque group and hard plaque group. Blood samples were taken to measure Hey level in all patients. Results Mean Hey level of ACS

  1. Clinical investigation of coronary artery calcification detected by 64-slice spiral computed tomography in diagnosis of coronary heart disease%64层螺旋CT量化冠状动脉钙化在冠心病中的诊断价值

    Institute of Scientific and Technical Information of China (English)

    苏瑞瑛; 肖文良; 申艳霞; 田帅

    2006-01-01

    目的 探讨64层螺旋CT(64-slice spiral computed tomography,64SCT)量化冠状动脉钙化(coronary artery calcification,CAC)对诊断冠心病(coronary heart disease,CHD)的价值.方法 对56例临床诊断及可疑冠心病患者,进行64SCT冠脉成像及其钙化的量化分析,并同期进行选择性经皮冠状动脉造影(coronary angiography,CAG)检查,CAG采用经典插管法,冠状动脉钙化积分(coronary artery calcification score,CACS)采用Agatston方法完成,64SCT结果与CAG结果做双盲对照研究;根据CAG结果将患者分为冠心病组34例(冠状动脉至少有1支血管狭窄≥50%)和非冠心病组22例;进一步将224支血管按狭窄程度分为A组(狭窄<50%)、B组(狭窄50%~75%)和C组(狭窄>75%),记录其CACS分别进行统计分析;按照年龄分为<60岁组和≥60岁组,分别分析CAC率和CACS与年龄的关系.结果 64SCT冠状动脉三维成像对冠状动脉钙化显示清晰,对冠状动脉各分支显示良好,冠心病组的CACS与非冠心病组比较,差异有统计学意义(P<0.01),且A组与B、C组比较CACS差异有统计学意义(P<0.01),但B组、C组两组之间CACS差异无统计学意义(P>0.05);随着年龄的增长,CAC率和CACS逐渐增高,<60岁组与≥60岁组CAC率和CACS比较差异有统计学意义(P<0.01);<60岁组冠心病患者CAC率和CACS明显高于非冠心病组(P<0.05),≥60岁组冠心病患者CAC率与非冠心病组比较差异无统计学意义(P>0.05),但CACS差异有统计学意义(P<0.01).结论 应用64SCT量化冠状动脉钙化,可以对可疑冠心病患者提供早期诊断依据,CACS与相应血管管腔狭窄的对照分析显示,CACS与冠状动脉狭窄程度之间有一定关系;年龄对CAC有影响.

  2. Application of 64 slice spiral CT in evaluating the patency of coronary artery after stent implantation

    Institute of Scientific and Technical Information of China (English)

    Yong-Shu Gao; Xing-Can Ma

    2015-01-01

    Objective:To explore the feasibility and effectiveness of 64 slice spiral CT in evaluating the patency of coronary artery after stent implantation.Methods:The 64 slice spiral CT image data of 125 patients after coronary artery stent implantation were collected, meanwhile, the image data of 25 patients underwent coronary angiography were also collected. The feasibility and accuracy of 64 slice spiral CT coronary artery stent imaging were comparatively analyzed. Results: The 64 slice spiral CT imaging quality with a stent diameter greater than 3.00 mm was significantly superior to that with a diameter of 2.25-3.00 mm. The CT imaging quality in the left main coronary artery and anterior descending artery was significantly higher than that in the left circumflex coronary artery. The CT imaging quality in the left main coronary artery was significantly higher than that in the right coronary artery. The CT reconstruction imaging quality in the drug coating stent was significantly superior to that in the bare metal stent. The sensitivity of 64 slice spiral CT was 100.00%, and the accuracy was 100.00%. In detecting the coronary artery with occlusion and stenosis (stent stenosis greater than 50%), the sensitivity was 90.00%, the false negative rate was 10.00%, and the positive predicative value was 100.00%.Conclusions:The effect of 64 slice spiral CT coronary imaging in evaluating the patency of coronary artery after stent implantation is highly consistent with that by coronary angiography, with a simple operation, less risk, and low cost, and thus, it can be completely taken as the imaging method in evaluating the patency of coronary artery after stent implantation.

  3. 口腔颌面锥形束CT与螺旋CT辐射剂量的比较研究%Comparative dosimetry of dental cone-beam computed tomography and multi-slice computed tomography for oral and maxillofacial radiology

    Institute of Scientific and Technical Information of China (English)

    曲兴民; 李刚; 张祖燕; 马绪臣

    2011-01-01

    Objective To compare the effective radiation dose levels of cone beam computed tomography (CBCT) with those of multi-slice computed tomography (MSCT) when scanning the same maxillofacial regions.Methods The effective doses of 2 CBCT( NewTom 9000 and DCT Pro) and 1 MSCT (bright speed edge select 8 slice) scanners were calculated using thermoluminescent dosimeters (TLD) that were placed in a head and neck phantom,and expressed according to the International Commission on Radiation Protection(ICRP) 2007 guidelines.Results Effective dose values ranged from 41.8 to 249.1 μSv for CBCT.The doses of MSCT scanning for maxilla,mandible and maxilla + mandible were 506.7,829.9 and 1066.1 μSv,respectively.Dose levels of scanning only for maxilla or mandible were significantly lower than those for maxilla + mandible.Conclusions When scanning the same maxillofacial regions,the dose levels for NewTom 9000 and DCT Pro CBCT images were lower than those for Bright speed edge select 8 slice MSCT images.Dose levels reduction could be obtained when smaller regions were scanned.%目的 比较口腔颌面锥形束CT与螺旋CT在扫描口腔颌面部相同部位时的辐射剂量,为临床安全有效应用提供实验数据.方法 使用热释光剂量芯片测量两种口腔颌面锥形束CT和一种螺旋CT在扫描头颈部体模上颌、下颌、上颌+下颌时的吸收剂量.按照国际放射防护委员会2007年推荐的组织权重因子,计算各个扫描程序的有效剂量.使用单因素方差分析对所有扫描程序得到的有效剂量进行比较分析,P<0.05为差异有统计学意义.结果 两种口腔颌面锥形束CT的辐射剂量范围41.8 ~249.1 μSv.螺旋CT对上颌、下颌及上颌+下颌进行扫描时的有效剂量分别为506.7、829.9和1066.1 μSv,螺旋CT辐射剂量显著高于两种口腔颌面锥形束CT(P <0.001).同一机型仅进行上颌或下颌扫描的辐射剂量显著低于同时扫描上颌+下颌时

  4. 胃间质瘤MSCT诊断及临床应用价值%Diagnosis and clinical value of multi-slice spiral computed tomography in gastrointestinal stromal tumor

    Institute of Scientific and Technical Information of China (English)

    李小龙; 杨铁; 王巍; 卓家驹; 刘刚; 吴坚

    2013-01-01

    Objective To discuss the diagnostic value and clinical application value of multi-slice spiral computed tomography about gastrointestinal stromal tumor.Methods We analyze 38 cases with stomach stromal tumor which are confirmed by pathology and immunohistochemistry retrospectively,observe the size,shape,density,reinforcement of lesion or focus and other organ invaded and secondary changes,and decide that it is benign tumor or malignant tumor.Results The maximum diameter of tumor is smaller than 5 cm (4 cases),the maximum diameter of tumor is from 5 cm to 10 cm (22 cases),the maximum diameter of tumor is bigger than 10 cm (12 cases).There is necrosis and cystic change (13 cases) and hemorrhage (8 cases) in the lesion.The normal membrana mucosa is not existed in the gastral cavity (10 cases).The focus is communicated with gastral cavity because of ulcer formation (8 cases) but there is not any ulcer of stomach although air is in gastral cavity (2 cases).It is asymmetry reinforcement of the tumor and the center of the focus is without any reinforcement sometime.The tumor has adhesion to tissue or organ around it (28 cases).The preoperative diagnoses are benign tumor (5 cases),anaplastic tumor or borderline tumors (23 cases),malignant tumor (10 cases) according to size,density and contiguity.Conclusion It is possible to display stomach stromal tumor focus by multi-slice spiral computed tomography definitely and to supply effective information about diagnosis and grading.Image of multi-slice spiral computed tomography is effective measure about preoperative evaluation and postoperative follow-up and curative effect assessment to stomach stromal tumor.It is effective supplement of endoscopy.%目的 探讨多层螺旋CT对胃间质瘤的诊断价值及临床应用价值.方法 回顾性分析经手术病理学及免疫组织化学证实的胃间质瘤患者38例,观察其病灶大小、形态、密度、病灶强化特点、肿瘤累及范围以及其他继发改变

  5. Evaluation of temporal windows for coronary artery bypass graft imaging with 64-slice CT

    Energy Technology Data Exchange (ETDEWEB)

    Desbiolles, Lotus; Leschka, Sebastian; Scheffel, Hans; Husmann, Lars; Garzoli, Elisabeth; Marincek, Borut; Alkadhi, Hatem [University Hospital Zurich, Institute of Diagnostic Radiology, Zurich (Switzerland); Plass, Andre [University Hospital Zurich, Clinic for Cardiovascular Surgery, Zurich (Switzerland); Gaemperli, Oliver [University Hospital Zurich, Cardiovascular Center, Zurich (Switzerland); Kaufmann, Philipp A. [University Hospital Zurich, Cardiovascular Center, Zurich (Switzerland); University of Zurich, Center for Integrative Human Physiology, Zurich (Switzerland)

    2007-11-15

    Temporal windows providing the best image quality of different segments and types of coronary artery bypass grafts (CABGs) with 64-slice computed tomography (CT) were evaluated in an experimental set-up. Sixty-four-slice CT with a rotation time of 330 ms was performed in 25 patients (four female; mean age 59.9 years). A total of 84 CABGs (62 individual and 22 sequential grafts) were evaluated, including 28 internal mammary artery (33.3%), one radial artery with sequential grafting (2.4%), and 54 saphenous vein grafts (64.3%). Ten data sets were reconstructed in 10% increments of the RR-interval. Each graft was separated into segments (proximal and distal anastomosis, and body), and CABG types were grouped according to target arteries. Two readers independently assessed image quality of each CABG segment in each temporal window. Diagnostic image quality was found with good inter-observer agreement (kappa=0.62) in 98.5% (202/205) of all graft segments. Image quality was significantly better for saphenous vein grafts versus arterial grafts (P<0.001) and for distal anastomosis to the right coronary compared with other target coronary arteries (P<0.05). Overall, best image quality was found at 60%. Image quality of proximal segments did not significantly vary with the temporal window, whereas for all other segments image quality was significantly better at 60% compared with other temporal windows (P<0.05). Sixty-four-slice CT provides best image quality of various segments and types of CABG at 60% of the RR-interval. (orig.)

  6. CT angiography of pulmonary embolism using a 64 slice multi-detector scanner

    Institute of Scientific and Technical Information of China (English)

    QIN Nai-shan; JIANG Xue-xiang; QIU Jian-xing; ZHU Ying; WANG Ji-chen

    2009-01-01

    Background Multi-detector computed tomography (MDCT) has already been the first line investigation method for diagnosis of pulmonary embolism (PE). Reducing the amount of contrast medium used during CT scanning could decrease the incidental rate of adverse reactions. Our study amied to evaluate the image quality of pulmonary arteries using 64 slice multi-detector CT with small volumes of contrast media injection.Methods Forty nonconsecutive patients without PE or other lung diseases were randomly assigned to two groups.Group A underwent CT scanning with 16×1.25 mm collimation and a 70 ml contrast injection, while group B had CT with 64×0.625 mm collimation and 20 ml of contrast injection. Two readers independently depicted the segmental and subsegmental pulmonary arteries. Reasons we could not analyze the pulmonary artery or that led to misdiagnosis of pulmonary embolism were evaluated, including the degree of contrast enhancement of the main pulmonary artery, and factors that caused misdiagnosis of PE (flow-related artifacts, partial volume artifact, beam-hardening artifacts and enhancement of pulmonary vein). The independent samples t-test, Mann-Whitney U test and Pearson chi-square test were applied.Results There were no significant differences in image quality of segmental and subsegmental arteries between the two groups. No significant difference was found for factors that made pulmonary arteries non-analyzable or in the misdiagnosis of PE, except the degree of contrast enhancement.Conclusion 64×0.625 mm collimation with 20 ml contrast injection could depict the pulmonary arteries well.

  7. Unsupervised motion-compensation of multi-slice cardiac perfusion MRI

    DEFF Research Database (Denmark)

    Stegmann, Mikkel Bille; Ólafsdóttir, Hildur; Larsson, Henrik B. W.

    2005-01-01

    This paper presents a novel method for registration of single and multi-slice cardiac perfusion MRI. Utilising computer intensive analyses of variance and clustering in an annotated training set off-line, the presented method is capable of providing registration without any manual interaction...

  8. Unsupervised motion-compensation of multi-slice cardiac perfusion MRI

    DEFF Research Database (Denmark)

    Stegmann, M.B.; Ólafsdóttir, H; Larsson, H.B.W.

    2005-01-01

    This paper presents a novel method for registration of single and multi-slice cardiac perfusion MRI. Utilising off-line computer intensive analyses of variance and clustering in an annotated training set, the presented method is capable of providing registration without any manual interaction...

  9. Comparative analysis of multi-slice computer tomography enterography (MSCTE) and digestive endoscopy on the involved site of Crohn disease%MSCTE与消化内镜检查发现Crohn病累及部位的比较分析

    Institute of Scientific and Technical Information of China (English)

    张燕红; 叶文卫; 陈毅斌; 张锡迎; 杨宇峰; 刘琴

    2016-01-01

    目的:探讨多层螺旋CT口服小肠造影(MSCTE)与消化内镜检查发现Crohn病累及部位的临床价值。方法选取两家医院临床随访证实为 Crohn 病患者30例,行消化内镜检查为 A组,行MSCTE检查为B组,A、B两组发现Crohn病累及部位进行比较分析。结果 A组无异常6例,累及单独小肠5例,小肠及结直肠10例,单独结直肠9例;B组累及单独小肠14例,小肠及结直肠9例,单独结直肠7例。A、B两组发现Crohn病累及部位的比较有统计学意义(P<0.05)。结论 MSCTE诊断Crohn病累及部位较消化内镜具有更高的临床价值。%ObjectiveThe aim of the present study was to evaluate the clinical value of multi-slice computer tomography enterography (MSCTE) and digestive endoscopy on the involved site of Crohn disease(CD).MethodsSelected 30 patients with CD from two hospitals confirmed by clinical follow-up. Digestive endoscopy as group A, MSCTE examination as group B, involved site of two groups of CD were compared and analyzed.ResultsIn group A, 6 cases had been found normal, 5 cases had been found that lesion site was in the small intestine, 10 cases in the small intestine and colorectal, 9 cases only in the colorectal. In group B, 14 cases had been found the lesion site was in the small intestine only, 9 cases in the small intestine and colorectal, 7 cases in the colorectal only. There had statistical significance between group A and group B (P<0.05).ConclusionThe MSCTE has higher clinical value to diagnose the involved site of CD.

  10. Adolescent Kawasaki disease: usefulness of 64-slice CT coronary angiography for follow-up investigation

    Energy Technology Data Exchange (ETDEWEB)

    Carbone, Iacopo; Cannata, David; Algeri, Emanuela; Galea, Nicola; Napoli, Alessandro; Catalano, Carlo; Passariello, Roberto; Francone, Marco [Sapienza University of Rome, Department of Radiological, Onchological and Anatomopathological Sciences, Policlinico Umberto I, Rome (Italy); De Zorzi, Andrea [Bambino Gesu Hospital, Cardiology Division, Rome (Italy); Bosco, Giovanna; D' Agostino, Rita [Sapienza University of Rome, Unit of Paediatric Cardiology, Policlinico Umberto I, Rome (Italy); Menezes, Leon [University College of London, Institute of Nuclear Medicine, London (United Kingdom)

    2011-09-15

    Kawasaki disease (KD) is a systemic vasculitis that mainly affects coronary arteries in children, and requires regular follow-up from the time of diagnosis. To evaluate the feasibility of 64-slice CT angiography (CTA) for follow-up of patients with KD using previously performed invasive catheter coronary angiography (CCA) as reference standard. The study group comprised 12 patients (age 17.6 {+-} 2.9 years, mean{+-}SD) with a diagnosis of KD and a previously performed CCA (interval, 32.6 {+-} 13.5 months) who underwent 64-slice cardiac CTA. The quality of the images for establishing the presence of coronary abnormalities was determined by two observers. The CTA findings were compared with those from the prior CCA. Adequate image quality was obtained in all patients. Mean effective dose for CTA was 6.56 {+-} 0.95 mSv. CTA allowed accurate identification, characterization and measurement of all coronary aneurysms (n = 32), stenoses (n = 3) and occlusions (n = 9) previously demonstrated by CCA. One patient with disease progression went on to have percutaneous coronary intervention. Coronary lesions were reliably evaluated by 64-slice CTA in the follow-up of compliant patients with KD, reducing the need for repeated diagnostic invasive CCA. Hence, in an adequately selected patient population, the role of CCA could be limited almost only to therapeutic procedures. (orig.)

  11. The value of multi-slice spiral computed tomography portography in assessing severity of liver cirrhosis and predicting episode risks of hepatic encephalopathy%多层螺旋CT门静脉造影评估肝硬化病变程度及预测肝性脑病发病风险的价值

    Institute of Scientific and Technical Information of China (English)

    刘文娜; 王剑; 冯义朝; 戴光荣; 宁涛

    2014-01-01

    Objective To explore the clinical value of multi-slice spiral computed tomography portography (MSCTP) in assessing severity of liver cirrhosis and predicting episode risks of hepatic encephalopathy (HE).Methods Eighty-six patients with liver cirrhosis who were hospitalized in the Department of Gastroenterology at the Affiliated Hospital of Yan'an University were included in the study.All patients underwent 64-slice MSCTP to grade the portal vein anatomy.The West Haven criteria were used for semi-quantitative assessment of each patient's mental state.The Child-Pugh grading system was used to assess the extent of cirrhosis.Comparison of measurement data between multiple groups was made by one-way ANOVA analysis,and comparison of such between two groups was made by the Mann-Whitney U test,Ranked data were compared with the rank-sum test,and count data were compared by the Chi-Square test.Correlation analysis was performed with Spearman's correlation test.Results Comparison of the HE grade Ⅲ group and the HE grade Ⅰ group showed significant differences between the two in the diameters of left gastric vein,the splenic vein,the intrahepatic left portal vein and the intrahepatic right portal vein (P < 0.05).Comparison of the Child-Pugh grade C group and the Child-Pugh grade A group showed significant differences between the two in diameters of the left gastric vein,the splenic vein,the intrahepatic left portal vein and the intrahepatic right portal vein (P < 0.05).The diameters of the main portal vein were not significantly different between the ChildPugh grades and HE classifications (P > 0.05).The results of MSCTP did show significant differences between different HE classifications in patients with liver cirrhosis and the rate of formation of portal vein thrombosis and fistulas of the hepatic artery-portal vein (P < 0.05),.but no significant differences with the esophageal and gastric varices,varicose veins around the esophagus,and periumbilical varicose

  12. The evaluation of the cardiac and small airway changes in pectus excavatum of children with 64-slice computed tomography%64层螺旋CT对儿童漏斗胸的心脏及小气道改变的评价

    Institute of Scientific and Technical Information of China (English)

    赵磊磊; 何玲; 陈欣; 陈建蓉; 刘代松

    2012-01-01

    Objective:Through the retrospective research of cardiac rotation and small airway changes in pectus excavatum, we investigate the effect of the degree of sternal depression on them and the value of the 64-slice CT. Methods: 64-slice CT and three-dimensional reconstruction features of pectus excavatum proved clinically 183 cases between 2009 and 2011 were retrospectively reviewed. Measured the Haller index,cardiac rotation angle on axial CT images of the chest,researched the small airway changes on MPR lung-window. Haller index was used as standard to classify the cases to three grades,analysed differences between the three grades on cardiac angle,small airway changes,and investigated the effect of the degree of sternal depression on them. Results:183 cases were classified into three grades: mid-grade: 54 cases(2. 86 + 0. 31) , middle-grade: 22cases(3. 36 + 0. 10) ,high-grade: 107case(4. 61 ± 1. 27). The three grades were significant different(P<0. 05). The cardiac rotation angle of the three grades were 55. 52° ± 8. 76°,57. 38° ± 5. 03°,65. 93° ± 7. 67°,there were significant difference among them (P<0. 05). 60 cases had small airway changes,the morbidity of the three grades were 22. 22%(12/54) ,22. 73%(5/22) ,40. 19%(43/107), there were significant difference among the three grades(P<0. 05). 53 cases among them had lobus pulrnonis sinister small airway changes. Conclusion:The 64-slice CT is a better tool for revealing chest deformity,cardiac rotation and small airway changes of pectus excavatum. As the degree of chest deformity increase, the cardiac rotation angle, morbidities of small airway changes increases,the three exist positive correclation.%目的:通过CT观察儿童漏斗胸心脏形态及小气道改变,探讨胸廓畸形程度对心脏形态、小气道改变的影响及64层螺旋CT的价值.方法:搜集2009~2011年临床确诊漏斗胸并行胸部64层螺旋CT三维重建检查的患儿183例,测量胸廓的Haller指数、心脏旋转

  13. Comparative evaluation of 64-slice CT angiography and digital subtraction angiography in assessing the cervicocranial vasculature

    Directory of Open Access Journals (Sweden)

    Randolf Klingebiel

    2008-08-01

    Full Text Available Randolf Klingebiel1, Max Kentenich3, Hans-Christian Bauknecht3, Florian Masuhr2, Eberhard Siebert1, Markus Busch2, Georg Bohner11Department of Neuroradiology, 2Department of Neurology, 3Department of Radiology, Charité Universitary Medicine Berlin, GermanyBackground: Noninvasive 64-slice computed tomography angiography (64-MSCTA closely approximates conventional catheter angiography (DSA in terms of detail resolution. Objective: Retrospective evaluation of cervicocranial (cc 64-MSCTA in comparison with DSA in patients with presumptive cc vascular disorders.Material and methods: Twenty-four 64-MSCTA studies (32 mm detector width, slice thickness 0.5 mm, 120 kv, 150 mAs, pitch 0.75 of patients with presumptive cc vascular pathology (13 men, 11 women, mean age 38.3 ± 11.3 yrs, range 19–54 yrs were assessed in comparison with DSA studies without abnormal findings in age-matched patients (11 men, 13 women, mean age 39.7 ± 11.9 yrs, range 18–54 yrs. Study readings were performed in a blinded manner by two neuroradiologists with respect to image quality and assessibility of various cc vascular segments by using a five-point scale. Radiation exposure was calculated for 64-MSCTA.Results: Each reader assessed 384/528 different vessel segments (64-MSCTA/DSA. Superior image quality was attributed to DSA with respect to the C1 ICA–C6 ICA, A3 ACA, and P3 PCA segments as well the AICA and SCA. 64-MSCTA was scored superior for C7 ICA and V4 VA segments. A significantly increased number of nonassessable V2- and V3 VA segments in DSA studies was noted. The effective dose for 64-MSCTA amounted to 2.2 mSv.Conclusions: 64-MSCTA provides near-equivalent diagnostic information of the cc vasculature as compared with DSA. According to our results, DSA should be considered primarily when peripheral vessels (A3/P3 or ICA segments close to the skull base (C2-5 are of interest, such as in primary angiitis or stenoocclusive ICA disease, respectively.Keywords: CT

  14. Spontaneous isolated dissection of the superior mesenteric artery:multi-slice computed tomographic angiography findings in seven cases%MSCT血管成像对孤立性肠系膜上动脉夹层的诊断价值

    Institute of Scientific and Technical Information of China (English)

    陈则君; 谢旭纲; 孟宪平; 朱建新; 王伯元

    2011-01-01

    目的:探讨MSCT血管成像诊断孤立性肠系膜上动脉夹层(SISAMD)的临床应用价值.方法:对7例急性肠缺血患者行MSCT血管成像,采用容积再现(VR)、多平面重组(MPR)、曲面重组(CPR)及最大密度投影(MIP)重组图像,由两位经验丰富的心血管影像医师评估夹层的部位和范围.结果:SISAMD与主动脉夹层CT血管成像(CTA)表现相同,CTA清晰显示撕裂内膜5例,破裂口均位于肠系膜上动脉(SMA)近心端.根据Yun分型:Ⅰ型1例,Ⅱa型3例,Ⅱb型2例,Ⅲ型1例.SMA直径增粗2例,SMA周围脂肪间隙模糊2例,局部回肠壁增厚、水肿2例,升结肠扩张、积液1例,腹腔及盆腔内少量积液2例.结论:MSCTA能清晰显示病变特征和累及范围,是孤立性肠系膜上动脉夹层首选的检查方法.%Objective : To asscss the value of multi-slice computed tomographic angiography (MSCTA) in the diagno sis of spontancous isolated dissection of superior mesenteric artery (SMA). Methods:7 patients with clinically suspected a cute mesenteric ischemia underwent MSCTA. Multiplanar and three-dimensional images were obtained by imaging postpro cessing techniques including volume rendering technique (VRT) , multiplanar reconstruction (MPR) , curved planar reforma tion (CPR) and maximum intensity projection (MIP) on a workstation. Image reading was performed in consensus by two experienced cardiovascular radiologists. Results: According to Yun's classification,there were one case of type Ⅰ , three type Ⅱ a,two type Ⅱ b and one type Ⅲ . Spontaneous isolated dissection of SMA displays the same MSCTA features as aortic dis section. Intimal flaps were seen in five patients,with intimal tears at the proximal SMA. Other MSCTA findings associated with spontaneous isolated dissection of SMA were enlarged diameter of the SMA (n=2) ,increased attenuation of the fat a round the SMA (n=2) ,local ileum wall thickening due to edema (n=2) , dilated ascending colon (n=1) and hemorrhagic

  15. MSCTV直接静脉造影诊断静脉受阻性病变的价值%Value of direct multi-slice computed tomography venography in diagnosing venous obstructive disease

    Institute of Scientific and Technical Information of China (English)

    赖伟; 刘建新; 林晓平

    2015-01-01

    目的:探讨多层螺旋CT直接静脉造影(MSCTV)诊断静脉受阻性病变的临床价值。方法收集35例应用直接MSCTV诊断并经临床证实的静脉受阻性病变患者的临床及影像学资料,研究MSCTV成像方法,分析静脉受阻性病变的影像学表现特征。结果本组共35例患者,其中下肢深静脉血栓19例,上肢深静脉血栓2例,深静脉瘤栓3例,单纯性下肢静脉曲张11例。MSCTV深静脉血栓表现为静脉腔内的充盈缺损,管腔中断,侧支循环形成。深静脉瘤栓表现为静脉腔内和/或腔外软组织肿块影,管腔不规则狭窄并充盈缺损。单纯性下肢静脉曲张表现为静脉血管增多、增粗、纡曲。结论静脉受阻性病变具有一定的MSCT征象,MSCTV对诊断静脉受阻性病变具有较大的临床价值。%Objective To explore the clinical value of direct multi-slice computed tomography venography (MSCTV) in diagnosing venous obstructive disease. Methods The clinical and imaging data of 35 cases of venous obstructive disease diagnosed by MSCTV and confirmed in clinic were reviewed. The imaging features of venous ob-structive disease were analyzed. Results There were a total of 35 cases, with 19 cases located in deep venous throm-bosis of lower extremity, 2 cases located in deep venous thrombosis of upper extremity, 3 cases located in deep venous tumor thrombus, and 11 cases located in simple vein varicosis of lower extremity. MSCTV manifestations of deep ve-nous thrombosis included filling defect in vein intraluminal, luminal interrupt, and formation of collateral circulation. MSCTV manifestations of deep venous tumor thrombus showed soft tissue mass in the vein cavity and/or extralumi-nal, irregular filling defect and stenosis in lumen. Simple varicose veins of lower extremity showed increased number of veins, as well as thickening and tortuosity. Conclusion MSCTV manifestations of venous obstructive disease have some specific features

  16. 多层螺旋CT血管成像容积重建技术在Moyamoya病中的诊断价值%The diagnostic value of multi-slice computed tomographic angiography with volume rendering for Moyamoya disease

    Institute of Scientific and Technical Information of China (English)

    林伯法; 奚玉平; 曹国全

    2008-01-01

    Objective To evaluate the diagnostic value of multi-slice thrce-dimensional computed tomographic angiography(MS-CTA) with volume rendering(VR) for Moyamoya disease.Methods MS-CTA of 25 patients with Moyamoya disease verified by DSA were restrospectively analyzed.Source images were got by GE Lightspeed pro scanner.VR was adopted to reconstruct 3D images in all cases.Results Of 25 CT precontrast,13,12 cases showed infarction and hemorrhage respectively,while 11 cases had dialated vessels in thalamus-basal ganglia region on CT.Accuracy of stenosis or occlusion of the bifurcation of ICA, proximal portion of the ACA or MCA was 88.0% (22/25) by MS-CTA.MS-CTA overestimated the degree of stenosis,MS-CTA misdiagnosed 3 cases(12.0%)with stenosis to occlusion.MS-CTA showed fewer small Moyamoya vessels than DSA.MS-CTA only demonstrated 6 cases(25.0%)with collateral vessels.Conclusion CT is still the conventional method for detecting secondary lesions to Moyamoya disease.CT and MS-CTA can accurately diagnose Moyamoya disease.%目的 探讨多层螺旋CT血管造影(MS-CTA)容积重建(VR)技术在Moyamoya病中的诊断价值.方法 对经DSA证实的25例Moyamoya患者的MS-CTA影像资料进行回顾性分析,使用GE Lightspeed pro 16层螺旋CT扫描仪获得原始图像,所有病例均采用VR技术对图像进行三维重建.结果 25例CT平扫患者中,脑梗死13例,脑出血12例,其中11例可见丘脑一基底节区有扩张的血管;MS-CTA VR重建显示Moyamoya病颈内动脉(ICA)末端、大脑中动脉(MCA)或大脑前动脉(ACA)近端闭塞或狭窄的准确率为88.0%(22/25).与DSA相比,MS-CTA VR重建高估动脉狭窄程度,将ICA狭窄误诊为闭塞3例(12.0%);在显示Moyamoya血管数目及分支方面,MS-CTA VR重建显示细小分支数目较少;在显示侧支循环方面,MS-CTA VR重建仅显示6例(25.0%).结论 CT平扫仍是发现Moyamoya病继发病变的常规方法,与MS-CTA VR重建相结合可正确诊断Moyamoya病.

  17. Clinical application of 64-slice spiral CT in the diagnosis of the Tetralogy of Fallot

    Energy Technology Data Exchange (ETDEWEB)

    Wang Ximing [Tianjin Medical University, Tianjin City (China) and Shandong Medical Imaging Research Institute, Jinan City, Shandong Province 250021 (China)], E-mail: wxming369@163.com.cn; Wu Lebin [Shandong Medical Imaging Research Institute, Jinan City, Shandong Province 250021 (China); Sun Cong [Shandong Medical Imaging Research Institute, Jinan City, Shandong Province 250021 (China); Shandong University Medical College, Shandong Jinan 250012 (China); Liu Cheng [Shandong Medical Imaging Research Institute, Jinan City, Shandong Province 250021 (China); Chao, Bao-Ting [Shandong University Medical College, Shandong Jinan 250012 (China); Han Bo [Shandong Provincial Hospital Pediatric Department, Shandong, Jinan 250021 (China); Zhang Yunting [Tianjin Medical University, General Hospital MR Department, Tianjin City (China); Chen Haisong [Shandong Medical Imaging Research Institute, Jinan City, Shandong Province 250021 (China); Shandong University Medical College, Shandong Jinan 250012 (China); Li Zhenjia [Shandong Medical Imaging Research Institute, Jinan City, Shandong Province 250021 (China)

    2007-11-15

    Objective: To explore the clinical application of 64-slice spiral CT in the diagnosis of the Tetralogy of Fallot. Methods: Eighteen patients with diagnosed Tetralogy of Fallot underwent cardiac CT angiography with 64-slice CT (CTA). Two- and three-dimensional images were used for diagnosing in all cases by means of MPR (coronal, sagital and oblique), cMPR, MIP and VRT. Results: All patients had ventricular septal defect, pulmonary stenosis and hypertrophy of right ventricle. The morphologic features of Tetralogy of Fallot were equal to echocardiography. Patent ductus arteriosus (PDA) were detected on eight patients. Main coronary artery branches and partial sub-branches were visualized in all patients. Abnormal coronary arteries were found in seven cases: both left and right main coronary artery arising from the right aortic sinus one case, right main coronary artery and circumflex (CX) arising from the right aortic sinus one case, left anterior descending (LAD) and CX arising from left aortic sinus directly one case, left and right coronary artery arising from back and front of the aortic sinus, respectively, three cases. Pulmonary artery branch stenosis was found in 12 cases and branch pulmonary artery dilation noticed in 1 case. Double superior vena cava was also found in one case. According to the surgery the diagnostic accuracy of CT and Echocardiography was 95.45 and 83.33%, respectively. Conclusion: Two- and three-dimensional 64-slice CTA not only show the overall anatomical structure of the heart, but also show coronary and pulmonary arteries. With these results, evaluation of coronary anomalies and pulmonary artery stenosis with 64-MSCT is extremely valuable for planning the operative procedure on the patients with Tetralogy of Fallot.

  18. Cardiac CT angiography after coronary artery surgery in children using 64-slice CT scan

    Energy Technology Data Exchange (ETDEWEB)

    Marini, Davide; Agnoletti, Gabriella [Centre de Reference Malformations Cardiaques Congenitales Complexes-M3C, Universite Paris Descartes, UFR Necker-Enfants Malades, Paris (France); Brunelle, Francis [University Paris Descartes, UFR Necker-Enfants Malades, Department of Pediatric Radiology, APHP, Paris (France); Sidi, Daniel; Bonnet, Damien [Centre de Reference Malformations Cardiaques Congenitales Complexes-M3C, Universite Paris Descartes, UFR Necker-Enfants Malades, Paris (France); Ou, Phalla [Centre de Reference Malformations Cardiaques Congenitales Complexes-M3C, Universite Paris Descartes, UFR Necker-Enfants Malades, Paris (France); University Paris Descartes, UFR Necker-Enfants Malades, Department of Pediatric Radiology, APHP, Paris (France)], E-mail: phalla.ou@nck.aphp.fr

    2009-09-15

    Objective: The purpose of this study was to compare the diagnostic accuracy of 64-slice CT with that of invasive angiography in the detection of graft and/or coronary angioplasty stenosis in children who had undergone coronary artery surgery. Population and methods: Fifteen consecutive children (8 male and 7 female; age 9.2 {+-} 6.1 years) underwent 64-slice CT because of chest pain or ECG changes mean 4.8 {+-} 3.7 years after surgical coronary artery surgery; 10 patients had coronary angioplasty using a patch from the saphenous vein, four had mammary artery bypass, and one had saphenous vein bypass. Six main segments of the coronary arteries and all the bypass graft considered as a single segment were analyzed and compared with invasive angiography used as the reference standard. Results: CT correctly identified the four children with coronary angioplasty and mammary graft lesions that were confirmed by conventional angiography: one patient had a significant stenosis (>50% stenosis) at the mammary bypass graft anastomosis site; three other had non-significant stenosis (<50% stenosis) including a mild lesion of the saphenous vein patch in two patients and a mild lesion at the anastomosis site of the mammary bypass in one. All segments identified as normal by CT in the other 11 children were also found to be normal by conventional angiography. Conclusion: In centers expert in this technique, 64-slice CT scanning is a promising, rapid, and useful diagnostic technique for evaluating both coronary angioplasty and bypass graft lesions in children who had undergone coronary artery surge0008.

  19. Diagnostic value of 64-slice spiral CT angiography in the diagnosis of multiple intracranial aneurysms: a report of 25 cases

    Directory of Open Access Journals (Sweden)

    Hong-sheng WANG

    2013-02-01

    Full Text Available Objective  To evaluate the diagnostic value of 64-slice spiral CT angiography (CTA in multiple intracranial aneurysms (MIA. Methods  Twenty-five patients (9 males and 16 females, aged from 17 to 68 years with suspected MIA underwent 64-slice spiral CTA with slice thickness of 0.625mm. The data of all patients were reconstructed with multiplanar reconstruction (MPR, 3-dimensional shade surface display (3-SSD, volume rendering (VR and maximum intensity projection (MIP. The clinical diagnostic value was evaluated with the results of surgery or interventional embolization therapy. Results  A total of 61 aneurysms were detected by 64-slice spiral CTA in 25 patients, among them 17 patients were with 2 aneurysms, 6 patients with 3 aneurysms, 1 patient with 4 aneurysms and 1 patient with 5 aneurysms. The 64-slice spiral CTA could not only clearly demonstrate MIA, but also the size, neck, axis point and parent artery of each aneurysm, and the spatial relationship between aneurysm and the adjacent vessels and bone structures. Twenty-one patients underwent microsurgery and four underwent embolization, the location, size and shape of aneurysm and its spatial relationship with adjacent structures were in accordance with the findings of 64-slice spiral CTA. Conclusion  The 64-slice spiral CTA could be used as the first choice in the diagnosis of MIA for its high accuracy, and may be an important adjunct to digital subtraction angiography (DSA in MIA treatment.

  20. Investigation on the prospects of multi-slice computed tomography enterography in diagnosing small intestine tumor%CT小肠造影在诊断小肠肿瘤中的应用价值

    Institute of Scientific and Technical Information of China (English)

    徐莹; 陈业媛; 舒虹; 肖香佐

    2015-01-01

    目的:探讨多层螺旋CT小肠造影(MSCTE)在小肠肿瘤诊断中的应用价值。方法回顾性分析经手术病理证实的45例小肠肿瘤的MSCTE影像表现,总结其影像学表现特点。结果45例小肠肿瘤中,良性肿瘤9例,其中脂肪瘤6例,影像表现为腔内含脂肪低密度肿块影;腺瘤2例,表现为腔内均质的软组织肿块;回肠系膜淋巴管瘤1例,表现为不规则囊性病灶。常见的恶性肿瘤34例,其中腺癌14例,表现为肠壁局限不规则的环形增厚,中度不均匀强化;间质瘤11例,表现为较大的软组织肿块,以腔外生长为主,密度不均匀,中度或明显强化,常伴有囊变、坏死;淋巴瘤9例,肠壁不规则增厚或形成软组织肿块,累及肠段较长,均匀轻中度强化,常伴有肠系膜、腹膜后淋巴结肿大。少见的恶性肿瘤2例,转移瘤1例,表现为多发肠壁不规则增厚,明显强化,腹壁出现转移性结节;类癌1例,右下腹不规则肿块影。结论 MSCTE在小肠肿瘤诊断与鉴别诊断中有较好的临床应用价值。%Objective To investigate application prospects of Multi-slice computed tomography Enterography(MSCTE) in diag-nosing small intestine tumor (SIT). Methods MSCTE findings were retrospectively analyzed in 45 cases of SIT diagnosed patho-logically after surgery and were summarized in terms of imaging features. Results Of all 45 cases of SIT,9 were benign ones and 6 were lipoma,characterized by low-density mass shadow in intestinal cavity;2 were adenoma,characterized by homogeneous soft tissue mass in intestinal cavity;1 belonged to ileac mesentery lymphangioma,characterized by irregular cyst-like focus;34 were the most common type of malignancies,14 of which were adenocarcinoma,characterized by localized ring-formed thickening of in-testinal wall with moderate heterogeneous enhancement;11 were mesenchymoma,characterized by soft tissue mass relatively big in

  1. Diagnostic Accuracy of 64-Slice MDCT Coronary Angiography for the Assessment of Coronary Artery Disease in Korean Patients with Type 2 Diabetes

    Directory of Open Access Journals (Sweden)

    Jun Sung Moon

    2013-02-01

    Full Text Available BackgroundA 64-slice multidetector computed tomography (MDCT is well known to be a useful noninvasive form of angiography for the general population, but not for certain patients with diabetes. The aim of this study was to investigate the diagnostic accuracy and usefulness of 64-slice MDCT coronary angiography for detecting coronary artery disease in Korean patients with type 2 diabetes mellitus (T2DM.MethodsA total of 240 patients were included, 74 of whom had type 2 diabetes (M:F=40:33; 41.8±9.5 years. We compared significant coronary stenosis (>50% luminal narrowing in MDCT with invasive coronary angiography (ICA by segment, artery, and patient. We also evaluated the influence of obesity and coronary calcium score on MDCT accuracy.ResultsOf the 4,064 coronary segments studied, 4,062 segments (T2DM=1,109 were assessed quantitatively by both MDCT and ICA, and 706 segments (T2DM=226 were detected as a significant lesion by ICA in all patients. Sensitivity, specificity, as well as positive and negative predictive values for the presence of significant stenosis in T2DM were: by segment, 89.4%, 96.4%, 85.8%, and 97.4%, respectively; by artery (n=222, 95.1%, 92.9%, 94.4%, and 93.8%, respectively; by patients (n=74, 98.4%, 100.0%, 98.4%, and 90.0%, respectively. Regardless of presence of diabetes, there was no significant difference in diagnostic accuracy. Obesity (≥25 kg/m2 and coronary calcium score did not also affect the diagnostic accuracy of MDCT.ConclusionThe 64-slice MDCT coronary angiography was found to have similar diagnostic accuracy with ICA, regardless of diabetes. These results suggest MDCT may be helpful to reduce unnecessary invasive studies for patients with diabetes.

  2. Characteristics and diagnosis of multi-slice computed tomography examination of portal vein diseases%门静脉病变的多排螺旋CT检查特征与诊断

    Institute of Scientific and Technical Information of China (English)

    任小军; 潘高争; 王霞; 杨如武

    2015-01-01

    恶性肿瘤引起胆管梗阻17例,肝硬化门静脉海绵样变伴肝内胆管扩张(门静脉高压性胆管病)2例.结论 门静脉病变多排螺旋CT检查主要表现为门静脉狭窄、闭塞或扩张、积气,其继发病变表现为门-腔静脉侧支循环形成及门静脉海绵样变、肠缺血以及门静脉高压性胆病;其原发病变多样,以肝硬化和恶性肿瘤为主.多排螺旋CT检查可清楚显示门静脉病变,对其原发病变与继发病变可进行准确诊断.%Objective To summarize the characteristics of multi-slice computed tomography (MSCT) of portal vein diseases and investigate the CT diagnosis of its primary and secondary diseases.Methods The imaging data of 62 patients from Xi'an Xidian Group Hospital,28 patients from Nuclear Industry 215 Hospital of Shanxi Province and 16 patients from Xi'an Gaoxin Hospital with portal vein diseases from January 2012 to March 2015 were retrospectively analyzed.The CT findings,primary and secondary diseases of portal vein lesions were recorded through plain scan and enhanced scan of MSCT.Results Changes in the width of portal vein:among 106 patients,dilation of main portal vein was detected in 45 cases,stenosis of stem or branches of portal vein in 39 cases,portal vein obstruction in 49 cases (21 patients accompanied with enlargement in stem of portal vein and 6 patients with normal width).The diameters of dilated portal vein were 1.4-2.2 cm with a mean diameter of 1.8 cm.The diameters of portal vein with stenosis and occlusion caused by carcinomas were 1.8-4.0 cm with a mean diameter of 2.3cm.Portal vein fistula and pneumatosis:hepatic artery-portal vein fistulas were detected in 12 patients,posterior right branches of portal vein-inferior vena cava fistulas in 2 patients,inferior vena cavaportal vein fistulas and portal-hepatic vein fistulas in 2 patients,pneumatosis in 2 patients.Lesions of portal vein occlusions:occlusions located at main portal veins were detected in 4 cases

  3. Coronary 64-slice CT angiography predicts outcome in patients with known or suspected coronary artery disease

    Energy Technology Data Exchange (ETDEWEB)

    Gaemperli, Oliver; Valenta, Ines; Schepis, Tiziano [University Hospital Zurich NUK C 32, Cardiovascular Center, Zurich (Switzerland); Husmann, Lars; Scheffel, Hans; Desbiolles, Lotus; Leschka, Sebastian; Alkadhi, Hatem [University Hospital Zurich, Institute of Diagnostic Radiology, Zurich (Switzerland); Kaufmann, Philipp A. [University Hospital Zurich NUK C 32, Cardiovascular Center, Zurich (Switzerland); University of Zurich, Zurich Center for Integrative Human Physiology (ZIHP), Zurich (Switzerland)

    2008-06-15

    The aim of this study was to assess the prognostic value of 64-slice CT angiography (CTA) in patients with known or suspected coronary artery disease (CAD). Sixty-four-slice coronary CTA was performed in 220 patients [mean age 63 {+-} 11 years, 77 (35%) female] with known or suspected CAD. CTA images were analyzed with regard to the presence and number of coronary lesions. Patients were followed-up for the occurrence of the following clinical endpoints: death, nonfatal myocardial infarction, unstable angina, and coronary revascularization. During a mean follow-up of 14 {+-} 4 months, 59 patients (27%) reached at least one of the predefined clinical endpoints. Patients with abnormal coronary arteries on CTA (i.e., presence of coronary plaques) had a 1st-year event rate of 34%, whereas in patients with normal coronary arteries no events occurred (event rate, 0%, p < 0.001). Similarly, obstructive lesions ({>=}50% luminal narrowing) on CTA were associated with a high first-year event rate (59%) compared to patients without stenoses (3%, p < 0.001). The presence of obstructive lesions was a significant independent predictor of an adverse cardiac outcome. Sixty-four-slice CTA predicts cardiac events in patients with known or suspected CAD. Conversely, patients with normal coronary arteries on CTA have an excellent mid-term prognosis. (orig.)

  4. Multi-slice Spiral Computed Tomography Manifestations of Brain and Cerebral Hemodynamics in Chronic Mountain Sickness%慢性高原病脑部MSCT表现与血流动力学研究

    Institute of Scientific and Technical Information of China (English)

    王铎尧; 鲍海华; 赵希鹏; 李文方

    2011-01-01

    significantly highcr in CMS group than that in normal group (t=4. 551, P<0. 01 and t= 2. 898,P<0. 01 , respectively) . In CMS group , the CT value of superior sagittal sinus and bilateral middle cerebral artery with hemoglobin level (r=0. 758 and r=0. 740 , both P<0. 01). (2) The changes of CBF were obviously in grey matter than in white matter. In grey matter,CBF reduced more in CMS group than in normal group(P<0. 01). TTP in grey matter prolonged obviously in CMS group (P<0. 05 ). MTT in grey matter and white matter both prolonged obviously in CMS group (P<0. 01 ). Conclusion Multi-slice spiral CT is a valuable tool to study the state of the whole brain and the cercbral hemodvnamics in CMS patients.

  5. Advanced NSCLC First Pass Perfusion at 64-slice CT: Reproducibility of Volume-based Quantitative Measurement

    Directory of Open Access Journals (Sweden)

    Jie HU

    2010-05-01

    Full Text Available Background and objective The aim of this study is to explore the reproducibility of volume-based quantitative measurement of non-small cell lung cancer (NSCLC perfusion at 64-slice CT. Methods Fourteen patients with proved advanced NSCLC were enrolled in this dynamic first pass volume-based CT perfusion (CTP study (8×5 mm collimation, and they underwent the second scan within 24 h. According to the longest diameters, those patients were classified to ≤3 cm and >3 cm groups, and each group had 7 patients. Intraclass correlation coefficient (ICC and Bland-Altman statistics were used to evaluate the reproducibility of CTP imaging. Results In both groups of advanced NSCLC, the reproducibility with BF, BV, and PS values were good (ICC >0.75 for all, but mean transit time (MTT values. For advanced NSCLC (≤3 cm, repeatability coefficient (RC values with blood flow (BF, blood volume (BV, MTT and permeability surface area product (PS values were 56%, 45%, 114%, and 78%, respectively, and the 95% change intervals of RC were -39%-53%, -29%-62%, -83%-145%, and -57%-98%, respectively. For advanced NSCLC (>3 cm, those values were 46%, 30%, 59%, and 33%, respectively, and the 95% change intervals of RC were -48%-45%, -33%-26%, -54%-64%, and -18%-48%. Conclusion There is greater reproducibility of tumor size >3 cm than that of ≤3 cm. BF and BV could be addressed for reliable clinical application in antiangiogenesis therapeutic monitoring with advanced NSCLC patients.

  6. Radiation dose and cancer risk from pediatric CT examinations on 64-slice CT: A phantom study

    Energy Technology Data Exchange (ETDEWEB)

    Feng Shiting [Department of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou (China); Law, Martin Wai-Ming [Department of Clinical Oncology, Queen Mary Hospital (Hong Kong); Huang Bingsheng [Department of Diagnostic Radiology, University of Hong Kong (Hong Kong); Ng, Sherry [Department of Clinical Oncology, Queen Mary Hospital (Hong Kong); Li Ziping; Meng Quanfei [Department of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou (China); Khong, Pek-Lan, E-mail: plkhong@hkucc.hku.hk [Department of Diagnostic Radiology, University of Hong Kong (Hong Kong)

    2010-11-15

    Objective: To measure the radiation dose from CT scans in an anthropomorphic phantom using a 64-slice MDCT, and to estimate the associated cancer risk. Materials and methods: Organ doses were measured with a 5-year-old phantom and thermoluminescent dosimeters. Four protocols; head CT, thorax CT, abdomen CT and pelvis CT were studied. Cancer risks, in the form of lifetime attributable risk (LAR) of cancer incidence, were estimated by linear extrapolation using the organ radiation doses and the LAR data. Results: The effective doses for head, thorax, abdomen and pelvis CT, were 0.7 mSv, 3.5 mSv, 3.0 mSv, 1.3 mSv respectively. The organs with the highest dose were; for head CT, salivary gland (22.33 mGy); for thorax CT, breast (7.89 mGy); for abdomen CT, colon (6.62 mGy); for pelvis CT, bladder (4.28 mGy). The corresponding LARs for boys and girls were 0.015-0.053% and 0.034-0.155% respectively. The organs with highest LARs were; for head CT, thyroid gland (0.003% for boys, 0.015% for girls); for thorax CT, lung for boys (0.014%) and breast for girls (0.069%); for abdomen CT, colon for boys (0.017%) and lung for girls (0.016%); for pelvis CT, bladder for both boys and girls (0.008%). Conclusion: The effective doses from these common pediatric CT examinations ranged from 0.7 mSv to 3.5 mSv and the associated lifetime cancer risks were found to be up to 0.16%, with some organs of higher radiosensitivity including breast, thyroid gland, colon and lungs.

  7. Accessory left atrial diverticulae: contractile properties depicted with 64-slice cine-cardiac CT.

    LENUS (Irish Health Repository)

    Killeen, Ronan P

    2012-02-01

    To assess the contractility of accessory left atrial appendages (LAAs) using multiphasic cardiac CT. We retrospectively analyzed the presence, location, size and contractile properties of accessory LAAs using multiphasic cardiac 64-slice CT in 102 consecutive patients (63 males, 39 females, mean age 57). Multiplanar reformats were used to create image planes in axial oblique, sagittal oblique and coronal oblique planes. For all appendages with an orifice diameter >or= 10 mm, axial and sagittal diameters and appendage volumes were recorded in atrial diastole and systole. Regression analysis was performed to assess which imaging appearances best predicted accessory appendage contractility. Twenty-three (23%) patients demonstrated an accessory LAA, all identified along the anterior LA wall. Dimensions for axial oblique (AOD) and sagittal oblique (SOD) diameters and sagittal oblique length (SOL) were 6.3-19, 3.4-20 and 5-21 mm, respectively. All appendages (>or=10 mm) demonstrated significant contraction during atrial systole (greatest diameter reduction was AOD [3.8 mm, 27%]). Significant correlations were noted between AOD-contraction and AOD (R = 0.57, P < 0.05) and SOD-contraction and AOD, SOD and SOL (R = 0.6, P < 0.05). Mean diverticulum volume in atrial diastole was 468.4 +\\/- 493 mm(3) and in systole was 171.2 +\\/- 122 mm(3), indicating a mean change in volume of 297.2 +\\/- 390 mm(3), P < 0.0001. Stepwise multiple regression analysis revealed SOL to be the strongest independent predictor of appendage contractility (R(2) = 0.86, P < 0.0001) followed by SOD (R(2) = 0.91, P < 0.0001). Accessory LAAs show significant contractile properties on cardiac CT. Those accessory LAAs with a large sagittal height or depth should be evaluated for contractile properties, and if present should be examined for ectopic activity during electrophysiological studies.

  8. Investigation of acute lower gastrointestinal bleeding with 16- and 64-slice multidetector CT.

    Science.gov (United States)

    Lee, S; Welman, C J; Ramsay, D

    2009-02-01

    We evaluated the usefulness of 16- and 64-slice multidetector CT (MDCT) in the detection of a bleeding site in acute lower gastrointestinal tract (GIT) haemorrhage by conducting a retrospective study of cases of presumed acute lower GIT haemorrhage imaged with CT in two teaching hospitals in an 11-month period. The patients underwent contrast enhanced CT using either a 16 or 64 MDCT. No oral contrast was used. One hundred milliliters of non-ionic intravenous contrast agent was injected at 4.5 mL/s, followed by a 60 mL saline flush at 4 mL/s through a dual head injector. Images were acquired in arterial phase with or without non-contrast and portal phase imaging with 16 x 1.5 mm or 64 x 0.625 mm collimation. Active bleeding was diagnosed by the presence of iodinated contrast extravasation into the bowel lumen on arterial phase images with attenuation greater than and distinct from the normal mucosal enhancement or focal pooling of increased attenuation contrast material within a bowel segment on portal-venous images. Further management and final diagnosis was recorded. Fourteen patients and 15 studies were reviewed. CT detected and localized a presumed bleeding site or potential causative pathology in 12 (80%) of the patients. Seven of these were supported by other investigations or surgery, while five were not demonstrated by other modalities. Eight patients had mesenteric angiography, of which only four corroborated the site of bleeding. CT did not detect the bleeding site in three patients, of which two required further investigation and definitive treatment. We propose that MDCT serves a useful role as the initial rapid investigation to triage patients presenting with lower GIT bleeding for further investigation and management.

  9. Small intestinal lipomas:Diagnostic value of multi-slice CT enterography

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    AIM:To analyze the clinical and imaging features of the small intestinal lipomas and to evaluate the diagnostic value of multi-slice computed tomography(CT) enterography.METHODS:Fourteen cases(one had two intestinal lesions) of surgically confirmed lipomas of the small intestine were retrospectively analyzed.The location,size,clinical and radiological aspects were discussed.RESULTS:Twelve patients presented with abdominal pain,of whom three complained of paroxysmal colic.Melena or bloody stools was mentione...

  10. Diagnostic accuracy of 64 slice multidetector coronary computed tomographic angiography in left ventricular systolic dysfunction

    Directory of Open Access Journals (Sweden)

    Danny Lee

    2015-09-01

    Conclusion: Sixty-four slice multidetector CCTA is a very sensitive and fairly specific noninvasive diagnostic procedure for detecting coronary stenosis in patients with chest pain regardless of LV systolic function at presentation.

  11. Usefulness of 64-slice MDCT for follow-up of young children with coronary artery aneurysm due to Kawasaki disease: Initial experience

    Energy Technology Data Exchange (ETDEWEB)

    Peng Yun [Imaging Center, Beijing Children' s Hospital Affiliated to Capital Medical University, 56, Nanlishi Road, Xicheng District, Beijing 100045 (China)], E-mail: ppengyun@yahoo.com; Zeng Jinjin [Imaging Center, Beijing Children' s Hospital Affiliated to Capital Medical University, 56, Nanlishi Road, Xicheng District, Beijing 100045 (China); Du Zhongdong [Pediatric Cardiovascular Department, Beijing Children' s Hospital Affiliated to Capital Medical University, 56, Nanlishi Road, Xicheng District, Beijing 100045 (China); Sun Guoqiang [Imaging Center, Beijing Children' s Hospital Affiliated to Capital Medical University, 56, Nanlishi Road, Xicheng District, Beijing 100045 (China); Guo Huling [Pediatric Cardiovascular Department, Beijing Children' s Hospital Affiliated to Capital Medical University, 56, Nanlishi Road, Xicheng District, Beijing 100045 (China)

    2009-03-15

    To evaluate the initial application and value of 64-slice multidetector computed tomography as an alternative diagnostic modality in the follow-up of young children with coronary artery aneurysm due to Kawasaki disease. Twelve boys (mean age 5.1 years, range 1.8-7.8 years) for follow-up (time range from 1.1 to 5.1 years) of known Kawasaki disease and coronary artery aneurysm underwent 64-slice MDCT ECG-gated coronary angiography. All data were acquired without breath holding. Two pediatric radiologists independently assessed image quality and the diameter of all coronary segments were measured for each patient. The number, position, shape and size of each coronary artery aneurysm were observed and compared with those of ECHO performed previously. A total of 118/156 segments permitted visualization with diagnostic image quality, the CT measurements showed good inter-observer and intra-observer reliability, coefficients were 0.93 and 0.88, respectively. A total of 30 coronary artery aneurysms were identified with measured mean of 7.5 {+-} 3.8 mm in diameter, and of 12.4 {+-} 9.1 mm in longitudinal lengths.10 tumors were small, 8 tumors were medium and 12 tumors were giant aneurysm. The affected segments included LM7/12(58.3%), 9/12(75%) of LAD1, 4/12(33.3%) of LAD2, 2/12(16.7%) of LCX1; 6/12(50%) of RCA1, 9/12(75%) of RCA2 and 4/12(33.3%) of RCA3, including affected two segments in 9 tumors and three segments in 1 tumor. Calcifications were found in 5 aneurysms and 3/5 with thrombosis; six stenotic segments were found. ECHO failed to detect 8 tumors with 2/8 in LAD, 1/8 in LCX and 5/8 in RCA, and those included 4 small aneurysms. The use of 64-slice MDCT angiography proved valuable for monitoring young children with Kawasaki disease. However, further study is necessary to specify the sensitivity and specificity of MDCT in the follow-up.

  12. Imaging of Herniated Discs of the Cervical Spine: Inter-Modality Differences between 64-Slice Multidetector CT and 1.5-T MRI

    Energy Technology Data Exchange (ETDEWEB)

    Yi, Ji Sook; Cha, Jang Gyu [Dept. of Radiology, Soonchunhyang University Bucheon Hospital, Bucheon (Korea, Republic of); Han, Jong Kyu [Dept. of Radiology, Soonchunhyang University Cheonan Hospital, Cheonan (Korea, Republic of); Kim, Hyun Joo [Dept. of Radiology, Soonchunhyang University Seoul Hospital, Seoul (Korea, Republic of)

    2015-08-15

    To assess inter-modality variability when evaluating cervical intervertebral disc herniation using 64-slice multidetector-row computed tomography (MDCT) and magnetic resonance imaging (MRI). Three musculoskeletal radiologists independently reviewed cervical spine 1.5-T MRI and 64-slice MDCT data on C2-3 though C6-7 of 51 patients in the context of intervertebral disc herniation. Interobserver and inter-modality agreements were expressed as unweighted kappa values. Weighted kappa statistics were used to assess the extents of agreement in terms of the number of involved segments (NIS) in disc herniation and epicenter measurements collected using MDCT and MRI. The interobserver agreement rates upon evaluation of disc morphology by the three radiologists were in fair to moderate agreement (k = 0.39-0.53 for MDCT images; k = 0.45-0.56 for MRIs). When the disc morphology was categorized into two and four grades, the inter-modality agreement rates were moderate (k-value, 0.59) and substantial (k-value, 0.66), respectively. The inter-modality agreements for evaluations of the NIS (k-value, 0.78) and the epicenter (k-value, 0.79) were substantial. Also, the interobserver agreements for the NIS (CT; k-value, 0.85 and MRI; k-value, 0.88) and epicenter (CT; k-value, 0.74 and MRI; k-value, 0.70) evaluations by two readers were substantial. MDCT tended to underestimate the extent of herniated disc lesions compared with MRI. Multidetector-row computed tomography and MRI showed a moderate-to-substantial degree of inter-modality agreement for the assessment of herniated cervical discs. MDCT images have a tendency to underestimate the anterior/posterior extent of the herniated disc compared with MRI.

  13. Diagnostic Value of 64-Slice Dual-Source CT Coronary Angiography in Patients with Atrial Fibrillation: Comparison with Invasive Coronary Angiography

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Jian Jun; Liu, Tie; Feng, Yue; Wu, Wei Feng; Mou, Cai Yun; Zhai, Li Hao [Zhejiang Hospital, Hangzhou (China)

    2011-08-15

    We wanted to evaluate the image quality and diagnostic value of 64-slice dual-source computed tomography (DSCT) coronary angiography in patients with atrial fibrillation (Afib). The coronary arteries of 22 Afib patients seen on DSCT were classified into 15 segments and the imaging quality (excellent, good, moderate and poor) and significant stenoses ({>=} 50%) were evaluated by two radiologists who were blinded to the conventional coronary angiography (CAG) results. The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) for detecting important coronary artery stenosis were calculated. McNemar test was used to determine any significant difference between DSCT and CAG, and Cohen's Kappa statistics were calculated for the intermodality and interobserver agreement. The mean heart rate was 89 {+-} 8.3 bpm (range: 80-118 bpm). A range from 250 msec to 300 msec within the RR interval was the optimal reconstruction interval for the patients with Afib. The respective overall sensitivity, specificity, PPV and NPV values were 74%, 97%, 81% and 96% for reader 1 and 72%, 98%, 85% and 96% for reader 2. No significant difference between DSCT and CAG was found for detecting a significant stenosis (reader 1, p = 1.0; reader 2, p = 0.727). Cohen's Kappa statistics demonstrated good intermodality and interobserver agreement. 64-slice DSCT coronary angiography provides good image quality in patients with atrial fibrillation without the need for controlling the heart rate. DSCT can be used for ruling out significant stenosis in patients with atrial fibrillation with its high NPV for detecting in important stenosis.

  14. Development of Multi-slice Analytical Tool to Support BIM-based Design Process

    Science.gov (United States)

    Atmodiwirjo, P.; Johanes, M.; Yatmo, Y. A.

    2017-03-01

    This paper describes the on-going development of computational tool to analyse architecture and interior space based on multi-slice representation approach that is integrated with Building Information Modelling (BIM). Architecture and interior space is experienced as a dynamic entity, which have the spatial properties that might be variable from one part of space to another, therefore the representation of space through standard architectural drawings is sometimes not sufficient. The representation of space as a series of slices with certain properties in each slice becomes important, so that the different characteristics in each part of space could inform the design process. The analytical tool is developed for use as a stand-alone application that utilises the data exported from generic BIM modelling tool. The tool would be useful to assist design development process that applies BIM, particularly for the design of architecture and interior spaces that are experienced as continuous spaces. The tool allows the identification of how the spatial properties change dynamically throughout the space and allows the prediction of the potential design problems. Integrating the multi-slice analytical tool in BIM-based design process thereby could assist the architects to generate better design and to avoid unnecessary costs that are often caused by failure to identify problems during design development stages.

  15. Experimental Study of Multi-slice Spiral CT Perfusion Imaging in VX2 Soft-tissue Tumor of Rabbits

    Institute of Scientific and Technical Information of China (English)

    ZHANG Jingfeng; WANG Renfa; WANG Min; LI Yonggang; YANG Haitao

    2006-01-01

    An experimental animal model of malignant soft-tissue tumor was established to investigate the applied value of multi-slice spiral CT perfusion imaging preliminarily. Ten New Zealand white rabbits which were implanted with VX2 tumor in either proximal thigh were subjected to CT plain scan and perfusion scan two weeks later respectively, then the original perfusion images were transmitted to AW4.0 Workstation. The functional maps and perfusion parameters including blood flow (BF), blood volume (BV), mean transit time (MTT) and permeability surface (PS) were computed and analyzed. All the values of BF, BV and PS in VX2 soft-tissue tumors were obviously higher while the MTT-values were lower than those in the normal muscular tissues significantly. It was suggested that multi-slice spiral CT perfusion imaging is an accurate, convenient and relatively safe functional imaging technique, and can give a quantitative assessment to angiogenesis and blood perfusion of soft-tissue tumors.

  16. 多层螺旋 CT 口服小肠造影与胶囊内镜对不明原因腹痛患者诊断价值的对比研究%Comparison of diagnostic value of multi-slice computer tomography enterography versus capsule endoscopy for unexplained abdominal pain

    Institute of Scientific and Technical Information of China (English)

    梁晓燕; 伦伟健; 黄鹤; 贾柳萍

    2016-01-01

    Objective To compare and evaluate the diagnositic value of multi-slice computer tomography enterography (MSCTE)versus capsule endoscopy for patients with unexplained abdominal pain.Methods twenty-nine cases of unknown abdominal pain were collected.8 cases of 29 cases received MSCTE examination,24 cases received the capsule endoscopy and 3 cases received both of the examinations.Results The detection rate for lesions was 62.5% by MSCTE and 75.0% by capsule endoscopy.There was no statistical difference between the two methods(P >0.05).The detection rate in cases undergoing both examinations was 1 00%. Conclusions MSCTE and capsule endoscopy have high diagnostic value in patients with unexplained abdominal pain.The detection rate can be increased if the two methods are combined to conduct examination.%目的:对比多层螺旋 CT 口服小肠造影(MSCTE)与胶囊内镜对不明原因腹痛患者的诊断价值。方法收集29例不明原因腹痛患者,其中 MSCTE 检查8例,胶囊内镜检查24例,同时接受两种方法检查3例。结果 MSCTE 病变检出率为62.5%,胶囊内镜为75.0%,两者差别无统计学意义(P >0.05),联合两者病变检出率为100%。结论 MSCTE 与胶囊内镜检查对不明原因腹痛患者具有较高的诊断价值,二者联合诊断意义更高。

  17. Optimal scanning protocols of 64-slice CT angiography in coronary artery stents: An in vitro phantom study

    Energy Technology Data Exchange (ETDEWEB)

    Almutairi, Abdulrahman Marzouq [Discipline of Medical Imaging, Department of Imaging and Applied Physics, Curtin University of Technology, Perth, Western Australia (Australia); Sun Zhonghua [Discipline of Medical Imaging, Department of Imaging and Applied Physics, Curtin University of Technology, Perth, Western Australia (Australia)], E-mail: z.sun@curtin.edu.au; Ng, Curtise [Discipline of Medical Imaging, Department of Imaging and Applied Physics, Curtin University of Technology, Perth, Western Australia (Australia); Al-Safran, Zakariya A.; Al-Mulla, Abeer A.; Al-Jamaan, Abdulaziz I. [Department of Medical Imaging, King Fahad Specialist Hospital, Dammam (Saudi Arabia)

    2010-04-15

    Purpose: The purpose of the study was to investigate the optimal scanning protocol of 64-slice CT angiography for assessment of coronary artery stents based on a phantom study. Materials and methods: Coronary stents with a diameter of 2.5 mm was implanted in thin plastic tubes with an inner diameter of 3.0 mm to simulate a coronary artery. The tubes were filled with iodinated contrast medium diluted to 178 HU, closed at both ends and positioned in a plastic container filled with vegetable oil (-70 to -100 HU). A series of scans were performed with a 64-slice CT scanner with the following protocols: section thickness: 0.67 mm, 1.0 mm, 1.5 mm, 2.0 mm, pitch value: 0.2, 0.3, 0.5 and reconstruction interval of 50% overlap of the section thickness. 2D axial and multiplanar reformatted images were generated to assess the visibility of stent lumen, while virtual intravascular endoscopy (VIE) was reconstructed to evaluate the artery wall and stent surface. Results: Our results showed that a scanning protocol of 1.0 mm slice thickness with a pitch of 0.3 produced acceptable images with best demonstration of the intrastent lumen and stent surface with minimal image noise or artifacts. In contrast, submillimeter scans with 0.67 mm resulted in moderate artifacts which affected visualization of the coronary lumen, in addition to the increased noise. When the section thickness increased to 1.5 mm and 2.0 mm, visualization of the artery wall and stent surface was compromised, although the intrastent lumen was still visible. Conclusion: Our in vitro study suggested that a scanning protocol of 1.0 mm section thickness with pitch of 0.3 is the optimal protocol for evaluation of coronary artery stents as it allows generation of acceptable images with better visualization of stent lumen, stent surface and coronary artery wall.

  18. Coronary artery imaging during preoperative CT staging: preliminary experience with 64-slice multidetector CT in 99 consecutive patients

    Energy Technology Data Exchange (ETDEWEB)

    Delhaye, Damien; Remy-Jardin, Martine; Rozel, Celine; Remy, Jacques [University Center of Lille, Boulevard Jules Leclerc, Department of Thoracic Imaging, Hospital Calmette, Lille cedex (France); Dusson, Catherine; Wurtz, Alain [University Center of Lille, Department of Thoracic Surgery, Hospital Calmette, Lille cedex (France); Delannoy-Deken, Valerie; Duhamel, Alain [University of Lille, Department of Medical Statistics, Lille cedex (France)

    2007-03-15

    The purpose of this study was to evaluate the clinical feasibility of coronary artery imaging during routine preoperative 64-slice MDCT scans of the chest. Ninety-nine consecutive patients in sinus rhythm underwent a biphasic multidetector-row spiral CT examination of the chest without the administration of beta-blockers, including an ECG-gated acquisition over the cardiac cavities, followed by a non-gated examination of the upper third of the thorax. Data were reconstructed to evaluate coronary arteries and to obtain presurgical staging of the underlying disease. The percentage of assessable segments ranged from 65.4% (972/1,485) when considering all coronary artery segments to 88% (613/693) for the proximal and mid segments, reaching 98% (387/396) for proximal coronary artery segments. The 387 interpretable proximal segments included 97 (97%) LM, 99 (100%) LAD, 96 (97%) LCX and 95 (96%) RCA with a mean attenuation of 280.70{+-}52.93 HU. The mean percentage of assessable segments was significantly higher in patients with a heart rate {<=}80 bpm (n=48) than in patients with a heart rate greater than 80 bpm (n=35) (80{+-}11% vs. 72{+-}13%; P=0.0008). Diagnostic image quality was achieved in all patients for preoperative staging of the underlying disorder. The mean estimated effective dose was 12.06{+-}3.25 mSv for ECG-gated scans and 13.88{+-}3.49 mSv for complete chest examinations. Proximal and mid-coronary artery segments can be adequately evaluated during presurgical CT examinations of the chest obtained with 64-slice MDCT without the administration of {beta}-blockers. (orig.)

  19. Accuracy of 64-slice CT angiography for the detection of functionally relevant coronary stenoses as assessed with myocardial perfusion SPECT

    Energy Technology Data Exchange (ETDEWEB)

    Gaemperli, Oliver; Schepis, Tiziano; Koepfli, Pascal; Valenta, Ines; Soyka, Jan [University Hospital Zurich NUK C 40, Nuclear Cardiology, Cardiovascular Center, Zurich (Switzerland); Leschka, Sebastian; Desbiolles, Lotus; Husmann, Lars; Alkadhi, Hatem [University Hospital Zurich, Institute of Diagnostic Radiology, Zurich (Switzerland); Kaufmann, Philipp A. [University Hospital Zurich NUK C 40, Nuclear Cardiology, Cardiovascular Center, Zurich (Switzerland); University of Zurich, Zurich Center for Integrative Human Physiology (CIHP), Zurich (Switzerland)

    2007-08-15

    CT angiography (CTA) offers a valuable alternative for the diagnosis of CAD but its value in the detection of functionally relevant coronary stenoses remains uncertain. We prospectively compared the accuracy of 64-slice CTA with that of myocardial perfusion imaging (MPI) using {sup 99m}Tc-tetrofosmin-SPECT as the gold standard for the detection of functionally relevant coronary artery disease (CAD). MPI and 64-slice CT were performed in 100 consecutive patients. CTA lesions were analysed quantitatively and area stenoses {>=}50% and {>=}75% were compared with the MPI findings. In 23 patients, MPI perfusion defects were found (12 reversible, 13 fixed). A total of 399 coronary arteries and 1,386 segments was analysed. Eighty-four segments (6.1%) in 23 coronary arteries (5.8%) of nine patients (9.0%) were excluded owing to insufficient image quality. In the remaining 1,302 segments, quantitative CTA revealed stenoses {>=}50% in 57 of 376 coronary arteries (15.2%) and stenoses {>=}75% in 32 (8.5%) coronary arteries. Using a cut-off at {>=}75% area stenosis, CTA yielded the following sensitivity, specificity, negative (NPV) and positive predictive value (PPV), and accuracy for the detection of any (fixed and reversible) MPI defect: by patient, 75%, 90%, 93%, 68% and 87%, respectively; by artery, 76%, 95%, 99%, 50% and 94%, respectively. Sixty-four-slice CTA is a reliable tool to rule out functionally relevant CAD in a non-selected population with an intermediate pretest likelihood of disease. However, an abnormal CTA is a poor predictor of ischaemia. (orig.)

  20. Acute subarachnoid hemorrhage: using 64-slice multidetector CT angiography to ''triage'' patients' treatment

    Energy Technology Data Exchange (ETDEWEB)

    Agid, R.; Lee, S.K.; Willinsky, R.A.; Farb, R.I.; TerBrugge, K.G. [Toronto Western Hospital, Division of Neuroradiology, Department of Medical Imaging, Toronto, Ontario (Canada)

    2006-11-15

    To evaluate the clinical role of CT angiography (CTA) in patients with acute subarachnoid hemorrhage (SAH) for treatment decision-making. Consecutive patients with acute SAH had CTA using a 64-slice scanner for initial clinical decision-making. Image processing included multiplanar volume reformatted (MPVR) maximum intensity projections (MIP) and 3D volume-rendered reconstructions. CTAs were used for (1) evaluating the cause of SAH, and (2) triaging aneurysm-bearing patients to the more appropriate management, either surgical clipping or endovascular coiling. CTA findings were confirmed by neurosurgical exploration or catheter angiography (digital subtraction angiography, DSA). Successful coiling provided evidence that triaging to endovascular treatment was correct. Included in the study were 73 patients. CTA findings were confirmed by DSA or neurosurgical operation in 65 patients, and of these 65, 47 had aneurysmal SAH, 3 had vasculitis, 1 had arterial dissection and 14 had no underlying arterial abnormality. The cause of SAH was detected with CTA in 62 out of the 65 patients (95.4%, sensitivity 94%, specificity 100%). CTA revealed the aneurysm in 46 of 47 patients (98%, sensitivity 98%, specificity 100%, positive predictive value 100%, negative predictive value 82.3%), 1 of 3 vasculitides and 1 of 1 dissection. Of the 46 patients with aneurysm, 44 (95.7%) were referred for treatment based on CTA. In 2 patients (2 of 46, 4.4%) CTA was not informative enough to choose treatment requiring DSA. Of the 44 patients, 27 (61.4%) were referred to endovascular treatment and successful coiling was achieved in 25 (25 of 27, 92.6%). CTA using a 64-slice scanner is an accurate tool for detecting and characterizing aneurysms in acute SAH. CTA is useful in the decision process whether to coil or clip an aneurysm. (orig.)

  1. Image Quality and Radiation Dose for Prospectively Triggered Coronary CT Angiography: 128-Slice Single-Source CT versus First-Generation 64-Slice Dual-Source CT

    Science.gov (United States)

    Gu, Jin; Shi, He-Shui; Han, Ping; Yu, Jie; Ma, Gui-Na; Wu, Sheng

    2016-10-01

    This study sought to compare the image quality and radiation dose of coronary computed tomography angiography (CCTA) from prospectively triggered 128-slice CT (128-MSCT) versus dual-source 64-slice CT (DSCT). The study was approved by the Medical Ethics Committee at Tongji Medical College of Huazhong University of Science and Technology. Eighty consecutive patients with stable heart rates lower than 70 bpm were enrolled. Forty patients were scanned with 128-MSCT, and the other 40 patients were scanned with DSCT. Two radiologists independently assessed the image quality in segments (diameter >1 mm) according to a three-point scale (1: excellent; 2: moderate; 3: insufficient). The CCTA radiation dose was calculated. Eighty patients with 526 segments in the 128-MSCT group and 544 segments in the DSCT group were evaluated. The image quality 1, 2 and 3 scores were 91.6%, 6.9% and 1.5%, respectively, for the 128-MSCT group and 97.6%, 1.7% and 0.7%, respectively, for the DSCT group, and there was a statistically significant inter-group difference (P ≤ 0.001). The effective doses were 3.0 mSv in the 128-MSCT group and 4.5 mSv in the DSCT group (P ≤ 0.001). Compared with DSCT, CCTA with prospectively triggered 128-MSCT had adequate image quality and a 33.3% lower radiation dose.

  2. A new approach to the assessment of lumen visibility of coronary artery stent at various heart rates using 64-slice MDCT

    Energy Technology Data Exchange (ETDEWEB)

    Groen, J.M.; Greuter, M.J.W.; Ooijen, P.M.A. van; Oudkerk, M. [University Medical Center Groningen, University of Groningen, Department of Radiology, Hanzeplein 1, P.O. Box 30001, Groningen (Netherlands)

    2007-07-15

    Coronary artery stent lumen visibility was assessed as a function of cardiac movement and temporal resolution with an automated objective method using an anthropomorphic moving heart phantom. Nine different coronary stents filled with contrast fluid and surrounded by fat were scanned using 64-slice multi-detector computed tomography (MDCT) at 50-100 beats/min with the moving heart phantom. Image quality was assessed by measuring in-stent CT attenuation and by a dedicated tool in the longitudinal and axial plane. Images were scored by CT attenuation and lumen visibility and compared with theoretical scoring to analyse the effect of multi-segment reconstruction (MSR). An average increase in CT attenuation of 144 {+-} 59 HU and average diminished lumen visibility of 29 {+-} 12% was observed at higher heart rates in both planes. A negative correlation between image quality and heart rate was non-significant for the majority of measurements (P > 0.06). No improvement of image quality was observed in using MSR. In conclusion, in-stent CT attenuation increases and lumen visibility decreases at increasing heart rate. Results obtained with the automated tool show similar behaviour compared with attenuation measurements. Cardiac movement during data acquisition causes approximately twice as much blurring compared with the influence of temporal resolution on image quality. (orig.)

  3. 多排螺旋CT(MSCT)动态增强对孤立性肺结节血流模式的评价%Evaluation of Blood Flow Patterns of Solitary Pulmonary Nodules with Dynamic Multi-slice Spiral Computed Tomography

    Institute of Scientific and Technical Information of China (English)

    LI Shenjiang; 李慎江; XIAO Xiangsheng; 肖湘生; LI Huimin; 李惠民; LIU Shiyuan; LI Chengzhou; ZHANG Chenshi; TAO Zhiwei; YANG Chunshan

    2004-01-01

    Objective: To evaluate the efficacy of dynamic multi-slice spiral computed tomography (MSCT)for providing quantitative information about blood flow patterns of solitary pulmonary nodules (SPNs)and differentiating solitary pulmonary nodules (SPNs). Methods: 37 patients with SPNs (diameter≤4cm; 24 with maliagnant; 6 with benign; 7 with inflammatory) underwent multi-location dynamic contrast material-enhanced (90 mL, 4 mL/s) serial CT. Peak height and ratio of peak height of the SPN to that of the aorta were measured. Precontrast attenuation was recorded. Perfusion was calculated from the maximum gradient of the time-attenuation curve and the peak height of the aorta. Results: Peak heights of malignant (37.98 HU±17.97) and inflammatory (43.86 HU±14.20) SPNs were significantly higher than those of benign SPNs (5.65 HU±6.43) (P<0.001; P<0.001). No statistically significant difference in the peak height was found between malignant and inflammatory SPNs (P=0.647>0.01). SPN-to-aorta ratio in inflammatory SPNs (20.78%±4.14) was significantly higher than that in benign (2.00%±2.26) and malignant (14.63%±6.22) SPNs (P<0.001; P=0.021<0.05). SPN-to-aorta ratio in malignant SPNs was significantly higher than that in benign SPNs (P<0.001). Perfusion value in inflammatory SPNs [78.39 mL/(min.100g)±55.18] was significantly higher than that of benign [2.13 mL/(min.100g)±2.84] and malignant [33.91mL/(min.100g)±15.58] SPNs (P<0.001; P=0.001<0.01). Perfusion value in malignant SPNs was significantly higher than that in benign SPNs (P<0.001). Precontrast attenuations of inflammatory (39.36HU±9.57)and benign (37.73 HU±8.39) SPNs were lower than that of malignant SPNs (45.73 HU±4.21)(P=0.04<0.05; P=0.014<0.05). No statistically significant difference in the precontrast attenuation was found between benign and inflammatory SPNs (P=0.836>0.01). Conclusion: MSCT provides quantitative information about blood flow patterns of solitary pulmonary nodules

  4. Cardiac carcinoid: tricuspid delayed hyperenhancement on cardiac 64-slice multidetector CT and magnetic resonance imaging.

    LENUS (Irish Health Repository)

    Martos, R

    2012-02-01

    INTRODUCTION: Carcinoid heart disease is a rare condition in adults. Its diagnosis can be easily missed in a patient presenting to a primary care setting. We revised the advantages of using coronary multidetector computed tomography (MDCT) and cardiac magnetic resonance imaging (MRI) in diagnosing this condition. MATERIALS AND METHODS: We studied a 65-year-old patient with carcinoid heart disease and right heart failure using transthoracic Doppler-echocardiogram, cardiac MDCT and MRI. Cardiac echocardiogram revealed marked thickening and retraction of the tricuspid leaflets with dilated right atrium and ventricle. Cardiac MDCT and MRI demonstrated fixation and retraction of the tricuspid leaflets with delayed contrast hyperenhancement of the tricuspid annulus. CONCLUSION: This case demonstrates fascinating imaging findings of cardiac carcinoid disease and highlights the increasing utility of contrast-enhanced MRI and cardiac MDCT in the diagnosis of this interesting condition.

  5. Integrated cardio-thoracic imaging with ECG-Gated 64-slice multidetector-row CT: initial findings in 133 patients

    Energy Technology Data Exchange (ETDEWEB)

    Salem, Randa; Remy-Jardin, Martine; Delhaye, Damien; Khalil, Chadi; Teisseire, Antoine; Remy, Jacques [Hospital Calmette, University Center of Lille, Department of Thoracic Imaging, LILLE cedex (France); Delannoy-Deken, Valerie; Duhamel, Alain [University of Lille, Place de Verdun, Department of Medical Statistics, LILLE cedex (France)

    2006-09-15

    The purpose of this study was to investigate the possibility of assessing the underlying respiratory disease as well as cardiac function during ECG-gated CT angiography of the chest with 64-slice multidetector-row CT (MDCT). One hundred thirty-three consecutive patients in sinus rhythm with known or suspected ventricular dysfunction underwent an ECG-gated CT angiographic examination of the chest without {beta}-blockers using the following parameters: (1) collimation: 32 x 0.6 mm with z-flying focal spot for the acquisition of 64 overlapping 0.6-mm slices (Sensation 64; Siemens); rotation time: 0.33 s; pitch: 0.3; 120 kV; 200 mAs; ECG-controlled dose modulation (ECG-pulsing) and (2) 120 ml of a 35% contrast agent. Data were reconstructed: (1) to evaluate the underlying respiratory disease (1-mm thick lung and mediastinal scans reconstructed at 55% of the R-R interval; i.e., ''morphologic scans'') and (2) to determine right (RVEF) and left (LVEF) ventricular ejection fractions (short-axis systolic and diastolic images; Argus software; i.e., ''functional scans''). The mean heart rate was 73 bpm (range: 42-120) and the mean scan time was 18.11{+-}2.67 s (range: 10-27). A total of 123 examinations (92%) had both lung and mediastinal images rated as diagnostic scans, whereas 10 examinations (8%) had non-diagnostic images altered by the presence of respiratory-motion artifacts (n=4) or cyclic artifacts related to the use of a pitch value of 0.3 in patients with a very low heart rate during data acquisition (n=6). Assessment of right and left ventricular function was achievable in 124 patients (93%, 95% CI: 88-97%). For these 124 examinations, the mean RVEF was 46.10% ({+-}9.5; range: 20-72) and the mean LVEF was 58.23% ({+-}10.88; range: 20-83). In the remaining nine patients, an imprecise segmentation of the right and left ventricular cavities was considered as a limiting factor for precise calculation of end-systolic and end

  6. Optimization of the imaging quality of 64-slice CT acquisition protocol using Taguchi analysis: A phantom study.

    Science.gov (United States)

    Pan, Lung Fa; Erdene, Erdenetsetseg; Chen, Chun Chi; Pan, Lung Kwang

    2015-01-01

    In this study, the phantom imaging quality of 64-slice CT acquisition protocol was quantitatively evaluated using Taguchi. The phantom acrylic line group was designed and assembled with multiple layers of solid water plate in order to imitate the adult abdomen, and scanned with Philips brilliance CT in order to simulate a clinical examination. According to the Taguchi L8(2(7)) orthogonal array, four major factors of the acquisition protocol were optimized, including (A) CT slice thickness, (B) the image reconstruction filter type, (C) the spiral CT pitch, and (D) the matrix size. The reconstructed line group phantom image was counted by four radiologists for three discrete rounds in order to obtain the averages and standard deviations of the line counts and the corresponding signal to noise ratios (S/N). The quantified S/N values were analyzed and the optimal combination of the four factor settings was determined to be comprised of (A) a 1-mm thickness, (B) a sharp filter type, (C) a 1.172 spiral CT pitch, and (D) a 1024×1024 matrix size. The dominant factors included the (A) filter type and the cross interaction between the filter type and CT slice thickness (A×B). The minor factors were determined to be (C) the spiral CT pitch and (D) the matrix size since neither was capable of yielding a 95% confidence level in the ANOVA test.

  7. Dynamic bowtie filter for cone-beam/multi-slice CT.

    Directory of Open Access Journals (Sweden)

    Fenglin Liu

    Full Text Available A pre-patient attenuator ("bowtie filter" or "bowtie" is used to modulate an incoming x-ray beam as a function of the angle of the x-ray with respect to a patient to balance the photon flux on a detector array. While the current dynamic bowtie design is focused on fan-beam geometry, in this study we propose a methodology for dynamic bowtie design in multi-slice/cone-beam geometry. The proposed 3D dynamic bowtie is an extension of the 2D prior art. The 3D bowtie consists of a highly attenuating bowtie (HB filled in with heavy liquid and a weakly attenuating bowtie (WB immersed in the liquid of the HB. The HB targets a balanced flux distribution on a detector array when no object is in the field of view (FOV. The WB compensates for an object in the FOV, and hence is a scaled-down version of the object. The WB is rotated and translated in synchrony with the source rotation and patient translation so that the overall flux balance is maintained on the detector array. First, the mathematical models of different scanning modes are established for an elliptical water phantom. Then, a numerical simulation study is performed to compare the performance of the scanning modes in the cases of the water phantom and a patient cross-section without any bowtie and with a dynamic bowtie. The dynamic bowtie can equalize the numbers of detected photons in the case of the water phantom. In practical cases, the dynamic bowtie can effectively reduce the dynamic range of detected signals inside the FOV. Furthermore, the WB can be individualized using a 3D printing technique as the gold standard. We have extended the dynamic bowtie concept from 2D to 3D by using highly attenuating liquid and moving a scale-reduced negative copy of an object being scanned. Our methodology can be applied to reduce radiation dose and facilitate photon-counting detection.

  8. Body physique and heart rate variability determine the occurrence of stair-step artefacts in 64-slice CT coronary angiography with prospective ECG-triggering.

    Science.gov (United States)

    Husmann, Lars; Herzog, Bernhard A; Burkhard, Nina; Tatsugami, Fuminari; Valenta, Ines; Gaemperli, Oliver; Wyss, Christophe A; Landmesser, Ulf; Kaufmann, Philipp A

    2009-07-01

    The purpose of this study was to describe and characterize the frequency and extent of stair-step artefacts in computed tomography coronary angiography (CTCA) with prospective electrocardiogram (ECG)-triggering and to identify their determinants. One hundred and forty three consecutive patients (55 women, mean age 57 +/- 13 years) underwent 64-slice CTCA using prospective ECG-triggering. Occurrence of stair-step artefacts in CTCA of the thoracic wall and the coronary arteries was determined and maximum offset was measured. If stair-step artefacts occurred in both cases, a difference between thoracic wall and coronary artery offset of 0.6 mm or greater was attributed to additional motion of the heart. Mean effective radiation dose was 2.1 +/- 0.7 mSv (range 1.0-3.5 mSv). Eighty-nine patients (62%) had stair-step artefacts in CTCA of the coronary arteries (mean offset of 1.7 +/- 1.1 mm), while only 77 patients had thoracic wall stair-step artefacts (mean offset of 1.0 +/- 0.3 mm; significantly different, P < 0.001). Stair-step artefacts in CTCA of the thoracic wall were determined by BMI and weight (P < 0.01), while artefacts in CTCA of the coronary arteries were associated with heart rate variability (P < 0.05). Stair-step artefacts in CTCA with prospective ECG-triggering are determined by (a) motion of the entire patient during table travel, particularly in large patients and (b) by motion of the heart, particularly when heart rates are variable.

  9. Downstream resource utilization following hybrid cardiac imaging with an integrated cadmium-zinc-telluride/64-slice CT device

    Energy Technology Data Exchange (ETDEWEB)

    Fiechter, Michael; Kaufmann, Philipp A. [University Hospital Zurich, Department of Radiology, Cardiac Imaging, Zurich (Switzerland); University of Zurich, Zurich Center for Integrative Human Physiology (ZIHP), Zurich (Switzerland); Ghadri, Jelena R.; Wolfrum, Mathias; Kuest, Silke M.; Pazhenkottil, Aju P.; Nkoulou, Rene N.; Herzog, Bernhard A.; Gebhard, Catherine; Fuchs, Tobias A.; Gaemperli, Oliver [University Hospital Zurich, Department of Radiology, Cardiac Imaging, Zurich (Switzerland)

    2012-03-15

    Low yield of invasive coronary angiography and unnecessary coronary interventions have been identified as key cost drivers in cardiology for evaluation of coronary artery disease (CAD). This has fuelled the search for noninvasive techniques providing comprehensive functional and anatomical information on coronary lesions. We have evaluated the impact of implementation of a novel hybrid cadmium-zinc-telluride (CZT)/64-slice CT camera into the daily clinical routine on downstream resource utilization. Sixty-two patients with known or suspected CAD were referred for same-day single-session hybrid evaluation with CZT myocardial perfusion imaging (MPI) and coronary CT angiography (CCTA). Hybrid MPI/CCTA images from the integrated CZT/CT camera served for decision-making towards conservative versus invasive management. Based on the hybrid images patients were classified into those with and those without matched findings. Matched findings were defined as the combination of MPI defect with a stenosis by CCTA in the coronary artery subtending the respective territory. All patients with normal MPI and CCTA as well as those with isolated MPI or CCTA finding or combined but unmatched findings were categorized as ''no match''. All 23 patients with a matched finding underwent invasive coronary angiography and 21 (91%) were revascularized. Of the 39 patients with no match, 5 (13%, p < 0.001 vs matched) underwent catheterization and 3 (8%, p < 0.001 vs matched) were revascularized. Cardiac hybrid imaging in CAD evaluation has a profound impact on patient management and may contribute to optimal downstream resource utilization. (orig.)

  10. A Hybrid Method for Segmentation and Visualization of Teeth in Multi-Slice CT scan Images

    Directory of Open Access Journals (Sweden)

    Mohammad Hosntalab

    2009-12-01

    Full Text Available Introduction: Various computer assisted medical procedures such as dental implant, orthodontic planning, face, jaw and cosmetic surgeries require automatic quantification and volumetric visualization of teeth. In this regard, segmentation is a major step. Material and Methods: In this paper, inspired by our previous experiences and considering the anatomical knowledge of teeth and jaws, we propose a hybrid technique for teeth segmentation and visualization in CT volumetric data. The major steps of the proposed techniques are as follows: (1 Separation of teeth in CT dataset; (2 Initial segmentation of teeth in panoramic projection; (3 Final segmentation of teeth in CT dataset; (4 3D visualization of teeth. Results: The proposed algorithm was evaluated in 30 multi-slice CT datasets. Segmented images were compared with manually outlined contours. In order to evaluate the proposed method, we utilized several common performance measures such as sensitivity, specificity, precision, accuracy and mean error rate. The experimental results reveal the effectiveness of the proposed method. Discussion and Conclusion: In the proposed algorithm, the variationallevel set technique was utilized to trace the contour of the teeth. In view of the fact that this technique is based on the characteristics of the overall region of the tooth image, it is possible to extract a very smooth and accurate tooth contour using this technique. For the available datasets, the proposed technique was more successful in teeth segmentation compared to previous techniques.

  11. Multi-slice CT angiography by triple-phase enhancement in preoperative evaluation of hepatocellular carcinoma

    Institute of Scientific and Technical Information of China (English)

    XIAO Xi-gang; HAN Xue; SHAN Wei-dong; LI An-yuan

    2005-01-01

    Background Triple-phase enhancement of multi-slice computed tomography (MSCT) has markedly improved the diagnostic accuracy of hepatocellular carcinoma (HCC), and MSCT angiography (MSCTA) has been proved useful in detecting vascular anatomy noninvasively. This study aimed to explore the value of MSCTA by triple-phase enhancement in preoperative evaluation of HCC.Methods Fifty-six consecutive cases of primary HCC scheduled for resection were studied with MSCTA by triple-phase enhancement. The raw data images were processed on a workstation for multiplanar reconstruction (MPR) and three-dimensional (3D) reconstruction. The findings after processing of the data were compared with those after surgery or intraoperative sonography. Results The false positive rate of MSCTA by triple-phase enhancement was 10.1% and its false negative rate was 4.3% in detecting HCC. No significant difference was observed in MSCTA and surgery or intraoperative sonography in detecting vascular anatomy anomalies and pathologic variations, whereas significant difference was found in detecting bile duct invasion with MSCT compared to intraoperative sonography.Conclusions MSCTA by triple-phase enhancement not only improves the detection of HCC, but also provides valuable preoperative information about hepatic vascular architecture and parenchyma. MSCTA by triple-phase enhancement is worthy of application as a non-invasive method in preoperative evaluation of HCC.

  12. Application of the FDK algorithm for multi-slice tomographic image reconstruction; Aplicacao do algoritmo FDK para a reconstrucao de imagens tomograficas multicortes

    Energy Technology Data Exchange (ETDEWEB)

    Costa, Paulo Roberto, E-mail: pcosta@if.usp.b [Universidade de Sao Paulo (IFUSP), SP (Brazil). Inst. de Fisica. Dept. de Fisica Nuclear; Araujo, Ericky Caldas de Almeida [Fine Image Technology, Sao Paulo, SP (Brazil)

    2010-08-15

    This work consisted on the study and application of the FDK (Feldkamp- Davis-Kress) algorithm for tomographic image reconstruction using cone-beam geometry, resulting on the implementation of an adapted multi-slice computed tomography system. For the acquisition of the projections, a rotating platform coupled to a goniometer, an X-ray equipment and a digital image detector charge-coupled device type were used. The FDK algorithm was implemented on a computer with a Pentium{sup R} XEON{sup TM} 3.0 processor, which was used for the reconstruction process. Initially, the original FDK algorithm was applied considering only the ideal physical conditions in the measurement process. Then some artifacts corrections related to the projections measurement process were incorporated. The implemented MSCT system was calibrated. A specially designed and manufactured object with a known linear attenuation coefficient distribution ({mu}(r)) was used for this purpose. Finally, the implemented MSCT system was used for multi-slice tomographic reconstruction of an inhomogeneous object, whose distribution {mu}(r) was unknown. Some aspects of the reconstructed images were analyzed to assess the robustness and reproducibility of the system. During the system calibration, a linear relationship between CT number and linear attenuation coefficients of materials was verified, which validate the application of the implemented multi-slice tomographic system for the characterization of linear attenuation coefficients of distinct several objects. (author)

  13. 东软64层CT整机研制及关键技术研发%Neusoft 64-slice CT Scanner Development with Key Technology

    Institute of Scientific and Technical Information of China (English)

    马建华; 张华; 边兆英; 李双学; 赵大哲; 陈武凡

    2015-01-01

    目的:64层C T整机研制与关键技术研发。方法:按照产、学、研、医联合方式,通过原始与系统创新,攻克系统平台技术、数据采集技术、低剂量成像伪影校正及噪声抑制技术、图像重建及优化技术等多项64层C T关键技术。结果:成功研制出中国首台具有完全自主知识产权的64层CT整机,其性能指标达到国际同类产品先进水平,产品通过CCC、SFDA,CE、FDA、CB、CSA等认证。结论:东软集团的64层CT已正式进入医用CT高端市场。%Objective:developing 64-slice CT scanner with key technology research.Methods: under industry-university-research-medicine cooperation pattern, through the original and system innovation, we conquer many 64-slice CT key technologies, including system platform technology, data acquisition technology, low-dose imaging artifacts correction and noise suppression technology, image reconstruction and optimization technology and so on.Results: The developed ifrst 64-slice CT scanner of China contains ful independent intelectual property rights with international advanced levels and geting the CCC, SFDA, CE, FDA, CB, CSA certiifcations, etc.Conclusion: Neusoft 64-slice CT scanner has formaly entered the medical CT high-end market.

  14. Quantitative evaluation of benign meningioma and hemangiopericytoma with peritumoral brain edema by 64-slice CT perfusion imaging

    Institute of Scientific and Technical Information of China (English)

    REN Guang; CHEN Shuang; WANG Yin; ZHU Rui-jiang; GENG Dao-ying; FENG Xiao-yuan

    2010-01-01

    Background Hemangiopericytomas (HPCs) have a relentless tendency for local recurrence and metastases,differentiating between benign meningiomas and HPCs before surgery is important for both treatment planning and the prognosis appraisal.The purpose of this study was to evaluate the correlations between CT perfusion parameters and microvessel density (MVD) in extra-axial tumors and the possible role of CT perfusion imaging in preoperatively differentiating benign meningiomas and HPCs.Methods Seventeen patients with benign meningiomas and peritumoral edema, 12 patients with HPCs and peritumoral edema underwent 64-slice CT perfusion imaging pre-operation.Perfusion was calculated using the Patlak method.The quantitative parameters, include cerebral blood volume (CBV), permeability surface (PS) of parenchyma, peritumoral edema among benign meningiomas and HPCs were compared respectively.CBV and PS in parenchyma, peritumoral edema of benign meningiomas and HPCs were also compared to that of the contrallateral normal white matter respectively.The correlations between CBV, PS of tumoral parenchyma and MVD were examined.Results The value of CBV and PS in parenchyma of HPCs were significantly higher than that of benign meningiomas (P<0.05), while the values of CBV and PS in peritumoral edema of benign meningiomas and HPCs were not significantly different (P >0.05).MVD in parenchyma of HPCs were significantly higher than that of benign meningiomas (P<0.05).There were positive correlations between CBV and MVD (r=0.648, P<0.05), PS and MVD (r=0.541, P<0.05) respectively.Furthermore, the value of CBV and PS in parenchyma of benign meningiomas and HPCs were significantly higher than that of contrallateral normal white matter (P<0.05), the value of CBV in peritumoral edema of benign meningiomas and HPCs were significantly lower than that of contrallateral normal white matter (P<0.05), while the value of PS in peritumoral edema of benign meningiomas and HPCs were not

  15. Interobserver agreement in fusion status assessment after instrumental desis of the lower lumbar spine using 64-slice multidetector computed tomography

    DEFF Research Database (Denmark)

    Laoutliev, Borislav; Havsteen, Inger; Bech, Birthe Højlund;

    2012-01-01

    Persistent lower back pain after instrumental posterolateral desis may arise from incomplete fusion. We investigate the impact of experience on interobserver agreement in fusion estimation.......Persistent lower back pain after instrumental posterolateral desis may arise from incomplete fusion. We investigate the impact of experience on interobserver agreement in fusion estimation....

  16. Contrast investigation of multi-slice spiral CT perfusion imaging and pathological findings in VX2 soft-tissue tumor of rabbits

    Institute of Scientific and Technical Information of China (English)

    Jingfeng Zhang; Renfa Wang; Min Wang; Jing Zhang; Jinmei Sang

    2005-01-01

    Objective: To perform a contrast investigation of multi-slice spiral CT (MSCT) perfusion imaging and pathological findings in VX2 soft-tissue tumor of rabbits, and discuss the applicative value of multi-slice spiral CT perfusion imaging in soft-tissue tumors. Methods: 8 Newzealand white rabbits were implanted with 0.1 ml VX2 tumor tissue suspension in bilateral proximal thighs. 14 days and 21 days later, CT plain scan and perfusion scan were performed on these rabbits respectively, then the images were transmitted to AW4.0 workstation, the functional maps and perfusion parameters including blood flow (BF), blood volume (BV), mean transit time(MTT) and permeability surface (PS) were computed and analyzed. Subsequently, the rabbits were sacrificed, the tumors of which were taken out for pathological examination. The correlation between MSCT functional parametric images and pathological findings was analyzed.Results: All the values of BF, BV and PS of VX2 soft-tissue tumors were obviously higher while the MTT-values were lower than those of the normal muscular tissues significantly ( P < 0.001). Conclusion: Multi-slice spiral CT perfusion imaging is an accurate, convenient and relatively safe functional imaging technique, which can give a quantitative assessment to blood perfusion and angiogenesis of soft-tissue tumors.

  17. Assessments of Coronary Artery Visibility and Radiation Dose in Infants with Congenital Heart Disease on Cardiac 128-slice CT and on Cardiac 64-slice CT.

    Science.gov (United States)

    Cui, Y; Huang, M; Zheng, J; Li, J; Liu, H; Liang, C

    2016-01-01

    The aim of this study was to compare the coronary artery visibility and radiation dose in infants with CHD on cardiac 128-slice CT and on cardiac 64-slice CT. The images of 200 patients were analyzed in this study, 100 patients were selected randomly from a group of 789 infants (coronary artery segments was graded on a four-point scale. The coronary arteries were considered to be detected or visible when grade was 2 or higher. The visibility of the coronary artery segments and the radiation dose was compared between the two groups. Except for the rate of LM (96 vs. 99%), the detection rates of the total, LAD, LCX, RCA, and the proximal segment of the RCA in the 256-slice CT group were significantly higher than those in the 64-slice CT group (51.7, 53.33, 33.67, 53.33, and 99 vs. 34.8, 34.33, 18, 30.67, and 75%, respectively). The counts of visibility score (4/3/2/1) for the LM and the proximal segment of the RCA were 62/22/12/4 and 56/20/17/7, respectively, in the 128-slice CT group and 17/42/30/1 and 9/30/38/25, respectively, in the 64-slice CT group. There were significant differences, especially for score 4 and 3, between the two groups. The radiation dose in the 128-slice CT group was significantly decreased than those in the 64-slice CT group (CTDIvol 1.88 ± 0.51 vs. 5.61 ± 0.63 mGy; SSDE 4.48 ± 1.15 vs. 13.97 ± 1.52 mGy; effective radiation dose 1.36 ± 0.44 vs. 4.06 ± 0.7 mSv). With reduced radiation dose, the visibility of the coronary artery in infants with CHD via prospective ECG-triggered mode on a 128-slice CT is superior to that of the 64-slice CT using retrospective ECG-gated spiral mode.

  18. Measurement of coronary artery calcification with multi-slice spiral computed tomography and the associated factors in maintenance hemodialysis patients%维持性血液透析患者冠状动脉钙化的评价及影响因素分析

    Institute of Scientific and Technical Information of China (English)

    郑淑蓓; 金领微; 李占园; 周志宏

    2015-01-01

    Objective To investigate the factors correlated to coronary artery calcification (CAC) in maintenance hemodialysis (MHD) patients.Methods This study included 132 patients(54 females,78 males),aged 26-94 years,who were on hemodialysis for 10-204 months(median dialysis duration 51.00 months).The parameters including calcium,phosphorus,parathyroid hormone,total cholesterol,low density lipoprotein,triglycerides,C-reactive protein (CRP),klotho,and so on were assessed.Quantification of CAC was determined by multi-slice spiral computed tomography (MSCT),known as the coronary artery calcification score (CACs).Results Ninety-two patients (69.70%) had CAC,with CACs ranging from 0 to 13 450.20.More than 30% patients experienced one even a variety of cardiovascular and cerebrovascular diseases.A positive correlation was observed between the degree of CAC and the incidence of cardiovascular and cerebrovascular diseases.Whereas a positive correlation existed between CACs and age (r=0.347,P=0.000),duration of hemodialysis (r=0.245,P=0.005),systolic blood pressure (r=0.184,P=0.034),diabetes history (r=0.211,P=0.015),phosphorus (r=0.262,P=0.002),calcium-phosphorus product (r=0.247,P=0.004);and a negative correlation between CACs and klotho level (r=-0.294,P=0.001).Multivariate logistic regression analysis showed that the main factor influencing the degree of CAC in MHD patients was age.Conclusions CAC is common and widespread in hemodialysis patients,who are often accompanied by cardiovascular and cerebrovascular diseases.The prevalence rate of cardiovascular and cerebrovascular diseases increases with the aggravation of CAC degree.Age,duration of hemodialysis,systolic blood pressure,diabetes history,disturbance of calcium and phosphorus metabolism and klotho are correlated with the severity of CAC.Age is an independent risk factor of CAC degree.%目的 探讨影响维持性血液透析(MHD)患者冠状动脉钙化(CAC)的相关因素.方法 收集2012年12月至2014年8月在

  19. Values of multi-slice spiral computed tomography on predicting hypovolemic shock in patients with severe multiple trauma%多层螺旋CT对严重多发伤患者低血容量性休克的预测价值

    Institute of Scientific and Technical Information of China (English)

    李阳; 张连阳; 王毅; 张伟国

    2013-01-01

    Objective To investigate the value of multi-slice spiral computed tomography (MSCT) on predicting hypovolemic shock in patients with severe multiple trauma. Methods The clinical and MSCT data of 63 patients with severe multiple trauma admitted to the Trauma Center from Jan. 2008 to Dec. 2011 were retrospectively reviewed. According to the occurrence of hypovolemic shock in 24 hours after CT scan, the patients were divided into shock group (n=34) and stable group (n=29). Blood pressure, heart rate, shock index and injury severity score (ISS) on admission were collected and analyzed. Transverse (T) and anteroposterior (AP) diameter of inferior vena cava (IVC), diameter of abdominal aorta, CT values of enhanced CT of abdominal organs both in early and late phase were measured. The differences of aforementioned parameters between the two groups were compared by Student's t test. The values of above indexes showing significant difference between the two groups on predicting hypovolemic shock were analyzed by using receiver operating characteristic (ROC) curve and logistic regression analysis. Results The shock index, ISS and collapsibility index (T/AP) of IVC in 4 abdominal levels were significantly greater in shock group than in stable group (I'<0.05). In early phase of enhanced CT, the mean CT value of spleen was significantly lower in shock group (93 ± 16HU) than in stable group (112 ± 24HU, P<0.0l), while the mean CT value of adrenal gland was higher in shock group (153 ± 35HU) than in stable group (131 ± 24HU, P<0.0l). In delayed phase, the mean CT value of renal medulla was significantly lower in shock group (193 ± 57HU) than in stable group (228 ± S3HU, P<0.05). The diagnostic cutoff value of ROC curve of shock index, ISS, collapsibility index (T/AP) of IVC, CT value of spleen and adrenal gland in early phase, CT value of renal medulla in delayed phase were 1.19, 19.5, 3.02, 115HU, 150HU and 184HU, respectively. Logistic regression analysis showed that ISS

  20. 多排螺旋CT在胆源性胆囊-十二指肠瘘诊断中的临床价值%Clinical value of multi-slice computed tomography in the diagnosis of biliary gallbladder-duodenal fistula

    Institute of Scientific and Technical Information of China (English)

    王均庆; 郑庆华; 陆风旗; 张雷; 张追阳; 丁忠; 余迅

    2015-01-01

    Objective To summarize the characteristics and clinical value of multi-slice spiral computed tomography (MSCT) examination in the biliary gallbladder-duodenal fistula.Methods The imaging data of 28 patients with gallbladder-duodenal fistula who were admitted to the Wuxi No.2 Hospital of Nanjing Medical University between June 2012 and March 2015 were retrospectively analyzed.All the 28 patients received MSCT examinations,and the imaging changes were observed and analyzed,including the location of lesions,figures of fistulous tract,shrinking or enlarging gallbladder,pneumotosis and stones of gallbladder or bile duct.Results Of the 28 patients,fistula located at the duodenal bulb were detected in 14 patients,junction of the bulb and the descending part of the duodenum in 2 patients,ascending duodenum in 7 patients,horizontal part in 5 patients.Indirect signs of biliary gallbladder-duodenal fistula included that gallbladder volume in 28 patients was significantly reduced,cross sectional area of gallbladder was 2 cm × 1 cm-6 cm × 2 cm,and gallbladder wall was thickened with an average thickness of 5 mm (range,4-9 mm).Adhesion of gallbladder and duodenum,unclear boundary,structure disorder and visible effusion surrounding gallbladder were detected.Among 21 patients with biliary gas,19 patients had pneumotosis of gallbladder and 17 had biliary pneumatosis.Biliary stones were detected in 23 patients including cholecystolithiasis in 19 patients,gallbladder neck stones in 6 patients,common bile duct stones in 13 patients and intra-and extra-hepatic cholangiolithiasis in 1 patient.The diverticulum signs appeared in the duodenum of 11 patients.The direct signs of MSCT in the biliary gallbladder-duodenal fistula included that fistulous tract of 13 patients clearly showed and some were dumbbell-shaped.Two and 2 patients were complicated with gallstone ileus and multiple liver abscesses,respectively.The diagnostic results of MSCT in 28 patients were compared with the results

  1. New Progress of Post 64 Slice CT for Coronary Artery%后64排螺旋CT冠脉检查新进展

    Institute of Scientific and Technical Information of China (English)

    赵义芹; 祖德贵; 曾庆玉

    2012-01-01

    64排CT冠状动脉成像已成为冠脉病变诊断及筛查的重要无创性检查,但心律不齐、心动过速、钙化支架伪影仍影响其冠脉成像质量以及辐射剂量过高。本文总结了后64排CT如双源CT、Brilliance ICT、宝石CT、320排CT在上述检查中取得的进展和仍然存在的不足,表明后64排CT的辐射剂量均有所减低,双源CT、Brilliance ICT随着时间分辨率的提高基本上解决了心动过速的问题,320排CT根本上解决了心律不齐的问题,并对后64排螺旋CT冠脉检查的发展前景进行讨论。%64-slice CT coronary artery imaging has gradually become the important noninvasive test of diagnosis and screening for coronary artery disorder,whose quality is still limited by cardiac arrhythmia,tachycardia,calcification and stents,and it has excessive radiation dose.The paper sums up the progress and disadvantage of post 64 Slice CT such as dual CT,Brilliance ICT,Gemstone CT,and 320 slice CT,shows the radiation dose has been cut down,indicates that tachycardia is settled essentially in Dual CT and Brilliance ICT with the improvement of temporal resolution and cardiac arrhythmia is resolved radically in 320 slice CT,at last,discusses the investigative foreground of post 64 Slice CT for coronary artery.

  2. Acute chest pain in emergency room. Preliminary findings with 40-64-slice CT ECG-gated of the whole chest.

    Science.gov (United States)

    Coche, E

    2007-01-01

    ECG-gated MDCT of the entire chest represents the latest technical advance in the diagnostic work-up of atypical chest pain. The authors report their preliminary experience with the use of 40 and 64-slice CT in the emergency room and recommend to study only patients with moderate likelihood of coronary artery disease. ECG-gated MDCT of the entire chest will be preferentially performed on 64-slice MDCT rather than 40-slice MDCT because it enable to reduce the scan time (18 seconds versus 28 seconds acquisition time), the volume of contrast medium (82 mL + 15 mL versus 97 mL + 15 mL of highly concentrated contrast agent for a patient of 70 kgs) and radiation exposure (17 mSv versus 19 mSv). Approximately 1500 to 2000 of images are produced and need to be analysed on a dedicated workstation by a radiologist expert in cardiac and thoracic disorders. At the present time, only a few studies exist in the literature showing some promising results but further large clinical studies are needed before to implement such sophisticated protocol in emergency room.

  3. On-site Rapid Diagnosis of Intracranial Hematoma using Portable Multi-slice Microwave Imaging System

    Science.gov (United States)

    Mobashsher, Ahmed Toaha; Abbosh, A. M.

    2016-11-01

    Rapid, on-the-spot diagnostic and monitoring systems are vital for the survival of patients with intracranial hematoma, as their conditions drastically deteriorate with time. To address the limited accessibility, high costs and static structure of currently used MRI and CT scanners, a portable non-invasive multi-slice microwave imaging system is presented for accurate 3D localization of hematoma inside human head. This diagnostic system provides fast data acquisition and imaging compared to the existing systems by means of a compact array of low-profile, unidirectional antennas with wideband operation. The 3D printed low-cost and portable system can be installed in an ambulance for rapid on-site diagnosis by paramedics. In this paper, the multi-slice head imaging system’s operating principle is numerically analysed and experimentally validated on realistic head phantoms. Quantitative analyses demonstrate that the multi-slice head imaging system is able to generate better quality reconstructed images providing 70% higher average signal to clutter ratio, 25% enhanced maximum signal to clutter ratio and with around 60% hematoma target localization compared to the previous head imaging systems. Nevertheless, numerical and experimental results demonstrate that previous reported 2D imaging systems are vulnerable to localization error, which is overcome in the presented multi-slice 3D imaging system. The non-ionizing system, which uses safe levels of very low microwave power, is also tested on human subjects. Results of realistic phantom and subjects demonstrate the feasibility of the system in future preclinical trials.

  4. Peripheral pulmonary arteries: identification at multi-slice spiral CT with 3D reconstruction

    Energy Technology Data Exchange (ETDEWEB)

    Coche, Emmanuel; Pawlak, Sebastien; Dechambre, Stephane; Maldague, Baudouin [Department of Radiology, St. Luc Hospital, UCL, Avenue Hippocrate, 10, 1200 Brussels (Belgium)

    2003-04-01

    Our objective was to analyze the peripheral pulmonary arteries using thin-collimation multi-slice spiral CT. Twenty consecutive patients underwent enhanced-spiral multi-slice CT using 1-mm collimation. Two observers analyzed the pulmonary arteries by consensus on a workstation. Each artery was identified on axial and 3D shaded-surface display reconstruction images. Each subsegmental artery was measured at a mediastinal window setting and compared with anatomical classifications. The location and branching of every subsegmental artery was recorded. The number of well-visualized sub-subsegmental arteries at a mediastinal window setting was compared with those visualized at a lung window setting. Of 800 subsegmental arteries, 769 (96%) were correctly visualized and 123 accessory subsegmental arteries were identified using the mediastinal window setting. One thousand ninety-two of 2019 sub-subsegmental arteries (54%) identified using the lung window setting were correctly visualized using the mediastinal window setting. Enhanced multi-slice spiral CT with thin collimation can be used to analyze precisely the subsegmental pulmonary arteries and may identify even more distal pulmonary arteries. (orig.)

  5. Peripheral pulmonary arteries: identification at multi-slice spiral CT with 3D reconstruction.

    Science.gov (United States)

    Coche, Emmanuel; Pawlak, Sebastien; Dechambre, Stéphane; Maldague, Baudouin

    2003-04-01

    Our objective was to analyze the peripheral pulmonary arteries using thin-collimation multi-slice spiral CT. Twenty consecutive patients underwent enhanced-spiral multi-slice CT using 1-mm collimation. Two observers analyzed the pulmonary arteries by consensus on a workstation. Each artery was identified on axial and 3D shaded-surface display reconstruction images. Each subsegmental artery was measured at a mediastinal window setting and compared with anatomical classifications. The location and branching of every subsegmental artery was recorded. The number of well-visualized sub-subsegmental arteries at a mediastinal window setting was compared with those visualized at a lung window setting. Of 800 subsegmental arteries, 769 (96%) were correctly visualized and 123 accessory subsegmental arteries were identified using the mediastinal window setting. One thousand ninety-two of 2019 sub-subsegmental arteries (54%) identified using the lung window setting were correctly visualized using the mediastinal window setting. Enhanced multi-slice spiral CT with thin collimation can be used to analyze precisely the subsegmental pulmonary arteries and may identify even more distal pulmonary arteries.

  6. Low-dose ECG-gated 64-slices helical CT angiography of the chest: evaluation of image quality in 105 patients

    Energy Technology Data Exchange (ETDEWEB)

    D' Agostino, A.G.; Remy-Jardin, M.; Khalil, C.; Remy, J. [University Center of Lille, Department of Thoracic Imaging, Hospital Calmette, Lille (France); Delannoy-Deken, V.; Duhamel, A. [University of Lille, Department of Medical Statistics, Lille (France); Flohr, T. [Siemens Medical, Research and Development Department, CT Division, Forchheim (Germany)

    2006-10-15

    interpolation artefacts was significantly linked to a low heart rate in affected patients. The overall image quality of CT scans was rated as diagnostic in 94 patients (89.5%) while 11 examinations (10.5%) were found to be partially nondiagnostic owing to the cyclic presence of severe interpolation artefacts, which can be compensated for by additional reconstructions at a different temporal window. In these cases, interpolation artefacts could have been avoided by reducing the pitch from 0.3 to 0.2 at the expense of increased patient dose. Low-dose ECG-gated CT angiograms of the chest can be obtained in routine clinical practice with 64-slice CT technology without altering the diagnostic value of CT scans. (orig.)

  7. 64层螺旋CT灌注成像在乳腺疾病诊断中的应用研究%APPLICATION OF 64-SLICE SPIRAL CT PERFUSION IMAGING IN THE DIAGNOSIS OF BREAST DISEASES

    Institute of Scientific and Technical Information of China (English)

    曾勇; 吴垦; 黎学刚

    2011-01-01

    [目的]进行64层螺旋CT灌注成像研究,探讨该技术在乳腺疾病诊断中的应用前景.[方法]选择于2008年5月~2009年5月期间临床检查或钼靶检查怀疑有乳腺疾病的61例女性患者行CT灌注扫描.按照病理将其分为3组:增生病组(n= 14)、纤维腺瘤组(n=19)和乳腺癌组(n=20),并将所有患者对侧乳腺定为正常组(n=61).进行灌注序列body perfusion扫描及Perfusion 3体部灌注软件处理,计算感兴趣区的血流动力学参数血流量(BF)、平均通过时间、血容量(BV)(MTT)和表面通透性(PS),统计分析不同组间的测量值.[结果]与乳腺癌组比较,正常组BF、BV及PS的差异均有统计学意义(P<0.05),MTT的差异无统计学意义(P>0.05);正常乳腺组与纤维腺瘤组、增生病组比较,BF及BV的差异均有统计学意义(P<0.05),MTT及PS的差异均无统计学意义(P>0.05);乳腺癌组与纤维腺瘤组比较,其BF、PS的差异有统计学意义(P<0.05),BV及MTT的差异无统计学意义(P>0.05);乳腺癌组与增生病组比较,其BF、BV及PS的差异均有统计学意义(P<0.05),MTT的差异无统计学意义(P>0.05);增生病组与纤维腺瘤组比较,其BF、BV、MTT及PS的差异均无统计学意义(P>0.05).正常组与乳腺癌组分别呈低灌注、高灌注状态,纤维腺瘤组及增生病组均呈较高灌注状态.[结论]64层螺旋CT作为先进的影像检查技术,其灌注成像能从血流动力学和影像学角度为各类乳腺疾病的进行较为准确的诊断.%[Objective] To study and evaluate multi-slice spiral CT perfusion imaging in the diagnosis of breast diseases the effect and value. [Methods] 61 patients through clinical examination or mammography of women with suspected breast disease patients with 64-slice spiral CT perfusion imaging. The pathology types were divided into three groups: hyperplasia group (n = 14), fibroadenoma group (n - 19) and breast cancer group (n = 20), and conlralaterai

  8. 64排螺旋CT多种后处理技术在肋骨骨折诊断中的应用%Application of Various Post Processing Techniques of 64 Slice Spiral CT in the Diagnosis of Rib Fractures

    Institute of Scientific and Technical Information of China (English)

    潘兴朋

    2016-01-01

    目的:探讨64排螺旋CT多种后处理技术对肋骨骨折的诊断价值。方法以本院2014年2月-2016年2月就诊的疑似肋骨骨折75例胸部外伤患者为研究对象,均行X线平片、多层螺旋CT轴位、容积再现(VR)、多平面重建(MPR)等后处理技术检查,比较不同影像学方法对肋骨骨折、骨折数量检出情况。结果临床、影像学检查及复查确诊肋骨骨折165处,CT轴位、CT后处理技术对肋骨骨折例数检出率分别为96.00%、98.67%,较X线平片的80.00%差异有统计学意义(P<0.05)。CT后处理技术对肋骨骨折数量检出率为99.39%,较X线平片、CT轴位的71.52%、78.79%差异有统计学意义(P<0.05)。漏诊情况:X线平片漏诊41处,其中以肋软骨附近漏诊最多,占58.54%;CT轴位漏诊24处,其中肋软骨附近、腋段肋骨漏诊各5处;CT后处理技术未漏诊,可疑骨折数1处。结论64排螺旋CT后处理技术对肋骨骨折、骨折数量检出率高,漏诊率低,能有效弥补X线平片、CT轴位不足。%Objective To investigate the value of various post processing techniques of 64 slice spiral CT in the diagnosis of rib fractures. Methods 75 cases of patients with thoracic trauma and suspected rib fractures who were treated in our hospital between February 2014 and February 2016 were selected as study subjects. All of them were examined by X-ray plain film, multi-slice spiral axial CT, volume rendering (VR), multi planar reconstruction (MPR) and other post-processing techniques. The situation of different imaging methods in the detection of rib fractures and number of fractures was compared. Results 165 rib fractures were diagnosed by clinical, imaging examination and reexamination. The detection rates of axial CT and CT post processing techniques in number of cases with rib fractures were 96.00%and 98.67%, respectively. Compared with X-ray plain film (80.00%), the difference was significant (P<0.05). The

  9. 64层螺旋CT尿路成像技术在泌尿系疾病中的临床应用%Clinical application of 64-slice spiral CT urography in patients with urologic diseases

    Institute of Scientific and Technical Information of China (English)

    王富山

    2014-01-01

    目的 探讨64层螺旋CT尿路成像技术(CTU)对泌尿系统疾病的诊断价值.比较CT尿路成像技术和静脉肾盂造影(IVP)检查诊断泌尿系统疾病的准确率.方法 总结2年来泌尿系疾病患者217例完整的临床资料,其中输尿管和肾结石87例,输尿管和肾盂肿瘤66例,膀胱肿瘤35例,肾盂源性囊肿和肾盂旁囊肿13例,肾盂输尿管连接处畸形9例,双侧巨输尿管症7例.全部进行64层螺旋CT尿路成像检查,对影像学资料进行回顾性分析.结果 217例患者中CTU和IVP检查诊断准确率分别为98.2%(213/217)、65.4%(142/217).CTU、IVP检查所用时间分别为(19.1±2.9)、(65.3±24.8)min,两者比较差异有统计学意义(P<0.05).结论 CTU可多角度观察病变局部情况,且扫描时间更短,图像分辨率更高.此检查在诊断泌尿系统疾病准确率、了解病变周围组织情况以及对梗阻远端尿路显示率方面明显优于IVP,可应用于绝大多数的泌尿系统疾病患者中.%Objective To investigate the diagnostic value of 64-slice spiral CT urography(CTU) on patients with diseases of urinary system,and compare the diagnostic accuracy of computed tomography urography(CTU) and conventional intravenous pyelography (IVP)in diagnosis of urologic disease.Methods Two hundred and seventeen patients with urinary tract diseases who presented complete clinical data over the past 2 years were reviewed.There were 87 cases of ureterolithiasis and nephrolithiasis,66 cases of cancer in ureter and pelvis,35 cases of cancer in bladder,13 cases of parapelvic cyst and pyelogenic cyst,9 cases of ureteropelvic junction obstruction(UPJO),7 cases of megaloureter.All of the cases underwent 64-slice CT urography,and the images were analyzed retrospectively.Results The accuracy of diagnosis was 98.2% (213/217) in CTU group and 65.4% (142/217) in IVP group.The examination time was (19.1 ± 2.9) rmin in CTU group and (65.3 ± 24.8) min in IVU group.There were

  10. Effect of Heart Rate and Body Mass Index on the Interscan and Interobserver Variability of Coronary Artery Calcium Scoring at Prospective ECG-Triggered 64-Slice CT

    Energy Technology Data Exchange (ETDEWEB)

    Horiguchi, Jun; Kiguchi, Masao; Fujioka, Chikako [Hiroshima University Hospital, Hiroshima (Japan); Matsuura, Noriaki; Yamamoto, Hideya; Kitagawa, Toshiro; Ito, Katsuhide [Hiroshima University, Hiroshima (Japan)

    2009-08-15

    To test the effects of heart rate, body mass index (BMI) and noise level on interscan and interobserver variability of coronary artery calcium (CAC) scoring on a prospective electrocardiogram (ECG)-triggered 64-slice CT. One hundred and ten patients (76 patients with CAC) were scanned twice on prospective ECG-triggered scans. The scan parameters included 120 kV, 82 mAs, a 2.5 mm thickness, and an acquisition center at 45% of the RR interval. The interscan and interobserver variability on the CAC scores (Agatston, volume, and mass) was calculated. The factors affecting the variability were determined by plotting it against heart rate, BMI, and noise level (defined as the standard deviation: SD). The estimated effective dose was 1.5 {+-} 0.2 mSv. The mean heart rate was 63 {+-} 12 bpm (range, 44-101 bpm). The patient BMIs were 24.5 {+-} 4.5 kg/m{sup 2} (range, 15.5-42.3 kg/m2). The mean and median interscan variabilities were 11% and 6%, respectively by volume, and 11% and 6%, respectively, by mass. Moreover, the mean and median of the algorithms were lower than the Agatston algorithm (16% and 9%, respectively). The mean and median interobserver variability was 10% and 4%, respectively (average of algorithms). The mean noise levels were 15 {+-} 4 Hounsfield unit (HU) (range, 8-25 HU). The interscan and interobserver variability was not correlated with heart rate, BMI, or noise level. The interscan and interobserver variability of CAC on a prospective ECG-triggered 64-slice CT with high image quality and 45% of RR acquisition is not significantly affected by heart rate, BMI, or noise level. The volume or mass algorithms show reduced interscan variability compared to the Agatston scoring (p < 0.05)

  11. 多层CT小肠造影与单气囊小肠镜对小肠梗阻的诊断价值%Diagnostic value of multi-slice computed tomography enterography before single balloon enteroscopy for small bowel obstruction

    Institute of Scientific and Technical Information of China (English)

    李娜; 赵晓军; 王海红; 王昕; 李爱琴; 谢惠; 余东亮; 韩英; 盛剑秋

    2013-01-01

    目的 探讨多层CT小肠造影(MSCTE)与单气囊小肠镜(SBE)在小肠梗阻性病变的诊断价值.方法 收集2009年6月-2013年2月临床和/或腹部X线平片疑为小肠梗阻的患者30例.所有患者先行MSCTE检查,根据检查结果选择经口或经肛SBE检查.分析两种检查方法对小肠梗阻性病变的诊断率.结果 ①MSCTE检查诊断小肠梗阻的灵敏度为85.19%,特异度为66.67%,阳性预测值为95.83%,阴性预测值为33.33%.SBE检查分别为81.48%、100%、100%和37.50%.②MSCTE和SBE检出病变一致性为53.33% (16/30).③根据MSCTE检查结果选择经口或经肛SBE检查,MSCTE检查阳性指导SBE选择进镜方式正确率高于MSCTE检查阴性(95.83% vs 33.33%,P<0.05).结论 MSCTE和SBE对小肠梗阻的诊断率相当,二者联合应用可提高对小肠梗阻性病变的诊断率.MSCTE检查结果可以指导SBE选择进镜方式.%Objective To evaluate the diagnostic value of multi-slice CT enterography (MSCTE) before single balloon enteroscopy (SBE) for patients with small bowel obstruction (SBO).Methods 30 patients with MSCTE before SBE for SBO were collected prospectively from Jun.2009 to Feb.2013.The clinical impact of MSCTE on the subsequent SBE examinations and the diagnostic yields of both MSCTE and SBE were evaluated respectively.Results ① In detecting SBO,MSCTE had a sensitivity of 85.19%,a specificity of 66.67%,a positive predictive value of 95.83%,and a negative predictive value of 33.33%.SBE had a sensitivity of 81.48%,a specificity of 100%,a positive predictive value of 100%,and a negative predictive value of 37.5%.② The consistency was 53.33%.③ The choice of initial route of SBE was correct in those with a positive MSCTE vs negative MSCTE (95.83% vs 33.33 %,P <0.05).Conclusion MSCTE and SBE are nearly equal in their ability to detect SBO.The combined application of two methods can improve the diagnosis rate of SBO.This study suggests MSCTE

  12. Evaluation of organ doses and specific k effective dose of 64-slice CT thorax examination using an adult anthropomorphic phantom

    Science.gov (United States)

    Hashim, S.; Karim, M. K. A.; Bakar, K. A.; Sabarudin, A.; Chin, A. W.; Saripan, M. I.; Bradley, D. A.

    2016-09-01

    The magnitude of radiation dose in computed tomography (CT) depends on the scan acquisition parameters, investigated herein using an anthropomorphic phantom (RANDO®) and thermoluminescence dosimeters (TLD). Specific interest was in the organ doses resulting from CT thorax examination, the specific k coefficient for effective dose estimation for particular protocols also being determined. For measurement of doses representing five main organs (thyroid, lung, liver, esophagus and skin), TLD-100 (LiF:Mg, Ti) were inserted into selected holes in a phantom slab. Five CT thorax protocols were investigated, one routine (R1) and four that were modified protocols (R2 to R5). Organ doses were ranked from greatest to least, found to lie in the order: thyroid>skin>lung>liver>breast. The greatest dose, for thyroid at 25 mGy, was that in use of R1 while the lowest, at 8.8 mGy, was in breast tissue using R3. Effective dose (E) was estimated using three standard methods: the International Commission on Radiological Protection (ICRP)-103 recommendation (E103), the computational phantom CT-EXPO (E(CTEXPO)) method, and the dose-length product (DLP) based approach. E103 k factors were constant for all protocols, ~8% less than that of the universal k factor. Due to inconsistency in tube potential and pitch factor the k factors from CTEXPO were found to vary between 0.015 and 0.010 for protocols R3 and R5. With considerable variation between scan acquisition parameters and organ doses, optimization of practice is necessary in order to reduce patient organ dose.

  13. The clinical application of multi-slice spiral CT angiography in abdominal aortic disease

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    Objective: To evaluate the clinical application of multi-slice spiral CT angiography(MSCTA) in the assessment of abdominal aortic disease. Methods: Fifty-four patients underwent multi-slice spiral CT angiography of abdomen. Contrast agent (Omnipaque 300 I g/L) 1.5 ml/kg was injected and the injection rate was 3 ml/s. The delay time was determined by bolus tracking technique,Tll level abdominal aorta was set as the target vessel and the threshold was 180-200 Hu, slice width was 3 mm and with a pitch of 4-6.Original data were transferred to working-station to perform functional reconstruction. Results: Ten cases were normal, twenty-eight cases were abdominal aortic aneurysms, five abdominal aortic dissecting aneurysms (Debakay type Ⅲ ) and eleven aortic sclerosis. SSD showed the body of aneurysm and the relationship between aneurysm and adjacent blood vessel, MIP better displayed calcification of blood vessel wall and condition of the stent, MPR demonstrated true and false lumen, rupture site of abdominal aorta intima and mural thrombus. Conclusion: MSCTA axial and reconstruction image can show the extent of abdominal aortic disease and the relationship with adjacent blood vessels. It is a safe, simple and non-invasive examination method.

  14. 直接采用二维多截面时步法有限元的斜槽异步电机模型%Direct Modeling of Induction Motors with Skewed Rotor Slots Using 2-D Multi-Slice Model and Time Stepping FEM

    Institute of Scientific and Technical Information of China (English)

    傅为农; 江建中

    2000-01-01

    The geometrical feature of the skewed rotor slots in induction motors makes the 2-dimensional (2-D) finite element method (FEM) not directly applicable. Based on the multi-slice model in this paper, a time stepping 2-D eddy-current FEM is described to study the steady-state operation and the starting process of induction machines with skewed rotor slots. The fields of the multi-slices are solved in parallel, and thus the effects of skewed slots and eddy-current can be taken into account directly. The basic formulas for the multi-slice model are derived. Special technique to reduce computation time in solving the coupled system equations is also described. The results obtained by using the program developed have very good correlation with the test data.

  15. Bicuspid aortic valves: Diagnostic accuracy of standard axial 64-slice chest CT compared to aortic valve image plane ECG-gated cardiac CT

    Energy Technology Data Exchange (ETDEWEB)

    Murphy, David J., E-mail: david.murphy@st-vincents.ie [Department of Radiology, St Vincent' s University Hospital, Elm Park, Dublin 4 (Ireland); McEvoy, Sinead H., E-mail: s.mcevoy@st-vincents.ie [Department of Radiology, St Vincent' s University Hospital, Elm Park, Dublin 4 (Ireland); Iyengar, Sri, E-mail: sri.iyengar@nhs.net [Department of Radiology, Plymouth Hospitals NHS Trust, Plymouth Devon PL6 8DH (United Kingdom); Feuchtner, Gudrun, E-mail: Gudrun.Feuchtner@i-med.ac.at [Department of Radiology, Innsbruck Medical University, Anichstr. 35, A-6020 Innsbruck (Austria); Cury, Ricardo C., E-mail: r.cury@baptisthealth.net [Department of Radiology, Baptist Cardiac and Vascular Institute, 8900 North Kendall Drive, Miami, FL 33176 (United States); Roobottom, Carl, E-mail: carl.roobottom@nhs.net [Department of Radiology, Plymouth Hospitals NHS Trust, Plymouth Devon PL6 8DH (United Kingdom); Plymouth University Peninsula Schools of Medicine and Dentistry (United Kingdom); Baumueller, Stephan, E-mail: Hatem.Alkadhi@usz.ch [Institute for Diagnostic and Interventional Radiology, University Hospital Zurich, Raemistrasse 100, CH-8091 Zurich (Switzerland); Alkadhi, Hatem, E-mail: stephan.baumueller@usz.ch [Institute for Diagnostic and Interventional Radiology, University Hospital Zurich, Raemistrasse 100, CH-8091 Zurich (Switzerland); Dodd, Jonathan D., E-mail: jonniedodd@gmail.com [Department of Radiology, St Vincent' s University Hospital, Elm Park, Dublin 4 (Ireland)

    2014-08-15

    Objectives: To assess the diagnostic accuracy of standard axial 64-slice chest CT compared to aortic valve image plane ECG-gated cardiac CT for bicuspid aortic valves. Materials and methods: The standard axial chest CT scans of 20 patients with known bicuspid aortic valves were blindly, randomly analyzed for (i) the appearance of the valve cusps, (ii) the largest aortic sinus area, (iii) the longest aortic cusp length, (iv) the thickest aortic valve cusp and (v) valve calcification. A second blinded reader independently analyzed the appearance of the valve cusps. Forty-two age- and sex-matched patients with known tricuspid aortic valves were used as controls. Retrospectively ECG-gated cardiac CT multiphase reconstructions of the aortic valve were used as the gold-standard. Results: Fourteen (21%) scans were scored as unevaluable (7 bicuspid, 7 tricuspid). Of the remainder, there were 13 evaluable bicuspid valves, ten of which showed an aortic valve line sign, while the remaining three showed a normal Mercedes-Benz appearance owing to fused valve cusps. The 35 evaluable tricuspid aortic valves all showed a normal Mercedes-Benz appearance (P = 0.001). Kappa analysis = 0.62 indicating good interobserver agreement for the aortic valve cusp appearance. Aortic sinus areas, aortic cusp lengths and aortic cusp thicknesses of ≥3.8 cm{sup 2}, 3.2 cm and 1.6 mm respectively on standard axial chest CT best distinguished bicuspid from tricuspid aortic valves (P < 0.0001 for all). Of evaluable scans, the sensitivity, specificity, positive and negative predictive values of standard axial chest CT in diagnosing bicuspid aortic valves was 77% (CI 0.54–1.0), 100%, 100% and 70% respectively. Conclusion: The aortic valve is evaluable in approximately 80% of standard chest 64-slice CT scans. Bicuspid aortic valves may be diagnosed on evaluable scans with good diagnostic accuracy. An aortic valve line sign, enlarged aortic sinuses and elongated, thickened valve cusps are specific CT

  16. Coronary imaging quality in routine ECG-gated multidetector CT examinations of the entire thorax: preliminary experience with a 64-slice CT system in 133 patients

    Energy Technology Data Exchange (ETDEWEB)

    Delhaye, Damien; Remy-Jardin, Martine; Salem, Randa; Teisseire, Antoine; Khalil, Chadi; Remy, Jacques [Hospital Calmette, University Center of Lille, Department of Thoracic Imaging, Lille Cedex (France); Delannoy-Deken, Valerie; Duhamel, Alain [University of Lille, Department of Medical Statistics, Lille Cedex (France)

    2007-04-15

    To evaluate image quality in the assessment of the coronary arteries during routine ECG-gated multidetector CT (MDCT) of the chest. One hundred and thirty three patients in sinus rhythm underwent an ECG-gated CT angiographic examination of the entire chest without {beta}-blockers with a 64-slice CT system. In 127 patients (95%), it was possible to assess the coronary arteries partially or totally; coronary artery imaging failed in six patients (5%), leading to a detailed description of the coronary arteries in 127 patients. Considering ten coronary artery segments per patient, 75% of coronary segments were assessable (948/1270 segments). When the distal segments were excluded from the analysis (i.e., seven coronary segments evaluated per patient), the percentage of assessable segments was 86% (768/889 proximal and mid coronary segments) and reached 93% (474/508) when assessing proximal segments exclusively. The mean number of assessable segments was significantly higher in patients with a heart rate {<=}80 bpm (n=95) than in patients with a heart rate >80 bpm (n=38) (p<0.002). Proximal and mid-coronary segments can be adequately assessed during a whole-chest ECG-gated CT angiographic examination without administration of {beta}-blockers in patients with a heart rate below 80 bpm. (orig.)

  17. Safety and efficacy of a drug regimen to control heart rate during 64-slice ECG-gated coronary CTA in children

    Energy Technology Data Exchange (ETDEWEB)

    Rigsby, Cynthia K.; Nicholas, Angela C. [Children' s Memorial Hospital, Department of Medical Imaging, 2300 Children' s Plaza, Box 9, Chicago, IL (United States); deFreitas, R.A. [Children' s Memorial Hospital, Department of Pediatrics, Chicago, IL (United States); Leidecker, Christianne [Siemens Medical Solutions, Malvern, PA (United States); Johanek, Andrew J. [Children' s Memorial Hospital, Department of Medical Imaging, 2300 Children' s Plaza, Box 9, Chicago, IL (United States); Provena St. Joseph Medical Center, Department of Radiology, Joliet, IL (United States); Anley, Peter [Children' s Memorial Hospital, Pharmacy Department, Chicago (United States); Wang, Deli [Children' s Memorial Hospital, Biostatistical Research Department, Chicago, IL (United States); Uejima, Tetsu [Children' s Memorial Hospital, Department of Anesthesiology, Chicago, IL (United States)

    2010-12-15

    The adult practice for ECG-gated single-source 64-slice coronary CTA (CCTA) includes administering beta-blockers to reduce heart rate. There are limited data on this process in children. To evaluate the safety and efficacy of a drug regimen to decrease heart rate before performing CCTA in children. IV remifentanil and esmolol infusion were chosen to decrease heart rate in 41 children (mean age 6.5 years) while they were under general anesthesia (GA) for CCTA. Drug doses, changes in heart rate and procedural complications were recorded. CCTA image quality was graded on a scale of 1 to 5. The relationships between image quality and heart rate and image quality and age were evaluated. Patient effective radiation doses were calculated. Heart rates were lowered utilizing esmolol (4 children), remifentanil (2 children) or both (35 children); 26 children received nitroglycerin for coronary vasodilation. The mean decrease in heart rate was 26%. There were no major complications. The average image-quality score was 4.4. Higher heart rates were associated with worse image quality (r = 0.67, P < 0.0001). Older age was associated with better image quality (r = 0.66, P < 0.0001). Effective radiation doses were 0.7 to 7.0 mSv. Heart rate reduction for pediatric CCTA can be safely and effectively achieved while yielding high-quality images. (orig.)

  18. Evaluation of coronal artery stent with 64-slice MDCT high definition scan mode: a comparison with conventional 64-slice MDCT%64层CT高清模式扫描对冠状动脉支架的评估价值——与传统64层CT的对照研究

    Institute of Scientific and Technical Information of China (English)

    郭小超; 邱建星; 蒋学祥; 王霄英

    2013-01-01

    Objective:To evaluate the improvement of display capability of coronary artery stent on High Definition CT (HDCT) with HI RES scan mode compared with conventional 64 slice CT. Methods: Thirty six patients (from Oct. 2010 to Dec. 2010) underwent coronary CT angiography using conventional 64 slice CT and 23 patients (from Mar. 2011 to Apr 2011) using HDCT (Discovery CT750 HD) were recruited in this study. All the patients had prior coronary stenting (73 stents for 64 slice CT;41 stents for HDCT). Seven patients of 23 (15 stents) had previous coronary artery imaging with conventional 64 slice CT. The image quality of stents was analyzed in three grades. All the images were interpreted in dependently by two experienced radiologists. Image quality,measured diameter of the stents were recorded for statistics. Im age noise and radiation dose of two CT scans were also analyzed. Results:Compared with the conventional CT,the ratios of grade 1 stent images and accessable images were higher using HDCT. The average measured diameter of stents was higher (19.9%) by using HDCT than by conventional 64 slice CT 0 = 4. 405 ,P = 0. 001). There was significant difference in ima ging quality of stents between the two CT scans (Z=-2. 830,P = 0. 005). The image noise and CTDIvol had no significant difference between the two CT scans (P>0. 05). The mean effective dose of HDCT and conventional 64 slice CT were 10. 54mSv and 13. 27mSv respectively (P = 0. 016). Conclusion:Compared with the conventional 64 slice CT,HDCT coro nary angiography with HI RES scan mode can improve the image quality of coronary stents and display the in stent lumen well with lower radiation dose.%目的:通过与传统64层CT比较,评价64层CT高清采集模式显示冠状动脉支架的价值.方法:回顾性搜集2010年10月-2010年12月于我院接受传统64层螺旋CT冠状动脉成像检查的冠状动脉支架置入术后患者36例(共73枚支架),以及2011年3月-2011年4月接受64层CT高清模式

  19. Multi-slice MRI with the dynamic multi-coil technique.

    Science.gov (United States)

    Juchem, Christoph; Nahhass, Omar M; Nixon, Terence W; de Graaf, Robin A

    2015-11-01

    To date, spatial encoding for MRI is based on linear X, Y and Z field gradients generated by dedicated X, Y and Z wire patterns. We recently introduced the dynamic multi-coil technique (DYNAMITE) for the generation of magnetic field shapes for biomedical MR applications from a set of individually driven localized coils. The benefits for B0 magnetic field homogenization have been shown, as well as proof of principle of radial and algebraic MRI. In this study the potential of DYNAMITE MRI is explored further and the first multi-slice MRI implementation in which all gradient fields are purely DYNAMITE based is presented. The obtained image fidelity is shown to be virtually identical to that of a conventional MRI system with dedicated X, Y and Z gradient coils. Comparable image quality is a milestone towards the establishment of fully functional DYNAMITE MRI (and shim) systems.

  20. 64层螺旋CT冠状动脉成像影响因素分析%Analysis of Influential Factors of 64-slice Spiral CT Coronary Angiography

    Institute of Scientific and Technical Information of China (English)

    刘伟宾

    2011-01-01

    目的 探讨64层螺旋CT冠状动脉成像的质量影响因素.方法 回顾性分析514例行64层螺旋CT冠状动脉成像的影像资料.结果 根据图像评价方法,本组优321例,占62.5%;良138例,26.8%;差55例,占10.7%,认定为检查失败.127例ECG前瞻式门控扫描检查失败21例,占16.5%;387例回顾式门控扫描检查失败34例,占8.8%.检查时心率波动≤5/min 313例,7例失败,占2.2%;6~10/min 175例,23例检查失败,占13.1%;10~20/min 26例,25例检查失败,占96.2%.检查过程中37例屏气不好,32例检查失败,占86.5%;3例扫描过程中未能控制呛咳、呃逆,检查失败;53例冠状动脉搭桥术后复查者,1例因扫描范围不足而检查失败;3例过于肥胖,1例扫描参数过低而导致检查失败.结论 充分认识64层螺旋CT冠状动脉成像检查中影响成像质量的因素,争取患者最佳配合状态,方能获得更好的图像质量,提高诊断准确性.%Objective To discuss the influential factors of image quality of 64-slice spiral CT coronary angiography (CTCA). Methods The imaging data of 514 patients with coronary artery disease were retrospectively analyzed. Results According to image evaluation method, the results were excellent in 321 patients(62.5% ), good in 138 ( 26. 8% ) , and poor and regarded as failures in 55( 10.7% ). 127 patients underwent prospective electrocardiographic (ECG) gating, but failed in 21 patients (16.5%) ; 387 patients underwent retrospective ECG gating, and failed in 34 patients (8.8%). 313 patients had heart rate fluctuation ≤5 beats per minute( BPM), among whom, 7 (2.2%) failed in examination; 175 patients had heart rate from 6 BPM to 10 BPM, among whom, 23 (13.1%) failed in examination; 26 patients had heart rate from 10 BPM to 20 BPM,among whom, 25 failed in examination; 37 patients had poor breathholding, among whom, 32(86.5% )failed in examination.3 failed in examination due to incontrollable bucking and hiccup during the

  1. 64-Slice CT Angiography in Diagnosis of Congenital Heart Disease in Children%64排CTA在小儿先天性心脏病的应用

    Institute of Scientific and Technical Information of China (English)

    时胜利; 陈志平; 冯东曚

    2013-01-01

    Objective To investigate the value of 64-slice CT angiography(CTA) and post-processing(reconstruction) technique in the diagnosis of children with congenital heart disease.Methods The clinical and CT data of children with congenital heart disease undergoing CT angiography from April 2010 to March 2012 in our hospital were analyzed to summarize the diagnosis method of post-processing(reconstruction) technique.Results All 73 patients with congenital heart disease were confirmed by CT angiography,in which 40 cases were with complex congenital heart disease,17 cases with atrial septal defect,43 cases with ventricular septal defect,7 cases with patent ductus arteriosus,5 cases with pulmonary artery stenosis,1 case with congenital atresia of pulmonary artery,22 cases with right ventricular outflow tract obstruction,3 cases with anomalous pulmonary venous connection,2 cases with aortic stenosis,4 cases with persistent left superior vena cava,3 cases with right aortic arch.As compared with ultrasonography and surgical outcomes,there was no obvious difference among them.Conclusion 64-slice CT angiography and post-processing reconstruction technique has significant practical value in diagnosis of children congenital heart disease.%目的 探讨64排CTA对小儿先天性心脏病的诊断价值及后处理重建方法.方法 收集整理郑州市儿童医院2010年4月-2012年3月期间经64排心脏CTA检查患儿的临床及CT资料并进行分析,总结小儿先天性心脏病64排CTA后处理诊断方法.结果 73例经64排CTA检查的先天性心脏病患儿均能明确诊断,其中复杂先心病40例,有房间隔缺损者17例,有室间隔缺损者43例,有动脉导管未闭者7例,有肺动脉狭窄者5例,先天性肺动脉闭锁1例,有右室流出道狭窄者22例,有肺静脉异位引流者3例,有主动脉狭窄者2例,永存左上腔静脉4例,右位主动脉弓3例.与彩超及手术结果比较差异无统计学意义.结论 小儿先天性心脏病的64

  2. Validation of a new cardiac image fusion software for three-dimensional integration of myocardial perfusion SPECT and stand-alone 64-slice CT angiography

    Energy Technology Data Exchange (ETDEWEB)

    Gaemperli, Oliver; Schepis, Tiziano; Namdar, Mehdi; Valenta, Ines [University Hospital Zurich, Nuclear Cardiology, Cardiovascular Center, Zurich (Switzerland); Kalff, Victor [Alfred Hospital, Department of Nuclear Medicine, Melbourne (Australia); Stefani, Laurent [GE Healthcare Bio-Sciences, Buc Cedex (France); Desbiolles, Lotus; Leschka, Sebastian; Husmann, Lars; Alkadhi, Hatem [University Hospital Zurich, Institute of Diagnostic Radiology, Zurich (Switzerland); Kaufmann, Philipp A. [University Hospital Zurich, Nuclear Cardiology, Cardiovascular Center, Zurich (Switzerland); University of Zurich, Zurich Center for Integrative Human Physiology (ZIHP), Zurich (Switzerland)

    2007-07-15

    Combining the functional information of SPECT myocardial perfusion imaging (SPECT-MPI) and the morphological information of coronary CT angiography (CTA) may allow easier evaluation of the spatial relationship between coronary stenoses and perfusion defects. The aim of the present study was the validation of a novel software solution for three-dimensional (3D) image fusion of SPECT-MPI and CTA. SPECT-MPI with adenosine stress/rest {sup 99m}Tc-tetrofosmin was fused with 64-slice CTA in 15 consecutive patients with a single perfusion defect and a single significant coronary artery stenosis ({>=}50% diameter stenosis). 3D fused SPECT/CT images were analysed by two independent observers with regard to superposition of the stenosed vessel onto the myocardial perfusion defect. Interobserver variability was assessed by recording the X, Y, Z coordinates for the origin of the stenosed coronary artery and the centre of the perfusion defect and measuring the distance between the two landmarks. SPECT-MPI revealed a fixed defect in seven patients, a reversible defect in five patients and a mixed defect in three patients and CTA documented a significant stenosis in the respective subtending coronary artery. 3D fused SPECT/CT images showed a match of coronary lesion and perfusion defect in each patient and the fusion process took less than 15 min. Interobserver variability was excellent for landmark detection (r = 1.00 and r = 0.99, p < 0.0001) and very good for the 3D distance between the two landmarks (r = 0.94, p < 0.001). 3D SPECT/CT image fusion is feasible, reproducible and allows correct superposition of SPECT segments onto cardiac CT anatomy. (orig.)

  3. Study of CdTe:Cl and CdZnTe detectors for medical multi-slices X-ray Computed Tomography; Etude de detecteurs en CdTe:Cl et CdZnTe pour la tomographie X medicale multicoupes

    Energy Technology Data Exchange (ETDEWEB)

    Ricq, St

    1999-09-28

    The application of CdTe and CdZnTe detectors to medical X-ray Computed Tomography have been investigated. Different electrodes (Au, Pt, In) have been deposited on CdZnTe HPBM and on CdTe:ClTHM. Their injection properties have been determined with Current-Voltage characteristics. Under X-ray in CT conditions, injection currents measurements reveal trapped carriers space-charges formation. The same way, the comparisons of the responses to X-beam cut-off with various injection possibilities enable to follow the space-charges evolutions and then to determine the predominant traps types. Nevertheless, both hole and electron traps are responsible for the memory effect e.g. the currents levels dependence with irradiation history. This effect is noticed in particular on responses to fast flux variations that simulate scanner's conditions. Trap levels probably corresponding to native defects are responsible for these limitations. In order to make such detectors suitable for X-ray Computed Tomography, significant progresses in CdTe for CdZnTe crystal growth with an important defects densities reduction (factor 10), or possibly counting mode operation, seem necessary. (author)

  4. Clinical application value of 64 slice spiral CT in the diagnosis of upper gastrointestinal bleeding%64层螺旋CT在上消化道出血诊断中的临床应用价值分析

    Institute of Scientific and Technical Information of China (English)

    王振栋; 马淑华; 黎叶芳; 袁珠

    2016-01-01

    Objective:To explore the clinical application value of 64 slice spiral CT in the diagnosis of upper gastrointestinal bleeding.Methods:70 patients with upper gastrointestinal bleeding were selected.They were given x-ray barium meal examination and 64 slice spiral CT examination.We compared the test results of two kinds.Results:The detection rate of 64 slice spiral CT was 100%,and the detection rate of X-ray was 95.71%(P<0.05).The consistent rate of CT diagnosis of bleeding was 100%,which was significantly better than 85.71% of X-ray(P<0.05).Conclusion:The clinical application value of 64 slice spiral CT in the diagnosis of upper gastrointestinal bleeding was significant.%目的:探讨64层螺旋CT在上消化道出血诊断中的临床应用价值。方法:收治上消化道出血患者70例,均接受 X 线钡餐检查和64层螺旋 CT检查,比较两种检查结果。结果:64层螺旋 CT检出率100%,X 线检出率95.71%(P<0.05)。CT诊断出血原因相符率100%,显著优于X线的85.71%(P<0.05)。结论:64层螺旋CT在上消化道出血诊断中的临床应用价值显著。

  5. Volumetric evaluation of dual-energy perfusion CT by the presence of intrapulmonary clots using a 64-slice dual-source CT

    Energy Technology Data Exchange (ETDEWEB)

    Okada, Munemasa; Nakashima, Yoshiteru; Kunihiro, Yoshie; Nakao, Sei; Matsunaga, Naofumi [Dept. of Radiology, Yamaguchi Univ. Graduate School of Medicine, Yamaguchi (Japan)], e-mail: radokada@yamaguchi-u.ac.jp; Morikage, Noriyasu [Medical Bioregulation Dept. of Organ Regulatory Surgery, Yamaguchi Univ. Graduate School of Medicine, Yamaguchi (Japan); Sano, Yuichi [Dept. of Radiology, Yamaguchi Univ. Hospital, Yamaguchi (Japan); Suga, Kazuyoshi [Dept. of Radiology, St Hills Hospital, Yamaguchi (Japan)

    2013-07-15

    Background: Dual-energy perfusion CT (DE{sub p}CT) directly represents the iodine distribution in lung parenchyma and low perfusion areas caused by intrapulmonary clots (IPCs) are visualized as low attenuation areas. Purpose: To evaluate if volumetric evaluation of DE{sub p}CT can be used as a predictor of right heart strain by the presence of IPCs. Material and Methods: One hundred and ninety-six patients suspected of having acute pulmonary embolism (PE) underwent DE{sub p}CT using a 64-slice dual-source CT. DE{sub p}CT images were three-dimensionally reconstructed with four threshold ranges: 1-120 HU (V{sub 120}), 1-15 HU (V{sub 15}), 1-10 HU (V{sub 10}), and 1-5 HU (V{sub 5}). Each relative ratio per V{sub 120} was expressed as the %V{sub 15}, %V{sub 10}, and %V{sub 5}. Volumetric data-sets were compared with D-dimer, pulmonary arterial (PA) pressure, right ventricular (RV) diameter, RV/left ventricular (RV/LV) diameter ratio, PA diameter, and PA/aorta (PA/Ao) diameter ratio. The areas under the ROC curves (AUCs) were examined for their relationship to the presence of IPCs. This study was approved by the local ethics committee. Results: PA pressure and D-dimer were significantly higher in the patients who had IPCs. In the patients with IPCs, V{sub 15}, V{sub 10}, V{sub 5}, %V{sub 15}, %V{sub 10}, and %V{sub 5} were also significantly higher than those without IPC (P = 0.001). %V{sub 5} had a better correlation with D-dimer (r = 0.30, P < 0.001) and RV/LV diameter ratio (r = 0.27, P < 0.001), and showed a higher AUC (0.73) than the other CT measurements. Conclusion: The volumetric evaluation by DE{sub p}CT had a correlation with D-dimer and RV/LV diameter ratio, and the relative ratio of volumetric CT measurements with a lower attenuation threshold might be recommended for the analysis of acute PE.

  6. Whole left ventricular functional assessment from two minutes free breathing multi-slice CINE acquisition

    Science.gov (United States)

    Usman, M.; Atkinson, D.; Heathfield, E.; Greil, G.; Schaeffter, T.; Prieto, C.

    2015-04-01

    Two major challenges in cardiovascular MRI are long scan times due to slow MR acquisition and motion artefacts due to respiratory motion. Recently, a Motion Corrected-Compressed Sensing (MC-CS) technique has been proposed for free breathing 2D dynamic cardiac MRI that addresses these challenges by simultaneously accelerating MR acquisition and correcting for any arbitrary motion in a compressed sensing reconstruction. In this work, the MC-CS framework is combined with parallel imaging for further acceleration, and is termed Motion Corrected Sparse SENSE (MC-SS). Validation of the MC-SS framework is demonstrated in eight volunteers and three patients for left ventricular functional assessment and results are compared with the breath-hold acquisitions as reference. A non-significant difference (P > 0.05) was observed in the volumetric functional measurements (end diastolic volume, end systolic volume, ejection fraction) and myocardial border sharpness values obtained with the proposed and gold standard methods. The proposed method achieves whole heart multi-slice coverage in 2 min under free breathing acquisition eliminating the time needed between breath-holds for instructions and recovery. This results in two-fold speed up of the total acquisition time in comparison to the breath-hold acquisition.

  7. Multi-slice myelin water imaging for practical clinical applications at 3.0 T.

    Science.gov (United States)

    Guo, Junyu; Ji, Qing; Reddick, Wilburn E

    2013-09-01

    Myelin water imaging is a promising, noninvasive technique for evaluating white matter diseases such as multiple sclerosis and other leukoencephalopathies (LE), and monitoring myelination in early childhood. Unfortunately, poor image quality and a long acquisition time are major obstacles to practical clinical applications. In this study, a novel postprocessing method with an efficient multi-slice acquisition scheme, called T2 spectrum analysis using a weighted regularized non-negative least squares algorithm and nonlocal mean filter (T2SPARC), is presented to overcome these obstacles and achieve a shorter acquisition time, higher image quality, and large volume coverage. In vivo results from healthy volunteers and a patient with LE showed that the T2SPARC method can generate robust and high-quality myelin water fraction maps of 10 slices within 11 min. This method also yields some useful byproducts such as intra- and extracellular water fraction and long T2 tissue water fraction maps, which can quantify lesions in different brain diseases.

  8. Assessment of the arteriovenous cerebrovascular system by multi-slice CT. A single-bolus, monophasic protocol

    Energy Technology Data Exchange (ETDEWEB)

    Klingebiel, R.; Zimmer, C. [Charite CM, Humboldt Univ., Berlin (Germany). Neuroradiology Section; Rogalla, P.; Kivelitz, D. [Charite CM, Humboldt Univ., Berlin (Germany). Dept. of Radiology; Bohner, G. [Charite CM, Humboldt Univ., Berlin (Germany). Neuroradiology Section; Goetze, R. [Charite CM, Humboldt Univ., Berlin (Germany). Dept. of Radiology; Lehmann, R. [Charite CM, Humboldt Univ., Berlin (Germany). Neuroradiology Section

    2001-11-01

    Purpose: We present a protocol for the non-invasive angiographic assessment of the arterial and venous cerebrovascular (CV) system by multi-slice CT. Material and Methods: Data acquisition was performed in a multi-slice CT scanner with a scan range from the carotid bifurcation to the vertex and manual scan start following i.v. administration of 120 ml iodinated contrast medium with a flow rate of 4 ml/s. This protocol was applied in 12 patients with symptoms of acute CV insufficiency. Results: In all patients, comprehensive imaging of the arteriovenous CV system was achieved including the common carotid bifurcation, the third segment of the major cerebral arteries, the dural sinus and the internal cerebral veins. Various CV pathologies, such as a territorial artery occlusion, a thrombotic obstruction of the internal carotid artery, an intracranial arteriovenous malformation and a sinus vein thrombosis, were successfully evaluated. Conclusion: Comprehensive assessment of the arteriovenous CV system is possible by the use of a single-bolus, monophasic multi-slice scan technique.

  9. Is correction necessary when clinically determining quantitative cerebral perfusion parameters from multi-slice dynamic susceptibility contrast MR studies?

    Science.gov (United States)

    Salluzzi, M; Frayne, R; Smith, M R

    2006-01-21

    Several groups have modified the standard singular value decomposition (SVD) algorithm to produce delay-insensitive cerebral blood flow (CBF) estimates from dynamic susceptibility contrast (DSC) perfusion studies. However, new dependences of CBF estimates on bolus arrival times and slice position in multi-slice studies have been recently recognized. These conflicting findings can be reconciled by accounting for several experimental and algorithmic factors. Using simulation and clinical studies, the non-simultaneous measurement of arterial and tissue concentration curves (relative slice position) in a multi-slice study is shown to affect time-related perfusion parameters, e.g. arterial-tissue-delay measurements. However, the current clinical impact of relative slice position on amplitude-related perfusion parameters, e.g. CBF, can be expected to be small unless any of the following conditions are present individually or in combination: (a) high concentration curve signal-to-noise ratios, (b) small tissue mean transit times, (c) narrow arterial input functions or (d) low temporal resolution of the DSC image sequence. Recent improvements in magnetic resonance (MR) technology can easily be expected to lead to scenarios where these effects become increasingly important sources of inaccuracy for all perfusion parameter estimates. We show that using Fourier interpolated (high temporal resolution) residue functions reduces the systematic error of the perfusion parameters obtained from multi-slice studies.

  10. Is correction necessary when clinically determining quantitative cerebral perfusion parameters from multi-slice dynamic susceptibility contrast MR studies?

    Science.gov (United States)

    Salluzzi, M.; Frayne, R.; Smith, M. R.

    2006-01-01

    Several groups have modified the standard singular value decomposition (SVD) algorithm to produce delay-insensitive cerebral blood flow (CBF) estimates from dynamic susceptibility contrast (DSC) perfusion studies. However, new dependences of CBF estimates on bolus arrival times and slice position in multi-slice studies have been recently recognized. These conflicting findings can be reconciled by accounting for several experimental and algorithmic factors. Using simulation and clinical studies, the non-simultaneous measurement of arterial and tissue concentration curves (relative slice position) in a multi-slice study is shown to affect time-related perfusion parameters, e.g. arterial-tissue-delay measurements. However, the current clinical impact of relative slice position on amplitude-related perfusion parameters, e.g. CBF, can be expected to be small unless any of the following conditions are present individually or in combination: (a) high concentration curve signal-to-noise ratios, (b) small tissue mean transit times, (c) narrow arterial input functions or (d) low temporal resolution of the DSC image sequence. Recent improvements in magnetic resonance (MR) technology can easily be expected to lead to scenarios where these effects become increasingly important sources of inaccuracy for all perfusion parameter estimates. We show that using Fourier interpolated (high temporal resolution) residue functions reduces the systematic error of the perfusion parameters obtained from multi-slice studies. Preliminary results associated with this paper were presented at ISMRM 12th Scientific Meeting and Exhibition, Kyoto, Japan, 2004.

  11. Multi-slice CT in the planning of nephron-sparing interventions for renal cell carcinoma: prospective study correlated with histopathology; Multi-Slice-CT in der Planung der organerhaltenden Operation des Nierenzellkarzinoms: Prospektive histopathologisch korrelierte Studie

    Energy Technology Data Exchange (ETDEWEB)

    Hallscheidt, P. [Forschungsschwerpunkt Radiologische Diagnostik und Therapie des Deutschen Krebsforschungszentrums, Heidelberg (Germany); Abt. Radiodiagnostik der Radiologischen Klinik der Univ. Heidelberg (Germany); Schoenberg, S.; Zuna, I. [Forschungsschwerpunkt Radiologische Diagnostik und Therapie des Deutschen Krebsforschungszentrums, Heidelberg (Germany); Schenk, J.P. [Abt. Radiodiagnostik der Radiologischen Klinik der Univ. Heidelberg (Germany); Petirsch, O.; Riedasch, G. [Urologische Klinik und Poliklinik der Univ. Heidelberg (Germany)

    2002-07-01

    Objective: For nephron sparing surgery of renal cell carcinoma knowledge of the intrarenal extension of the tumor and infiltration of the renal pelvis, the intrarenal vessels and the perinephric fat is essential. This question is much more difficult to answer compared to the description of staging parameters. Aim of this study is to evaluate the value of multi-slice CT in planning of nephron sparing surgery. Material and Methods: In a prospective study 46 patients with suspected renal cell carcinoma underwent a triphasic multi-slice CT (unenhanced, delay 30 s and 120 s). A reconstructed slice thickness of 2 mm in the arterial and parenchymal phase was used to create volume rendered 3D-reconstructions. Based on the source data and multiplanar reconstructed images the extent of the renal cell carcinoma was assessed in terms of size, hilar infiltration, arterial and venous invasions, capsula infiltration and perirenal growth. The results of two blinded readers were correlated with histopathological staging and intraoperative findings. Results: 36 carcinomas were evaluated histopathologically. 10 patients showed no renal cell carcinoma histopatholologically. Multi-slice CT allowed us to diagnose the localization and size of all tumors correctly. Infiltration into perinephric fat was correctly excluded in 24/30 and 8/30 cases. Infiltration of the renal pelvis could be excluded in 17/24 and 12/24 cases. The state of venous infiltration could be correctly diagnosed in 29/30 and 27 /30 carcinomas. Conclusion: Despite of the high temporal and spatial resolution of multi-slice CT, which allows the delineation of intrarenal arteries as well as renal hilus and the veins, the evaluation of tumor infiltration into the renal hilus, the intrarenal vessels and the perinephric fat remains a diagnostic problem. For planning of nephron sparing surgery, a knowledge of the infiltration in these structures is essential. (orig.) [German] Ziel: Fuer die Planung der organerhaltenden

  12. Diagnostic value of 64-slice spiral CT on fatty liver combining with nodular diseases of the liver%64排螺旋CT在脂肪肝合并肝脏结节性疾病中的诊断价值

    Institute of Scientific and Technical Information of China (English)

    张志强; 李孟云

    2015-01-01

    Objective To evaluate the diagnostic value of 64-slice spiral computed tomography (CT) on fatty liver combining with nodular diseases of the liver. Methods From January 2013 to August 2014,78 patients suffered from fatty liver with nodular diseases of the liver who were visited our hospital for treatment were selected as research ob-jects.All patients were performed with conventional ultrasound and 64-slice spiral CT examination.The images were read by two senior radiological doctors,which were compared and analyzed by pathological outcomes by percutaneous liver puncture biopsy guided by surgery or ultrasound.The sensitivity,specificity,positive predictive value,negative pre-dictive value and accuracy of conventional ultrasound and 64-slice spiral CT were compared. Results Among 78 pa-tients,there were 86 foci,of which 27 cases were in benign accounting for 34.62% (32 foci for 37.21%) and the rest 51 cases belonged to malignant lesions accounting for 65.38% (54 foci for 62.79%).The sensitivity,specificity,positive pre-dictive value,negative predictive value and accuracy of conventional ultrasound on fatty liver combining with nodular diseases of the liver was 76.5%,59.3%,78.0%,57.1%,70.5%,respectively,and the rates by 64-slice spiral CT was 92.2%, 92.6%,95.9%,86.2%,and 92.3% accordingly.The indexes examined by 64-slice spiral CT were much higher than those by conventional ultrasound (P<0.05 or P<0.01). Conclusion Application of 64-slice spiral CT obtains a higher sensitiv-ity,specificity,and accuracy on treating fatty liver combining with nodular diseases of the liver,which is worthy of expan-sion in clinic.%目的:探讨64排螺旋CT在脂肪肝合并肝脏结节性疾病诊断中的价值。方法选取2013年1月~2014年8月因脂肪肝合并肝脏结节性疾病在本院就诊的78例患者为研究对象。所有病例均行常规超声和64排螺旋CT检查,由2名高年资影像科医生阅片,与外科手术或者超声引导下的经皮肝脏穿刺

  13. Multi-slice spiral CT of aortocoronary grafts and internal mammary artery bypasses: Assessment of bypasses and their anastomoses; Mehrzeilen-Spiral-CT von aortokoronaren Venenbypaessen und Mammaria-interna-Bypaessen: Beurteilung der Bypaesse und ihrer Anastomosen

    Energy Technology Data Exchange (ETDEWEB)

    Froehner, S.; Wagner, M.; Schmitt, R.; Christopoulos, G.; Coblenz, G. [Inst. fuer Diagnostische und Interventionelle Radiologie, Herz- und Gefaessklinik GmbH, Bad Neustadt an der Saale (Germany); Brunn, J.; Mueller, M.; Kerber, S. [Fachbereich Kardiologie, Herz- und Gefaessklinik GmbH, Bad Neustadt an der Saale (Germany); Urbanski, P. [Klinik fuer Herzchirurgie, Herz- und Gefaessklinik GmbH, Bad Neustadt an der Saale (Germany)

    2002-07-01

    Objective: To assess aortocoronary grafts and internal mammary artery bypasses by means of EKG-triggered contrast-enhanced multi-slice spiral CT, and to evaluate the diagnostic accuracy of this new imaging modality. Material and methods: 59 patients with up to 5 aortocoronary grafts and/or internal mammary artery bypasses per patient were examined with regard to bypass morphology, the free passage, and the proximal as well as the distal anastomoses using multi-slice computed tomography. Axial source images were calculated by means of retrospective triggering at different diastolic delay times, and were postprocessed in several planes with the multiplanar volume reconstruction (MPVR) software. Results: On the pre-condition that data sets were acquired at sinus rhythm and at a heart rate lower than 65/min, aortocoronary grafts and internal mammary artery bypasses could be depicted in adequate diagnostic quality in about 80% of all cases with contrast-enhanced multi-slice spiral CT. Both, the free passage of the bypasses as well as the morphology of the proximal anastomoses were sufficiently assessed with multiplanar volume reconstruction (MPVR), whereas the distal anastomoses couldn't be depicted sufficiently in 20% of all cases. Conclusion: As a non-invasive method, contrast-enhanced and ECG-triggered multi-slice spiral computed tomography has gained diagnostic potential for the accurate visualization of aortocoronary grafts and the internal mammary artery bypasses. (orig.) [German] Ziel: Die vorliegende Arbeit stellt die Moeglichkeiten der kontrastmittelverstaerkten, EKG-getriggerten Mehrzeilen-Computertomographie in der Beurteilung von aortokoronaren Venenbypaessen und Mammaria-interna-Bypaessen dar. Material und Methode: Bei 59 Patienten mit 1 bis 5 aortokoronaren Venen-Bypaessen bzw. Mammaria-interna-Bypaessen wurden deren Morphologie, Durchgaengigkeit, die proximalen Anastomosen und die distalen Insertionsstellen mittels Mehrzeilen-Spiral-CT untersucht

  14. Diagnostic value of 64-slice CT examination and multi-planar reconstruction of carpal fractures%64层螺旋CT及多平面重建对腕骨骨折的诊断价值

    Institute of Scientific and Technical Information of China (English)

    王聚宝; 奚甘平; 张建福

    2014-01-01

    To investigate the value of 64-slice CT examination and multi -planar reconstruction technique in the diagno-sis of carpal fractures .Methods:A retrospective analysis of 31 patients imaging data with carpal fracture diagnosed by 64-slice CT exam-ination and multi-planar reconstruction , by comparing with conventional X -ray radiography examination .Results:31 patients in routine X-ray examination revealed 19 carpal fractures , CT and multi-planar reconstruction examination revealed 39 .There was significant difference ( P <0.05) for carpal fracture detection between the two examination .Conclusion:Compared to the conventional X -ray ex-amination, the 64-slice CT examination and multi -planar reconstruction might have important clinical significance in the diagnosis of carpal fractures .%目的:探讨64层螺旋CT及多平面重建技术在腕骨骨折诊断中的价值。方法:回顾分析31例经64层螺旋CT及多平面重建检查确诊腕骨骨折患者的影像学资料,并与常规X线摄影检查结果相对比。结果:31例患者中常规X线检查发现腕骨骨折19处,CT及多平面重建检查发现39处。两者对腕骨骨折的检出有明显差别(P<0.05)。结论:与常规X线检查相比较,64层螺旋CT及多平面重建对确诊腕骨骨折及骨折部位、类型的显示有重要的临床价值。

  15. Application of 64-slice spiral CT and post-processing technique in evaluation of Crohn's disease%64层螺旋CT检查及后处理技术在Crohn病中的应用

    Institute of Scientific and Technical Information of China (English)

    沈永菊; 冷永新; 唐翠松; 汤光宇

    2012-01-01

    目的 探讨64层螺旋CT及各种后处理技术在Crohn病中的应用.方法 对32例Crohn病患者CT扫描图像进行回顾性分析,由两位资深放射科医师对原始图像进行VR、MIP、MPR后处理.结果 Crohn病的影像学表现为:(1)肠壁增厚;(2)肠壁强化;(3)肠系膜的异常改变;(4)并发症.结论 MSCT检查可清楚显示肠壁及肠腔外病变,可得到更多的解剖和血流灌注的信息,对Crohn病的诊断、判断疾病活动度及并发症有优越性.%Objective To assess the application of multiple post-processing technique of 64-slice spiral CT in diagnosis of Crohn's disease. Methods Thirty two patients with Crohn's disease confirmed by endoscopic and pathological examination underwent 64-slice spiral CT scan. The images were reconstructed with volume rendering, maximum intensity projection, multiplanar reconstruction by two senior radiologists. Results The CT features of Crohn's disease included intestinal wall thickening, enhancement of the intestinal wall, abnormal changes of the mesentery and the complicating disease. Conclusion The 64-Slice spiral CT scan provides more information of the anatomy and blood perfusion of the lesions, which has unique superiority in diagnosis of Crohn's disease and complications.

  16. Multi-slice CT for visualization of acute pulmonary embolism: single breath-hold subtraction technique

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    Wildberger, J.E.; Mahnken, A.H.; Spuentrup, E.; Guenther, R.W. [Dept. of Diagnostic Radiology, Univ. of Technology, Aachen (Germany); Klotz, E.; Ditt, H. [Siemens Medical Solutions, Computed Tomography, Forchheim (Germany)

    2005-01-01

    Purpose: the purpose of our preliminary animal study was to evaluate the feasibility of a new subtraction technique for visualization of perfusion defects within the lung parenchyma in segmental and subsegmental pulmonary embolism (PE). Materials and methods: in three healthy pigs, PE were artificially induced by fresh human clot material. Within a single breath-hold, CT angiography (CTA) was performed on a 16-slice multi-slice CT scanner (SOMATOM Sensation 16; Siemens, Forchheim, Germany) before and after intravenous application of 80 mL of contrast-medium, followed by a saline chaser. Scan parameters were 120 kV and 100 mAs{sub eff.}, using a collimation of 16 x 1.5 mm and a table speed/rot. of 36 mm (pitch: 1.5; rotation time: 0.5 s). A new 3D subtraction technique was developed, which is based on automated segmentation, non-linear spatial filtering and non-rigid registration. Data were analysed using a color-encoded ''compound view'' of parenchymal enhancement and CTA information displayed in axial, coronal and sagittal orientation. Results: subtraction was technically feasible in all three data sets. The mean scan time for each series was 4.7 s, interscan delay was 14.7 s, respectively. Therefore, an average breath-hold of approximately 24 s was required for the overall scanning procedure. Downstream of occluded segmental and subsegmental arteries, perfusion defects were clearly assessable, showing lower or missing enhancement compared to normally perfused lung parenchyma. In all pigs, additional peripheral areas with triangular shaped perfusion defects were delineated, considered typical for PE. Conclusions: our initial results from the animal model studied slow that perfusion imaging of PE is feasible within a single breath-hold. It allows a comprehensive assessment of perfusion deficits as the direct proof of a pulmonary embolus, can be combined with an indirect visual quantification of the density changes in the adjacent lung tissue

  17. Diagnostic Value of 64-slice CTA in Detection of Intracranial Aneurysm in Patients with SAH and Comparison of the CTA Results with 2D-DSA and Intraoperative Findings

    Directory of Open Access Journals (Sweden)

    Elif Ergun

    2011-03-01

    Full Text Available Objective: To prospectively evaluate the diagnostic value of 64-slice CTA in detecting intracranial aneurysms and to compare it with 2D-DSA and/or intra-operative findings.Material and Methods: 37 cases with SAH according to unenhanced cranial CT were included in the study. A 64-slice CTA was performed to all cases immediately after the nonenhanced cranial CT. DSA was performed in 24-48 hours following CTA. CT images were reviewed by two radiologists experienced in CT vascular imaging. The DSA reader was the angiographer who performed the DSA. The results of the CTA were compared with the DSA results and/or intraoperative findings in order to determine the diagnostic efficacy of CTA in detecting intracranial aneurysms. Results: Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of CTA in detecting aneurysms were 92.8%, 83.3%, 96.2%, 71.4% and 91.2% respectively. The diagnostic value of CTA in detecting intracranial aneurysms was found to be equal to DSA by Mcnemar test. Conclusion: CTA is invaluable in detecting intracranial aneurysms. It may be used as a first line modality in SAH, and DSA may be reserved for patients with negative or equivocal CTA results.

  18. 64排螺旋CT重建技术在急性阑尾炎诊断中的应用价值%application of 64-Slice Spiral CT Reconstruction Technique in diagnosis of acute appendicitis

    Institute of Scientific and Technical Information of China (English)

    任春慧; 冯华; 梁爽; 曲世巍

    2013-01-01

    Objective To investigate the effectiveness of 64-slice spiral CT reconstruction technique in diagnosis of acute appendicitis. Methods Retrospective analysis of 64-slice spiral CT scan images was performed on 60 patients who underwent abdominal 64-slice spiral CT scans and were confirmed through clinical pathology as acute appendicitis sufferers. After multi-planar and curve reconstruction of all the images in the workstation, observation and analysis of appendicitis were made on the size, morphology and surrounding changes. Results Among 60 patients with acute appendicitis, 21 cases were found acute simple appendicitis, 32 superlative appendicitis, 5 appendiceal abscess, 2 appendiceal perforation. Two kinds of features - direct and indirect features could be gained from 64-slice spiral CT findings. Direct features include thickened and enlarged appendicitis(diameter> 6 mm), thickened wall of the appendicitis, appendicitis calculus. Indirect features included inflammation, abscess or inflammatory mass around the appendicitis, free intraperitoneal gas and swelling local lymph nodes. Conclusion Acute appendicitis had typical features in its CT iamges. Application of 64-slice spiral CT reconstruction techniques could have a better reveal of appendicitis and its surrounding circumstances, which significantly improved the diagnosis of appendicitis and was of great application value.%  目的探讨64排螺旋CT重建技术在急性阑尾炎诊断中的应用价值。方法对60例经临床病理证实的急性阑尾炎患者的64排螺旋CT扫描资料进行回顾性分析,所有患者行全腹部64排螺旋平扫,所得图像在工作站进行多平面及曲面重建,对阑尾的大小、形态及周围改变进行观察分析。结果60例资料中,急性单纯性阑尾炎21例、化脓性阑尾炎32例、阑尾脓肿5例、阑尾穿孔2例。64排螺旋CT直接征象为阑尾增粗、增大(直径>6 mm),阑尾壁增厚,阑尾结石;间接征象

  19. Diagnostic Significance of Lumbar Spine Bone Metastases by 64 Slice Spiral CT and Whole Body Bone Imaging%64层螺旋CT与全身骨显像对腰椎骨转移瘤的诊断意义

    Institute of Scientific and Technical Information of China (English)

    宋世祥

    2014-01-01

    目的:探讨64层螺旋CT与99Tcm-MDP全身骨显像对腰椎骨转移瘤的诊断意义。方法回顾性分析临床确诊腰椎骨转移瘤且资料完整的住院诊治27例患者49处腰椎骨转移瘤,总结分析27例患者的64层螺旋CT与99Tcm-MDP全身骨显像检查结果。比较两种检查结果的灵敏度及特异性。结果经64层螺旋CT检查示,27例患者有41处腰椎锥体破坏;经99Tcm-MDP全身骨显像检查示,23例患者有31处腰椎椎体放射性异常浓集,27例患者发现椎体外多发放射性异常浓集。64层螺旋CT检查的灵敏度为83.6%,特异性为98.6%;99Tcm-MDP全身骨显像检查的灵敏度为63.2%,特异性为96.7%。经64层螺旋CT检查示,有17例明确诊断为腰椎转移瘤,10例可疑为腰椎转移瘤;经99Tcm-MDP全身骨显像检查示,有20例明确诊断为腰椎转移瘤,7例可疑为腰椎转移瘤。结论64层螺旋CT对腰椎骨转移瘤的诊断较99Tcm-MDP全身骨显像具有更高的灵敏度,但多数患者经99Tcm-MDP全身骨显像可获得较为明确的诊断。%Objective To investigate the diagnostic significance of lumbar spine bone metastases by 64 slice spiral CT and 99Tcm-MDP whole body bone imaging. Methods 27 cases of lumbar spine bone metastases with 49 places by clinical diagnosis and with complete hospitalization data were retrospectively analyzed, and the examination results of 27 cases with 64 slice spiral CT and 99Tcm-MDP whole body bone imaging were summarized and analyzed. The sensitivity and specificity of two kinds of examination results were compared. Results The examination result of 64 slice spiral CT showed that 41 vertebrae were damaged in 27 patients, the sensitivity was 83.6%, 17 cases of lumbar spine bone metastases were confirmed by 64 slice spiral CT, 10 patients were suspected. The examination result of 99Tcm-MDP whole body bone imaging showed that 31 vertebrae had radioactive anomaly concentration in 27 patients, the

  20. Long-term follow-up of surgically excluded popliteal artery aneurysms with multi-slice CT angiography and Doppler ultrasound

    Energy Technology Data Exchange (ETDEWEB)

    Deglise, Sebastien; Haller, Claude; Corpataux, Jean-Marc [CHUV, Department of Thoracic and Vascular Surgery, Lausanne (Switzerland); Qanadli, Salah D.; Rizzo, Elena; Doenz, Francesco; Denys, Alban [University Hospital CHUV-University of Lausanne, Department of Radiology, Lausanne (Switzerland); Ducrey, Nicolas [CHUV, Department of Angiology, Lausanne (Switzerland)

    2006-06-15

    The purpose of this study was to evaluate the role of multi-slice computed tomography (MSCT) angiography in the follow-up of popliteal artery aneurysms (PAAs) that have been operated on. Aneurysm exclusion and progression, graft patency and graft-related complications were analyzed. Fourteen patients with 21 surgically excluded PAAs were evaluated with MSCT angiography with slice thickness of 1.25 mm. The mean follow-up time was 67 months. MSCT demonstrated blood flow in six non-excluded PAAs (24%), with an average increase in the diameter of 21 mm over time. Fifteen PAAs demonstrated no blood flow and revealed an average decrease of 7 mm in diameter. The origin of this residual perfusion was demonstrated, and collaterals were involved in five of six non-excluded PAAs. In addition, MSCT demonstrated three graft stenoses. Furthermore, two occluded grafts were visualized. Twenty-four percent of the patients after surgical exclusion of PAAs revealed residual perfusion within the aneurysmal sac during follow-up, with a significant increase in the aneurysmal size with MSCT. Moreover, evaluation of the graft patency could also be done as could demonstration of anastomotic abnormalities. Thus, MSCT might be considered as a new tool to evaluate residual collateral feeding of popliteal aneurysmal sac and could be useful in identification and localization of feeding vessels. (orig.)

  1. 低剂量对比剂在64排螺旋CT主动脉成像中的探讨%Exploration on the use of low dose contrast medium in 64-slice CT imaging of the aorta

    Institute of Scientific and Technical Information of China (English)

    付传明; 徐官珍; 陈伦刚; 徐霖; 龚晓虹; 邹建华; 陈杰

    2011-01-01

    .01 ). The blood pressure and heart rate were not significantly different in both groups. Conclusions In diagnosis of the aorta by 64 -slice spiral computed tomography, the dosage of contrast medium should be provided individually according to different weight index meanwhile clear images can be obtained to meet with the diagnosis requirement and the potential risk of contrast-induced nephropathy can be lowered.%目的探讨64排螺旋CT不同体重注射不同对比剂量在胸腹主动脉血管成像的中应用.方法临床可疑主动脉病变患者,知情同意后分A、B两组.A组20例:体重在60kg以上注射60ml时比剂+40ml生理盐水、B组20例:体重在60kg以下按1ml/kg对比注射+适量的生理盐水;两组均采用相同注射速率和浓度行对比剂浓度实时监控触发扫描,测量升主动脉、胸7(T7)及腰2(L2)水平降主动脉、主动脉分叉处CT值及血管横截面直径,并在扫描前测量患者的体重、身高、血压、心率.由两位影像诊断高级职称医师对重组主动脉及分支血管显示进行评价,并对血管强化程度、血管横截面直径、体重、身高、血压、心率数据进行统计学分析.结果两组在升主动脉、胸7(T7)及腰2(L2)水平降主动脉、主动脉分叉等处的平均CT值分别为:331.10Hu、342.52Hu、308.71Hu、299.75Hu和337.10Hu、325.59Hu、322.06Hu、308.34Hu,血管横截面平均直径为:37.40mm、25.12mm、17.91mm、15.50mm和35.20mm、23.08mm、12.37mm、11.80mm,体重为:72.50kg、49.50kg,身高为:175.70cm、150.50cm.血压为:130/78mmHg、124/78mmHg,心率76.5次/分、74.6次/分;两组间各点的平均CT值强化不具有统计学意义(p>0.05),重组血管清晰度及显示血管分支也无差异,各点的血管横截面平均直径具有统计学意义(P0.05).结论 64层螺旋CT行主动脉MSCTA检查时,个性化因人而异不同体重注射不同对比剂量可获得良好的CTA图像,并满足诊断要求,为临床提供可靠的诊断依据,还降低了CIN潜在的风险.

  2. 64层螺旋CT血管成像在自发性蛛网膜下腔出血中的应用价值%Application value of 64 slice spiral CT angiography in spontaneous subarachnoid hemorrhage

    Institute of Scientific and Technical Information of China (English)

    白光宇

    2016-01-01

    目的:总结、探讨64层螺旋CT血管成像在自发性蛛网膜下腔出血诊断中的应用价值。方法:收治自发性蛛网膜下腔出血患者110例,给予64层螺旋CT扫描及数字减影血管造影,再以容积再现、曲面重组、最大密度投影、多平面重组等方法处理。结果:110例 ASH 患者均经过 DSA、手术证实。动脉瘤及脑血管畸形105例,检出率95.45%,CTA 诊断符合率达100.00%。结论:64层螺旋 CT 血管成像在自发性蛛网膜下腔出血诊断中应用价值极高,可为临床疾病诊断、治疗提供有效依据。%Objective:To summarize and discuss the value of 64 slice spiral CT angiography in the diagnosis of spontaneous subarachnoid hemorrhage.Methods:110 patients with spontaneous subarachnoid hemorrhage were selected.64 slice spiral CT scanning and digital subtraction angiography were given,and then the volume rendering,surface reconstruction,maximum density projection,multi planar reconstruction and other methods were given.Results:110 cases of ASH were confirmed by DSA and operation.aneurysm and cerebral vascular malformation were 105 cases,the detection rate was 95.45% ,and the rate of CTA diagnosis was 100%.Conclusion:64 slice spiral CT angiography in the diagnosis of spontaneous subarachnoid hemorrhage is very high value.It can provide an effective basis for clinical diagnosis and treatment.

  3. Evaluation of coronary calcifications with 64-slice CT - variability of the scores and the influence of the reconstruction interval; Bestimmung des koronaren Kalzium-Scores mittels 64-Zeilen-CT - Variabilitaet der Scores und Einfluss des Rekonstruktionszeitpunktes

    Energy Technology Data Exchange (ETDEWEB)

    Weininger, M.; Ritter, C.O.; Beer, M.; Hahn, D.; Beissert, M. [Inst. fuer Roentgendiagnostik, Universitaetsklinikum Wuerzburg (Germany)

    2007-09-15

    Purpose: To evaluate the variability of coronary calcium scores depending on the image reconstruction interval using a 64-slice CT scanner. Materials and Methods: 30 patients (18 male, 12 female; mean age 57 {+-} 9 yrs; mean heart rate 66 {+-} 10 bpm) underwent coronary calcium scoring using a 64-slice CT scanner (Somatom Sensation 64, Siemens Medical Solutions, Erlangen) and a standardized scanning protocol. Oral {beta}-blockers were administered to 12 patients with a baseline heart rate > 70 bpm. Images were reconstructed in 10 % increments from 10 - 100 % of the RR interval. Two blinded experienced observers independently calculated Agatston (AS), calcium mass (MS) and volume scores (VS) for every reconstructed image series. The results were compared to similar studies for 16-slice CT scanners. Results: The mean values and mean coefficients of variation among all patients were as follows: AS, 397 {+-} 829, 109 % MS, 88 {+-} 225, 154 % VS, 335 {+-} 669, 100 %. Regarding the reconstruction intervals, the mean coefficients of variation were as follows: 107 % (AS), 97 % (VS), 116 % (MS). No specific image reconstruction interval with statistically significant lower variability for each score could be identified. High inter-observer agreement was achieved (K = 0.98). With statistical significance (p < 0.05) 10/30 patients (pts) were able to be allocated to more than one risk group (RG): 6 pts = 2 RG; 3 pts = 3 RG; 1 pts = 4 RG. The scores for 5/30 patients were zero for at least one reconstruction interval, but further reconstructions revealed calcifications. The number of patients assignable to different risk groups was significantly lower compared to published data using a 16-slice scanner (p < 0.05). Conclusion: Coronary calcium scores determined using a 64-slice scanner display a wide range of variability depending on the image reconstruction interval as already described for 16-slice CT scanners. However, compared to previous studies, our data indicate that this

  4. 64排螺旋 CT 支气管动脉成像对咯血的诊断意义%Diagnostic significance of bronchial artery imaging by 64-slice spiral CT for hemoptysis

    Institute of Scientific and Technical Information of China (English)

    舒圣捷; 赵雁鸣; 刘白鹭; 赵德利; 贾广生; 张黎黎; 王非; 王海波; 张海涛

    2014-01-01

    Objective To discuss the diagnostic value of bronchial and non-bronchial artery system by 64-slice CT bronchial artety imaging in patients with hemoptysis as the main symptom of lung disease .Methods 64-slice CT bronchial artery imaging was performed in 28 patients with hemoptysis .The resulting CT images were analysed to identify position of the bronchial and non-bronchial systemic artery .Results Bronchial arteries were shown in the CT images as follows, 43 bronchial arteries were identified on the right side and 46 on the left side; normal origin of bronchial artery accounted for 46%of the total .Twenty-three arteries of all the arter-ies originated in the non-bronchial arterial system were located on the right , and 41 on the left side .Conclusion 64-slice CT bronchial artety imaging can not only determine the location of the bronchial and non-bronchial systemic artery , but also confirm the reason of the disease with hemoptysis as the main symptom .Then, it may lay the foundation for further clinical treatment .%目的:探讨支气管和非支气管动脉系统的64排CT支气管动脉成像对以咯血为主要症状的肺部疾病的诊断价值。方法对28例咯血患者进行64排CT支气管动脉成像。分析所得的CT图像以确定支气管和非支气管系统的动脉的位置。结果 CT可见支气管动脉情况为右侧43支,左侧46支;正常起源的支气管动脉占总数的46%;起源于非支气管动脉系统的动脉中有23支位于右侧,41支位于左侧。结论64排CT支气管动脉成像不仅可以确定支气管动脉及非支气管动脉系统的血管位置,还可以明确以咯血为主要症状的疾病的病因,为临床进一步治疗奠定基础。

  5. Dynamic enhanced multi-slice spiral CT in evaluation of blood flow patterns of solitary pulmonary nodules with enhancement

    Institute of Scientific and Technical Information of China (English)

    LI Shenjiang; XIAO Xiangsheng; LIU Shiyuan; LI Huimin; LI Chengzhou; ZHANG Chenshi; TAO Zhiwei; YANG Chunshan

    2004-01-01

    Objective To investigate the methods of dynamic enhanced multi-slice spiral CT in evaluation of blood flow patterns of solitary pulmonary nodules (SPNs) with enhancement. Methods Seventy eight patients with SPNs (≤4 cm) with strong enhancement underwent dynamic multi-slice spiral CT (Marconi Mx8000) scan before and after contrast enhancement by injecting contrast material with a rate of 4 mL/s. For the 40 patients in protocol one, one scan was obtained every 2 seconds during 15-45 and 75- 105 seconds after injection, while for the 38 patients in protocol two, one scan was obtained every 2 seconds during 11-41 and 71-101 seconds. For all the patients, one scan was obtained every 30 seconds during 2 9 minutes. The section thickness was 2.5 mm for lesions ≤3 cm and 5 mm for lesions >3 cm. Standard algorithm was used in the image reconstruction. Precontrast and postcontrast attenuation on every scan was recorded. The perfusion,peak height, ratio of peak height of the SPN to that of the aorta and mean transit time were calculated. Results The peak height, perfusion, ratio of peak height of the SPN to that of the aorta and mean transit time in malignant SPNs were 34. 85 Hu±10.87 Hu, 30. 37 ml/(min· 100 g)±11. 14 ml/(min · 100 g), 13. 78%±3.96%, 14.19 s±6.19 s respectively in protocol one, while those in protocol two were 36.62 Hu±10.75 Hu,30.01 ml/(min · 100 g)±8.10 ml/(min · 100 g), 14.70 %±4.71%, 13.91 s±4.82 s respectively. No statistically significant differences were found between the peak height (t = 0. 673, P = 0. 503), perfusion (t =0.152, P=0.880), ratio of peak height of the SPN to that of the aorta (t 0.861, P 0.393) and mean transit time (t= 0. 199, P=0. 843) in malignant SPNs measured in protocol one and those measured in protocol two. All mean transit time in protocol two (36/36) were obtained, but only part of them (25/32) were ob tained in protocol one. Conclusion Dynamic enhanced multi-slice spiral CT is a non-invasive method for

  6. 64排容积CT扫描在严重多发伤快速评估中的应用%Clinical application of 64-slice spiral CT scanning in fast evaluation of severe multiple trauma

    Institute of Scientific and Technical Information of China (English)

    熊坤林; 龚水根; 李然; 曹红元; 张伟国

    2008-01-01

    Objective To discuss clinical value of 64-slice spiral CT scanning in fast evaluation of severe multiple trauma.Methods A retrospective study was carried out on data of 72 multiple trauma patients diagnosed with systemic 64-slice spiral CT scanning in our hospital from January 2006 to June 2008.Of all,28 patients with traffic injuries,24 with falling injuries,10 with blunt injuries,6 with stab injuries and 4 with explosive injuries.Results There were 72 multiple trauma patients with mean scanning time of 10.2 seconds.The CT scanning showed both craniocerebral and thoracic injuries in 30 patients,brain injuries in 16,thoracoabdominal injuries plus pelvic injuries in 10,extremity and brain injuries in 14 and systemic soft tissue injuries in 2.Isotropic characteristics and postprocessing function of 64-slice spiral CT scanning could accurately diagnose and evaluate injury severity of multiple trauma.Conclusions 64-slice spiral CT scanning is a fast and effective method for fast evaluating injury severity of multiple trauma,for it can not only shorten checking time,reduce movements of the patients and relieve the pain of the patients,but also can avoid defects induced by respiratory movement and provide fairly integrated imaging materials by its isotropic characteristics and pestprecessing function.%目的 探讨64排容积CT扫描在严重多发伤快速评估中的临床价值.方法 回顾性分析我院2006年1月-2008年6月收治的72例严重多发伤患者.致伤原因:交通伤28例,坠落伤24例,钝器伤10例,刀刺伤6例,爆炸伤4例.根据患者当时受伤情况及可疑损伤部位均及时行全身64排容积CT扫描.结果 本组72例严重多发伤患者中,头、胸部均有损伤30例,头部损伤16例,胸腹盆部均有损伤10例,四肢及头部损伤14例,全身软组织损伤2例.平均扫描耗时约10.2 s.64排容积CT各向同性特点和强大的后处理功能使其能准确地对组织器官的损伤情况及损伤程度进行

  7. 64层螺旋CT在消化道穿孔的诊断价值%The Value of 64 Slice Spiral CT in the Diagnosis of Digestive Tract Perforation

    Institute of Scientific and Technical Information of China (English)

    孙晓霞; 郭强强; 兰国宾; 路凯; 李宝栋; 郭福庆

    2015-01-01

    Objective:To investigate the value of 64-slice spiral CT in the diagnosis of digestive tract perforation.Method:A retrospective analysis was conducted in imaging information of 76 cases confirmed by surgery in patients with digestive tract perforation.Result:In the 76 patients,the main CT signs were peritoneal effusion,free gas,surrounding cellulites or peritonitis change around the perforation and gastrointestinal wall thickening. Preoperative diagnostic accuracy was 92.0%. The correct localization rate was 81.2%.Conclusion:64 slice spiral CT in gastrointestinal perforation can timely,accurate diagnosis. It also has high value in judging the digestive tract perforation location.%目的:探讨64层螺旋CT在消化道穿孔诊断中的价值。方法:回顾性分析76例经手术证实的消化道穿孔患者的影像资料。结果:76例患者中,CT主要征象为腹腔积液、游离气体、穿孔处周围蜂窝组织炎或腹膜炎改变、胃肠壁增厚,术前正确诊断穿孔92.0%,定位正确诊断81.2%。结论:64层螺旋CT用于消化道穿孔中能够及时、准确地作出诊断,在判断消化道穿孔位置具有较高的价值。

  8. Clinical Application of Multi-Planar Reconstruction with 64-slice Spiral CT on Protrusion of Spondylolisthesis%64层螺旋CTMPR重组对腰椎滑脱的临床应用

    Institute of Scientific and Technical Information of China (English)

    刘兆芹; 钱学江

    2011-01-01

    Objective To investigate the value of multi-planar reconstruction(MPR) with 64-slice spiral CT for disease of spondylolisthesis.Methods MPRimages of 100 cases with spondylolisthesis were compared at random.Results MPR images could show not the graduation of spondylolisthesis,and could demonstrate isthmicspondy lolisthesis(ISS) or degenerative lumbar spondylolisthesis,but also could show the changes of peripheral soft tissue,the facet degeneration,and soft tissue structure.Conclusion 64-slices CT MPR images has more advantages in demonstrating the reason of spondylolisthesis,and can supply the reliable information for clinical doctors,is helpful for clinical doctors to choose the appropriate therapeutic schedule.[Chinese Medical Equipment Journal,2011 ,32(4 ) : 75-76]%目的:探讨64层螺旋CT多平面重组(MPR)对腰椎滑脱的临床应用价值.方法:随机抽取100例腰椎滑脱患者的CT MPR重建图像资料.结果:MPR不仅能够显示腰椎滑脱的分度,辨别是峡部型(真性)或是退变型滑脱(假性),并且能够显示合并的腰椎间盘膨出、小关节退变及周围软组织结构改变.结论:64层螺旋CT MPR图像,有利于全面、直观地显示腰椎滑脱的原因,并且能够为临床医生提供可靠信息,有助于临床医生选择合适的治疗方案.

  9. Studies on intracranial collateral circulation with multi-slice CT angiography in patients with symptomatic cerebral artery stenosis

    Directory of Open Access Journals (Sweden)

    Shu-qing ZHOU

    2011-06-01

    Full Text Available Objective To explore the features of intracranial collateral circulation in patients with symptomatic cerebral artery stenosis.Method Ninety-four patients with ischemic cerebrovascular disease admitted from Apr.2004 to Jun.2009 were involved in present study.All the patients were examined with cerebral multi-slice CT angiography,and the features of cerebral artery stenosis and intracranial collateral circulation were evaluated using maximum intensity projection(MIP and volume rendering(VR images of CT angiography.Result Of the 94 patients involved,48 were diagnosed as cerebral artery stenosis,including 29 cases of cerebral infarction,18 of transient ischemic attack(TIA and 1 of moyamoya disease(MMD.Among the 14 cases of severe cerebral artery stenosis or occlusion,cerebral infarction was found in 6 cases with lesser intracranial collateral vessels(including massive cerebral infarction in 4 cases and watershed infarction in 2 cases,and focal infarction of central semi-ovale in 1 case and TIA in 7 cases were found with abundant intracranial collateral vessels.Multiple lacunar infarction was found in 22 cases of mild or moderate cerebral artery stenosis,but there was no significant correlation between the stenosed arteries and infarction sites.Abundant intracranial collateral vessels were found in one patient with Moyamoya disease but no infarction was observed.Conclusions Intracranial collateral circulation plays an important role of compensation in patients with severe cerebral artery stenosis or occlusion.Cerebral angiography with multi-slice CT is of great significance in evaluation of cerebral artery stenosis and intracranial collateral circulation.

  10. Experimental assessment of the influence of beam hardening filters on image quality and patient dose in volumetric 64-slice X-ray CT scanners

    NARCIS (Netherlands)

    Ay, Mohammad Reza; Mehranian, Abolfazi; Maleki, Asghar; Ghadiri, Hossien; Ghafarian, Pardis; Zaidi, Habib

    2013-01-01

    Beam hardening filters have long been employed in X-ray Computed Tomography (CT) to preferentially absorb soft and low-energy X-rays having no or little contribution to image formation, thus allowing the reduction of patient dose and beam hardening artefacts. In this work, we studied the influence o

  11. Late enhanced computed tomography in Hypertrophic Cardiomyopathy enables accurate left-ventricular volumetry

    Energy Technology Data Exchange (ETDEWEB)

    Langer, Christoph; Lutz, M.; Kuehl, C.; Frey, N. [Christian-Albrechts-Universitaet Kiel, Department of Cardiology, Angiology and Critical Care Medicine, University Medical Center Schleswig-Holstein (Germany); Partner Site Hamburg/Kiel/Luebeck, DZHK (German Centre for Cardiovascular Research), Kiel (Germany); Both, M.; Sattler, B.; Jansen, O; Schaefer, P. [Christian-Albrechts-Universitaet Kiel, Department of Diagnostic Radiology, University Medical Center Schleswig-Holstein (Germany); Harders, H.; Eden, M. [Christian-Albrechts-Universitaet Kiel, Department of Cardiology, Angiology and Critical Care Medicine, University Medical Center Schleswig-Holstein (Germany)

    2014-10-15

    Late enhancement (LE) multi-slice computed tomography (leMDCT) was introduced for the visualization of (intra-) myocardial fibrosis in Hypertrophic Cardiomyopathy (HCM). LE is associated with adverse cardiac events. This analysis focuses on leMDCT derived LV muscle mass (LV-MM) which may be related to LE resulting in LE proportion for potential risk stratification in HCM. N=26 HCM-patients underwent leMDCT (64-slice-CT) and cardiovascular magnetic resonance (CMR). In leMDCT iodine contrast (Iopromid, 350 mg/mL; 150mL) was injected 7 minutes before imaging. Reconstructed short cardiac axis views served for planimetry. The study group was divided into three groups of varying LV-contrast. LeMDCT was correlated with CMR. The mean age was 64.2 ± 14 years. The groups of varying contrast differed in weight and body mass index (p < 0.05). In the group with good LV-contrast assessment of LV-MM resulted in 147.4 ± 64.8 g in leMDCT vs. 147.1 ± 65.9 in CMR (p > 0.05). In the group with sufficient contrast LV-MM appeared with 172 ± 30.8 g in leMDCT vs. 165.9 ± 37.8 in CMR (p > 0.05). Overall intra-/inter-observer variability of semiautomatic assessment of LV-MM showed an accuracy of 0.9 ± 8.6 g and 0.8 ± 9.2 g in leMDCT. All leMDCT-measures correlated well with CMR (r > 0.9). LeMDCT primarily performed for LE-visualization in HCM allows for accurate LV-volumetry including LV-MM in > 90 % of the cases. (orig.)

  12. Value of multi-slice helical CT for diagnosing colonic diverticulitis%多层螺旋CT在结肠憩室炎诊断中的价值

    Institute of Scientific and Technical Information of China (English)

    万荣超; 邓德茂; 袁文昭; 陈文福; 李敏; 廖海; 陈加军

    2014-01-01

    Objective To determine the multi-slice spiral computed tomography(MSCT)features of colonic diverticulitis. Methods The clinical information and MSCT of 11 patients with pathologically confirmed colonic diverticulitis were retrospectively analyzed.Results CT showed colonic diverticula with surrounding fat stranding(10)and fecalith in the diverticula(7),pericolonic fat stranding and pneumoperitoneum(1),colon wall thickening(9),bowel perforation(5)with pneumoperitoneum(3)and hematoma(1). Conclusion MSCT displays clearly the pathological changes and complications of colonic diverticulitis.%目的:分析结肠憩室炎MSCT表现,以提高对该病的认识和诊断水平。方法回顾性分析11例经结肠镜检或手术病理证实结肠憩室炎病例的临床及MSCT资料,并结合文献复习。所有病例均作腹盆部CT平扫检查,其中2例加作CT增强检查,总结结肠憩室炎的MSCT表现特征。结果 CT表现为结肠肠壁囊袋状突出并周围脂肪密度增高10例,其中憩室内粪石7例,仅表现为肠壁周围脂肪密度增高及气腹征者1例,结肠肠壁增厚9例,憩室炎穿孔5例,其中气腹3例,合并出血1例。结论 MSCT能较好的显示结肠憩室炎病变及其并发症,对结肠憩室炎有较高的诊断价值。

  13. The One-step Imaging Study of Acute Chest Pain Trilogy by 64 Slice Spiral CT%急性胸痛三联症64层螺旋CT“一站式成像”的研究

    Institute of Scientific and Technical Information of China (English)

    李欣; 孙吉林; 戴国华; 付英杰; 李志远; 柳溪

    2011-01-01

    [Abstract] Objective To investigate the image quality and ability of one-time unified examination of the 64-slice spiral CT(MSCT)in showing coronary artery, pulmonary artery and aorta. Materials and Methods 60 patients with acute chest pain received unified examination of coronary artery .pulmonary artery, aorta with 64-slice MSCT using ECG-gated function respectively. The coronary artery,pulmonary artery and aorta were imaged by using a variety of reconstruction techniques compare to 50 cases with pure 64-slice MSCT coronary angiography ,30 cases with pulmonary artery imaging and 20 cases with aortic imaging. The results from the above examinations were analyzed to evaluate whether or not the quality of the images could meet the need of the clinical diagnosis. Results The average scan time of one step examination was(8.0 ± 1.5)S,and the dose of contrast medium injected was 100 ml,and the injection flow rate of 4.0 -4.5 ml/s. There was significant difference between the chest pain group and the control group in the images of the coronary artery (P 0.05;P=0.44, >0.05;P =0.068, >0.05).The image quality of the chest pain group was as good as the one of the control group. There was significant difference between two groups and intragroup in the images of the central, peripheral and whole pulmonary artery in chest pain group and the control group (P<0.01 ;P<0.01 ;P<0.01).The image quality of the chest pain group was better than the one of the control group. Conclusion The one-step examination of coronary artery .pulmonary artery,aorta by 64-slice MSCT can be finished within 10 seconds. The image quality of aorta, pulmonary artery is excellent. There is no significant difference between the image quality of the single aorta imaging and the unified examination of the MSCT,of which image quality is better than that of single pulmonary artery MSCT. The image of the coronary artery in one time unified examination is good,can meet the needs of the clinical diagnosis,but is

  14. Diagnostic Value of 64-slice CT Perfusion Imaging in Prostate Cancer and Benign Prostatic Hyperplasia%64排CT灌注成像对前列腺癌与良性前列腺增生的诊断价值

    Institute of Scientific and Technical Information of China (English)

    常泰; 戴娜

    2011-01-01

    [目的]探讨前列腺64排CT灌注成像的可行性及对前列腺癌与良性前列腺增生(BPH)的诊断价值.[方法]选择经手术或穿刺病理证实的前列腺癌患者28例(A组)和BPH患者35例(B组),所有患者均行前列腺64排CT灌注扫描,比较两组灌注参数:血流量 (BF)、血容量(BV)、峰值(PE)、达峰时间(TTP)、表面通透性(PS).[结果]A组BF、BV、PE分别为(0.492±0.115) mL/(100 g·min),(0.146±0.019) mL/100 g,(33.4±5.1) HU均显著小于BPH组(1.712±0.095) mL/(100 g·min),(0.276±0.031) mL/100 g,(56.7±6.7) HU(P<0.05),TTP、PS分别为(54.2±5.6)S和(54.8±6.9)mL/(100 g·min)均显著大于BPH组(26.4±4.6)S和(20.1±4.8)mL/(100 g·min) (P<0.05).[结论]前列腺64排CT灌注成像方法可行,灌注数据获得简单快捷,能够在一定程度上反映出前列腺血流灌注变化;前列腺64排CT灌注成像能定量地提供前列腺血流信息,可无创性地辅助诊断前列腺癌和BPH.%[Objective] To explore the feasibility and diagnostic value of 64-clice CT perfusion imaging in prostate cancer(PC) and benign prostatic hyperplasia(BPH). [Methods] Twenty-eight PC patients (group A) and thirty-five BPH patients (group B) confirmed by surgery or pathology were selected. All patients were performed by 64-slice CT perfusion of prostate. The perfusion parameters such as blood flow(BF) , blood volume (BV) , peak enhancement (PE) , time to peak (TTP) and permeability surface(PS) were compared between two groups. [Results] BF, BV and PE in group A were 0. 492 ± 0. 115 mL/(100g · min),(0. 146 ± 0. 019) mL/100g and (33. 4 ± 5. 1)HU respectively, which were significantly lower than those in group B[(1. 712 ± 0.095) mL/(100 g · min),(0. 276 ± 0. 031) mL/100 g and (56. 7 ± 6. 7) HU] ( P <0. 05). TTP and PS in group A were 54. 2 ± 5. 6S and 54. 8 ± 6. 9ml/(100g · min) respectively, which were significantly higher than those in group B[(26. 4 ± 4. 6)s and (20. 1 ± 4. 8) mL/(100g · min)]( P <0. 05

  15. The analysis of diagnostic value of 64-slice spiral CT in acute mesenteric vascular embolism%64层螺旋CT对急性肠系膜血管栓塞的诊断价值分析

    Institute of Scientific and Technical Information of China (English)

    张浩亮; 杜海; 武轶非; 张凤翔

    2012-01-01

    目的 探讨64层螺旋CT血管造影对急性肠系膜血管栓塞(AMI)的诊断价值.方法 回顾性分析经64层螺旋CT全腹平扫加多期动态增强扫描诊断的15例AMI.其中,肠系膜上动脉栓塞3例(完全栓塞1例,不完全栓塞2例),肠系膜上静脉栓塞12例.结果 15例AMI直接征象:动脉期显示肠系膜上动脉完全或部分充盈缺损,可诊断为肠系膜上动脉完全或部分栓塞(3例).静脉期显示肠系膜上静脉完全或部分充盈缺损,可诊断为肠系膜上静脉完全或部分栓塞(12例);间接征象“缆绳征”12例,肠系膜水肿10例,肠管壁增厚12例,肠管扩张、积液8例,肠壁强化减弱7例,其中2例可见节段性未强化区,腹水6例,肾前筋膜增厚4例,肠壁积气2例.平扫肠系膜上动脉或上静脉高密度征7例(静脉栓塞6例,动脉栓塞1例),肠系膜上静脉栓塞累及门静脉、脾静脉6例,其中4例在增强扫描时,可见肝脏异常低灌注区.结论 64层螺旋CT平扫加多期动态增强扫描对急性肠系膜血管栓塞的诊断及时准确,应作为临床怀疑肠系膜血管疾病首选检查方法,值得推广应用.%Objective To explore the diagnostic value of 64-slice spiral CT in acute mesenteric vascular embolism. Methods We retrospectively analyzed the images of 15 AMI by multiphase dynamic contrast-enhanced 64-slice spiral CT, 3 superior mesenteric artery embolization (1 completely embolization, 2 incompletely embolization), and 12 superior mesenteric vein embolization. Results The direct signs: superior mesenteric artery was full or partial filling defect in arterial phase, and superior mesenteric vein was full or partial filling defect in vein phase. Indirect sign: there were 12 cases of "stranding sign", 10 cases of mesenteric edema, 8 cases of bowel expansion and effusion, and 6 cases with ascites, 7 cases of high density for the blood vessel by CT plain scan (6 in superior mesenteric vein embolization, 1 in superior mesenteric

  16. The application value of 64-slice spiral CT in the diagnosis of occult rib fracture%64层螺旋CT在隐匿性肋骨骨折诊断中的应用价值

    Institute of Scientific and Technical Information of China (English)

    迟宝权; 刘亚静; 康洁

    2011-01-01

    Objective To evaluate the diagnostic value of 64-slice spiral CT and post-reconstruction technique in the diagnosis of occult rib fracture. Methods 42 patients with suspected chest trauma and occult rib fracture were examined by 64-slice spiral CT scan. All the original images were transferred to workstation to be post-processed to obtain volume rendering ( VR ) , maximum intensity projection ( MIP), multiplanar reformation (MPR) ,curved planar reformation(CPR) images in order to reveal occult rib fractures clearly. The abilities in displaying occult rib fractures were compared among VR, MIP, MPR, and CPR. Results The comprehensive application of various reconstruction techniques could show clearly the different parts and different types of occult rib fractures. The CPR reconstruction was the best one of them in displaying occult rib fractures,as compared with MPR and VR. A total of 59 parts of occult rib fracture were diagnosed in 42 patients with chest trauma. Conclusion The 64-slice spiral CT and post-reconstruction technique to treat the images can show clearly occult rib fracture, and can meet the positioning and qualitative analysis for occult fracture ribs,so which is the preferred method for detecting occult rib fracture.%目的 探讨64层螺旋CT及其后重建技术在隐匿性肋骨骨折诊断中的临床应用价值.方法 对42例胸部外伤考虑隐匿性肋骨骨折患者,进行64层螺旋CT平扫,将所得原始数据经工作站进行图像后处理,获得容积再现(VR),最大密度投影(MIP),多平面重组(MPR)、曲面重建(CPR)图像.并比较各种重建图像对隐匿性骨折的显示能力.结果 综合运用各种后重建技术,可清晰显示不同部位、不同类型肋骨隐匿性骨折.重建以CPR技术显示效果最佳,MPR、VR次之.42例胸部外伤患者共确诊59处肋骨隐匿性骨折.结论 64层螺旋CT及其后重建技术图像显示清晰,满足对肋骨隐匿性骨折进行定位、定性分析,是肋骨隐匿性骨折检查首选方法.

  17. 64层螺旋CT对寰椎椎动脉沟环综合征的诊断价值%The diagnostic value of 64-slice spiral CT on atlas vertebral artery sulcus ring syndrome

    Institute of Scientific and Technical Information of China (English)

    路明; 陈穹; 汪茂文; 王钢; 陈小昕; 虞鲲

    2012-01-01

    目的 探讨64层螺旋CT对寰椎椎动脉沟环综合征的诊断价值.方法 收集因常规颈椎正侧位X线检查发现的寰椎椎动脉沟环患者48例,进行64层螺旋CT容积扫描后,进行容积重建和多平面重建,多方位显示寰椎结构形态及寰枢关节间隙,并探讨其与临床症状之间的关系.结果 48例寰椎椎动脉沟环患者中,右侧完整环型24例,孔径(6.59±0.50)mm,左侧完整环型36例,孔径(6.19±0.49)mm,右侧不完整环型24例,左侧不完整环型12例.30例诊断为寰椎椎动脉沟环综合征,均有寰枢关节不稳及不同程度头颈转动性眩晕症状.结论 64层螺旋CT能清晰显示寰椎后弓桥的解剖结构和测量寰椎椎动脉沟环的孔径,结合对枕颈失稳的判断,对寰椎椎动脉沟环综合征具有重要的诊断价值.%Objective To explore the diagnostic value of 64-slice spiral CT on atlas vertebral artery sulcus ring syndrome.Methods The 48 atlas vertebral artery sulcus ring patients who were found by conventional anterior posterior and lateral X-ray film were collected.The 64-slice spiral CT volume scan and following volume restitution(V R)and multiplanar reconstruction(MPR)were underwent,and multi-directional structural morphology was displayed.Their relationship with clinical features were analyzed.Results Among 48 cases of atlas vertebral artery sulcus ring,24 cases were shown with right complete bridge[pore size(6.59±0.50)mm],36 cases with left complete bridge[pore size(6.19±0.49)mm],24 cases with right incomplete bridge and 12 cases with left incomplete bridge.Thirty cases were diagnosed as atlas vertebral artery sulcus ring syndrome,and all had the atlantoaxial joint asymmetry and vertigo of different degree when head and neck rotated.Conclusions The 64-slice spiral CT can clearly display the anatomical features of posterior bridge of atlas and measure the pore size of atlas vertebral artery sulcus ring,and it has important diagnostic value for atlas

  18. 门静脉系统血栓的64层螺旋CT诊断价值%The Diagnostic Value of Thrombus in Portal Vein on 64-slice Spiral CT

    Institute of Scientific and Technical Information of China (English)

    韩新巍; 周朋利; 郑颖; 丁鹏绪; 路慧彬; 司江涛

    2009-01-01

    Objective To study the 64-slice spiral CT feature of the thrombus in portal vein. Materials and Methoils Noocontrast-enhanced CT and contrast enhanced CT were performed in all 15 patients. MIP,VR and MPR were used for three dimensional reconstruction. The features of the throw.bus in portal vein were analyzed. Results In 15 cases, 13 cases(83%) occurred in trunk vein,6 cases in right branch,7 cases in left branch,3 cases in splenic vein,9 cases in superior mesenterie vein. Yerdel Grade:Grade Ⅰ1 case,Grade Ⅱ10 cases, Grade Ⅲ 3 cases,GradelV 1 case. 10 cases showed high-dense in thrombus ,3 cases appeared low-dense. 12 cases presented partial filling defect, which is described as stripe and bundles in contrasted vein. All the involved vein had smooth and successive wall and had no appeared nodes protrude out at portal vein period. All the cases with thrombus showed typical track sign or line augmentation sign in involved vein wall. 12 cases displayed collateral circulation in esophag-ogastricand splenic vein, and 4 cases displayed pericholecystic and pericholedochal collateral branches. No case visualized A-P shunt. Conclusion 64-slice spiral CT can display the location, feature and cumulative branch of the thrombus in portal vein distinctly and stereoscopically. 64-slice spiral CT is very important modality for the thrombus in portal vein.%目的 探讨门静脉系统血栓(portal vein thrombosis,PVT)的64层螺旋CT表现特征.资料与方法 15例PVT行64层螺旋CT平扫和双期增强扫描,采用最大密度投影(MIP)、容积再现(VR)及多平面重组(MPR)观察其影像学特征.结果 15例中,血栓发生于门静脉(PV)主干13例,右支6例,左支7例,脾静脉(SV)3例,肠系膜上静脉(SMV)9例,其中血栓同时累及PV主干和SMV 8例,同时累及PV左右支、主干和SMV 4例,累及PV主干和右支6例,累及PV主干和左支6例,累及SV和SMV 2例,PV主干、SV、SMV三岔口处血栓1例.Yerdel分级:Ⅰ级1例,Ⅱ级10例,Ⅲ级3

  19. Comprehensive Application of 64-slice Spiral CT Scan Techniques on Diagnosis Value of Nodular Goiter%64排CT的综合运用对诊断结节性甲状腺肿价值探讨

    Institute of Scientific and Technical Information of China (English)

    肖继伟; 王晓燕; 胡道予

    2014-01-01

    目的:探讨64排螺旋CT扫描技术的综合运用对结节性甲状腺肿的诊断及鉴别诊断方面的价值。方法:选择41例经过病理证实的结节性甲状腺肿,甲状腺肿瘤及其他结节性甲状腺疾病若干,全部行64排螺旋CT平扫及动态增强扫描加后续重建,观察病灶的大小、形态、密度、边缘、强化特点及有无侵犯和转移等,总结和归纳病灶的影像学表象及特征。结果:结节性甲状腺肿、甲状腺肿瘤及其他结节性甲状腺疾病在CT影像上的表现可能少部分有所重叠,但大多数趋于不同,且有一定规律可循。结论:基于64排CT扫描技术的综合运用可在很大程度上掌握结节性甲状腺肿及相似疾病的表象及特征,对结节性甲状腺肿诊断及鉴别诊断具有重要意义。%Objective:To discuss the comprehensive application of 64-slice spiral CT scan techniques on the diagnosis value of nodular goiter and its differential diagnostic value. Methods:41 cases of nodular goiter,thyroid tumors and other nodular thyroid diseases,which had been verified by pathology,were selected to conduct 64-slice spiral CT scan and dynamic contrast-enhanced scan plus follow-up reconstruction. With observing the size,shape,density,edge,enhancing char-acteristics of the lesion as well as its infringement and metastasis,imaging characteristics of the le-sion were concluded. Results:The imaging manifestations of nodular goiter,thyroid tumors and oth-er nodular thyroid diseases overlap only in small portion on CT,but mostly they are different. Con-clusion:The comprehensive application of 64-slice spiral CT scan techniques can considerably di-agnose the representations and characteristics of nodular goiter and similar diseases,which is signifi-cant to the diagnosis and differential diagnosis of nodular goiter.

  20. Assessment of perigastric veins anatomy using 64-slice spiral CT angiography with image fusion%64层螺旋CT血管成像及融合技术评价胃周静脉

    Institute of Scientific and Technical Information of China (English)

    李雪华; 孙灿辉; 冯仕庭; 彭振鹏; 何裕隆; 韩方海; 李子平; 孟悛非

    2012-01-01

    To evaluate the efficacy and clinical value of 64-slice spiral CTA with image fusion on the anatomy of perigastric veins. Methods Totally 53 patients underwent abdominal 64-slice spiral CT examination. CTA of perigastric veins, arteries and stomach were reconstructed, and the images were fused with VR technique. The inflow and courses of perigastric veins were observed, as well as the spatial relationship among the perigastric veins, arteries and stomach on CTA. Moreover, the accuracy, sensitivity and specificity of preoperative CTA were detected with surgical findings as standard in 26 patients who underwent gastrectomy. Results In 53 patients, the display rate of the right gastroepiploic vein was 100% (53/53), 90. 57% (48/53) of the left gastric vein, 73. 58% (39/53) of the right gastric vein, 50. 94% (27/53) of the posterior gastric vein, 94. 34% (50/53) of the short gastric vein, 92. 45% (49/53) of the left gastroepiploic vein, and 71. 70% (38/53) of the gastrocolic trunk. The accuracy of preoperative CTA correctly identifying perigastric veins was 92. 31%—100%, the sensitivity was 90. 91%—100%, and the specificity was 100%. Conclusion 64-slice spiral CTA can clearly display perigastric veins and show the relationship among the stomach and perigastric arteries in the living body with the fused image.%目的 探讨64层螺旋CTA及融合技术对胃周静脉的显示能力和临床应用价值.方法 对53例患者行腹部64层螺旋CT扫描.采用VR技术分别重建胃周静脉、动脉和胃,并将其融合,观察胃周静脉的汇入点、走行及其与胃周动脉、胃的空间关系.将26例接受手术治疗患者的术前CTA资料与术中所见进行对比,评价64层螺旋CTA显示胃周静脉的准确率、敏感度及特异度.结果 胃网膜右静脉的显示率为100%(53/53),胃左静脉为90.57%(48/53),胃右静脉为73.58%(39/53)、胃后静脉为50.94%(27/53)、胃短静脉为94.34%(50/53)、胃网膜左静脉为92.45%(49

  1. 精益六西格玛法对64排CT检查流程的优化研究%Optimizing Study of 64 Slices CT Examination Workflow with Lean Six Sigma

    Institute of Scientific and Technical Information of China (English)

    郝光远; 陈军; 魏从全; 许诗丽; 王丽; 刘文婷; 孔雀

    2012-01-01

    Objective: To study the process of 64-slices detectors CT examination in patients by the implement of Lean Six Sigma methods: In order to reduce the patients' invalid waiting time so as to raise the patient's flux. Methods Five-step method in Lean Six Sigma management system was performed and implemented. According to such segments as the time of registration, waiting for CT examination, CT examination, films printing, films collecting, CT image interpretation, taking diagnostic report, 160 patients were randomly selected to analyze the times of each segment to find the key factor of resulting in extending the whole CT examination time. Refining methods to aim directly at the factors of resulting in the whole CT examination time were prolonged were proposed to improve the conventional CT examination process. And these methods were retained to be modified and optimized to increase the performed CT scan's patients in each segment. Then, another 160 patients were randomly selected to be compared with the fore 160 patients for the total time of CT examination after the refining methods were performed. Results: The average invalid waiting time of the patients were dropped from 88.50 min to 52.30 rain with statistically difference (P〈 0.01). The Six Sigma value (Z value) was increased from -0.54 to 5.12. Conclusion: The implementing of Lean Six Sigma in the 64-slices CT examination process can shorten the patient's invalid waiting time significantly and improve the patient's flux of single 64-slices CT scanner in each work-day.%目的:运用精益六西格玛方法研究64排CT检查流程,减少患者无效等待时间,提高单台64排CT检查患者的流通量。方法:运用和实施精益六西格玛管理体系5步法,按登记时间、检查前时间、检查时间、打印时间、收片时间、报告时间、取片时间,随机抽取160名患者分析其各阶段时间,找出致患者侯检时间延长的关键因素;对传统检查流程中导致等

  2. 64层VCT首过期灌注成像对肺部结节的诊断价值%First pass phase of perfusion imaging with 64-slice VCT in diagnosis of pulmonary nodules

    Institute of Scientific and Technical Information of China (English)

    舒圣捷; 黄晗; 刘白鹭; 王非; 赵雁鸣; 申秀芬

    2011-01-01

    Objective: To evaluate the diagnostic ability of first pass phase of perfusion imaging with 64-slice VCT between benign and malignant pulmonary nodules. Methods; A total of 108 patients with pulmonary nodules underwent perfusion scan with 64 slice spiral CT scanner. The parameters of CT perfusion. Including blood volume (BV), blood flow (BF). Mean transit time (MTT). Permeability surface (PS). And time-density curve (TDC). Were analyzed. The CT perfusion and enhanced parameters were compared with vascular endothelial growth factor (VEGF) expression by immunohis-tochemistry. Results: These parameter values in pulmonary malignancy nodules were highter than those in pulmonary benign nodules. The TDC appeared different for malignant and benign nodules. Conclusion: Perfusion CT can provide quantitative information about blood flow perfusion of nodules and it is meaningful to the diagnosis and differential diagnosis of pulmonary nodules.%目的:探讨首过期的64层VCT肺灌注成像对肺部结节的诊断意义.方法:对108例肺结节患者进行CT灌注扫描,测定肺结节的时间-密度曲线(TDC)、血容积(BV)、血流量(BF)、平均通过时间(MTT)和表面通透性(PS)的数值,并测量肺结节增强前的CT值、增强值和结节-动脉增强值之比(S/A).标定结节的血管内皮生长因子(VEGF),评价肺结节CT灌注和增强指数与VEGF表达的相关性.结果:肺癌的灌注指数高于肺良性结节.良、恶性结节的TDC形态不同.结论:CT肺灌注成像可定量的评价肺结节的血流灌注特点,对肺部结节有较大的诊断及鉴别诊断意义.

  3. 64排容积CT后处理技术对输尿管梗阻的诊断%64-slice volume CT post-processing techniques for the diagnosis of ureteral obstruction

    Institute of Scientific and Technical Information of China (English)

    万书友; 侯明杰; 杜灵艳

    2014-01-01

    Objective To investigate the diagnostic value of post-processing technique for ureteral obstruction. Methods All cases were confirmed by surgery or clinical data. 64-slice volume CT (VCT) was performed in 90 cases with ureteral obstruction. The volume data of all patients were reconstructed with 3D reconstruction techniques in-cluding multiple planar reformation (MPR), and volume rendering technique (VR), and curved planar reformation (CPR). Results Among the 90 cases,there were 78 cases of ureteral calculus, 4 ureteral and bladder carcinomas, 2 congenital malformations,and 1 inflammatory stenosis. Conclusion 64-slice VCT and post-processing technique have unique advantage for the etiology and level diagnosis of ureteral obstruction ,which have important significance for clinical treatment programs.%目的:探讨64排螺旋CT后处理技术对输尿管梗阻的诊断价值。方法选取我院2010年6至2013年6月间90例经临床确诊输尿管梗阻病例,所有病例均行64排容积CT扫描并进行多平面重建(multipla-nar reformatting,MPR)、容积重建(volume rendering technique,VR)、曲面重建(curved planar reformation,CPR)等处理。结果90例输尿管梗阻中78例由于输尿管结石所致,邻近器官压迫5例,输尿管癌或膀胱癌4例,先天畸形2例,输尿管炎1例。结论64排容积CT平扫及多种后处理技术对输尿管梗阻病因及定位诊断具有很高的临床应用价值,对临床治疗方案的选择具有重要指导意义。

  4. Study of Relationship Between 64-slice CT Features and Chronic Rhino Sinusitis in Children with Adenoid Hypertrophy%儿童腺样体肥大的CT表现与慢性鼻-鼻窦炎的关系

    Institute of Scientific and Technical Information of China (English)

    王乐秋; 张瑞迪; 隋萍萍; 马秀凤; 李丽娟

    2013-01-01

    Objective To study the relationship between 64-slice CT features and chronic rhino sinusitis in children with adenoid hypertrophy. Methods The noses of 125 children with adenoid hypertrophy were scanned by 64-slice CT. The relationship between incidence of chronic rhino sinusitis and the volume of adenoid measured by CT was analyzed statistically. Results Mild adenoid hypertrophy (A/N 0.05). While the moderate or severe hypertrophy is (A/N ≥ 0.61) more likely to cause chronic rhino sinusitis. There is positive correlation between the hypertrophy degree and the incidence of chronic rhino sinusitis(P<0.05). Conclusion The CT features of adenoid hypertrophy is closely related to chronic rhino sinusitis. It is of great significance to treat adenoid hypertrophy timely for the prevention of chronic rhino sinusitis.%目的 探讨腺样体肥大儿童中慢性鼻-鼻窦炎发病情况与其CT表现的关系.方法 对125例腺样体肥大的儿童行常规鼻部64排CT检查,统计分析慢性鼻-鼻窦炎的发生率与CT测量腺样体体积的关系.结果 腺样体轻度肥大(A/N<0.6)与慢性鼻-鼻窦炎发病与否无关(P >0.05).腺样体中重度肥大(A/N≥0.61)的患儿更易合并慢性鼻-鼻窦炎,且呈正相关关系(P <0.05).即随着腺样体肥大程度的增加,慢性鼻-鼻窦炎发病率亦增加.结论 儿童腺样体肥大CT表现与慢性鼻-鼻窦炎密切相关,及时治疗腺样体肥大对预防及治疗慢性鼻-鼻窦炎具有十分重要的意义.

  5. The Analysis of 8 Missed Diagnosis of Rib Fracture by Multi-slice CT%多层螺旋CT诊断肋骨骨折8例漏诊分析

    Institute of Scientific and Technical Information of China (English)

    冯莹印; 王浩; 纪盛章

    2012-01-01

    目的 通过回顾性分析2007年以来8例肋骨CT检查漏诊病例,探讨多层螺旋CT诊断肋骨骨折的限度.资料和方法 2007年1月至2011年9月127例行肋骨CT检查患者,男83例,女44例,年龄18-88岁,平均51.83岁.应用TOSHIBA AQUILION 16层螺旋CT或GE Lightspeed 64层VCT行肋骨CT扫描,扫描数据传至工作站,应用多平面重组(multiplanar reconstruction,MPR)、曲面重组(curved planar reformation,CPR)、容积再现(volumerendering,VR)、电影显示等方法观察骨折情况.结果 127例患者中,共检出骨折患者115例,骨折5 65处.1 4例复查患者中,6例骨折情况无变化.另有8例可见原未显示的新骨折,共检出14处.结论 虽然MSCT作为诊断肋骨骨折的必要检查手段有重要意义,但是它存在一定的局限性.因此,我们对可能发生的“隐匿性骨折”病例应提示必要复查,避免医疗纠纷发生.%Objective To investigate the limitation of diagnosing rib fracture by multi-slice CT(MSCT)through retrospective analysis of 8 missed diagnosis of rib fracture since 2007. Methods 127 patients from Jan.2007 to Sep.2011,83 male and 44 female, the scope of age from 18 to 88,the average age was 51.83 years old.Applied TOSHIBA AQUILION 16-Slice Spiral CT or GE Lightspeed 64-Slice VCT for scanning .scanning data transferred to workstation. Observed ribs by MPR, CPR, VR and film visualizing method. Results Of the 127 patients, 115 patients were found 565 fractures.Among the 14 patients of reexamination, 6 patients had no discrepancy and 8 patients had total 14 new fractures which were not found in the first diagnosis. Conclusion MSCT examination is a important method for diagnosing rib fracture, but it have some limitations. So, patients who maybe have occult fracture should be known that reexamination is necessary,in order to avoid medical disputes.

  6. Evaluation of spinal cord vessels using multi-slice CT angiography

    Institute of Scientific and Technical Information of China (English)

    陈爽; 钱建国; 冯晓源

    2004-01-01

    @@ Compared with the large number of head and neck vascular studies, computer tomography (CT) angiography of spinal vascular lesions has received relatively little attention. Several series and a few isolated cases of spinal vascular malformations demonstrated with magnetic resonance (MR) angiography have been reported.1-3 Selective digital subtraction angiography (DSA) is gold standard for diagnosis of spinal vascular lesions.4 However, it is invasive, time consuming, expensive, and dependent on the skills of the operator. Based on the DSA appearance and the surgical findings, spinal vascular malformations are generally, although not universally, classified as intradural (intramedullary and/or extramedullary) arteriovenous malformation (AVM) or arteriovenous fistula (AVF), and dural AVF. Recommended treatments of dural AVF consist of surgical obliteration and/or embolization.5-8

  7. Assessment of volumetric bone mineral density of the femoral neck in postmenopausal women with and without vertebral fractures using quantitative multi-slice CT

    Institute of Scientific and Technical Information of China (English)

    Sheng-yong WU; Hui-hui JIA; Didier HANS; Jing LAN; Li-ying WANG; Jing-xue LI; Yue-zeng CAI

    2009-01-01

    Objective: To demonstrate the validity and reliability of volumetric quantitative computed tomography (vQCT) with multi-slice computed tomography (MSCT) and dual energy X-ray absorptiometry (DXA) for hip bone mineral density (BMD) measurements, and to compare the differences between the two techniques in discriminating postmenopausal women with osteoporosis-related vertebral fractures from those without. Methods: Ninety subjects were enrolled and divided into three groups based on the BMD values of the lumbar spine and/or the femoral neck by DXA. Groups 1 and 2 consisted of postmenopausal women with BMD changes <-2SD, with and without radiographically confirmed vertebral fracture (n=11 and 33, respectively).Group 3 comprised normal controls with BMD changes ≥-1SD (n=46). Post-MSCT (GE, LightSpeed16) scan reconstructed images of the abdominal-pelvic region, 1.25 mm thick per slice, were processed by OsteoCAD software to calculate the following parameters: volumetric BMD values of trabecular bone (TRAB), cortical bone (CORT), and integral bone (INTGL) of the left femoral neck, femoral neck axis length (NAL), and minimum cross-section area (mCSA). DXA BMD measurements of the lumbar spine (AP-SPINE) and the left femoral neck (NECK) also were performed for each subject. Results: The values of all seven parameters were significantly lower in subjects of Groups 1 and 2 than in normal postmenopausal women (P<0.05, respectively).Comparing Groups 1 and 2, 3D-TRAB and 3D-INTGL were significantly lower in postmenopausal women with vertebral fracture(s) [(109.8±9.61) and (243.3±33.0) mg/cm3, respectively] than in those without [(148.9±7.47) and (285.4±17.8) mg/cm3,respectively] (P<0.05, respectively), but no significant differences were evident in AP-SPINE or NECK BMD. Conclusion: the femoral neck-derived volumetric BMD parameters using vQCT appeared better than the DXA-derived ones in discriminating osteoporotic postmenopausal women with vertebral fractures from

  8. Segmentation algorithm of colon based on multi-slice CT colonography

    Science.gov (United States)

    Hu, Yizhong; Ahamed, Mohammed Shabbir; Takahashi, Eiji; Suzuki, Hidenobu; Kawata, Yoshiki; Niki, Noboru; Suzuki, Masahiro; Iinuma, Gen; Moriyama, Noriyuki

    2012-02-01

    CT colonography is a radiology test that looks at people's large intestines(colon). CT colonography can screen many options of colon cancer. This test is used to detect polyps or cancers of the colon. CT colonography is safe and reliable. It can be used if people are too sick to undergo other forms of colon cancer screening. In our research, we proposed a method for automatic segmentation of the colon from abdominal computed Tomography (CT) images. Our multistage detection method extracted colon and spited colon into different parts according to the colon anatomy information. We found that among the five segmented parts of the colon, sigmoid (20%) and rectum (50%) are more sensitive toward polyps and masses than the other three parts. Our research focused on detecting the colon by the individual diagnosis of sigmoid and rectum. We think it would make the rapid and easy diagnosis of colon in its earlier stage and help doctors for analysis of correct position of each part and detect the colon rectal cancer much easier.

  9. 64-slice spiral CT diagnosis of juxtapapillary diverticulum of duodenum%64层螺旋CT在十二指肠乳头旁憩室中的诊断

    Institute of Scientific and Technical Information of China (English)

    陈穹; 王钢; 汪茂文; 钱春锋; 姚强; 路明; 汤友英

    2011-01-01

    目的 探讨64层螺旋CT在十二指肠乳头旁憩室(JDD)中的诊断价值.方法 回顾分析经64层螺旋CT扫描发现并经消化道造影或内窥镜逆行性胆胰管造影(ERCP)证实的JDD 34例,通过后处理软件进行多平面重建(MPR)、容积再现(VR),显示其与胆总管下端的关系,并结合临床进行分析.结果 34例JDD,共发现乳头上型19例,乳头缘型10例,乳头水平外侧缘型1例,乳头下型4例.34例JDD合并胆总管结石7例,胆总管下端炎性狭窄11例,胆囊结石7例,急性胆囊炎4例,慢性胆囊炎17例,合并急性胰腺炎1例,慢性胰腺炎2例,合并肝内胆管小结石3例.结论 64层螺旋CT强大的后处理功能,不仅使JDD的检出率明显提高,更可显示其与十二指肠乳头的关系,可对临床胆系疾病的发病原因提供有益的帮助.%Objective To explore the value of 64-slice spiral CT in the diagnosis of juxtapapillary diverticulum of duodenum (JDD). Methods CT data in 34 cases of JDD confirmed by gastrointestinal radiography or endoscopic retrograde cholangiopancre-atography(ERCP) were retrospectively analysed. The relationship between the diverticulum and distal common bile duct was showed with multiplanar reconstruction!MPR) and volume rendering ( VR) by post-processing software. Results Among 34 cases, there were 19 cases of papillary-superior, 10 cases of nipple-margin, 1 case of the lateral opposite of the papillary-margin and 4 cases of papillary-inferior. In 34 cases ,there were 7 cases in combination with common bile duct stones, 11 cases of distal common bile duct inflammatory stricture,7 cases of cholelithiasis, 4 cases of acute cholecystitis, 17 cases of chronic cholecystitis, 1 case of acute pancreatitis, 2 cases of chronic pancreatitis and 3 cases of intrahepatic bile duct calculus correspondingly. Conclusion 64-slice spiral CT post-processing technology can not only improve the detecting rate of JDD significantly, but also can display the relationship

  10. 不同临床分期肾细胞癌的多层螺旋 CT 灌注研究%Study on value of 64 slice spiral CT perfusion in different clinical stages of renal cell carcinoma

    Institute of Scientific and Technical Information of China (English)

    张颖颖; 董莹; 王义云

    2015-01-01

    Objective To evaluate the clinical value 64 slice spiral CT perfusion imaging in diagnosis for differ‐ent stages of renal cell carcinoma .Methods The clinical data of 41 patients with renal cell carcinoma from January 2011 to October 2013 were analyzed retrospectively .Using the pathological examination results as gold standard , blood flow perfusion after treatment ,blood volume(BV) ,peak enhancement (PEI) ,time to peak (TTP) ,mean transit time (MTT) and permeability surface (PS) were compared in differen stages ,evaluation index of CT in diagnosis for renal cell carcinoma staging were calculated .Results There were significant difference on perfusion ,BV ,PEI ,MTT , PS parameters between early and advanced renal cell carcinoma (P0 .05) .The sensitivity ,specificity ,misdiagnosis rate ,missed diagnosis rate and Youden index of renal CT perfusion imaging were 86 .36% ,89 .47% ,10 .53% ,13 .64% ,1 .758 and 0 .758 respetively .Conclusion There is high accuracy of 64 slice spiral CT perfusion imaging in diagnosis for different stages of renal cell carcinoma , which is worthy of application and promotion .%目的:探讨利用64排螺旋C T灌注成像技术对不同分期肾细胞癌进行诊断的临床价值及方法。方法回顾性分析莱芜市人民医院2011年1月至2013年10月收治的41例肾细胞癌患者的临床资料,以病理学检查结果作为临床分期的金标准,比较不同分期肾细胞癌的CT灌注成像经灌注软件包处理后的血流量(Perfusion),血容量(BV),峰值强化(PEI),达峰时间(TTP),平均通过时间(MTT),表面通透性(PS)指标的差异,同时计算CT诊断肾细胞癌分期的诊断学评价指标。结果早期肾细胞癌和晚期肾细胞癌的Perfusion、BV、PEI、M T T、PS参数比较,差异有统计学意义(P<0.05),而TTP参数比较差异无统计学意义(P>0.05)。采用CT 灌注成像技术诊断肾细胞癌分期的灵敏度为86.36

  11. 64排螺旋CT仿真结肠镜在结肠癌诊断中的应用%Clinical application of 64-slice spiral CT virtual colonoscopy in diagnosis of colonic carcinoma

    Institute of Scientific and Technical Information of China (English)

    张明

    2012-01-01

    目的 探讨64排螺旋CT仿真结肠镜(CT virtual colonoscopy,CTVC)及其二维三维重建在结肠占位的CT表现及临床应用.方法 回顾分析52例行64排螺旋CT双体位结肠扫描的结肠癌病例,所有患者均进行结肠充气仰卧位及俯卧位增强扫描,其中20例增加了左或右侧位三期扫描,将MSCT扫描原始数据传送至ADW4.4工作站采用CT仿真结肠镜(CTVC)、多平面重建(MPR)、表面遮盖显示(SSD)、透明重建显示(Raysum)4种方法进行结肠重建处理,对病灶的形态、大小、密度、结肠壁受损的程度、范围以及结肠外情况、淋巴结转移情况进行综合分析,做出准确判断.结果 结肠、直肠癌52例,全部病例均经过手术及纤维结肠镜检查活检病理证实.结论 MSCT仿真结肠镜可显示结肠占位病变的形态、大小及肠壁、肠周侵犯情况,多体位扫描能使病变肠管扩张充分,更好地显示病灶的细节,提高病变检出的敏感性,为临床选择合理的治疗提供有价值的依据,是诊断结肠占位的一种有效检查方法.%Objective To investigate the CT manifestations and diagnostic value of 64 - slice spiral CT virtual colonoscopy (CTVC) and its 2D/3D - reslruction in colonic neoplasms. Methods 64 - slice spiral CT scan of colon was performed in 52 patients, Spiral CT enhancing scan was performed in both the supine and prone positions after appropriately distended by introduction of air and water, and triple - phase spiral CT enhanced scan were additionally performed in 20 of 52 cases, and the data of MSCT were transferred to ADW4.4 workstation for colon reconstruction image post processing including CT virtual colonoscopy (CTVC) , multiple planar reconstruction (MPR) , shaded surface display (SSD) and Raysum display. The MSCT findings of the shape, size and density of lesions, the injury extent and range of colonic wall and extracolon, and lymph node metastasis were analyzed and estimated. Results Totally 52

  12. 64排CT用于创伤性颅脑损伤诊断中的价值%Value of Applying 64-slice CT to Diagnosis of Traumatic Brain Injury

    Institute of Scientific and Technical Information of China (English)

    刘光祖

    2016-01-01

    Objective To research and analyze the value of applying 64-slice CT to diagnosis of traumatic brain injury. Methods 100 patients with traumatic brain injury were selected as main survey samples randomly. All patients received CT examination when they were admitted to the hospital. The patients with negative examination result received CT reexamination in 1 day. If the examination results were negative, the patients needed to receive CT examination for the third day. CT image features of 100 patients were analyzed carefully, and were divided into three types according to the actual characteristics of CT image. The condition of different injury classiifcations was analyzed. Results The sensitivity of the patients for the admission to hospital (30~180 minute), in one day and in 2~3 day was 69.00%, 73.00%and 100.00%. The light, medium and severe brain injury had different prognostic effect. The severer the injury, the higher disability rate and fatality rate, which had evident statistical signiifcance, P<0.05. Conclusion 64-slice CT achieves evident effect for diagnosing brain injury.%目的:研究分析64排CT用于创伤性颅脑损伤诊断中的价值。方法随机选取创伤性颅脑损伤患者100例作为主要的调查样本,在患者入院时均接受CT检查,对于检查结果为阴性的患者,在1天之内完成CT复查;若其检查结果还是阴性的患者,则需要在第2-3天之内第三天接受CT检查。对100例患者的CT影像特点进行缜密分析,严格按照CT影像的实际特点完成轻、中、重三型划分,对不同损伤分型影响预后的情况进行针对分析。结果刚刚入院时候(30~180分钟)、1天之内、2~3天内患者的灵敏度分别为69.00%、73.00%、100.00%。轻型、中型以及重型颅脑损伤存在不同的预后效果,即损伤越严重就会有越高的致残率以及致死率,具有明显的统计学意义,P<0.05。结论64排CT在诊断颅脑损伤优势的过程中可以取得非常明显的效果。

  13. Moyamoya Disease:Diagnostic Value of 64-slice Spiral CT Angiography%烟雾病64层螺旋CT血管成像的诊断价值

    Institute of Scientific and Technical Information of China (English)

    李杨; 杨峰; 余河

    2012-01-01

    目的:探讨烟雾病64层螺旋CT血管成像(MSCTA)的表现,评价其临床诊断价值.方法:收集行64层螺旋CT平扫及血管成像检查并临床确诊的烟雾病患者27例,在ADW4.3工作站上对原始图像做二维及三维处理:容积再现(VR)、最大密度投影( MIP)、剪影后容积再现、多平面重组(MPR)及曲面重组(CPR),总结烟雾病的64层螺旋CT血管成像特点.结果:27例双侧颈内动脉远段、大脑前动脉及中动脉近端狭窄、闭塞20例,单侧大脑中动脉闭塞5例,双侧大脑前动脉并大脑中动脉狭窄、闭塞2例,5例双侧大脑后动脉代偿性增粗;3例合并基底动脉动脉瘤,2例合并大脑后动脉动脉瘤;27例均可见周围紊乱血管影,相应血管及其分支粗大、增多、迂曲延长.VR图像有利于显示狭窄闭塞段与周围骨性结构空间关系,但在显示评价脑底增生小血管和侧支血管方面不及MIP和MPR.结论:64层螺旋CT血管成像(MSCTA)可以清晰的显示烟雾病血管改变特点及周围侧支血管网,检查方法简单、快捷、无创伤,容积再现及剪影后容积再现可以直观显示病变周围空间结构关系,可作为诊断烟雾病的首选诊断方法.%Objective To explore the 64-slice spiral CT angiography (MSCTA) findings and clinical value for diagnosis of moyamoya disease. Methods Seventeen patients with moyamoya disease underwent routine CT scanning and MSCT angiography. All the patients were confirmed by DSA. The angiograms obtained were processed on the ADW4.3 workstation to perform volume rending(VR) , maximum intensity projection (MIP) and multiplanar Volume refomration (MPR) and curved planar reformatting( CPR). Results In all cases MSCTA showed the stenosis or obstruction of arteria carotis interna( ICA) or proximum of Wills circle, abnormal vessel network in brain basal part, including stenosis of bilateral ICA and anterior cerebral artery and middle cerebral artery(20 cases) ,one side middle

  14. Peripheral pulmonary nodules: Relationship between multi-slice spiral CT perfusion imaging and tumor angiogenesis and VEGF expression

    Directory of Open Access Journals (Sweden)

    Cheng Xiao-Ling

    2008-06-01

    Full Text Available Abstract Background The aim of this study is to investigate the relationship between16-slice spiral CT perfusion imaging and tumor angiogenesis and VEGF (vascular endothelial growth factor expression in patients with benign and malignant pulmonary nodules, and differential diagnosis between benign and malignant pulmonary nodules. Methods Sixty-four patients with benign and malignant pulmonary nodules underwent 16-slice spiral CT perfusion imaging. The CT perfusion imaging was analyzed for TDC (time density curve, perfusion parametric maps, and the respective perfusion parameters. Immunohistochemical findings of MVD (microvessel density measurement and VEGF expression was evaluated. Results The shape of the TDC of peripheral lung cancer was similar to those of inflammatory nodule. PH (peak height, PHpm/PHa (peak height ratio of pulmonary nodule to aorta, BF (blood flow, BV (blood volume value of peripheral lung cancer and inflammatory nodule were not statistically significant (all P > 0.05. Both showed significantly higher PH, PHpm/PHa, BF, BV value than those of benign nodule (all P 0.05. In the case of adenocarcinoma, BV, BF, PS, PHpm/PHa, and MVD between poorly and well differentiation and between poorly and moderately differentiation were statistically significant (all P 0.05. PH, PHpm/PHa, BV, and PS of benign nodule were significantly lower than those of peripheral lung cancer (all P Conclusion Multi-slice spiral CT perfusion imaging closely correlated with tumor angiogenesis and reflected MVD measurement and VEGF expression. It provided not only a non-invasive method of quantitative assessment for blood flow patterns of peripheral pulmonary nodules but also an applicable diagnostic method for peripheral pulmonary nodules.

  15. Imaging skeletal anatomy of injured cervical spine specimens: comparison of single-slice vs multi-slice helical CT

    Energy Technology Data Exchange (ETDEWEB)

    Obenauer, S.; Alamo, L.; Herold, T.; Funke, M.; Kopka, L.; Grabbe, E. [Department of Radiology, Georg August-University Goettingen, Robert-Koch-Strasse 40, 37075 Goettingen (Germany)

    2002-08-01

    Our objective was to compare a single-slice CT (SS-CT) scanner with a multi-slice CT (MS-CT) scanner in the depiction of osseous anatomic structures and fractures of the upper cervical spine. Two cervical spine specimens with artificial trauma were scanned with a SS-CT scanner (HighSpeed, CT/i, GE, Milwaukee, Wis.) by using various collimations (1, 3, 5 mm) and pitch factors (1, 1.5, 2, 3) and a four-slice helical CT scanner (LightSpeed, QX/i, GE, Milwaukee, Wis.) by using various table speeds ranging from 3.75 to 15 mm/rotation for a pitch of 0.75 and from 7.5 to 30 mm/rotation for a pitch of 1.5. Images were reconstructed with an interval of 1 mm. Sagittal and coronal multiplanar reconstructions of the primary and reconstructed data set were performed. For MS-CT a tube current resulting in equivalent image noise as with SS-CT was used. All images were judged by two observers using a 4-point scale. The best image quality for SS-CT was achieved with the smallest slice thickness (1 mm) and a pitch smaller than 2 resulting in a table speed of up to 2 mm per gantry rotation (4 points). A reduction of the slice thickness rather than of the table speed proved to be beneficial at MS-CT. Therefore, the optimal scan protocol in MS-CT included a slice thickness of 1.25 mm with a table speed of 7.5 mm/360 using a pitch of 1.5 (4 points), resulting in a faster scan time than when a pitch of 0.75 (4 points) was used. This study indicates that MS-CT could provide equivalent image quality at approximately four times the volume coverage speed of SS-CT. (orig.)

  16. Low dose scanning of 64 slice spiral CT in the diagnosis of pneumothorax in neonates%64层螺旋CT低剂量扫描在新生儿气胸诊断中的应用

    Institute of Scientific and Technical Information of China (English)

    武军; 李彦杰

    2015-01-01

    目的:探讨64层螺旋CT低剂量扫描在新生儿气胸诊断中的应用,分析新生儿气胸的CT表现特点,以提高对新生儿气胸的认识及CT的诊断水平。方法用64层螺旋CT对23例临床可疑新生儿气胸进行低电压、低电流和增大螺距进行扫描,并对图像进行分析。结果患儿有不同类型的CT表现,如外侧肺气胸、内侧纵隔旁气胸、膈面附近及胸前部气胸等。结论新生儿肺气胸有一定的临床CT特征,对及时发现新生儿气胸,对临床诊断并及时处理有重要意义。%Objective Application of low dose of 64 row spiral CT scanning in the diagnosis of pneumothorax in neonatal pneumothorax, analysis CT charac-teristics, in order to improve the diagnostic level of understanding and CT on neonatal pneumothorax. Methods Twenty-three patients with clinically suspected of pneumothorax in neonates of low voltage, low current and increasing pitch were scanned by 64 slice spiral CT. And the image analysis. Results Patients with CT showed different types, such as lateral lung chest,medial mediastinum side pneumothorax, diaphrag-matic surface and near the front of pneumothorax. Conclusion Neonatal lung chest clinic and CT features, the timely detection of pneumothorax in neonates, for clinical diagnosis and timely treatment is meaningful.

  17. 肺癌特异血管征象的64层CT首过期灌注增强表达%Expressing the specific vessels signs in lung cancer by 64-slice spiral CT in first phase perfusion imaging *

    Institute of Scientific and Technical Information of China (English)

    苏冠琴; 薄晓庆; 杨署; 孙国鹏; 柴军; 周苛; 高阿枚; 段呼兵; 董秀萍

    2013-01-01

    Objective To investigate the specific vessels signs in lung cancer by 64-slice spiral CT in first phase perfusion ima-ging so as to get more reasonable time about CT angiography .Methods Among the 47 cases ,there were 38 cases of central and 9 cases of peripheral primary lung cancer underwent 64-slice spiral CT in first phase perfusion imaging :one scan was obtained every 1 seconds during 8-38 seconds with 8 section × I without scanning interval after injection .Precontrast and postcontrast attenuation on every leisions was recorded ,to calculate the peak height(PH) and peak height time by time density curves TDC of pulmonary le-sions to aorta ,those reflect the the tumor feeding artery Imaging about lesions of lung cancer and inflammation .observed and calcu-lated the display rate and display time of lesions of lung cancer and inflammation .means of t test was used for statistics .Results a-bout the peak heights of in pulmonary artery and aorta phese ,statistically significant differences were found between inflammation and lung cancer(P0 .05) . about the peak heights time in aorta phase ,no statistically significant differences were found among three groups (P>0 .05) .The tumor vascularity were discoved in lesions in patients with lung cancer (44/47 cases ,93 .62% );The erosion narrow pulmonary ar-tery were discoved in central lung cancer (37/38 cases ,97 .37% ) ,in peripheral lung cancer(6/9 cases 66 .67% );no abnormal pulmo-nary artery were discoved only in 4 patients with lung cancer .Both tumor vascularity and abnormal pulmonary artery were most dis-plaied in 18-31s in CT angiography .Conclusion 64-slice spiral CT in first phase dynamic perfusion imaging can order completely show the specific vessels signs in lung cancer and reflect the tumor feeding artery Imaging of lung cancer .Analysising those benefi-ted to select reasonably the time of CT angiography and Improve the rate of lung cancer diagnosis .%目的分析64层C T首过期灌注增强对肺癌特

  18. Sex determination from the piriform aperture using multi slice computed tomography: Discriminant function analysis of Egyptian population in Minia Governorate

    OpenAIRE

    Shereen Abdelhakim Abdelaleem; Rehab H.A. Younis; Moustafa Abdel Kader

    2016-01-01

    Objective: Sex determination from fragmentary remains is one of the most important tasks of a forensic expert. Since several studies have demonstrated that discriminant function equations used to determine the sex of a skeleton are population specific, the purpose of the present study was to determine whether the piriform aperture is a useful criterion for sex determination in fragmented skulls and derive an equation for the dimensions of the piriform aperture. Subjects & methods: 3D-MSCT ...

  19. Interrupted aortic arch diagnosed by ECG-gated multi-slice computed tomography angiography: a case report

    Institute of Scientific and Technical Information of China (English)

    ZHOU Yang-yang; HAN Ping; FENG Gan-sheng; LIANG Bo

    2005-01-01

    @@ Interrupted aortic arch (IAA) is a rare congenital cardiovascular disease with major intracardiac defects and always with multisystem non-cardiac malformations. It occurs in 1: 10,000 births, and about 1% of the patients with congenital heart defects.

  20. 多层螺旋CT门静脉成像对门静脉高压症的诊断及分类价值%Evaluation of the Diagnosis and Classification of Portal Hypertension on Multi-slice Spiral CT Portal Venography

    Institute of Scientific and Technical Information of China (English)

    梁萍; 方华盛; 陈更瑞

    2015-01-01

    Objective Discussion on classification and diagnostic value of multi-slice spiral CT portography (CTPV) on portal hypertension (PHT). Methods A total of 42 patients with PHT, 26 cases of intrahepatic PHT, both in patients with liver cirrhosis, and hepatocellular carcinoma in 7 cases,3 cases of intrahepatic portal vein tumor thrombosis;before the liver of PHT13patients, including 3 cases of portal vein thro mbosis in 4 cases of outer segment, portal vein tumor thrombus in 6 cases of outer segment,cavernous transformation, liver after PHT Budd Chiari syndrome in 3 cases; underwent imaging of 64 slice spiral CT portal, MIP, VR,MPR or CPR reconstruction using volume data, observation of portal vein branches, collateral circulation, characteristics of imaging. Results CTPV can clearly show the initial distribution, evaluating collateral circulation of portal hypertension degree and position classification. Conclusion CTPV can accurately diagnose PHT and differential classification, have important significance to establish prediction of its complications, operation scheme.%目的:探讨多层螺旋CT门静脉成像(CTPV)对门静脉高压症(PHT)的诊断及分类价值。方法收集42例PHT,肝内性PHT 26例,均为肝硬化患者,合并肝癌7例,门静脉肝内分支癌栓形成3例;肝前性PHT13例,其中门静脉肝外段血栓3例,门静脉肝外段癌栓4例,海绵样变6例;肝后性PHT3例,为布加综合征患者;均行64层螺旋CT门静脉成像检查,容积数据采用MIP、VR、MPR或CPR重建,观察门静脉、属支及侧支循环的影像学特征。结果 CTPV能清楚显示侧支循环的分布范围、初步评估门静脉高压程度及部位分类。结论 CTPV能准确诊断PHT及鉴别分类,对预测其并发症、手术方案的制定具有重要的指导意义。

  1. Exploiting sparsity and low-rank structure for the recovery of multi-slice breast MRIs with reduced sampling error.

    Science.gov (United States)

    Yin, X X; Ng, B W-H; Ramamohanarao, K; Baghai-Wadji, A; Abbott, D

    2012-09-01

    It has been shown that, magnetic resonance images (MRIs) with sparsity representation in a transformed domain, e.g. spatial finite-differences (FD), or discrete cosine transform (DCT), can be restored from undersampled k-space via applying current compressive sampling theory. The paper presents a model-based method for the restoration of MRIs. The reduced-order model, in which a full-system-response is projected onto a subspace of lower dimensionality, has been used to accelerate image reconstruction by reducing the size of the involved linear system. In this paper, the singular value threshold (SVT) technique is applied as a denoising scheme to reduce and select the model order of the inverse Fourier transform image, and to restore multi-slice breast MRIs that have been compressively sampled in k-space. The restored MRIs with SVT for denoising show reduced sampling errors compared to the direct MRI restoration methods via spatial FD, or DCT. Compressive sampling is a technique for finding sparse solutions to underdetermined linear systems. The sparsity that is implicit in MRIs is to explore the solution to MRI reconstruction after transformation from significantly undersampled k-space. The challenge, however, is that, since some incoherent artifacts result from the random undersampling, noise-like interference is added to the image with sparse representation. These recovery algorithms in the literature are not capable of fully removing the artifacts. It is necessary to introduce a denoising procedure to improve the quality of image recovery. This paper applies a singular value threshold algorithm to reduce the model order of image basis functions, which allows further improvement of the quality of image reconstruction with removal of noise artifacts. The principle of the denoising scheme is to reconstruct the sparse MRI matrices optimally with a lower rank via selecting smaller number of dominant singular values. The singular value threshold algorithm is performed

  2. Cirrhosis:CT grading with 64-slice spiral CT perfusion imaging%肝硬化CT分级的64层螺旋CT灌注成像分析

    Institute of Scientific and Technical Information of China (English)

    陈勇; 郝凯; 尚英杰; 石俊英; 杨文魁

    2012-01-01

    目的 探讨肝硬化CT分级的临床价值.方法 对17例健康正常志愿者、54例肝硬化患者行CT灌注扫描,测量其血流量(BF)、血容量(BV)、肝动脉分数(HAF)、对比剂平均通过时间(MTT)、血管表面通透性(PS),对获得的相应灌注图进行肝硬化分级分析.结果 CT分级肝硬化程度越重,BF、BV越小,MTT、HAF、PS、肝动脉灌注量(HAP)越大.HAF、HAP在正常肝与轻、中、重度肝硬化之间有明显差异,HAF在中、重度肝硬化组明显增高.HAP在重度肝硬化组明显增高,PS、MTT在各组之间没有统计学意义.结论 通过肝脏的CT灌注研究,进一步证明了肝硬化CT分级确实与肝脏的灌注有一定关系,对临床肝硬化评估有一定价值.%Objective To evaluate the clinical value in grading of liver cirrhosis with 64-slice spiral CT perfusion imaging. Methods 17 healthy volunteers and 54 patients with liver cirrhosis underwent liver CT perfusion scanning. The blood flow(BF) , blood vol-ume(BV) , hepatic arterial fraction( HAF) , contrast agent mean transit time(MTT) and vascular permeability surface) PS) were measured on CT perfusion maps. Results CT perfusion imaging showed that the serious of cirrhosis,the lower of perfusion values of BF and BV,the higher of MTT,HAF,PS and hepatic arterial perfusionf HAP). There were significant differences between the normal liver and mild,moderate and severe cirrhosis in HAF and HAP,and HAF in moderate and severe cirrhosis of the liver was significantly increased. HAP in severe liver cirrhosis was significantly higher, PS, MTT between groups was not statistically significant. Conclusion By liver CT perfusion imaging study shows that the CT grading of cirrhosis is of certain relativity with liver perfusion, which is of significant value in evaluating cirrhosis clinically.

  3. Comparative Study in the Diagnosis of Intracranial Aneurysms with 64 Slice CTA-and 3D DSA%64层CTA-MIP、CTA-VR与3D-DSA对颅内动脉瘤诊断价值的对比研究

    Institute of Scientific and Technical Information of China (English)

    刘善平

    2012-01-01

    目的 对比评价64层螺旋CT最大密度投影(CTA-MIP),CTA容积再现(CTA-VR)与三维数字血管造影(3D-DSA)对颅内动脉瘤(CA)的诊断价值.资料与方法 回顾性分析32例经手术及DSA确诊的CA 64层CT血管成像资料,并与DSA进行对照.结果 32例共40个动脉瘤,CTA-MIP发现35个动脉瘤,CTA-VR发现37个动脉瘤,3D-DSA发现39个动脉瘤.40个动脉瘤中11个位于后交通动脉,16个位于大脑中动脉,4个位于基底动脉,1个位于椎动脉,2个位于大脑前动脉,3个位于大脑后动脉,3个位于颈内动脉.3 D-DSA与CTA比较,差异无统计学意义.结论 在CA影像学诊断上,CTA-MIP、CTA-VR和3D-DSA各有优势,CTA可作为外科治疗或介入治疗的筛选方法.%Objective To evaluate the role of 64 slice computed tomography angiography maximum intensity projection (CTA,MIP) , computed tomography angiography volume rendering (CTA,VR) and 3 dimensional digital subtraction angiogtaphy(3D-DSA) ) in the diagnosis of intracranial aneurysms. Materials and Methods The CT and DSA imaging findings of 32 patients with aneurysms were retrospectively analyzed and compared. Results 40 aneurysms in 32 patients were found by DSA and/or operation. 35 aneurysms were found by CTA MIP. 37 aneurysms were found by CTA VR. 39 aneurysms were found by DSA. 11 aneurysms were at posterior communicating artery, 16 aneurysms at middle cerebral artery, 4 aneurysms at basilar artery, 1 aneurysms at vertebary artery, 2 aneurysms at anterior cerebral artery, 3 aneurysms at posterior cerebral artery, 3 aneurysms at internal carotid artery. There was no significant difference in detecting aneurysms between CTA and 3D DSA. Conclusion CTA MIP, CTA VR and 3D-DSA examination have their own advantage in diagnosis of intracranial aneurysms. CTA can be used as the method in screening intracranial aneurysms for surgery and interventional therapy.

  4. Investigation on the optical scan condition for imaging of multi-slice spiral CT liver perfusion in rats

    Institute of Scientific and Technical Information of China (English)

    BAI Rong-jie; WANG Jin-e; JIANG Hui-jie; HAO Xue-jia; DONG Xu-peng; HUANG Ya-hua; WEI Lai

    2013-01-01

    Background Multi-slice CT liver perfusion has been widely used in experimental studies of hemodynamic changes in liver lesions,and is usually performed as an adjunct to a conventional CT examination because of its high temporal and spatial resolution,simple protocol,good reproducibility,and ability to measure hemodynamic changes of liver tissues at the capillary level.Experimental rat models,especially those of induced liver cancer,are often used in studies of hemodynamic changes in liver cancer.Carcinogenesis in rats has a similar pathological progression and characteristics resembling those in human liver cancer; as a result,rat models are often used as ideal animal models in the study of human liver cancer.However,liver perfusion imaging in rats is difficult to perform,because rats' livers are so small that different concentrations,flow rates,and dose of contrast agents during the CT perfusion scanning can influence the quality of liver perfusion images in rats.The purpose of this study,therefore,was to investigate the optimal scan protocol for the imaging of hepatic perfusion using a deconvolution mathematical method in rats by comparing the results of rats in different injection conditions of the contrast agent,including concentration,rate and time.Methods Plain CT scan conditions in eighty 2-month-old male Wistar rats were 5.0 mm slice thickness,5.0 mm interval,1.0 pitch,120 kV tube voltage,60 mA tube current,512×512 matrix,and FOV 9.6 cm.Perfusion scanning was carried out with different concentrations of diatrizoate (19%,38%,57%,and 76%),different injection rates (0.3 and 0.5 mi/s),and different injection times (1,2-3,4-5,and 6 seconds).The above conditions were randomly matched and adjusted to determine the best perfusion scan protocol.Thrae-phase contrast-enhanced scanning was performed after CT perfusion.Histological examination of the liver tissues with hematoxylin and eosin stains was done after CT scanning.Results When the concentration of the

  5. Diagnostic value of multi-slice spiral CT in sternum fracture%多层螺旋CT对胸骨骨折诊断价值

    Institute of Scientific and Technical Information of China (English)

    黎健樟; 郭冬梅

    2014-01-01

    Objective:To explore the clinical value of multi-slice spiral CT expedition in the diagnosis of sternum fracture. Methods:28 cases with sternum fracture were selected from 2011 to 2013.They were as the research objects.At the same time,the multi-slice spiral CT diagnosis data were comprehensively reviewed and analyzed.Results:28 cases in this group were confirmed by multi-slice spiral CT and multiplanar reconstruction (MPR).The diagnose accordance rate was 100%.18 cases(64.29%) were diagnosed manubrium fracture.10 cases(35.71% ) were diagnosed mesosternum fracture.5 cases(17.86% ) were combined with substernal mediastinal emphesema.12 cases(42.86%) were combined with substernal mediastinal hematoma by CT scan and MPR reestablishment.Conclusion:The multi-slice spiral CT in the diagnosis of sternum fracture has ideal and reliable diagnosis effect.It is the key for clinical diagnosis of the disease as early as possible and formulating targeted treatment schedule in the future.It suggests strengthen the popularization in clinical.%目的:探讨在胸骨骨折的诊断中应用多层螺旋CT探查的临床价值。方法:2011-2013年收治胸骨骨折患者28例,作为本次研究对象,同时与其多层螺旋CT诊断资料相结合,进行综合性回顾与分析。结果:本组28例病例均经多层螺旋 CT 检查或多平面重建(MPR)后确诊,诊断符合率100%。包括18例(64.29%)诊断为胸骨柄骨折,10例(35.71%)诊断为胸骨体骨折。其中5例(17.86%)合并胸骨后纵隔气肿,12例(42.86%)经CT扫描、MPR重建后提示合并胸骨后纵隔血肿。结论:为胸部骨折患者提供多层螺旋CT诊断,能够起到理想、可靠的诊断效果,是今后临床尽早诊断本病并制定有针对性治疗方案的关键,建议临床加强普及。

  6. MSCT血管成像对肝移植受体术前血管结构的评价%The evalution of the vascular structure of preoperative liver transplantation recipients using 64-slice spiral CT angiography

    Institute of Scientific and Technical Information of China (English)

    李妙玲; 刘雯雁; 袁会军; 强永乾; 孙兴旺; 赵婷婷

    2011-01-01

    Objective To evaluate the clinical significance of 64-slice spiral CT angiography for vascular structures of preoperative liver transplantation recipients. Methods Tri-phase enhanced CT scan were performed in 32 cases, All cases were post-processing with maximum intensity projection(MIP) , volume rendering(VR) ,and all reformation images with axial images were analyzed. Results In all 32 cases, 1 case with absence of celiac artery, 3 cases with stenosis of celiac artery caused by plaque, 12 cases with dilated splenic artery, 2 cases with splenic artery aneurysm, 7 cases with variation of hepatic artery. 3 cases with extrahepatic portal vein thrombosis, 2 cases with intrahepatic portal vein thrombosis, 1 case with thrombosis in superior mesenteric vein, 1 case with muti-ple thrombosis in portal vein and superior mesenteric vein. In all 32 cases, 25 cases with good images of hepatic vein, 14 cases with standard hepatic vein, 11 cases with common drainage of the middle and the left hepatic vein into the inferior vena cava, and 1 case with inferior hepatic vein respectively,? Cases with poor images. In all 32 cases,30 cases with normal inferior vena cava, 1 case with embolism in inferior vena cava and 1 case with embolism near the right atrium. In all 32 cases, 24 cases received liver transplantation successfully, the other 8 cases had the contraindications of liver transplantation and gave up operation,of 8 cases, 3 cases with total diameter of cancer nodules were more than 8 cm,l case with mutiple thrombosis, 4 cases with extrohepatic metastasis(including 1 case with total diameter of cancer nodules were more than 8 cm) , 1 case with Michels MD had narrowing hepatic artery and the diameter was less than 3 mm separately. Conclusion 64-slice spiral CT tri-phase angiography could overall evaluate structural changes of the hepatic vessels and choose the cases suitable for surgery,it has an important value for surgery program.%目的 探讨64排螺旋CT血管成像对肝

  7. Multi-slice spiral CT in routine diagnosis of suspected acute left-sided colonic diverticulitis: a prospective study of 120 patients

    Energy Technology Data Exchange (ETDEWEB)

    Werner, A.; Diehl, S.J.; Dueber, C. [Institut fuer Klinische Radiologie, Universitaetsklinikum Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim (Germany); Farag-Soliman, M. [Chirurgische Klinik, Universitaetsklinikum Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim (Germany)

    2003-12-01

    This prospective study evaluated the use of multi-slice CT (MSCT) for detection of clinically suspected left-sided colonic diverticulitis with regard to diagnosis, complications and alternative diagnoses. One hundred twenty patients with clinically suspected acute left-colonic diverticulitis underwent MSCT of the lower abdomen with IV contrast after rectal application of iodic contrast. The MSCT results were compared with histopathological and intraoperative findings or other radiological or endoscopic methods and clinical outcome. Acute diverticulitis was proven in 67 of the 120 (55.8%) patients, which was detected by MSCT with an accuracy of 98% (sensitivity 97%, specificity 98%). Contained perforation or abscess formation were detected with an accuracy of 96% (sensitivity 100%, specificity 91%) and 98% (sensitivity 100%, specificity 97%), respectively. In 31 of 120 (25.8%) patients diagnoses other than diverticulitis caused abdominal pain, which was correctly diagnosed by MSCT in 71%. The MSCT as well as other concurrently performed diagnostic methods showed normal findings and no causes for the patients symptoms in 22 of the 120 (18.4%) patients. Multi-slice CT is reliable in detecting diverticulitis, including extracolic complications, and often reveals other diagnoses; therefore, MSCT is recommended as standard diagnostic procedure in suspected acute diverticulitis. (orig.)

  8. 64层CT脑灌注联合CTA在早期缺血性脑血管病中的应用%Application of perfusion and CTA by 64 slice CT in early ischemia cerebral infarction

    Institute of Scientific and Technical Information of China (English)

    李培秀; 都日娜; 丁俊丽; 张强

    2011-01-01

    目的 探讨64层螺旋CT脑灌注加CT血管成像技术在早期脑梗死的应用价值.方法 分析总结108例发病在6h内临床可疑脑梗死,其中105例进行CT平扫、CT脑灌注和CTA,部分复查CTP的住院患者资料,并对影像资料做统计学分析.结果 CT平扫7例脑实质密度轻微减低、脑沟变浅(6.6%),CT脑灌注83例显示与临床症状对应区域血流灌注异常(79.1%),与对侧比较CBF下降、CBV下降或正常、TTP延长.22例CT灌注未见异常(20.9%).CT血管成像显示53支动脉(39例)有不同密度斑块及管腔狭窄,3例检查未成功.结论 CT脑灌注加CTA成像技术可以快速、准确确定缺血半暗带及病变血管,对早期缺血性脑血管脑的诊断和指导治疗有重要的临床应用价值.%Objective To discuss the application of cerebral perfusion and CT blood vessel imaging technique by 64-slice CT in diagnosis of cerebral infarction in its early phase. Methods To analyze and summarize the data of 108 patients who were suspected of the ischemic infarction in 6 hours. 105 among the patients were examined by CT scanning, CT perfusion and CTA. Some of those patients needed the examination by CTP again. All data were analyzed statistically. Results CT scanning showed a slight reduction in the density of brain parenchyma in 7 cases, with brain shallow groove(6. 6%) and CT perfusion showed blood perfusion abnormal corresponding to clinical symptom region in 83 cases (79. 1%). Compared with the contra-lateral, CBF were decreased and CBV were decreased or normal while TTP was extend. 22 cases of CT perfusion showed regular!20. 9%). CT blood vessel imaging showed that 53 arteries of 39 patients had spots and the pipes were narrow. 3 cases were not successful. Conclusion Cerebral perfusion and CTA imaging technique by CT can quickly and exactly definite ischemia and pathology blood vessel, which is of great clinical importance for diagnosing and curing brain ischemia in its early phase.

  9. 64排螺旋CT对先天性主动脉缩窄诊断的临床应用价值%Clinical Application of 64-slice Spiral CT Angiography in Diagnosing the Congenital Coarctation of Aorta

    Institute of Scientific and Technical Information of China (English)

    王小红; 亓波

    2011-01-01

    Objective To evaluate the clinical diagnostic valie of 64-slice spiral CT angiography (CTA )in coarctation of aorta (CoA).M ethods 154 caseswith coarciation of the aorta(47 women and 107 men;mean age3 .3 years;age range 20 days-60 years) were diagnosed by by 64-slfce spiral CT angiDgraphy (CTA ) and translhoracic echocardiography (TTE ) ,and 77 of than were treated by operation .Results In the operative 77 cases ,17 m issed by TTE and no case missed by CTA .The definite diagnosis rate of TTE was 77 .9% ,and the definite diagnosis rate of CTA was 100% .Among 154 cases,44 cases (28 .6% ) were staple aortic coarctation , 95 cases(61.7% )were pediatric pcmpfex portic coarctation and 15 cases(9 .7% ) were atypicalpomplex portic coarctation .therewere significant differences bete een year of three types CoA ( P<0 .001) .The m ean stenotic ratio (the diam eterof the ooarctatbn to thatofthe proxinalnomalsegnentof the aortic ooarctation )R = 0 .29+0 .13 .Conclusion MDCT examhation is able to clearly display type,scope,extent and can plicated m alform ations ,can provide in portent infem ation for the diagnosis and teatn ent of aortic ooaictetian.%目的 评价64排螺旋CT(MDCT)在主动脉缩窄临床诊断中的价值.方法 154例主动脉缩窄患者,男性107例,女性47例,年龄20天-60岁,平均3.3岁,均采用64排螺旋CT血管成像扫描和经胸心脏超声检查.结果 77例经手术证实CoA病例中,超声心动图检查55例明确诊断,5例诊断可疑,17例漏诊,准确率为77.9%(60/77),MDCT均明确诊断,准确率为100%(77/77).154例主动脉缩窄患者中,单纯型44例(28.6%),复杂婴儿型95例(61.7%),复杂不典型型15例(9.7%);其中局限性缩窄91例(59.1%),管性缩窄63例(40.9%),3种类型的CoA在年龄分布上存在着显著性差异(K-W统计值为22.9,P<0.001).MDCT测量最窄处内径与主肺动脉水平升主动脉内径比值R为0.29±0.13.结论 CTA能够全面显示主动脉缩窄的类型、范围程度及伴随畸形,能

  10. Detachment within subducted continental crust and multi-slice successive exhumation of ultrahigh-pressure metamorphic rocks: Evidence from the Dabie-Sulu orogenic belt

    Institute of Scientific and Technical Information of China (English)

    LIU YiCan; LI ShuGuang

    2008-01-01

    Although tectonic models were presented for exhumation of ultrahigh-pressure (UHP) metamorphic rocks during the continental collision, there is increasing evidence for the decoupling between crustal slices at various depths within deeply subducted continental crust. This lends support to the multi-slice successive exhumation model of the UHP metamorphic rocks in the Dabie-Sulu orogen. The available evidence is summarized as follows: (1) the low-grade metamorphic slices, which have geotectonic af-finity to the South China Block and part of them records the Triassic metamorphism, occur in the northern margin of the Dabie-Sulu UHP metamorphic zone, suggesting decoupling of the upper crust from the underlying basement during the initial stages of continental subduction; (2) the Dabie and Sulu HP to UHP metamorphic zones comprise several HP to UHP slices, which have an increased trend of metamorphic grade from south to north but a decreased trend of peak metamorphic ages corre-spondingly; and (3) the Chinese Continental Science Drilling (CCSD) project at Donghai in the Sulu orogen reveals that the UHP metamorphic zone is composed of several stacked slices, which display distinctive high and low radiogenic Pb from upper to lower parts in the profile, suggesting that these UHP crustal slices were derived from the subducted upper and middle crusts, respectively. Detachment surfaces within the deeply subducted crust may occur either along an ancient fault as a channel of fluid flow, which resulted in weakening of mechanic strength of the rocks adjacent to the fault due to fluid-rock interaction, or along the low-viscosity zones which resulted from variations of geotherms and lithospheric compositions at different depths. The multi-slice successive exhumation model is different from the traditional exhumation model of the UHP metamorphic rocks in that the latter as-sumes the detachment of the entire subducted continental crust from the underlying mantle lithosphere and its

  11. Noninvasive coronary angiography using 64-slice spiral computed tomography in an unselected patient collective: Effect of heart rate, heart rate variability and coronary calcifications on image quality and diagnostic accuracy

    Energy Technology Data Exchange (ETDEWEB)

    Brodoefel, H. [Department of Diagnostic Radiology, Eberhard-Karls-University, Hoppe-Seyler-Str. 3, 72076 Tuebingen (Germany)], E-mail: h.brodoefel@t-online.de; Reimann, A. [Department of Diagnostic Radiology, Eberhard-Karls-University, Hoppe-Seyler-Str. 3, 72076 Tuebingen (Germany); Burgstahler, C. [Department of Cardiology, Eberhard-Karls-University, Otfried-Mueller-Str. 10, 72076 Tuebingen (Germany); Schumacher, F. [Department of Diagnostic Radiology, Eberhard-Karls-University, Hoppe-Seyler-Str. 3, 72076 Tuebingen (Germany); Herberts, T. [Department of Medical Biometry, Westbahnhofstr. 55, 72070 Tuebingen (Germany); Tsiflikas, I. [Department of Diagnostic Radiology, Eberhard-Karls-University, Hoppe-Seyler-Str. 3, 72076 Tuebingen (Germany); Schroeder, S. [Department of Cardiology, Eberhard-Karls-University, Otfried-Mueller-Str. 10, 72076 Tuebingen (Germany); Claussen, C.D.; Kopp, A.F.; Heuschmid, M. [Department of Diagnostic Radiology, Eberhard-Karls-University, Hoppe-Seyler-Str. 3, 72076 Tuebingen (Germany)

    2008-04-15

    Objective: The aim of this study was to assess the impact of heart rate, heart rate variability and calcification on image quality and diagnostic accuracy in an unselected patient collective. Subjects and methods: One hundred and two consecutive patients with known or suspected coronary artery disease underwent both 64-MSCT and invasive coronary angiography. Image quality (IQ) was assessed by independent observers using a 4-point scale from excellent (1) to non-diagnostic (4). Accuracy of MSCT regarding detection or exclusion of significant stenosis (>50%) was evaluated on a per segment basis in a modified AHA 13-segment model. Effects of heart rate, heart rate variability, calcification and body mass index (BMI) on IQ and accuracy were evaluated by multivariate regression. IQ and accuracy were further analysed in subgroups of significant predictor variables and simple regression performed to calculate thresholds for adequate IQ. Results: Mean heart rate was 68.2 {+-} 13.3 bpm, mean heart rate variability 11.5 {+-} 16.0 beats per CT-examination (bpct) and median Agatston score 226.5. Average IQ score was 2 {+-} 0.6 whilst diagnostic quality was obtained in 89% of segments. Overall sensitivity, specificity, PPV or NPV was 91.2%, 99.2%, 95.3% or 98.3%. According to multivariate regression, overall IQ was significantly related to heart rate and calcification (P = 0.0038; P < 0.0001). The effect of heart rate variability was limited to IQ of RCA segments (P = 0.018); BMI was not related to IQ (P = 0.52). Calcification was the only predictor variable with significant effect on the number of non-diagnostic segments (P < 0.0001). In a multivariate regression, calcification was also the single factor with impact on diagnostic accuracy (P = 0.0049). Conclusion: Whilst heart rate, heart rate variability and calcification all show an inverse correlation to IQ, severe calcium burden remains the single factor with translation of such effect into decrease of diagnostic accuracy.

  12. 多层螺旋CT重建技术诊断齿状突骨折%Diagnostic Value of Multi-slice CT in Odontoid Process Fracture

    Institute of Scientific and Technical Information of China (English)

    赵晖; 王林森; 陈思; 潘涛; 蔡琳

    2013-01-01

      Objective To evaluate the value of reconstruction of multi-slice CT in the diagnosis of odon⁃toid process fracture. Methods CT imaging of 43 patients with odontoid process fracture were analysed,and then three-dimentional reconstruction were made. Results The patients were classified into 3 types according to the part of fracture. Type I was shown in 1 case, type II was in 28 cases and type III was in the other 14 cas⁃es. Odontoid were displaced posteriorly and anteriorly in 17 and 13 cases, and there were no displacement in 13 cases. Conclusion Three-dimentional reconstruction of multi-slice CT has great value in the diagnostic part⁃ing and treating plan of odontoid process fracture.%  目的:探讨多层螺旋CT重建技术在诊断齿状突骨折中的价值。方法:分析43例齿状突骨折患者的CT资料,以及三维重建资料。结果:根据骨折部位将齿状突骨折分为3型,I型1例,II型28例,III型14例,齿状突向前移位17例,向后移位13例,无移位13例。结论:多层螺旋CT三维重建技术对于齿状突骨折的诊断分型及治疗方案的确定有指导作用。

  13. 64层螺旋CT腹部扫描参数优化的个体化选择%Optimization of individualized abdominal scan protocol with 64-slice CT scanner

    Institute of Scientific and Technical Information of China (English)

    胡敏霞; 赵心明; 宋俊峰; 周纯武

    2012-01-01

    目的 探讨64层螺旋CT腹部扫描参数优化的个体化选择.方法 回顾性分析2010年9月至11月期间,3个月内因临床诊断或治疗需要行2次腹部CT平扫检查的连续患者100例资料.首次检查采用管电流274有效mAs(eff.mAs),第2次检查采用207 eff.mAs,分析评价2次检查的图像质量.记录受检者身高、体质量、体质量指数(BMI)、上腹部最大横径、上腹部前后径、上腹部平均最大径.3名阅片者对腹主动脉、门静脉主干、肝脏、脾脏、胆囊、胰腺、肾皮质、肾髓质等8个主要器官进行图像主观噪声评价,对肝门、胰腺、肾上极3个主要层面进行诊断接受率评价.采用散点图及Pearson相关分析显示各指标与腹主动脉噪声值(SD值)的线性关系,通过多因素线性回归分析评价各指标与腹主动脉SD值的相关性,利用最相关的指标指导腹部CT个性化参数扫描.结果 100例受试者体质量为(64.3±11.0) kg,BMI为(23.7±3.3)kg/m2,上腹最大横径为(29.8±2.3)cm,上腹前后径为(23.1±2.9)cm,上腹平均最大径为(26.5±2.5)cm,分别与主动脉SD值(11.7±3.0)呈中度或高度相关(r值分别为0.744、0.689、0.813、0.781、0.789,P值均<0.01),身高为(164.6±7.5)cm,与主动脉SD值基本不相关(r=0.292,P<0.01).上腹部最大横径与肝门层面腹主动脉SD值最相关且两者的线性关系具有统计学意义(Beta=0.487,P<0.01).上腹最大横径在27~32 cm范围内其肝门层面诊断接受率评价与上腹最大横径<27 cm或者>32 cm差异具有统计学意义(P值均<0.05).结论 管电流207 eff.mAs适用于上腹最大横径在27~32 cm范围内的受检者.%Objective To explore an individualized abdominal scan protocol with a 64-slice CT scanner.Methods From Sep.2010 to Nov.2010,one hundred consecutive patients,who underwent twice non-contrast-enhanced abdominal CT scans within 3 months,were enrolled in this study.For each patient,the tube current of 274 eff

  14. Reconstruction and measurement of optic nerve sheath imaging in normal population with multi-slice spiral CT%正常人眶内段视神经的CT重建和参数测量

    Institute of Scientific and Technical Information of China (English)

    游勇; 成洪波; 樊宁; 王宁利; 杨洁; 刘璐; 刘旭阳

    2015-01-01

    Background Optical nerve damage of glaucomatous eyes is associated with intracranial pressure.Conventional method of evaluating intracranial pressure is to measure cerebrospinal pressure by lumber puncture.However,the measurement of intraorbital optical nerve parameters,a novel method of evaluating intracranial pressure,is introduced in this field.Objective This study was to measure and analyze the intraorbital optic nerve sheath diameter (ONSD) and cross sectional area (ONSA) in normal population using multi-slice spiral CT.Methods This study protocol was approved by Clinical Ethic Committee of Shenzhen Chinese Traditional Medical Hospital and followed Hersinki Declaration.Informed consent was obtained from each individual prior to any medical examination.One hundred and five eyes of 105 normal persons with normal cerebral CT image were enrolled in Shenzhen Chinese Traditional Medical Hospital from January 2012 to September 2013.Cerebral volume was scanned in all the individuals by 64 slice spiral CT.The brain images were obtained for the curve planar rebuilding of intraorbital optical nerve on image post-processing workstation.The maximum and minimum of ONSD and the ONSA in axial sections at 3,6,9,12 and 15 mm far away from globe wall were measured using a standardized technique to analyze the change of optical nerve parameters at different point locations.These parameters were compared in different gender or eyes.The correlation among age and the optical nerve parameters at 3 mm far away from globe wall was evaluated by multivariate regression analysis.Results The average maximal ONSDs were (6.24±0.47), (5.56±0.44),(5.18±0.43),(4.82±0.41) and (4.69±0.41) mm;the average minimal ONSDs were (5.56±0.50),(4.97± 0.41) ,(4.55±0.35),(4.26±0.39) and (4.10±0.40) mm;the average ONSAs were (27.68±4.40),(22.02±3.35) , (18.74± 2.75) , (16.34±2.72) , (15.40±2.68) mm2 at 3,6,9,12 and 15 mm far away from posterior eyeball wall,respectively, showing significant

  15. Multi-slice CT in the diagnosis of blunt laryngotracheal trauma%钝性喉气管损伤的MSCT诊断

    Institute of Scientific and Technical Information of China (English)

    王小鹏; 杨军; 刘伟

    2011-01-01

    目的:探讨多层螺旋CT在钝性喉气管损伤(B-LTT)中的临床应用价值.方法:对喉颈部外伤后156例患者使用GE LightSpeed 16层及32层螺旋CT设备行CT检查,其中平扫111例和对比剂增强扫描45例,并通过最大密度投影(MIP)、多平面重组(MPR)、仿真内镜(VE)及客积再现(VR)等影像后处理技术进行喉软骨、喉部软组织三维成像.结果:共发现43例患者喉部损伤,包括软组织损伤28例,喉软骨骨折14例及舌骨骨折1例.喉软骨骨折14例中,甲状软骨骨折12例(右侧甲状软骨5例,左侧甲状软骨骨折3例,甲状软骨前部正中骨折4例).同时合并环状软骨骨折3例,杓状软骨骨折2例,环杓关节脱位3例,环甲关节脱住2例.甲状腺损伤2例,皮下气肿12例,咽喉部血肿3例,颈2椎体骨折1例.MSCT显示喉软骨骨折的直接征象为喉软骨边缘不连续,可见低密度骨折线影,也可伴移位.软组织损伤表现为声门及气道狭窄,伴咽喉部血肿、皮下气肿.喉周围软组织内出现气泡是喉黏膜撕裂的间接征象.结论:螺旋CT可多方位显示喉软骨骨折部位、程度以及气道狭窄和喉黏膜撕裂情况,是诊断喉损伤快速有效的方法.%Objective : To evaluate the value of multi-slice spiral computed tomography (MSCT) in blunt laryngotracheal trauma ( B-LTT). Methods: MSCT was performed in 156 patients with BLTT including 111 patients had plain CT and 45 patients had enhanced CT.3-dimcnsional images of laryngeal cartilages and soft tissues were obtained with post-processing reconstruction techniques including MIP 、 MPR 、 VE and VR. Results: Altogether 43 patients were found to have laryngeal injuries including soft tissue injury ( n=28) ,laryngcal cartilage fracture ( n=14) and hyoid fracture ( n=1). In 14 patients having laryngeal cartilage fracture , there were thyroid cartilage fracture (n= 12 ; with right side , n= 5 ,left side.n= 3 ,anterior-median area n= 4). Concurrently complicated

  16. Establishing models of portal vein occlusion and evaluating value of multi-slice CT in hepatic VX2 tumor in rabbits

    Institute of Scientific and Technical Information of China (English)

    Yue-Yong Qi; Li-Guang Zou; Ping Liang; Dong Zhang

    2007-01-01

    AIM: To establish models of portal vein occlusion of hepatic VX2 tumor in rabbits and to evaluate the value of multi-slice CT.METHODS: Forty New Zealand rabbits were divided into 4 groups according to digital table: Immediate group (group A; transplantation of tumor immediately after the portal vein occlusion), 3-wk group (group B;transplantation of tumor at 3 wk after the portal vein occlusion), negative control group (group C) and positive control group (group D), 10 rabbits in each group.Hepatic VX2 tumor was transplanted with abdominal-embedding innoculation immediately after the portal vein occlusion and at 3 wk after the portal vein occlusion.Meanwhile, they were divided into negative control group (Left external branch of portal vein was occluded by sham-operation, and left exite was embedded and inoculated pseudoly) and positive control group (Transplanted tumor did not suffer from the portal vein occlusion). All rabbits were scanned with multi-slice CT.RESULTS: All 40 animals were employed in the final analysis without death. Tumor did not grow in both immediate group and 3-wk group. In 3-wk group, left endite was atrophied and growth of tumor was inhibited.The maximal diameter of tumor was significantly smaller than that in positive control group (2.55 ± 0.46 vs3.59 ± 0.37 cm, t = 5.57, P < 0.001). Incidences of metastasis in the liver and lung were lower in 3-wk group than those in positive control group (10% vs 40%, and 90% vs 100%, respectively). The expression intensities of the vascular endothelium growth factor (VEGF) in groups A, B, C and D were 0.10 ± 0.06, 0.66 ± 0.21, 0.28± 0.09 and 1.48 ± 0.32, respectively. VEGF expression level in the test group A was significantly lower than that in the negative control group C (t = 5.07; P < 0.001).In addition, VEGF expression in the test group B was significantly lower than that in the positive control group D (t = 6.38; P < 0.001). Scanning with multi-slice CT showed that displaying rate of

  17. Clinical application of multi-slice spiral CT urography in traumatic urine leaka%外伤性尿漏多层螺旋CT诊断

    Institute of Scientific and Technical Information of China (English)

    俞国有

    2012-01-01

    Objective To explore the diagnostic value of multi-slice CT in the urine leakage. Methods 20 cases of urine leaks confirmed by clinical diagnosis underwent spiral CT plain scanning and triphasic dynamic enhancement scanning. The CT features on axial images and multiplanar reformation (MPR). maximum intensity projection (MIP) and volume rendering (VR) were reviewed. Results The breakage in renal parenchyma, subcapsular hematoma of kidney, prerenal fascia thickening appeared in 15 cases with pelvis leak affected by trauma. The excretory phase could detect 2 cases wfth ureteral leakage. 3 cases with bladder leak had the defect of posterior wall. Encapsulated effusion in rectal bladder space and eggshell-like calcification of the wall could be found, the contrast agent inpoured the urinary vesicle through the defect of the bladder wall. Conclusion Since the multi-slice CT urography (MSCT) examination clearly shows the leakage, the site of urine leakage. the scope of urinary vesicle. and other complications. it can be used as a preferred diagnostic method of urinary leakage.%目的 探讨多层螺旋CT对肾盂、输尿管及膀胱外伤性尿漏的诊断价值.方法 搜集20例经临床证实发生尿漏患者多层螺旋CT检查.全部行增强三期扫描.运用多种CT后处理技术(MPR、VR、MIP)综合分析其MSCT特点.结果 20例患者中,肾盂尿漏15例,输尿管尿漏2例,膀胱尿漏3例,排泄期表现为对比剂外渗,各种后处理技术可以清晰显示漏口的部位及范围,并可合并显示肝脾破裂、肾实质破裂、肾包膜下血肿、肾周间隙积液、骨盆多发骨折等.结论 MSCT延迟增强扫描能清晰显示尿漏的部位、漏口和并发症,对尿漏的诊断和选择治疗方案提供重要依据,可以作为尿漏诊断首选方法.

  18. Finite element modeling of stress distributions and problems for multi-slice longwall mining in Bangladesh, with special reference to the Barapukuria coal mine

    Energy Technology Data Exchange (ETDEWEB)

    Islam, Md. Rafiqul; Hayashi, Daigoro [Simulation Tectonics Laboratory, Department of Physics and Earth Sciences, University of the Ryukyus, Okinawa, 903-0213 (Japan); Kamruzzaman, A.B.M. [Geology Division, Barapukuria Coal Mining Company Limited, Chowhati, Parbatipur, Dinajpur (Bangladesh)

    2009-04-01

    This paper deals with current coal mining operations under a mega-aquifer in NW Bangladesh, and presents a case study of underground mining in Barapukuria. The study uses numerical analyses to evaluate stress redistribution, strata failure, and water inflow enhancements that result from these coal extraction operations. A total of three models (A, B, and C) are presented in this study. Two-dimensional numerical modeling was performed to analyze the deformation and failure behavior of rock elements for two different models (A and B). For model A, we used an elastic finite element software package considering a Mohr-Coulomb failure criterion. For model B, we used boundary element method (BEM). The first two models were applied to determine the stress patterns. Model A provides the tectonic stress pattern of the basin, whereas model B represents the mining-induced stress field. The third model is a schematic model. The results of model A show that tensional failure of rock elements is concentrated in the Gondwana coal sequences as well as within the Eastern Boundary Fault (EBF) and its surroundings. Failure occurs in the middle to lower part of the model, and the magnitude of tensional stress in the shallow part is much greater than in the deeper part. Contours of {tau}{sub max} magnitudes are attributed to up-bending of the overburden, which would create numerous upward propagating fissures/fractures. The results of model B show that fracture propagation would be about 240 m upward for single-slice (height 3 m) mining extraction. From the contours of mean stress magnitudes, it is observed that the high range of fracture propagation increased upward for multi-slice extraction of coal. It is apparent from the fracture heights that large amounts of caving would occur towards the roof due to the multi-slice extraction of coal, and finally would be linked with the water-bearing Dupi Tila Formation. If this happened, it would ultimately cause a major water inflow hazard in

  19. 多层螺旋CT(MSCT)灌注评估糖尿病肾病患者肾功能的临床研究%Clinical Study on Multi-slice Spiral CT (MSCT) in Evaluation of Renal Function in Patients with Diabetic Nephropathy

    Institute of Scientific and Technical Information of China (English)

    刘乃全; 孙广萍

    2016-01-01

    Objective To investigate the clinical value of multi-slice spiral CT (MSCT) perfusion in evaluation of renal function in patients with diabetic nephropathy (DN). Methods 31 cases of patients with clinically diagnosed DN and 26 normal volunteers were selected as the study subjects. All of them underwent bilateral renal perfusion scan with 64 slice spiral CT. The relationship between renal cortical perfusion parameters and clinical examination indicators in the two groups was compared. The changes in clinical examination indicators before and after perfusion scan were analyzed.Results The renal blood flow (BF), renal blood volume (BV) and renal permeability surface (PS) in DN group were significantly lower than those in control group. The mean transit time (MTT) of renal contrast agent was significantly longer than that of control group (P<0.05); BF, BV, MTT, PS and microalbumin, 24h urinary protein quantitation, creatinine and fasting blood glucose were correlated. BF and BV had no correlation (P<0.05).Conclusion MSCT renal perfusion parameters and microalbumin, 24h urinary protein quantitation and fasting blood glucose have certain correlation, which can be used for evaluation of renal function damage in patients with DN.%目的:探讨多层螺旋CT(MSCT)灌注评估糖尿病肾病(DN)患者肾功能的临床价值。方法选取31例临床确诊为DN患者及26例正常志愿者作为研究对象,均行64层螺旋CT双侧肾脏灌注扫描,对比两组肾皮质灌注参数与临床检验指标的关系,分析灌注扫描前后临床检验指标变化。结果 DN组肾血流量(BF)、肾血容量(BV)、脏表面通透性(PS)均明显低于对照组,肾造影剂的平均通过时间(MTT)明显高于对照组(P<0.05);BF、BV、MTT、PS与微量白蛋白、24h尿蛋白定量、肌酐、空腹血糖存在相关性,BF、BV与肌酐存在相关性(P<0.05)。结论 MSCT肾脏灌注指标与微量白蛋白、24h尿蛋白定量、空腹血糖具有一定相

  20. The Analysis of Blood Flow Dynamics About 64-slice Spiral CT Perfusion Imaging for Primary Liver Cancer%原发性肝癌患者64层螺旋CT灌注成像血流动力学分析

    Institute of Scientific and Technical Information of China (English)

    孙建华

    2015-01-01

    目的:探讨原发性肝癌患者64层螺旋CT灌注成像血流动力学的表现。方法收集2012年8月~2013年7月来我院就诊的确诊为原发性肝癌的患者46例并将其作为观察组,选取2012年8月~2013年7月来我院进行健康体检的健康对象46例并将其作为对照组,血液流动力学表现采用64层螺旋CT灌注成像观察,检测并比较两组患者肝动脉灌注量、肝门静脉灌注量、总肝灌注量、肝动脉灌注指数。结果观察组肝动脉灌注量、肝动脉灌注指数高于对照组,肝门静脉灌注量、总肝灌注量低于对照组,两组差异有统计学意义(P<0.05)。结论原发性肝癌患者采用64层螺旋CT灌注成像诊断血液流动力学表现较为显著,具有较高的诊断价值。%Objective To Einvestigate the blood flow dynamics about 64-slice spiral CT perfusion imaging for primary liver cancer. Methods 46 patients with primary liver cancer diagnosed in our hospital were collected from August 2012 to July 2013 and taken as the observation group, 46 cases of health object for physical examination in our hospital were selected at the same time as the control group, observed the blood lfow dynamics performance used by 64-slice spiral CT perfusion imaging, the two groups were measured and compared about hepatic arterial perfusion, hepatic portal vein perfusion, total liver perfusion, hepatic perfusion index. Results Hepatic arterial perfusion, hepatic perfusion index of observation group were higher, the hepatic portal vein perfusion, total hepatic perfusion were lower than the control group, the difference was statistically significant (P<0.05). Conclusions Primary liver cancer patients use 64-slice spiral CT perfusion imaging in the diagnosis of blood lfow dynamics performance is more signiifcant, with high diagnostic value.

  1. Distributed Computing on Gadgetron: A new paradigm for MRI reconstruction

    DEFF Research Database (Denmark)

    Xue, Hui; Kelmann, Peter; Inati, Souheil

    cloud computing. With this extension (named GT-Plus), any number of Gadgetron processes can run cooperatively across multiple computers. GT-Plus framework was deployed on Amazon EC2 cloud and NIH’s Biowulf system. We demonstrate that with the GT-Plus cloud, a multi-slice free-breathing myocardial cine...

  2. Physical dose distribution due to multi-sliced kV X-ray beam in labeled tissue-like media: An experimental approach

    Energy Technology Data Exchange (ETDEWEB)

    Ghasemi, M., E-mail: mghasemi@nrcam.or [Agricultural Medical and Industrial Research School, NSTRI, P.O. Box 31485-498, Karaj (Iran, Islamic Republic of); Kakuee, O.R.; Fathollahi, V. [Van de Graaff Laboratory, Nuclear Science Research School, NSTRI, P.O. Box 14395-836, Tehran (Iran, Islamic Republic of); Shahvar, A.; Mohati, M.; Ghafoori, M. [Agricultural Medical and Industrial Research School, NSTRI, P.O. Box 31485-498, Karaj (Iran, Islamic Republic of)

    2011-02-15

    Radiotherapy remains a major modality of cancer therapy. Thanks to high flux and high brilliance of synchrotron-generated X-ray, laboratory research with planar microscopically thin X-ray beam promise exciting new opportunities for treatment of cancer. High tolerance of normal tissues at doses up to several hundred Gy in a single dose fraction and preferential damage of tumors at very high doses have been uniquely observed in animal models exposed to microbeams. The fact that beams as thick as 0.68 mm could retain a part of these effects, opens the possibility that the required beam can be produced by high power X-ray tubes besides a dedicated synchrotron. Fortunately, dose distribution due to kilovolt X-rays could be enhanced by the introduction of high-Z contrast agents to tissue-like media. In this work, dose deposition in a phantom-partially loaded with Au and I as contrast agents-irradiated by multi-sliced kV X-ray beam was experimentally investigated in the peak and valley regions both on the surface and in the depth of phantom. The results of experimental dosimetry using Gaf-chromic films were compared with corresponding Monte-Carlo simulation. Relative reduction in the deposited dose in the peak regions downstream the area containing contrast agents in comparison with the adjacent areas was experimentally observed.

  3. Physical dose distribution due to multi-sliced kV X-ray beam in labeled tissue-like media: an experimental approach.

    Science.gov (United States)

    Ghasemi, M; Kakuee, O R; Fathollahi, V; Shahvar, A; Mohati, M; Ghafoori, M

    2011-02-01

    Radiotherapy remains a major modality of cancer therapy. Thanks to high flux and high brilliance of synchrotron-generated X-ray, laboratory research with planar microscopically thin X-ray beam promise exciting new opportunities for treatment of cancer. High tolerance of normal tissues at doses up to several hundred Gy in a single dose fraction and preferential damage of tumors at very high doses have been uniquely observed in animal models exposed to microbeams. The fact that beams as thick as 0.68 mm could retain a part of these effects, opens the possibility that the required beam can be produced by high power X-ray tubes besides a dedicated synchrotron. Fortunately, dose distribution due to kilovolt X-rays could be enhanced by the introduction of high-Z contrast agents to tissue-like media. In this work, dose deposition in a phantom--partially loaded with Au and I as contrast agents--irradiated by multi-sliced kV X-ray beam was experimentally investigated in the peak and valley regions both on the surface and in the depth of phantom. The results of experimental dosimetry using Gaf-chromic films were compared with corresponding Monte-Carlo simulation. Relative reduction in the deposited dose in the peak regions downstream the area containing contrast agents in comparison with the adjacent areas was experimentally observed.

  4. Rapid assessment of myocardial infarct size in rodents using multi-slice inversion recovery late gadolinium enhancement CMR at 9.4T

    Directory of Open Access Journals (Sweden)

    Hausenloy Derek J

    2011-09-01

    Full Text Available Abstract Background Myocardial infarction (MI can be readily assessed using late gadolinium enhancement (LGE cardiovascular magnetic resonance (CMR. Inversion recovery (IR sequences provide the highest contrast between enhanced infarct areas and healthy myocardium. Applying such methods to small animals is challenging due to rapid respiratory and cardiac rates relative to T1 relaxation. Methods Here we present a fast and robust protocol for assessing LGE in small animals using a multi-slice IR gradient echo sequence for efficient assessment of LGE. An additional Look-Locker sequence was used to assess the optimum inversion point on an individual basis and to determine most appropriate gating points for both rat and mouse. The technique was applied to two preclinical scenarios: i an acute (2 hour reperfused model of MI in rats and ii mice 2 days following non-reperfused MI. Results LGE images from all animals revealed clear areas of enhancement allowing for easy volume segmentation. Typical inversion times required to null healthy myocardium in rats were between 300-450 ms equivalent to 2-3 R-waves and ~330 ms in mice, typically 3 R-waves following inversion. Data from rats was also validated against triphenyltetrazolium chloride staining and revealed close agreement for infarct size. Conclusion The LGE protocol presented provides a reliable method for acquiring images of high contrast and quality without excessive scan times, enabling higher throughput in experimental studies requiring reliable assessment of MI.

  5. 起搏器置入患者640层与64层CT冠状动脉造影图像质量和伪影的比较%Comparative Study of Image Quality and the Artifact of Coronary Angiography between 640-slice and 64-slice CT in the Patients with Pacemaker

    Institute of Scientific and Technical Information of China (English)

    王振; 丁忠祥; 王博业; 狄幸波; 袁建华; 徐健; 陈军法; 钟建国

    2012-01-01

    Objective To compare the image quality and artifact between 640 - slice and 64 - slice CT coronary angiography in the patients with pacemaker, and to evaluate the success rate and applicability of CT coronary angiography. Methods Twenty - four patients with pacemaker were divided into two groups. Group A ( 16 patient) underwent 640 - slice CT coronary angiography, and Group B ( 8 patient) underwent 64 - slice CT coronary angiography. Image quality and artifact of the fifteen coronary segments were assessed by two blinded observers. Radiation dosage and patient's common information were recorded. Data sets were analyzed using parametric and nonpara-metric statistical tests with the SPSS 13.0 software. Results There was no significant difference in body weight and body height between the two groups. Radiation exposure was significantly higher with 64 - slice CT than with 640 - slice CT ( 13. 8 ± 1. 53 mSv vs 9. 14 ± S.6S mSv; P<0.001) despite significantly higher heart rates in the 640 - slice CT group [61 ±4bpm ( beats per minute) vs 71 ±6bpm; P <0. 001 ] . The rate of available diagnostic images was greater for images obtained with 640 - slice CT than for images obtained with 64 -slice CT(99.06% vs93.27% ; P<0.05). Artifacts were the cause of coronary arteries that cannot be evaluated for coronary MSCT angiography. They were blurring artifact, stairstep artifact, streak artifact, missing data. There were significant differences in these artifacts between the two groups( continuity corrected^2 = 5.009,/* <0.05). Artifacts of group A were mild (94.3% ) , and artifacts of group B were severe artifacts (31.8% ). Conclusion 640 - slice and 64 - slice CT coronary angiography have excellent image quality in patients with pacemaker. 640 - slice CT provides significantly better diagnostic image quality and artifacts of little influence than those of 64 - slice CT, and it had more success rate and applicability of CT coronary angiography.%目的

  6. 多层螺旋CT对颌骨放射性骨坏死的诊断价值%DIAGNOSTIC VALUE OF MULTI-SLICE SPIRAL CT FOR OSTERORADIONECROSIS OF JAW

    Institute of Scientific and Technical Information of China (English)

    林颖; 曹代荣; 游瑞雄; 江飞; 郑义浩

    2014-01-01

    Objective:To investigate the diagnostic value of multi-slice spiral CT for osteoradionecrosis of jaws (ORNJ). Methods:The CT ifndings of 27 cases ORNJ that were conifrmed by surgery and pathology were retrospectively analyzed. Results: The main CT ifndings of ORNJ were limited bone destruction and sequestration.Conclusions:Multi-slice spiral CT can clearly display location and appearance of lesions, sequestration, periosteal reaction and soft tissue mass formation. So multi-slice spiral CT has important value for diagnosis and differential diagnosis of ORNJ.%目的::探讨多层螺旋CT对颌骨放射性骨坏死(ORNJ)的诊断价值。方法:回顾性分析27例经手术、病理证实为ORNJ的CT表现。结果:ORNJ在多层螺旋CT上主要表现为局限性骨质破坏和死骨形成。结论:多层螺旋CT能清楚的显示ORNJ病灶的位置、形态、病灶内的死骨形成、有无骨膜反应及软组织肿块形成等,对ORNJ的诊断及鉴别诊断有重要的价值。

  7. Diagnostic Value of Multi-slice CT for Thoracic Trauma%多排螺旋CT在胸部外伤诊断中的价值分析

    Institute of Scientific and Technical Information of China (English)

    王兵萍; 吴涛; 朱海峰; 贾亚男

    2016-01-01

    目的:探讨多排螺旋CT在胸部外伤中的应用价值。方法回顾性分析200例胸部外伤患者的常规X线平片和胸部CT(包括肋骨三维重建)图像,对两种检查方法发现的肋骨骨折、肺挫裂伤、气胸、胸腔积液、软组织肿等征象进行统计学分析。结果两种检查方法在肋骨骨折、肺挫裂伤、气胸、胸腔积液、软组织肿等方面均有显著性差异。结论多排螺旋CT能够对胸部外伤患者做出更加精准的伤情诊断,与X线平片相比有更高的应用价值。%Objective To discuss the clinical application of multi-slice CT in the thoracic trauma.Methods Retrospective analysis of 200 cases of thoracic trauma patients with conventional X-ray plain film, chest CT (includ ribs three-dimensional reconstruction image). Found two inspection methods for affected side thoracic bone fractures, pulmonary contusion, pneumothorax, hydrothorax, soft tissue swelling of signs for statistics and analysis.Result Two methods of checking in affected side fractured ribs, pulmonary contusion, pneumothorax, hydrothorax, soft tissue swelling, etc ,have significant difference.Conclusion MSCT can make more accurate judgment injury in patients with thoracic trauma, compared with X-ray plain film has a higher application value.

  8. Simultaneous multi-slice Turbo-FLASH imaging with CAIPIRINHA for whole brain distortion-free pseudo-continuous arterial spin labeling at 3 and 7 T.

    Science.gov (United States)

    Wang, Yi; Moeller, Steen; Li, Xiufeng; Vu, An T; Krasileva, Kate; Ugurbil, Kamil; Yacoub, Essa; Wang, Danny J J

    2015-06-01

    Simultaneous multi-slice (SMS) or multiband (MB) imaging has recently been attempted for arterial spin labeled (ASL) perfusion MRI in conjunction with echo-planar imaging (EPI) readout. It was found that SMS-EPI can reduce the T1 relaxation effect of the label and improve image coverage and resolution with little penalty in signal-to-noise ratio (SNR). However, EPI still suffers from geometric distortion and signal dropout from field inhomogeneity effects especially at high and ultrahigh magnetic fields. Here we present a novel scheme for achieving high fidelity distortion-free quantitative perfusion imaging by combining pseudo-continuous ASL (pCASL) with SMS Turbo-FLASH (TFL) readout at both 3 and 7 T. Bloch equation simulation was performed to characterize and optimize the TFL-based pCASL perfusion signal. Two MB factors (3 and 5) were implemented in SMS-TFL pCASL and compared with standard 2D TFL and EPI pCASL sequences. The temporal SNR of SMS-TFL pCASL relative to that of standard TFL pCASL was 0.76 ± 0.10 and 0.74 ± 0.11 at 7 T and 0.70 ± 0.05 and 0.65 ± 0.05 at 3T for MB factor of 3 and 5, respectively. By implementing background suppression in conjunction with SMS-TFL at 3T, the relative temporal SNR improved to 0.84 ± 0.09 and 0.79 ± 0.10 for MB factor of 3 and 5, respectively. Compared to EPI pCASL, significantly increased temporal SNR (pbrain distortion-free quantitative mapping of cerebral blood flow at high and ultrahigh magnetic fields.

  9. A comparative study for spatial resolution and subjective image characteristics of a multi-slice CT and a cone-beam CT for dental use

    Energy Technology Data Exchange (ETDEWEB)

    Watanabe, Hiroshi, E-mail: hiro.orad@tmd.ac.jp [Oral and Maxillofacial Radiology, Division of Oral Restitution, Graduate School, Tokyo Medical and Dental University, 5-45 Yushima 1-chome, Bunkyo-ku, Tokyo 1138549 (Japan); Honda, Eiichi [Oral and Maxillofacial Radiology, Division of Oral Health Sciences, The University of Tokushima Graduate School (Japan); Tetsumura, Akemi; Kurabayashi, Tohru [Oral and Maxillofacial Radiology, Division of Oral Restitution, Graduate School, Tokyo Medical and Dental University, 5-45 Yushima 1-chome, Bunkyo-ku, Tokyo 1138549 (Japan)

    2011-03-15

    Purpose: Multi-slice CT (MSCT) and cone-beam CT (CBCT) are widely used in dental practice. This study compared the spatial resolution of these CT systems to elucidate which CT modalities should be selected for various clinical cases. Materials and methods: As MSCT and CBCT apparatuses, Somatom Sensation 64 and 3D Accuitomo instruments, respectively, were used. As an objective evaluation of spatial resolution of these CT systems, modulation transfer function (MTF) analysis was performed employing an over-sampling method. The results of MTF analysis were confirmed with a line-pair test using CATPHAN. As a subjective evaluation, a microstructure visualization ability study was performed using a Jcl:SD rat and a head CT phantom. Results: MTF analysis showed that for the in-plane direction, the z-axis ultrahigh resolution mode (zUHR) of the Sensation 64 and 3D Accuitomo instruments had higher spatial resolutions than the conventional mode (64x) of the Sensation 64, but for the longitudinal direction, the 3D Accuitomo had clearly higher spatial resolution than either mode of the Sensation 64. A line-pair test study and microstructure visualization ability studies confirmed the results for MTF analysis. However, images of the rat and the CT phantom revealed that the 3D Accuitomo demonstrated the failure to visualize the soft tissues along with aliasing and beam-hardening artifacts, which were not observed in the Sensation 64. Conclusions: This study successfully applied spatial resolution analysis using MSCT and CBCT systems in a comparative manner. These findings could help in deciding which CT modality should be selected for various clinical cases.

  10. Accelerated magnetic resonance diffusion tensor imaging of the median nerve using simultaneous multi-slice echo planar imaging with blipped CAIPIRINHA

    Energy Technology Data Exchange (ETDEWEB)

    Filli, Lukas; Kenkel, David; Boss, Andreas; Manoliu, Andrei; Andreisek, Gustav; Runge, Val M.; Guggenberger, Roman [University Hospital of Zurich, University of Zurich, Institute of Diagnostic and Interventional Radiology, Zurich (Switzerland); Piccirelli, Marco [University Hospital of Zurich, Department of Neuroradiology, Zurich (Switzerland); Bhat, Himanshu [Siemens Medical Solutions USA Inc, Charlestown, MA (United States)

    2016-06-15

    To investigate the feasibility of MR diffusion tensor imaging (DTI) of the median nerve using simultaneous multi-slice echo planar imaging (EPI) with blipped CAIPIRINHA. After federal ethics board approval, MR imaging of the median nerves of eight healthy volunteers (mean age, 29.4 years; range, 25-32) was performed at 3 T using a 16-channel hand/wrist coil. An EPI sequence (b-value, 1,000 s/mm{sup 2}; 20 gradient directions) was acquired without acceleration as well as with twofold and threefold slice acceleration. Fractional anisotropy (FA), mean diffusivity (MD) and quality of nerve tractography (number of tracks, average track length, track homogeneity, anatomical accuracy) were compared between the acquisitions using multivariate ANOVA and the Kruskal-Wallis test. Acquisition time was 6:08 min for standard DTI, 3:38 min for twofold and 2:31 min for threefold acceleration. No differences were found regarding FA (standard DTI: 0.620 ± 0.058; twofold acceleration: 0.642 ± 0.058; threefold acceleration: 0.644 ± 0.061; p ≥ 0.217) and MD (standard DTI: 1.076 ± 0.080 mm{sup 2}/s; twofold acceleration: 1.016 ± 0.123 mm{sup 2}/s; threefold acceleration: 0.979 ± 0.153 mm{sup 2}/s; p ≥ 0.074). Twofold acceleration yielded similar tractography quality compared to standard DTI (p > 0.05). With threefold acceleration, however, average track length and track homogeneity decreased (p = 0.004-0.021). Accelerated DTI of the median nerve is feasible. Twofold acceleration yields similar results to standard DTI. (orig.)

  11. Value of 64-slice spiral CT perfusion imaging in estimating the efficacy of transcatheter arterial chemoembolization for the treatment of hepatocellular carcinoma%64排螺旋CT灌注成像在肝细胞癌介入治疗前后的评估价值

    Institute of Scientific and Technical Information of China (English)

    2014-01-01

    Objective To discuss the clinical value of 64-slice spiral CT perfusion imaging(CTPI) in estimating the efficacy of transcatheter arterial chemoembolization ( TACE ) for hepatocellular carcinoma (HCC).Methods Using 64-slice spiral CT(GE LightSpeed VCT XT),all CT plain scan and perfusion scan were performed in 30 patients with HCC 1-3 days before and 30-40 days after TACE .Using deconvolution through Infusion Software analysis , hepatic blood flow ( BF ) , blood volume ( BV ) , the mean transit time ( MTT) , hepatic arterial fraction ( HAF ) , permeability surface ( PS ) were caculated to evaluate HCC embolization hemodynamic status .Results After TACE,the tumor was totally filled with lipiodol in 12 cases and partially filled with lipiodol in 18 cases.BF,BV,MTT,HAF and PS perfusion maps showed that lack of blood perfusion was found in lipiodol-filling areas, but sparsely or insufficiently lipiodol-filled areas were hyperperfusion.BF,BV,HAF and PS of HCC after TACE were lower than those of HCC before TACE (P0.05 ) .Conclusions 64-slice spiral CT liver perfusion imaging can be used to monitor the blood supply changes in non -iodized oil deposits area non-invasively ,dynamically ,quantitatively ,which was very important in judging the tumor tissue survival and played an important role in response evaluation of HCC interventional therapy and guiding the follow -up treatment.%目的:探讨64排螺旋CT灌注成像(CTPI)在原发性肝细胞癌(HCC)肝动脉插管化疗栓塞( TACE )术前、后疗效的评估价值。方法选取30例HCC 患者,于TACE术前1~3 d、术后30~40 d应用GE LightSpeed VCT XT(64排128层螺旋CT)分别行全肝常规平扫及灌注扫描,运用灌注软件进行分析,计算肝血流量(BF)、血容量(BV)、平均通过时间(MTT)、肝动脉灌注指数(HAF)、毛细血管通透性( PS )等,统计分析相关参数,以评价 HCC 介入治疗前后的血流动力学状态。结果 TACE

  12. The Correlation Analysis of 64-slice Coronary CT Angiography: Effect of Average Heart rate, Heart Rate Range and Heart Rate Variability on Image Quality%平均心率、心率波动和心率变异性对64层螺旋CT冠脉成像质量的相关性分析

    Institute of Scientific and Technical Information of China (English)

    朱玉春; 王建良; 吴志娟; 沈纪芳; 王伟伟; 刘丽华; 朱晟超; 张臻

    2012-01-01

    Objective The purpose of this study was to evaluate the effect of average heart rate,heart rate range and heart rate variability on the image quality with 64-slice spiral CT coronary angiography. Methods 200 patients underwent 64-slice coronary CT angiogra-phy ,which were suspected coronary artery diseases. Image quality was performed using five score method. The detailed analysis was performed to evaluate the relationship of average heart rate,heart rate range and heart rate variability on the image quality. Results 600 coronary angiography were analyzed in 200 patients. The average heart rate was 69.20 ± 8.80 beat per minute(heart rate rang , l~38bmp), with a variability of 8.50 ±6.75%. Image quality was sufficient for diagnosis for 94.3%(566/600)of arterial segment at the best reconstruction interval. A significan correlation (P<0.05) between overall image quality was found for average heart rate, heart rate range and heart rate variability. The lower average heart rate,the less heart rate range and variability, the better coronary image quality. Conclusion Coronary angiography with 64-slice spiral CT can provides best diagnostic image quality within a wide range of heart rates, and reducing average heart rate and heart rate variability in patients is beneficial in improving image quality.%目的 探讨平均心率、心率波动和心率变异性对64层螺旋CT冠脉造影成像质量的影响.方法 200例患者因怀疑存在冠心病进行64层螺旋CT冠状动脉造影检查,以5分法评定系统进行影像质量评价,着重分析平均心率、心率波动和心率变异性与冠状动脉图像质量的相关性.结果 200例患者,共纳入分析血管为600支,平均心率为69.20±8.80bmp,心率波动范围 1-38bmp,平均心率变异性8.50±6.75 %,共有94.3%(566/600)冠状动脉图像质量满足诊断需要.平均心率,心率波动和心率变异性与冠脉图像质量均有显著相关性.平均心率越慢,心率波动范围越小,心率

  13. 心率及其变异性对64层CT冠状动脉成像质量及辐射剂量的影响%Effects of heart rate and heart rate variability on image quality and radiation exposure of 64-slice coronary CT angiography

    Institute of Scientific and Technical Information of China (English)

    贺敬红; 李健丁; 乔英; 张瑞平

    2016-01-01

    目的:评价心率及心率变异性对64层螺旋CT冠状动脉影像质量及辐射剂量的影响。方法共90例患者进行了64层螺旋CT冠状动脉成像,以4分评判方法进行图像质量评价,分析心率及心率变异性对冠状动脉的影像质量及辐射剂量的影响。结果90例患者,共360支血管纳入分析,其中97.5%可满足影像评价。平均心率为(67±10)次/min,平均心率变异性为(7.2±9.3)%,辐射剂量平均为(20.2±2.3)mSv。平均心率和心率变异性与冠状动脉影像质量均呈负相关(r值分别为:-0.651、-0.662,P值均<0.01),与辐射剂量无相关性。结论不同心率、心率变异性患者,图像质量差异较大,降低心率,减少心率变异性有助于提高64层冠状动脉的成像质量,对辐射剂量无显著影响。%Objective To assess the effect of heart rate and heart rate variability on image quality and patient dose with 64-slice sprial CT coronary angiography. Methods Ninty patients underwent 64-slice coronary CT angiog-raphy.Image quality was performed usding four-score method.The analysis was performed to evaluate the relationship of heart rate and heart rate variability on the image quality and radiation dose. Results Three hundreds and sixty coronary arteries were analyzed in 90 patients, 97.5%of the coronary segments was sufficient for diagnosing. The aver-age heart rate was (67 ±10) beat per minute,with a variability of (7.2 ±9.3)%.The mean effective dose was (20.2 ±2.3) mSv.Significant negative correlations were observed both between heart rate and image quality and between heart rate variability and image quality. The results showed that heart rate and heart rate variability had no significant effect on radiation dose. Conclusion The image quality was significantly different in patients with different heart rate and heart rate variability.Reducing average heart rate and heart rate variability in

  14. 64排螺旋CT诊断成人门静脉海绵样变性的影像学表现及价值%Imaging Findings and Value of 64-slice Spiral CT in Diagnosis of Cavernous Transformation of Portal Vein

    Institute of Scientific and Technical Information of China (English)

    施健; 施小平; 王强; 王勤英

    2012-01-01

    目的 探讨利用64排螺旋CT动态增强扫描技术及多种血管重建方法诊断门静脉海绵样变性(Cavernous transformation of portal vein,CTPV)的价值和意义.方法 10例经手术、数字血管造影、超声诊断证实的门静脉海绵样变性病例,均行腹部平扫和动态增强扫描及血管后处理成像.结果 门静脉海绵样变性主要表现为门脉主干和(或)分支的阻塞,门脉走行区正常结构消失,出现大量向肝性及离肝性侧枝静脉.通过VR、MIP、MPR等血管成像技术能很好的显示门静脉栓塞、侧枝血管的重建与开放情况.结论 64排螺旋CT动态增强扫描及血管成像技术对诊断门静脉海绵样变性及侧枝血管的显示有较大优势和意义.%Objective To evaluate 64-slice spiral CT dynamic contrast-enhanced scanning combined with angiography reconstruction techniques in diagnosis of cavernous transformation of portal vein (CTPV). Methods 10 patients with CTPV conformed by surgery, digital angiography and ultrasound underwent plain and dynamic contrast enhanced CT. Multiple angiography reconstruction techniques were used to obtain vascular post-processing images. Results CTPV was primarily characteristic of the portal vein and (or) branch obstruction, loss of normal structure of portal vein region, presence of abundant venous collaterals through and out of liver. Volume rendering view (VR), maximum intensity projection (MIP) and multiplanar reconstruction (MPR) could distinctly display the portal vein embolization as well as reconstruction and opening situation of collateral vessels. Conclusion 64-slice spiral CT dynamic contrast-enhanced scanning combined with angiography reconstruction techniques is capable of making an accurate diagnosis of CTPV and providing more information for clinical therapy decisions.

  15. Use of 64-slice Spiral CT Angiography of Renal Vein Imaging in Evaluating Renal Vein Abnor-malities%64层3DMSCT在肾静脉异常中的应用价值

    Institute of Scientific and Technical Information of China (English)

    侯伟伟; 王云华; 蒋中标; 郑凯

    2015-01-01

    【目的】探讨64层多排螺旋CT(MSCT)三维血管成像(3D MSCTA)在肾静脉中的诊断价值。【方法】收集拟行活体肾移植术供肾者96例,临床可疑胡桃夹综合征者5例,行64层3D M SC T A ,了解肾脏静脉血管起始、数目、分支走行及管径大小,进一步比较3D MSCTA各种图像后处理重建方法对肾静脉异常的显示效果。【结果】双肾静脉均为一支且其起源与走行正常者66例。肾静脉变异35例:包括2条右肾静脉者4例,3条右肾静脉者2例,主动脉后肾静脉者1例,肾静脉细小(考虑可疑胡桃夹综合征)者5例,性腺静脉和或腰静脉及左肾上腺静脉(左肾静脉常见属支)汇入左肾静脉主干者20例,2条左肾静脉者3例(2条肾静脉分别与腹主动脉前后分别汇入下腔静脉者1例;1条肾静脉汇入下腔静脉、一条肾静脉汇入半奇静脉者1例;1条肾静脉汇入下腔静脉、一条肾静脉汇入左髂总静脉者1例)。与手术所见完全一致者为99例,符合率为98%(99/101)。【结论】64层3D MSCTA结合适当的后处理重建方法可满意显示肾静脉正常解剖及变异情况,是评价各种肾静脉异常的准确、安全方法。%[Objective] To explore the use of 3‐dimensional 64‐slice Spiral computed tomography angiogra‐phy (3D MSCTA) in the diagnosis of renal veins .[Methods] A total of 96 cases of potential live renal donor and 5 cases of clinically diagnosed nut‐cracker sign (NCS) were examined by 64‐slice spiral computed tomo‐graphy angiography (CTA) .The origin ,number ,branch ,course and size of renal veins were observed .Fur‐ther comparisons were made for the capacities of deciphering renal vein abnormalities on all kinds of postpro‐cessing reconstruction images of 3D MSCT .[Results]Double renal vein with normal origins and courses were found in 66 cases .Among 35 cases of renal vein variation ,there were double right renal

  16. Evaluation of multi-slice spiral CT in diagnosis of abdominal cocoon%多层螺旋CT在诊断腹茧症中的价值

    Institute of Scientific and Technical Information of China (English)

    何剑; 沈健; 周玮; 祝跃明

    2015-01-01

    目的:探讨多层螺旋 CT(MSCT)在诊断腹茧症中的价值。方法回顾性分析6例经手术病理证实为腹茧症患者的MSCT 资料,采集数据在工作站用平面重建(MPR)、最大密度投影(MIP)及容积重建(VR)技术进行三维重建,观察病灶的空间解剖关系。结果6例均可见局部小肠及其系膜结构聚集成团,肠管折叠盘绕排列呈“手风琴”状或“香蕉”状。肠袢周围可见低密度的纤细纤维包膜,包膜厚薄不一,增强后纤维包膜强化轻度。受累小肠系膜血管走行异常,呈现肠系膜及其血管聚集、牵拉。结论MSCT 可以提供丰富的诊断信息,是腹茧症的首选检查方法。%Objective To investigate the value of multi-slice CT in diagnosis of abdominal cocoon.Methods CT findings of six cases with pathologically proved abdominal cocoon were collected and analyzed retrospectively.The three-dimensional imagines were obtained including multi-planar reconstruction(MPR),maximum intensity projection(MIP)and volume rendering(VR)at workstation,the rela-tionships between the lesions and surrounding structure were observed.Results A group of local small intestine were seen gathered in all six cases,the coiled intestine arranged in"accordion"shape or"banana"shape.The fibrous capsule were seen around them with different thickness,which were low density and slightly enhancement.Mesenteric arteries showed abnormal changes,showing ten-sion,aggregation.Conclusion MSCT can provide a wealth of diagnostic information and is the best method of examination abdomi-nal cocoon.

  17. Value of multi-slice CT in patients with congenital inner ear malformation before cochlear implantation%多层螺旋CT在内耳畸形的人工耳蜗植入术前评估中的价值

    Institute of Scientific and Technical Information of China (English)

    吴琛; 熊玉伟; 周运锋

    2015-01-01

    目的:探讨多层螺旋CT在患有内耳畸形的人工耳蜗植入术前评估中的价值。方法:搜集我院因听力障碍拟行人工耳蜗植入的患者34例,所有患者均行多层螺旋CT检查。结果:34例患者中患内耳畸形的有10例共19耳,多数病耳合并多种畸形,其中耳蜗畸形8耳,前庭导水管扩大畸形8耳,前庭、半规管畸形4耳,内听道发育异常3耳。结论:多层螺旋CT扫描结合后处理技术可以更加准确地对内耳畸形做出诊断,在人工耳蜗植入术前具有重要的指导价值。%Objective:To evaluate the value of multi-slice CT in patients with congenital inner ear malformation before cochlear implantation .Methods:Multi-slice CT was performed in 34 patients with hearing impairment before cochlear implantation .Results:In 34 patients,inner ear malformation was de-tected in 10(19 ears),and more cases were complicated with multiple malformations,in which 8 cases were cochlear malformations,8 enlarged vestibular aqueduct malformation,4 vestibule and semi-circular canal malformations,and 3 internal auditory cannal malformations.Conclusion:Multi-slice CT can make accurate diagnosis of congenital inner ear malformations before cochlear implantation .

  18. 多排螺旋CT在胃肠道肿瘤及并发症的诊断价值%Multi-slice Spiral CT in the Diagnosis of Gastrointestinal Tumor and Complications

    Institute of Scientific and Technical Information of China (English)

    高云; 郑晓林; 尹昌媛

    2013-01-01

    目的 探讨多排螺旋CT在胃肠道肿瘤及并发症的诊断价值. 材料和方法 回顾性分析43例胃肠道肿瘤的多排螺旋CT表现,观察分析胃肠道肿瘤的直接CT征象及并发症征象.结果 CT可以直接发现胃肠道肿块的32例,肠管壁增厚11例,肠梗阻18例,肠套叠3例,肠扭转5例,消化道出血1例,肠系膜血管增粗26,肠系膜淋巴结肿大15例,肝脏转移7例,大网膜转移3例.结论 多排螺旋CT在消化道肿瘤的诊断方面有较高的临床实用价值,值得推广应用.%Objective To investigate diagnostic value of multi-slice spiral CT on the gastrointestinal tumor and complications.Materials and methods Multi-slice spiral CT performance of 43 patients with gastrointestinal tumors were retrospectively analyzed,to observe and analyze direct CT findings and complications CT findings of gastrointestinal tumors.Results 32 cases of the gastrointestinal masses could be directly found by multislice spiral CT; 11 cases of bowel wall thickening; 27 cases of intestinal obstruction; 3 cases of intussusception; 5 cases of volvulus; 1 case of gastrointestinal bleeding; 26 cases of mesenteric vascular thickening; 15 cases of mesenteric lymph nodes; 7 cases of liver metastases; 3 cases of omentum metastasis.Conclusion Multi-slice spiral CT in the diagnosis of gastrointestinal tumors had higher clinical value,should be widely applied.

  19. 多层螺旋CT骨三维重建在肋骨及肋软骨骨折的诊断价值%The Diagnostic Value of Multi-slice Spiral CT 3D Bone Reconstruction on Rib and Rib Cartilage Fractures

    Institute of Scientific and Technical Information of China (English)

    苏杨; 刘静; 王江玥

    2016-01-01

    Objective To explore the application value of multi-slice spiral CT (MSCT) three-dimensional (3D) bone reconstruction on the diagnosis of rib and rib cartilage fractures.Methods Forty-three cases of patients with chest injury were treated as the study objects. All of them underwent multi-slice spiral CT scanning. Volume rendering (VR), maximum intensity projection (MIP) and multi planar reconstruction (MPR) were used for 3D reconstruction of ribs and rib cartilage. Compared with routine CT scan, the diagnostic advantages of MSCT 3D reconstruction were analyzed.Results Forty-three cases had rib fractures, a total of 122 ribs. Single fractures accounted for 30.23% and multiple fractures accounted for 69.77%; The axillary segment of rib fracture was common, accounting for 95.65%, 15 cases had rib cartilage fractures, a total of 23, 24 cases were detected with complications by MSCT. The accuracy rate of MSCT 3D reconstruction in the diagnosis of rib and rib cartilage fractures (98.36%, 95.65%) were significantly higher than those of CT scan (72.95%, 13.04%) (P<0.05).Conclusion The accuracy of MSCT in the diagnosis of rib and cartilage fractures is high. It can be used as an ideal imaging method for the diagnosis of the disease.%目的:探讨多层螺旋CT(multi-slice spiral computed tomography, MSCT)骨三维重建在诊断肋骨及肋软骨骨折中的应用价值。方法选取43例胸部外伤患者为研究对象,均行多层螺旋CT扫描,运用容积重建(volume rendering, VR)、最大密度投影(maximum intensity projection, MIP)、多平面重建(multi planar reconstruction, MPR)三维重建肋骨及肋软骨,并与常规CT平扫对比,分析MSCT三维重建的诊断优势。结果43例肋骨骨折,共122根;其中单发骨折占30.23%,多发骨折占69.77%;肋骨骨折腋段较为常见,占95.65%;15例肋软骨骨折,共23根;MSCT检出24例外伤后并发症。MSCT三维重建技术诊断肋骨及肋软骨骨折的准确率为98

  20. Multi-slice computed tomography imaging anatomy study of adrenal vein%肾上腺静脉MSCT影像解剖研究

    Institute of Scientific and Technical Information of China (English)

    李晓燕; 吕发金; 周永霞; 张翱; 胡良波; 刘丹

    2015-01-01

    目的:利用MSCT准确显示肾上腺静脉正常解剖结构及变异,为临床提供影像解剖数据。方法回顾分析上腹部CTA患者108例。薄层MIP/MPR评估测量肾上腺静脉管径、长度及走行路径。结果①右侧:显示率64.81%(70/108),变异5.71%(4/70);汇入下腔静脉7点至8点间占优势42.42%;其管径Rr (2.19±0.56) mm,腺外段长度RD1(5.02±1.82) mm,汇入下腔静脉距右肾静脉汇入距离RD2(40.69±12.96) mm,汇入口开口向下角度RA (60.25±17.85)°。②左侧:显示率97.22%(105/108);变异14.29%(15/105);肾上腺静脉管径Lr (2.39±0.56) mm,腺外段长度LD1(7.28±4.01) mm,膈-肾上腺静脉干管径LR (3.65±0.93) mm,膈-肾上腺静脉的共干段长度LD2(14.07±6.77) mm,膈-肾上腺静脉汇入左肾静脉点至下腔静脉左侧缘距离LD3(32.89±4.85) mm,膈-肾上腺静脉汇入左肾静脉开口向内的角度LA1(118.06±18.49)°,肾上腺静脉与膈静脉共干段开口向下的角度LA2(156.15±13.81)°。结论 MSCT可显示大部分右侧肾上腺静脉及绝大部分左侧肾上腺静脉正常走行及变异,测量相关影像解剖数据,为AVS等手术方案提供影像数据。%Objective Using MSCT to display the normal anatomic structure and variation of the adrenal vein accurately and to provide image anatomy data for clinical application. Methods 108 patients with abdominal examination of CTA were retrospectively analyzed. A thin layer of MIP and MPR technique was applied to evaluate and measure the adrenal vein diameter, length and line path. Results ① Display rate and variation rate in the right side was 64.81% (70/108) and 5.71% (4/70). The adrenal vein drained directly into the inferior vena cava in 7 o'clock to 8 o'clock direction, accounting for a majority of 42.42%(28/66). The diameter of adrenal vein was (2.19±0.56) mm, the length of vein outside the gland was (15.02± 1.82) mm, the distance between the sites where the right and left the adrenal veins joint the inferior vena cava was (240.69 ± 12.96) mm; the inferiorly-oriented angel of adrenal vein into the inferior vena cava was (60.25 ± 17.85)° . ② Display rate and variation rate on the left side was 97.22% (105/108) and 14.29% (15/105);adrenal vein was (2.39±0.56) mm, the length of vein outside the gland was (17.28±4.01) mm, the shared trunk between the diaphragmatic-adrenal veins was (3.65 ± 0.93) mm, the distance from the point of diaphragmatic-adrenal vein draining into the left renal vein was (14.07 ± 6.77) mm, the distance from the point of the diaphragmatic-adrenal vein draining into the left renal vein to the left side of the inferior vena cava was (32.89 ± 4.85) mm, the inward angel of the diaphragmatic-adrenal vein drainging into the left renal vein was (118.06±18.49)°,the inferiorly-oriented angel of the adrenal vein draining into the diaphragmatic-adrenal vein (156.15 ± 13.81)° . Conclusion MSCT can display most of the right adrenal vein and the vast majority of the left adrenal vein in normal and abnormal passageway. Measurement of relevant imaging anatomy data can provide the imaging data for operation scheme such as AVS.

  1. Measurement of response of pulmonal tumors in 64-slice MDCT

    Energy Technology Data Exchange (ETDEWEB)

    Sohns, Christian; Sossalla, Samuel (Dept. of Cardiology and Pneumology/Heart Center, Georg-August-Univ., Goettingen (Germany)), e-mail: christian.sohns@gmx.de; Mangelsdorf, Johanna; Obenauer, Silvia (Dept. of Radiology, Georg-August-Univ., Goettingen (Germany)); Konietschke, Frank (Dept. of Medical Statistics, Georg-August-Univ., Goettingen (Germany))

    2010-06-15

    Background: Advances in CT technology from single to multi-detector row CT (MDCT) permit a high resolution and volumetric presentation of pulmonary lesions. This implicates emerging measurement techniques that need to be contrasted with established methods. Purpose: To compare bidimensional, unidimensional, and volumetric methods for evaluation of treatment response in patients with lung lesions. Material and Methods: This study comprised 68 patients with pulmonary lesions who underwent a total of 276 64-MDCTs of chest at baseline and follow-up. RECIST and WHO criteria were used for unidimensional and bidimensional methods and region growing (RG) for volumetry. Patients were classified into four response categories. Respectively, two measurement techniques were contrasted and the kappa index was calculated. For intra-observer reproducibility the relative measurement error (RME) and kappa index with regard to agreement of response categories were evaluated. Results: Comparison of WHO und RECIST criteria achieves high correlation with kappa indices of 0.76 and 0.82. In particular, lesions with moderate increase of size in the range of 25-44% for bidimensional and 12-29% for unidimensional measurement result in different response categories when applying WHO and RECIST criteria. WHO criteria delivered PD more often than RECIST. kappa indices of 0.79 and 0.87 were attained in comparison of RECIST and RG, and 0.83 and 0.84 for WHO and RG. RME was 2.82% for RECIST, 7.53% for WHO, and 8.97% for RG. Intra-observer reproducibility was 95% for RECIST, 95% for WHO, and 96% for RG. Conclusion: The comparison of all methods resulted in no statistically significant differences. WHO criteria seemed to diverge the most, they declared several lesions prematurely as progression, and showed no benefit in comparison to RECIST. RG showed the best reproducibility, considered irregular lesions, was slightly superior to RECIST, and could be applied uniformly. Unidimensional measurement represents an adequate alternative with the advantage of better clinical work flow

  2. Multi-slice Spiral CT Manifestation of Parotid Tumors%腮腺肿瘤的多层螺旋CT表现

    Institute of Scientific and Technical Information of China (English)

    侯学文; 张利中

    2016-01-01

    Objective To investigate the multi-slice spiral CT (MSCT) features of parotid tumors to provide clinical references. Methods Retrospective analysis was conducted on the MSCT manifestation of 23 patients whose diagnosis of parotid tumors were confirmed surgically and pathologically (including 3 cases of mucoepidermoid carcinoma, 11 cases of pleomorphic adenoma, 4 cases of adenolymphoma, 2 cases of lipoma, 2 cases of eosinophilic lymphocytes in the granuloma, 1 case of benign myoepithelial tumor). Through the CT manifestation tumor distribution, form, density, edge, cystic degeneration or necrosis, degree of enhancement, cervical lymph node enlargement of 23 cases were studied. Results Most pathological changes of the parotid gland were unilateral, of which 15 were left and 8 were right. Benign tumors usually located at the junction of the superficial lobe of parotid glands and the deep lobe of parotid glands. The shape of benign tumors was round or mass. The boundary was clear, and the density was uniform and higher than the normal parotid gland tissue. As shown by enhancing scanning, the calcification was found in the multiple adenomas and the cystic changes were found in the pleomorphic adenoma. Malignant tumors were usually located in deep lobes and were lobulated. The boundary was less clear. The density was uneven and more dense than normal parotid gland. Enhanced scan revealed inhomogeneous enhancement. Malignant parotid tumors were often accompanied by cervical lymph node enlargement. Conclusion Parotid gland tumors have certain imaging features. MSCT is helpful in the diagnosis and differential diagnosis and has important clinical diagnostic value.%目的:探讨腮腺肿瘤的多层螺旋CT表现,为临床提供参考。方法回顾性分析23例经手术病理证实的腮腺肿瘤患者(粘液表皮样癌3例,多形性腺瘤11例,腺淋巴瘤4例,脂肪瘤2例,嗜酸性淋巴细胞肉芽肿2例,肌上皮良性病变1例)的多层螺旋CT

  3. Diagnosis of acute mesenteric ischemia with multi-slice spiral CT%急性肠系膜缺血的MSCT诊断

    Institute of Scientific and Technical Information of China (English)

    贾乾君; 梁长虹; 张水兴; 刘再毅

    2011-01-01

    目的:探讨MSCT对急性肠系膜缺血的诊断价值.方法:回顾性分析经手术或介入治疗证实的36例急性肠系膜缺血患者的CT表现.所有患者均行CT检查,包括平扫、增强扫描动脉期、增强扫描门脉期并进行血管重建.后处理采用容积显示技术(VRT)、多平面重组(MPR)和薄层最大密度投影(MIP)进行动脉和门脉成像.结果:肠系膜上动脉栓塞5例,肠系膜上动脉狭窄6例,肠系膜上静脉血栓形成25例.CT直接征象为血管内充盈缺损(30例)或狭窄(6例).间接征象包括:肠管扩张、肠腔内积液积气(22例),肠壁增厚(14例),肠壁薄纸样改变(3例),肠壁积气(3例).肠系膜脂肪水肿及渗出(4例).结论:MSCT与其三维重组技术相结合是诊断急性肠系膜缺血的一种有效且无创的影像检查方法,可以明确阻塞动脉的部位及范围,对手术有较高的指导价值.%Objective : To study the clinical value of multi-slice spiral CT(MSCT) in the diagnosis of acute mesenteric ischemia. Methods:The CT features of 36 patients with surgery/interventional therapy proved acute mesenteric ischemia were reviewed retrospectively. All patients underwent MSCT scanning,including plain scan, arterial phase and portal vein phase scanning after contrast administration. Post-processing techniques including volume rendering, multi-planar reformation and thin-section maximum intensity projection were performed to assess the mesenteric artery and vein, as well as the portal vein. Results:There were 5 cases of superior mesenteric artery embolism,6 cases of superior mesenteric artery stenosis and 25 cases of superior mesenteric vein thrombosis. The direct CT signs were filling defect (n=30) or stenosis (n=6)of mesenteric vessels. The indirect CT signs includcd: dilatation of bowel loops with air-fluid levels (n=22) , bowel wall thickening ( n= 14) , paper-like thin wall sign ( n= 3) , pneumatosis of bowel wall ( n= 3) , edema and exudation of mesenteric

  4. 小儿消化道重复畸形的MSCT表现%Multi-slice CT characteristics of gastro-intestinal tract duplication in children

    Institute of Scientific and Technical Information of China (English)

    谢婵来; 龚英; 李国平; 帕米尔; 张大江; 王莉; 乔中伟; 缪飞

    2013-01-01

    目的:探讨MSCT对小儿消化道重复畸形的诊断价值.方法:回顾性分析27例经手术病理证实的小儿消化道重复畸形病例,分析其CT表现,包括囊肿部位、形态、密度和囊壁厚度,并分析其相关并发症.结果:27例消化道重复畸形中发生在食管2例,胃3例,胃合并食管1例,小肠19例,结肠2例.囊肿形态在CT上表现为圆形23例、管形3例、圆形-管形复合型1例.25例囊肿CT平扫为液性低密度,1例合并囊内出血呈高密度,1例囊内可见气体.囊壁厚度大于同层面肠壁者有22例,囊壁均有强化,2例囊壁可见钙化.27例囊肿中,6例出现并发症,包括囊内出血1例,囊肿破裂穿孔伴胰腺炎1例,继发肠梗阻4例.结论:低密度液性囊肿(偶见气体)、厚壁、管形或圆形-管形复合型形态是消化道重复畸形特征性的CT表现.CT对诊断消化道重复畸形合并肠旋转不良、肠闭锁等畸形和(或)伴发肠梗阻、肠扭转等病变颇具优势.%Objective:To assess the value of multi-slice CT (MSCT) in the diagnosis of gastro-intestinal tract (GI tract) duplication in children. Methods: The MSCT findings of 27 children with surgery and pathology proven GI tract duplication were retrospectively analyzed,including the location,size,density and wall thickness of duplication cyst,as well as the complications. Results:In Of these 27 cases, the duplication located at esophagus (n= 2) , storach and esophagus (n=1) , stomach (n=3) ,small intestine (n=19) and colon (n=2). The shape of duplication cyst was round (n=23) ,tubular (n= 3) and round-tubular (n=l). On plain CT,the density of duplication cyst was fluid-like with low attenuation (n=25) , but one presented as high density due to intra-cystic hemorrhage,and one with small amount of intra-cystic air. The cystic wall was thicker than the intestinal wall on the same slice (n=22) and all of the cystic wall enhanced after contrast administration. Calcification of cystic wall was

  5. 腮腺腺淋巴瘤的多排螺旋CT表现特点%Characteristics of parotid gland lymphoma observed by multi-slice spiral CT

    Institute of Scientific and Technical Information of China (English)

    薛晶; 邹新农; 崔兴宇

    2012-01-01

    目的:探讨腮腺腺淋巴瘤的多排螺旋CT表现特点.方法:对我院经手术病理证实的18例腮腺腺淋巴瘤患者的临床和CT图像资料进行总结分析,所有病例均行CT平扫和增强.结果:男16例,女2例;平均年龄58.7岁,在50岁以上者14例.单侧发病15例,双侧发病3例,共23个病灶;位于腮腺后下象限16个,非后下象限7个;呈类圆形17个,圆形5个,有明显分叶状1个;平均最大径为2.4 cm;境界均清晰光整;密度均匀16个,密度不均伴囊变坏死区7个,CT值为16.2~43.5 Hu.增强扫描早期病灶明显强化18个,中度强化5个,CT值上升平均值为(50.3±15.8)Hu;均匀强化16个,不均匀强化7个;延迟期病灶密度迅速降低21个,缓慢降低2个.结论:腮腺腺淋巴瘤好发于50岁以上男性,多位于腮腺后下象限,CT平扫病灶边界清楚光整,呈均匀或者不均匀稍高密度,增强扫描多明显强化,呈"快进快出"特点.%Objective To evaluate the characteristics of parotid gland lymphoma observed by multi-slice spiral CT. Methods Clinical and CT image data of 18 patients with parotid gland lymphoma which were pathologically confirmed in our hospital were analyzed, all patients received CT scan and enhanced scan. Results Among the 18 patients, 16 were males, 2 were females; the average age was 58.7 years, and 14 patients over the age of 50. Fifteen patients with unilateral lymphoma, and 3 patients with bilateral lymphoma, all accounted to a total of 23 lesions. Among all the 23 lesions, 16 located in the following quadrant, 7 located in the following non-inferior quadrant; 17 were similarly round, 5 were round, and 1 was obviously lobulated; the average maximum diameter was 2.4 cm and the boundaries were clear finishing. The density of 16 lesions were uniform, 7 lesions were uneven with cystic necrosis, and the CT value was 16.2 ~ 43.5 Hu. Enhanced scan showed that 18 lesions were significantly enhanced early, 5 lesions were moderately enhanced, and the

  6. Diagnosis of traumatic hemarthrosis lipemia by multi-slice spiral CT and magnetic resonance imaging features%创伤性关节积脂血症的多排螺旋CT及磁共振成像诊断

    Institute of Scientific and Technical Information of China (English)

    沈丽荣; 姜兆候; 张立云; 刘永明

    2014-01-01

    Objective To evaluated traumatic hemarthrosis lipemia multi-slice spiral CT and magnetic resonance imaging (MRI) features and diagnostic value. Methods A retrospective analysis of multi-slice spiral CT and MRI features in 23 cases patients with traumatic hemarthrosis hyperlipidemia. All patients were examinated after injury bet-ween one hour to one week by 16-slice spiral CT or MRI, of which 19 cases of knee, hip 4 cases, all patients under-went multi-slice spiral CT, images were transmitted to a workstation for multi-planar reconstruction (MPR), shaded surface display (SSD), volume rendering (VR) and other three-dimensional restructuring, 15 cases of parallel MRI. Results Twenty three patients were joint capsule appeared fat-blood interface sign, including one case of suspected fracture CT, MRI was clear. In 23 patients, a single liquid-liquid plane 17 cases, two liquid-liquid flat 6 cases, liquid-liquid flat top were fat. Conclusion There are characteristic imaging findings of traumatic hemarthrosis lipemia examined by multi-slice spiral CT and MRI , three-dimensional multi-slice spiral CT examination and restructuring can be used as the preferred; MRI is the best imaging method in diagnostic plot lipemia traumatic knee; Plot lipemia can be used as a indirect dia-gnostic signs of intraarticular fractures.%目的:探讨创伤性关节积脂血症的多排螺旋CT及磁共振成像(MRI)影像学特点及诊断价值。方法回顾性分析23例创伤性关节积脂血症患者的多排螺旋CT及MRI影像学特征。所有患者于受伤后1 h至1周内行16排螺旋CT和(或)MRI检查,其中,膝关节19例,髋关节4例,所有患者均行多排螺旋CT检查,图像均传递到工作站进行多平面重组、表面遮盖法、容积再现等三维重建,15例并行MRI检查。结果23例患者关节囊均出现脂肪-血液界面征,其中1例CT可疑骨折,行MRI检查明确诊断。23例患者中,单液-液平面的17

  7. Clinical application analysis of 64-slice CT coronary CTA dynamic volume rendering diagnosis of myocardial bridge & nbsp;of the anterior descending branch%64层螺旋CT冠状动脉CTA动态容积再现辅助诊断前降支心肌桥的临床应用分析

    Institute of Scientific and Technical Information of China (English)

    郝晓光

    2013-01-01

      Objective To explore the clinical value of 64-slice CT coronary CTA dynamic volume rendering images auxiliary diagnosis of myocardial bridge. Methods 96 patients underwent coronary CTA from January 2009 to the end of December 2012, with confirm of coronary angiography, were chosen. CT images are routinely reconstructed in the best phase period and in 0-90% phase period, an interval of 10%. Reconstruction data was sent to the workstation to get the MPR, the CPR, as well as dynamic volume rendering images. Images were analyzed by the two groups of doctors of medical imaging department to determine whether the presence of myocardial bridge of the left anterior descending artery based on static images, both static and dynamic volume images, respectively. Results 96 cases with myocardial bridge of the left anterior descending artery confirmed by coronary angiography, 83 cases were diagnosed by the static CTA image, 93 cases were diagnosed by both static and dynamic volume images. The sensitivity of two groups was 93.75% and 82.29%, specificity 99.68% and 99.57%, respectively. Conclusion The comprehensive analysis of the 64-slice spiral CT coronary CTA static and dynamic volume rendering images can improve the accuracy of the diagnosis of left anterior descending artery myocardial bridge.%  目的探索64层螺旋CT冠状动脉CTA动态容积再现图像辅助诊断心肌桥的临床应用价值。方法选择我院2009年1月-2012年12月行冠状动脉CTA检查并经冠脉造影证实的心肌桥96例,所有CT图像均进行常规best phase期相重建及0-90%、间隔10%的多期相重建,重建后的数据传送至工作站进行MPR、CPR重建以及动态容积再现处理。图像由两组医师分别根据静态图像、静态加动态容积再现图像判断是否存在前降支心肌桥,诊断结果分别统计,并进行统计学分析。结果经冠脉造影证实的前降支心肌桥患者96例中,静态CTA图像诊断肌桥83例,静

  8. Using the 64-slice Perfusion CT to Evaluate the Oxygen Tension(pO2) in the Rabbit VX2 Tumor Model: An Experimental Study%64层灌注CT评价兔VX2体部肿瘤模型氧分压的实验研究

    Institute of Scientific and Technical Information of China (English)

    孙昌进; 肖明勇; 阴俊; 于金明; 郞锦义; 王光辉; 李超; 李涛; 罗云秀; 吕海波; 张德康; 李彦; 黄建鸣

    2013-01-01

    Objective: To investigate the role of the 64-slice perfusion CT in the evaluation of the oxygen tension ( pO2 ) in the rabbit VX2 tumor model. Methods: Forty-five rabbit VX2 brain tumor model established successfully were examined with 64-detector row CT. Tumor specimens were assessed for the oxygen tension ( pO2 ) , perfusion, blood volume ( BV) , peak enhancement intensity ( PEI) and time to peak (TTP) , and Pearson correlation coefficients were conducted to represent the relationships between the perfusion parameters and pO2 of the tumor. pO2was measured by oxygen-sensitive electrodes guided by perfusion CT images. Results: Mean values for perfusion,BV,PEI, TTP and pO2 of the 45 tumors were 27. 102 ± 26. 723ml/min, 22. 1 96 ± 13. 680ml/100g,43. 456 ±28.73 HU, 38.823 ±14.759 sec,and 15.981 ± 14.815mmHg, respectively. BV,PEI, TTP were not significant correlated with pO2 (r =0.271, 0. 253 、- 0. 18 , P > 0. 05 ) , whereas positively correlation was found between perfusion with pO2 ( r = 0. 673, P = 0. 00 ). Conclusion: The perfusion value from 64-slice spiral CT perfusion imaging might to have ability to evaluate the tumor pO2%目的:利用64层灌注CT评价兔VX2肿瘤模型氧分压并与氧微电极法对照.方法:对45只成功建模兔VX2脑瘤模型行灌注CT检查.测量脑瘤兴趣区灌注值(perfusion)、血容量(blood volume,BV)、达峰时间(time to peak TTP)、最大峰值(peak enhancement intensity,PEI).结果与该兴趣区氧微电极法测得氧分压(PO2)对照.结果:45例成功建模兔VX2脑瘤兴趣区灌注值范围为1.3 ml/min~127.0 ml/min,平均为27.102 ml/min±26.723 ml/min;BV为1.2 ml/100g~53.1ml/100g,平均为22.196 ml/100g±13.680ml/100g,PEI为8.7 HU~124.6HU,平均为43.456 HU±28.73 HU; TTP为8.2 sec~62.5 sec,平均为38.823 sec±14.759 sec;对应区域PO2为0.14 mmHg~46.70mmHg,平均为15.981 mmHg±14.815mmHg.灌注值与对应区域PO2相关系数为0.673,有统计学意义(P=0.00).BV

  9. Application of 64-slice CT for Dental Panoramic Imaging in Orthodontic Treatment of Maxillary and Mandibular Embedded Teeth%64层螺旋CT全景齿科成像技术在上、下颌骨埋伏牙矫形中的应用

    Institute of Scientific and Technical Information of China (English)

    邓海平; 曹军; 李建胜

    2011-01-01

    Objective To explore the clinical value of 64-slice CT for dental panoramic imaging technology in orthodontic treatment of maxillary and mandibular embedded teeth. Methods Fifty patients with maxillary and mandibular embedded teeth underwent 64-slice spiral CT examination. By using Dentascan soft ware, multi-planar reconstruction (MPR), curved planar reconstruction (CPR), maximum intensity projection (MIP), volume rendering (VR) and shaded surface display (SSD) reconstruction, tooth section was observed from different angles and 3-D images were obtained to determine the shape of embedded teeth, labial side and palatine side location,the position of reconstruction window, eruption direction, incision direction, and their relationship with adjacent teeth. Results Among the 65 maxillary and mandibular embedded teeth of 50 patients, 38 impacted teeth were found in 38 patients and 27 embedded supernumerary teeth in 12 patients. Three-dimensional reconstruction of spiral CT images could accurately show the number of maxillary and mandibular embedded teeth,the shape of crowns and roots,labial side and palatine side location,eruption direction,and their anatomical relationship with adjacent teeth. Conclusion Multislice spiral CT for dental panoramic imaging technology is of great significance in di-agnosis of embedded teeth and can be clinically used as an effective examination for surgical treatment and orthodontic therapy of embedded teeth.%目的 探讨64层螺旋CT全景齿科成像技术在上、下颌骨埋伏牙矫形中的临床应用价值.方法 对50例上、下颌骨埋伏牙患者均行64层螺旋CT检查,并用Dentascan软件包及多平面重建(MPR)、曲面重建(CPR)、最大密度投影(MIP)、容积再现(VR)及表面遮盖成像(SSD)重建图像,从不同的角度观察牙体断面及三维立体图像,从而获得埋伏牙的牙体形态、唇腭侧位置、开窗的位置、萌出方向、切口方向及与其邻牙关系.结果 50例患者中,

  10. 多层螺旋CT肛缘定位的研究%The anal verge: localization with multi-slice spiral CT

    Institute of Scientific and Technical Information of China (English)

    汪伟; 唐光健

    2010-01-01

    Objective To determine and evaluate the method of localization of anal verge by mutislice spiral CT. To provide an imaging reference for operative guidance of low-rectal cancer. Methods Forty eight consecutive adult patients suspected of abnormalities other than rectal disease were evaluated with abdominal and pelvic CT scans since August, 2009. They were divided into two groups based on sex and age. There were 23 men and 25 women. The ages of young group were 28 to 50 years and the average age was 41 years. The ages of elderly group were 52 to 81 years and the average age was 64 years. A small cotton ball dipped with contrast media was put at the anal verge as a marker and CT scans were performed with 64-slice spiral CT scanner. The distances between the cotton balls and the lower margin of the pubis combination (La), the lower margin of the 5th sacral vertebra (Lb), the inferior aperture of minor pelvis(Lc) and the lower margin of the basement of external anal sphincter (Ld) were measured on the midsagittal images obtained by MPR. The averages, the standard deviations(s), the 95% and 80% confidence intervals of La, Lb, Lc and Ld were calculated. We took the intervals of ± 1.96 s or ± 1.28 s < 5 mm as the standard of meeting the clinical requirement. The distances meeting the clinical requirement between different sex groups or age groups were compared with t test. Results The Ld was (9.8 ± 1.2) mm, ofwhich intervals of ± 1.96 s and ± 1.28 s were 4. 8 mm and 3.0 mm respectively, meeting the clinical need.This distance was also measured conveniently. There were no significant differences ( P > 0.05 ) between two different sex groups [ male group, ( 10.0 ± 1.2) mm], female group, (9.6 ± 1.2) mm and between two age groups [ young group, (9.6 ± 1.2) mm, elderly group, ( 9.9 ± 1.3 ) mm ]. Conclusions The lower margin of the basement of external anal sphincter was a useful anatomic lanmark for localizing the anal verge,and could be definitely identified on

  11. 64排螺旋CT功能成像技术在兔急性肾损伤诊断中的价值%Value of 64-slice spiral CT functional imaging techniques for diagnosis of acute kidney injury in rabbits

    Institute of Scientific and Technical Information of China (English)

    赵效新; 王新宇; 王文红; 李亚军; 孙浩然; 孟祥鹿; 顾程

    2016-01-01

    Objective To quantitatively assess renal hemodynamic changes in hypertensive acute kidney injury in rabbits induced by L-NAME using 64-slice spiral CT functional imaging techniques,and to explore the application of these techniques in evaluation of early kidney functional changes.Methods Fourteen female New Zealand white rabbits were randomly divided into normal control group (n=6)and L-NAME group (n=8).The control group was injected NaCl solution and the L-NAME group was injected the same amount of L-NAME solution to make hypertensive acute kidney injury model.64-slice spiral CT and SPECT were scanned af-ter injection.Blood samples were collected before and after injecting NaCl and L-NAME solution to detect serum creatinine (Cr).Cr level and CT perfusion parameters of the two groups were analyzed and compared with the pathology results.GFRCT detected by con-trast-enhanced CT and GFRSPECT detected by SPECT were analyzed by the rank correlation test.Results Renal blood volume,blood flow,permeability surface,time to peak,and peak value had statistically significant differences between the control and L-NAME group (P <0.05).GFRCT and GFRSPECT had obvious correlation.GFRCT of L-NAME group was obviously lower than that of the con-trol group.The kidneys of L-NAME group showed obviously injured under both light microscope and microscope.Conclusion 64-slice spiral CT functional imaging techniques can dynamically observe and quantitatively assess early hypertensive kidney dysfunc-tion,especially unilateral renal blood flow abnormalities.It is an effective examination in quantitatively assessing kidney function.%目的:利用64排螺旋 CT 功能成像技术定量分析 N-硝基-L-精氨酸甲酯(L-NAME)致兔高血压急性肾损伤后肾血流动力学变化,探讨该技术在评估早期肾功能损伤中的应用价值。方法将14只雌性新西兰大白兔随机分成正常对照组(n=6)和 L-NAME 组(n=8)。对照组注入氯化钠(NaCl)溶液,L-NAME

  12. The influence of heart rate,heart rate variability and electrocardiogram editing on image quality of 64-slice CT coronary angiography in patients with atrial fibrillation%心室率、心室率波动及心电编辑对心房颤动患者64层螺旋CT冠状动脉成像质量的影响

    Institute of Scientific and Technical Information of China (English)

    杨琳; 张兆琪; 范占明; 徐超; 赵蕾; 晏子旭; 姜红

    2010-01-01

    Objective To prospectively evaluate the influence of average heart rate,heart rate variability and ECG editing on image quality of 64-slice CT coronary angiography(CTCA)in patients with atrial fibrillation(AF).Methods Fifty patients who were diagnosed with AF underwent respective ECG-gating 64-slice CTCA Image quality(good,moderate,poor)were evaluated on vessel segment level pre-and post ECG editing.Chi-square test was performed to compare the image quality in patients with various average heart rate,heart rate variability,and pre-and post ECC editing.Pearson correlation analysis was performed to test the relationship between the image quality and average heart rate and heart rate variability.Sensitivity,specificity,positive predictive value(PPV)and negative predictive value(NPV)were calculated by using the conventional angiography as the standard reference.Results The average heart rate of the fifty AF patients was(89±23)beat/min,with variability of(18.2±6.1)beat/min.Finally,24(3.4%)segments were considered to have poor image quality in 6(12.0%)patients.Image quality decreased significantly(P<0.05)at the average heart rate of over 100 beats per minute(11 segments)or the standard deviation of heart rate of over 24 beats per minute(11 segments).There was significant correlation between the mean heart rate and the image quality for all segments,the RCA,and distal section of coronary artery(r=0.50,0.55,0.53,0.49,0.42,0.44;P<0.05).Heart rate variability was also significant correlated with the image quality.There was significant difference on image quality pre-and post ECG editing(P=0.013).The respective overall sensitivity,specificity,NPV,PPV values were 100%(6/6),93.2%(41/44),100%(41/41),and 66.7%(6/9).Conclusion ECG editing can improve the success rate and the image quality of 64-slice CTCA effectively in patients with AF within a certain range of average heart rates and heart rate variability.%目的 探讨不同心室率、心室

  13. 下肢动脉闭塞性疾病64层CT血管成像中腘动脉小剂量对比剂试验的意义%64-slice CT angiography in lower extremity peripheral arterial occlusive disease: clinical value of test injection at popliteal arteries

    Institute of Scientific and Technical Information of China (English)

    舒政; 邓小飞; 葛琛瑾; 孙凤; 邹银鸽; 孟文斌

    2011-01-01

    Objective To investigate the clinical value of the test injection at popliteal arteries on 64-slice CTA in lower extremity peripheral arterial occlusive disease (PAOD). Methods Twenty-eight patients with PAOD referred for 64-slice CTA were enrolled consecutively in the study. Test injection was performed at bilateral popliteal arteries (the level of knee joints) and the clinic value of the peak value and the time to peak was analyzed. The relationship between the time to peak and the peak value was evaluated with Pearson test. The time to peak was used for programming of the CT angiographic acquisitions with fast scanning mode. The quality of visualization of each arterial segment was determined independently by two radiologists. Results Fifty-four (96%, 54/56) time-attenuation curves were obtained in 28 patients. The wide interindividual variation in the peak value and the time to peak was observed in 52 curves of 26 patients with range of 60-178 HU,21-46 s and an average of (135±28) HU,(31±6) s, respectively. The difference in the peak value and the time to peak between bilateral popliteal arteries was also observed with range of 10-80 HU and an average of (32±18) HU in 19 patients,with range of 1-12 s and an average of (5±3) s in 21 patients. There was negative relationship between the peak value and the time to peak (r=-0.526, P<0.01). The CTA images were of good (598 segments) or medium quality (12 segments) in 99% segments (610/616). Conclusions The test injection at popliteal arteries was useful for 64-slice CTA in the patients with PAOD, as it could accurately specify the delay time of CT angiographic acquisitions.%目的 探讨下肢动脉闭塞性疾病采用64层CT血管成像时,在腘动脉行小剂量对比剂试验的意义.方法 连续选取28例临床怀疑下肢动脉闭塞性疾病患者,应用64层CT在两侧腘动脉(膝关节层面)各设置一ROI进行小剂量对比剂试验,明确显示峰值及达峰时间者认为曲线获取成功.

  14. Tracheobronchial tumor:evaluation by using 64-slice spiral CT with multiplanar and three-dimensional reconstructions%64层螺旋CT三维重建在气管主支气管肿瘤诊断中的应用

    Institute of Scientific and Technical Information of China (English)

    张蕴; 荐志洁; 赵婷婷; 石志红; 朱柏

    2012-01-01

    Objective To evaluate the roles of 64-slice spiral CT with multiplanar and three-dimensional reconstructions in the di-agnosis of tracheobronchial tumor. Methods 39 cases were undergone CT scan for chest using TOSHIBA Aquilion 64 or PHILIPS Brilliance 64 system. The post-processing techniques included volume rendering (VR), virtual bronchoscopy( VB) , multiplanar re-construction (MPR) , minimum intensity projection(MinIP) in Vitrea 2 workstation. The CT manifestations were analyzed, and compared with the results of the operation and bronchoscopy. Results The tumor located in trachea in 9 cases, right main bronchus in 15 cases, left main bronchus in 13 cases. The tumors were in large airway widely in 2 cases. All of cases showed the filling defect in airway. The degree of lumen stenosis was the first grade in 1 case, the second grade in 0 case, the third grade in 14 cases, the forth grade in 24 cases. The thickening of the walls of the trachea or bronchus in 14 cases, both thickening of the walls and extralu-minal extensions in 23 cases, there was not any thickening of the walls in 2 cases. The edge of the tumor showed smooth in 2 cases, irregular in 37 cases. Benign tumor was in 3 cases, including benign mesenchymoma, leiomyoma, and pleomorphic adenoma in 1 case,respectively. Malignant tumor was in 36 cases, including small cell carcinoma in 8 cases, adenocarcinoma in 1 case, squamous cell carcinoma in 25 cases, mucoepidermoid carcinoma in 1 case, papillary thyroid cancer in 1 case. The diagnostic accuracy was 97. 44% using of 64-slice spiral CT with multiplanar and three-dimensional reconstructions. Conclusion 64-slice spiral CT with multiplanar and three-dimensional reconstructions is a valuable method in the diagnosis and the differential diagnosis of the tracheobronchial benign and malignant tumors, stent planning and follow-up.%目的 探讨64层螺旋CT三维重建在气管、主支气管肿瘤诊断中的应用价值.方法 39例均接受64层螺旋CT胸部

  15. 多层螺旋CT小肠造影在小肠梗阻诊断中的应用分析%Analysis of Multi-slice Spiral CT and Enterography in Diagnosis of Small Bowel Obstruction

    Institute of Scientific and Technical Information of China (English)

    詹志勇; 王大维; 张鹏; 倪彩红

    2016-01-01

    目的:对小肠梗阻患者应用多层螺旋CT小肠造影诊断的临床效果进行分析研究。方法选取于2014年3月~2015年11月在我院接受治疗的小肠梗阻患者122例,并随机分为对照组和实验组各61例,对分别应用单气囊小肠镜检查以及多层螺旋CT小肠造影检查的效果进行对照研究。结果实验组患者检查诊断小肠梗阻的灵敏度、特异度、阳性预测值、阴性预测值均高于对照组(86.75%、100.00%、100.00%、43.57%vs.78.52%、69.58%、87.89%、31.56%),组间差异有统计学意义(P<0.05)。结论小肠梗阻患者应用多层螺旋CT小肠造影诊断的临床效果十分满意。%Objective Clinical effect of Multi-slice spiral CT and enterography in diagnosis of smal bowel obstruction(SBO)is to be studied and analyzed. Methods Chose 122 patients with smal bowel obstruction(SBO)who were treated in hospital from March 2014 to November 2015 and separated them into control group and study group randomly with 61 patients in each group,and then compared single baloon endoscopy application effect to Multi-slice CT enterography of effect between two groups.ResultsThe sensibility and specificity rate,positive-testing rate and negative -testing rate in study group were much higher than counterparts in control group(86.75%、100.00%、100.00%、43.57%vs. 78.52%、69.58%、87.89%、31.56%). There was a differential between two groups and such a differential had statistic value according to T-Check(P<0.05).Conclusion Multi-slice CT and enterography is quite effective in diagnosis of smal bowel obstruction.

  16. 多层螺旋CT后处理技术在诊断肺隔离症中的应用%Application of Multi-slice Spiral CT Post-processing Technique in the Diagnosis of Pulmonary Sequestration

    Institute of Scientific and Technical Information of China (English)

    杨珂

    2015-01-01

    目的:探讨多层螺旋CT(MSCT)增强簿层扫描及图像后处理技术在肺隔离症(PS)的诊断价值。方法分析经临床手术病理、主动脉造影证实的21例肺隔离症患者的胸部多层螺旋CT平扫及CTA检查,并进行多平面重建(MPR)、最大密度投影法重建(MIP)、容积重建(VR)。结果21例病例均为单发,肺隔离症(PS)位于左肺下叶14例,右肺下叶7例;表现为肺野内团片、实性肿块者15例,囊样病灶者6例;21例孕杂的供血动脉均来自自体动脉,其中18例来自胸主动脉分支,3例来自腹主动脉。结论多层螺旋CT(MSCT)后处理技术能较准确、直观显示肺隔离症的供血动脉,可以取代有创DSA检查。%Objective To evaluate the multi-slice spiral CT (MSCT) reinforced thin layer scanning and image processing technique in the diagnosis of pulmonary sequestration (PS) value. Methods Analysis the clinical operation pathology, aortic angiography confirmed 21 cases of chest multi-slice spiral CT plain scan and CTA of pulmonary sequestration were examined, multi planar reconstruction (MPR), and the reconstruction of maximum intensity projection (MIP), volume rendering (VR). Results 21 cases were solitary, pulmonary sequestration (PS) located in the left lower lobe in 14 cases, right pulmonary lower lobe in 7 cases;for the performance of lung field of tanacu, solid mass in 15 cases, 6 cases of cystic lesion; artery in 21 cases of PS were derived from autologous artery, including 18 cases from aortic branch, 3 cases from the abdominal aorta. Conclusion Multi slice spiral CT (MSCT) after treatment technology can accurately, visual display of pulmonary sequestration artery, can replace invasive DSA examination.

  17. Diagnostic value of multi-slice spiral CT in occult fractures of proximal tibia%多层螺旋CT对胫骨近端隐匿性骨折的诊断价值

    Institute of Scientific and Technical Information of China (English)

    周俊; 陈庆; 许文渊; 姚雯雯

    2012-01-01

    目的 探讨多层螺旋CT对胫骨近端隐匿性骨折的诊断价值.方法 回顾性分析23例数字放射摄影诊断可疑胫骨近端骨折病例的16层螺旋CT的横轴位、多平面重建、容积再现、最大密度投影,观察多层螺旋CT对胫骨近端隐匿性骨折的诊断率.结果 所选病例数字放射摄影均未显示明确骨折线,16层螺旋CT诊断胫骨近端骨折17例,其中胫骨平台骨折13例、胫骨髁间棘骨折4例;排除骨折6例,阳性率达73.9%.结论 多层螺旋CT对临床怀疑胫骨近端骨折而数字放射摄影不能确诊为骨折的病例能准确地作出诊断,对治疗方案的选择及预后的估计有重要价值.%Objective To discuss the diagnostic value of multi-slice spiral CT for the occult fracture of proximal tibia. Methods 23 patients with suspected fracture of proximal tibia by digital radiography were studied, and their images of transverse, multiplanar reconstruction, and volume rendering and maximum intensity projection of 16-slice spiral CT were analyzed. The diagnostic rate for occult fracture of proximal tibia with multi-slice spiral CT was observed. Results Digital radiography showed no definite fracture signs in all patients. 16-slice spiral CT showed fractures in 17 cases, including fractures of tibia plateau in 13 cases and tibia eminence in 4 cases. The other 6 patients showed negative on 16-slice spiral CT images. Conclusion Multi-slice spiral CT can be used to diagnose definitely occult fractures of proximal tibia and plays an important role in selecting therapy project and evaluating prognosis of occult fractures.

  18. Evaluation of aortic valve stenosis by cardiac multislice computed tomography compared with echocardiography: a systematic review and meta-analysis

    DEFF Research Database (Denmark)

    Sivertsen, Jacob; Køber, Lars Valeur; Abdulla, Jawdat

    2009-01-01

    BACKGROUND AND AIM OF THE STUDY: It has not yet been established whether multi-slice computed tomography (MSCT) is reliable for the quantification of aortic valve area (AVA) in patients with aortic valve stenosis (AVS) and simultaneously for assessment of the coronary anatomy. The study aim, via...

  19. Role of contrast enhanced ultrasound in detection of abdominal aortic abnormalities in comparison with multislice computed tomography

    Institute of Scientific and Technical Information of China (English)

    Dirk-André Clevert; Kerstin Schick; CHEN Min-hua; ZHU Qing-li; Maximilian Reiser

    2009-01-01

    @@ dissection;abdominal aortic aneurysm;aorto-caval fistula;inflammatory abdominal aortic aneurysm Conventional ultrasound (US) is the most widely used imaging modality in routine clinical practice worldwide.The limitations of conventional ultrasound in the detection of aortic lesions versus multi-slice computed tomography angiography (MS-CTA) are well known.

  20. 64 Slice Spiral CT and Mammography for the Diagnosis of Comparative Study of Breast Carcinoma in Imaging%64排螺旋CT与钼靶摄影在影像诊断乳腺癌中的对比研究

    Institute of Scientific and Technical Information of China (English)

    赵宝贵

    2014-01-01

    Objective To explore the application value of multislice spiral CT and mammography in the diagnosis of breast cancer. Methods Retrospective analysis of the 60 cases of breast cancer confirmed by pathology and plain scan, enhanced and image reconstruction. Results In 60 cases of breast cancer were mass type,57 cases showed irregular shape,48 cases of edge see burr,8 cases of skin changes,4 cases of skin retraction,surrounding invasion in 12 cases, axillary lymph nodes seen in 32 cases,mediastinal lymph nodes and lung metastasis. Enhanced masses enhanced obviously, the increase of CT value (18~83) Hu,parallel reconstruction makes mass surrounding structure is stereoscopic display. Conclusion Multi slice spiral CT examination has certain application value in the diagnosis of breast cancer.%目的:探讨多层螺旋 CT 及钼靶摄影在乳腺癌诊断中的应用价值。方法回顾性分析经病理证实的60例乳腺癌平扫,增强及重建图像。结果60例乳腺癌均为肿块型,57例表现为不规则形,48例边缘见毛刺,8例皮肤改变,4例皮肤内陷,周围侵犯12例,32例见腋窝淋巴结,纵隔淋巴结及肺内转移。增强后肿块强化明显,CT 值升高(18~83)hu,并行重建使肿块周边结构呈立体显示。结论多层螺旋 CT 检查在乳腺癌定性诊断中有一定的应用价值。

  1. 扫描方式对64层螺旋CT头颅 CTA图像质量和辐射剂量影响的研究%Comparison study of image quality and radiation dose between helical and axial CT angiography of the head with 64-slice helical CT

    Institute of Scientific and Technical Information of China (English)

    戴贵东; 肖正远; 兰永树; 粱卡丽

    2012-01-01

    目的:探讨64层螺旋CT扫描方式对头颅CTA图像质量和辐射剂量的影响.方法:采用GE Lightspeed VCT 对100例需要行头颅CTA检查的患者进行对比研究,50例行螺旋扫描,另50例行轴层扫描.两组数据经过VR、MIP、去骨VR和多平面重组等方法后处理,然后由3组医师通过5分评价法对CTA图像质量进行主观评价,取其均值纳入统计学分析;记录每组扫描的容积剂量指数(CTDIvol)和剂量长度乘积(DLP).对两组数据进行两独立样本t检验.结果:轴向扫描图像质量评分是(4.66±0.42)分、螺旋扫描CTA的成像质量评分(4.67±0.38)分;两组数据差异无统计学意义(P>0.05).轴向扫描、螺旋扫描的CTDIvol分别是45.71和54.18mGy; DLP分别是731.43和954.68mGy·cm.两组间差异有统计学意义(P<0.05),轴层扫描方式辐射剂量更低.结论:64层CT头颅CTA轴扫可以显著降低辐射剂量而不降低图像质量,在临床运用中值得关注.%Objective: To compare the difference in image quality and radiation dose between helical and axial CT angiography of the head with 64 slices helical CT. Methods:100 patients with suspected or confirmed cerebrovascular disease in our hospital,were divided into two groups to accept CTA examination :helical scanning group (50 cases) and axial scan ning group (50 cases). Except the parameter of scanning method,each group was examined with the same scan parameters and equipment. 80ml contrast medium was injected (via a cubital vein) by 4. 3ml/s and followed by 35ml normal sodium at the same speed. The cerebral vessels were imaged by these postprocessing methods: maximum intensity projection (MIP) volume rendering (VR) ,and "Auto Select" technique. Three group of doctors evaluated the image quality by means of 5 point scoring subjective evaluation. The radiation dose report was auto generated, trie average value ol volume CT dose index (CTDIvol) and dose length product (DLP) were taken into the sheet. All the data

  2. 周围型肺癌64层螺旋CT征象、病理分型与CCR7表达相关性研究%Studies on the correlation between the 64-slice CT features, pathologic classifications and expression of CCR7 in peripheral lung cancer

    Institute of Scientific and Technical Information of China (English)

    赵胜祥; 张琴; 陈朝晖

    2013-01-01

    Objective To explore the expression relationship between 64-slice CT features and the CCR7 (CC chemokine receptor 7) in peripheral lung cancer.Methods The data of 26 cases of peripheral lung cancer confirmed by operation and pathological classifications were clected.All patients had MSCT scan before operation,and without radiotherapy or chemotherapy.The expression of CCR7 was examined by means of SP immunohistochemical technology (Max Vision TM) in the 26 patients,and compared with the 64-slice CT features of lung cancer with the CCR7 immunohistochemical test results,data was analysed by SPSS 17.0 statistical software,the rate was compared with fisher exact method test,P <0.05 and the difference was statistically significant.Results ① The expression of CCR7 in the adenocarcinoma with positive expression rate was 75.0% (15/20),and in squamous cell carcinoma the positive expression rate was 33.3% (2/6),in the peripheral lung cancer,P <0.05,the difference was statistically significant; ② The expression of CCR7 in the cancer size of ≤3.0 cm the positive expression rate was 75.0% (15/20),and in the cancer size of > 3.0 cm the positive expression rate was 33.3% (2/6),P <0.05,the difference was statistically significant; ③ It was not associated between the expression of CCR7 and CT signs of the tumor deep lobulation,spiculate protuberance,vacuole sign,pleural indentation,spiculation,mediastinal lymph node metastasis,(P >0.05).Conclusion The positive expression of peripheral lung cancer of CCR7 is related to pathologic type,not associated with the diagnostic CT features.%目的 探讨周围型肺癌CT征象与CCR7(CC chemokine receptor 7,CC类趋化因子受体7)表达的关系.方法 收集资料完整并经手术、病理证实的周围型肺癌26例.全部患者术前均行64层螺旋CT平扫及增强扫描,术前未进行放射治疗或化疗.应用免疫组织化学染色(MaxVisionTM二步法)检测26例周围型肺癌中CCR7的表达水

  3. 64-slice spiral CTA in evaluation on the changes of hepatic vessels and the portosystemic collateral circulation in liver cirrhosis%64排螺旋CT血管造影评价肝硬化血管改变及侧支循环

    Institute of Scientific and Technical Information of China (English)

    李妙玲; 赵婷婷; 袁会军; 孙兴旺; 强永乾

    2011-01-01

    Objective To investigate the changes of hepatic vessels and the portosystemic collateral circulation in patients with liver cirrhosis with 64-slices spiral CTA. Methods Tri-phase enhanced CT scan of whole hepatic region were performed in 168 patients with liver cirrhosis (liver cirrhosis group) and 120 patients without liver cirrhosis (control group). All images were post processed with MIP and VR, and were compared between the two groups. Results The difference between the two groups were statistically significant (P<0. 01) in showing hepatic artery, portal vein and hepatic vein of different grades, except in showing 1 st grade of portal vein and hepatic vein (P=0. 51, 0. 08). In liver cirrhosis group, dilated trunk of hepatic artery and portal vein were observed in 85 patients, narrowing and tortuosity of vessels were observed in 98 patients, carcinoma thrombus formation and spongy degeneration in portal vein were detected in 9 and 8 patients, respectively, while continuous enhancement of hepatic artery and portal vein were noticed in 55 and 57 patients, respectively. In the control group, dilated trunk of hepatic artery and portal vein were observed in 3 patients, narrowing and tortuosity of vessels were observed in 2 patients, continuous enhancement of hepatic artery and portal vein were noticed in 4 and 3 patients, respectively. Totally 258 portosystemic collateral circulations were found in liver cirrhosis group, including 196 esophagogastric varices (196/258, 75. 97%), whereas only 2 retroperitoneal shunts were found in control group. Conclusion 64- slices spiral CT tri-phase angiography is a safe, convenient and reliable method to display the changes of hepatic vessels and the form of portosystemic collateral circulation, especially esophagogastric varices in patients with liver cirrhosis.%目的 探讨MSCTA评价肝硬化肝脏血管的异常改变及侧支循环形成的价值.方法 对168例肝硬化患者(肝硬化组)及120例无肝硬化的患者(

  4. 螺旋64排 CT 灌注成像对局灶结节性良恶性增生的鉴别诊断价值%The identification effect of HCC and hepatic focal nodular hyperplasia of 64-slice spiral CT

    Institute of Scientific and Technical Information of China (English)

    耿欣; 肖世骞; 曹毅; 李健; 周鑫

    2015-01-01

    目的:探讨常规超声(US)检查与64层螺旋 CT(CT)检查在肝癌及肝脏局灶性结节增生临床诊断中应用价值。方法2013年1月至2015年1月对84例经肝细胞穿刺活检或术后病理组织检查确诊为肝脏局灶性病灶分别行 US 检查及 CT 检查,分析两种诊断方法准确率,病灶大小数目及患者在 US 及 CT 中的影像学特征。结果US 在诊断肝脏良性病变中的符合率与 CT 相当(P >0.05),而在肝癌诊断中 CT 组诊断准确率显著高于 US 组(P <0.05)。CT 组在直径≤1cm 微小肿瘤诊断中的符合率大于 US 组(P <0.05)。与肝炎型假瘤、肝局灶性增生结节、肝血管瘤患者相比,原发性肝癌、转移性肝癌患者 CT 始消时间及持续时间更长(P <0.05)。结论与 US 相比,CT 对肝癌的诊断率更加准确,更尽早分辨出恶性病灶及微小病灶。且不同性质的肝脏局灶性病灶在 CT 中表现出不同的增强方式,能有效鉴别不同种类的肝脏局灶性病灶。%Objective To investigate the examination application value of hepatic focal nodular hyperplasia of routine ultrasound (US)examination and 64-slice CT (CT)of liver cancer and clinical diagnostics.Methods 84 patients with liver cell or a pathological tissue biopsy diagnosed as focal liver lesions were underwented with US examination and CT examination from June 2013 to June 2015.The diagnostic methods,focus the size and number of patients in the US and imaging features of CT of two groups were analyzed.Results The benign liver lesions fairly consistent rate of US and CT were no different(P > 0.05),while the HCC diagnosis diagnostic accuracy of CT group was significantly higher than the US group(P <0.05).The rate in tumor diagnosis≤ 1cm small diameter of CT Group was greater than US group (P <0.05).Hepatitis type pseudotumor,liver focal nodular hyperplasia,hepatic hemangioma compared with pa-tients with primary liver

  5. The Value of 64-slice Spiral CT with 3D Transparency Reconstruction in the Diagnosis of Inner ear Malformation:Analysis of 32 Cases%64排CT三维透明化重组在内耳畸形诊断中的应用

    Institute of Scientific and Technical Information of China (English)

    王丹; 曹绍东; 申宝忠; 张同; 白荣杰; 王可铮; 徐艳

    2011-01-01

    目的 探讨三维透明化重组在内耳畸形诊断中的应用价值,为先天性内耳疾病提供准确的影像诊断和临床治疗信息.资料与方法 回顾32耳内耳畸形的64排高分辨率CT(HRCT)容积数据,行三维透明化重组处理,按内耳畸形分类总结三维透明化重组方法及影像表现.结果 32耳的三维透明化容积再现(VR)图像结合透明化多平面重组(MPR)图像均能很好揭示内耳畸形病变部位及程度,内耳病变整体显示方面及蜗窗、前庭窗、半规管等细节病变显示中透明化VR像及透明化MPR像明显优于轴位像及普通MPR像;在耳蜗内部结构的显示中,透明化MPR、轴位像及普通MPR像优于透明化VR像.32耳先天内耳发育畸形有以下几种:耳蜗未发育(2耳);共同腔畸形(4耳);不完全分隔Ⅰ型(2耳,2例患者对侧耳均为共同腔畸形);不完全分隔Ⅱ型(即Mondini型)(16耳,多合并前庭、半规管及前庭导水管畸形);单纯前庭-半规管畸形(2耳);单纯前庭导水管扩大(6耳).结论 三维透明化个性重组能准确}半价内耳先天性疾病的类型和程度,为临床治疗提供重要的参考依据.%Objective To investigate the role of 3D transparency reconstruction in displaying the inner ear malformation. Materials and Methods Thirty-two cases of inner ear malformation were analyzed retrospectively. The data of 64 slice HRCT were processed using 3D transparency reconstruction. The imaging findings were summarized according to the categorization of the disease. Results The malformations included cochlear aplasia(2 ears), Common cavity deformity (4 ears), incomplete partition Ⅰ (2 ears ), incomplete partition Ⅱ ( Mondini deformity ) ( 16 ears), vestibular and semicircular canal malformations(3 ears) and vestibular aqueduct dilate(6 ears). The site and degree of inner ear malformation were displayed clearly by 3D transparent reconstruction imaging and MPR transparent imaging. Transparent MPR and VR

  6. 造影剂注射速率对64层螺旋CT冠状动脉血管成像质量的影响%Effect of contrast injection rates on immaging quality of coronary angiography taken by 64-slice spiral CT

    Institute of Scientific and Technical Information of China (English)

    沈栋; 潘昌杰

    2011-01-01

    目的 研究造影剂注射速率对64层螺旋CT冠状动脉血管成像质量的影响.方法 120 例冠状动脉血管造影患者随机均分成三组,分别用4.5、5或5.5ml/s的速率注射等量造影剂.应用64层螺旋CT进行扫描;采用团注实验测定延迟时间;分别在左冠发出层面横断面图像选择感兴趣区测量升、降主动脉衰减值(HU),利用多平面重建技术(MPR)于离出口约1cm处的正交横断面图像测量心脏血管(左主干、前降支、回旋支及右冠状动脉)的衰减值.结果 升、降主动脉及心脏血管三组间对比衰减均有统计学意义(P<0.01).心脏血管对比衰减与体重(r=-0.722)、体重指数(BMI)(r=-0.599)明显相关(P<0.05).以5ml/s速率注射造影剂获得的图像质量优于其它两组(P<0.01).结论 在心脏CT血管造影(CTA)中在扫描条件及造影剂的碘浓度一致情况下,以5ml/s注射速率给予造影剂可以获得良好的血管增强效果.%Objective To study the effect of contrast injection rates on immaging quality of coronary angiography taken by 64-slice spiral CT (64-MSCT). Methods A total of 120 patients undergoing coronary angiography was equally randomized to 3 groups, in which the contrast injection was performed at the flow rates of 4. 5, 5, and 5. 5 ml/s, respectively. The 64-MSCT scanner and scanning protocols were the same for each group. The scanning delay of CT was determined with a bolus test technique. The attenuation in Hounsfield units(HU) achieved after each injection rate was determined at regions of interest(ROIs) placed at the 1 cm origin of coronary arteries measured by multiplanar reconstructions (MPR), which included the left main artery (LMA), left anterior descending artery(LAD), left circumfiex artery(LCX) and right coronary artery(RCA). All data were analyzed with one way ANOVA. The quality of the coronary artery images was evaluated and compared. Results The mean attenuation achieved at each aortic site was

  7. 后置滤过器对64排螺旋CT冠状动脉成像质量影响的CATPHAN模型研究%Effect of various post-processing filters on image quality of 64-slice CT coronary angiography by using a Catphan phantom

    Institute of Scientific and Technical Information of China (English)

    Syed Shareef Fahad; 宦坚; 张伟; 龚建平; 乔方; 朱建兵; 陈光强

    2012-01-01

    Objective To evaluate the effect of various post-processing filters on image quality of 64-Slice CT coronary angiography. Methods Catphan 600 underwent cardiac scans by using GE LightSpeed VCT. The scan techniques undergone at 120 kV, 600 mA, speed of 0. 35 s per 360° rotation, pitch of 0. 20, slice thickness of 625 mm. Cardiac images were reconstructed by using filters of Cl ( UC1) , C2 (UC2), C3 (UC3 ) and were constracted without filter ( NUC) to create four image sets from the same scanning. Image noises were measured, and CNR, SNR, MTF were calculated for the four sets. Difference was examined by using one-way analysis of variance. Results Significant difference was found in terms of SD,CNR,SNR, MTF 50% (P 0.05). MTF 10% was significantly lower for UC3 than fhat for the other three sets (P<0.05). Conclusion Different post-processing filters should be selected according to the clinical requirements, because of their different effect on SD,CNR,SNR and MTF.%目的 探讨不同后置滤过器对64排螺旋CT冠状动脉成像(CTCA)质量的影响.方法 使用GE LightSpeed VCT机,采用120 kV,600 mA,0.35s/360°,层厚0.625 mm,pitch 0.2对Catphan 600模型进行扫描.采像后对原始图像分别进行不使用后置滤过器和使用后置滤过器C1、C2、C3重建,得到4组图像(NUC组、UC1组、UC2组和UC3组).测量图像噪声(SD),计算对比噪声比(CNR)、信噪比(SNR)、调制传输函数(MTF).统计分析采用单因素方差分析.结果 NUC组、UC1组、UC2组和UC3组的SD、CNR、SNR及MTF 50%差异均有高度统计学意义(均P<0.001),NUC组、UC1组和UC2组的MTF 10%差异无统计学意义(均P>0.05);UC3组与其余3组的MTF 10%差异有高度统计学意义(均P<0.01).结论 不同后置滤过器对CTCA图像SD、CNR、SNR和MTF的影响不同,可根据不同临床需要适当选择.

  8. Comparative Analysis on Two Intestinal Preparation Methods in Multi-Slice Spiral CT Enterography%两种肠道准备方法在多层螺旋CT小肠造影中的对比分析

    Institute of Scientific and Technical Information of China (English)

    杜志顺

    2014-01-01

    目的:探讨两种肠道准备方法在多层螺旋CT小肠造影中的对比效果.方法选取行多层螺旋CT小肠造影的患者152例,根据肠道准备方法分为两组,76例患者先行肥皂水清洁灌肠后口服泛影葡胺充盈肠道为对照组,76例患者口服甘露醇和泛影葡胺混合水溶液充盈肠道为观察组,比较两组患者的服药依从性、检查舒适度、肠道充盈效果、造影图像质量、不良反应情况.结果观察组患者的服药依从性、检查舒适度、肠道充盈效果的有效性均明显好于对照组,观察组患者造影图像质量的优良率明显高于对照组,观察组患者不良反应发生率明显低于对照组,差异均有统计学意义(P<0.05).结论甘露醇和泛影葡胺混合水溶液充盈肠道是多层螺旋CT小肠造影的有效肠道准备方法,可显著提高患者的服药依从性和检查舒适度,明显改善患者的肠道充盈效果和造影图像质量,引发的不良反应较少,具有较高的操作安全性,值得临床推广使用.%Objective To investigate the comparative effect of two intestinal preparation methods used in multi-slice spiral CT enterography. Method 152 patients who underwent multi-slice CT enterography were divided into two groups. 76 patients treated with oral urografin intestinal tract filling after the cleaning enema by soap solution were taken as control group. 76 patients treated with oral mixed mannitol and meglumine diatrizoate water solution intestinal tract filling gut were taken as observation group. The compliance,degree of comfort,intestinal tract filling effect, image quality and adverse reactions of patients in two groups were compared. Results The compliance,degree of comfort and effect of intestinal tract filling in the observation group were significantly better than those in the control group. The excellent and good rates of angiography image quality in the observation group were significantly higher than those in the

  9. Value of multi-slice spiral CT in the diagnosis of small hepatocellular carcinoma%多排螺旋CT灌注成像对小肝癌诊断价值

    Institute of Scientific and Technical Information of China (English)

    王恩峰; 陈文军; 苏保民; 程明; 赵新宇; 张立彬; 王丽梅

    2012-01-01

    Objective To study the diagnostic value of multi-slice spiral CT (MSCT) dynamic contrast-enhanced perfusion imaging in small hepatocellular carcinoma (SHCC) and improve the diagnostic accuracy of SHCC. Methods Multi-slice spiral CT dynamic contrast-enhanced perfusion imaging was used in 23 patients with SHCC, and the time-density curve(T-DC) were gotten. Blood flow( BF) , blood volume ( BV ) , hepatic arterial fraction ( HAF) , mean transit time(MTT) , permeability surface (PS) and time of arrival of SHCC and liver parenchyma were measured, and the colored perfusion maps for each of the above-mentioned parameters were acquired. Also the receiver operating characteristic curves ( ROC) were analyzed. Results SHCC showed BF,BV and HAF higher than those of the liver parenchyma(P 0. 05). T-DC of SHCC was fast rise, and its peak was significantly earlier than the liver parenchyma. Especially in hepatic arterial fraction determination, when ROC critical value was set to 0. 31, the sensitivity and specificity can be achieved respectively 100% and 90%. Conclusion Hepatic CT perfusion imaging is important for the diagnosis of small hepatocellular carcinoma.%目的 研究多排螺旋CT(multi-slice spiral CT,MSCT)动态增强灌注成像对小肝癌(small hepatocellular carcinoma,SHCC)的诊断价值,提高SHCC的诊断准确率.方法 使用多排螺旋CT对23例小肝癌患者行动态增强灌注成像,生成时间-密度曲线(time-density curve,T-DC),测量肝癌病灶及肝实质的CT灌注值包括血流量(blood flow,BF)、血容量(blood volume,BV)、肝动脉分数(hepatic arterial fractin,HAF),平均通过时间(mean transit time,MTT)、血管表面通透性(permeability suface,PS)和对比剂到达时间,并获得相应的灌注伪彩图.分析接受者工作特征曲线(receiver operating characterisic curves,ROC).结果 小肝癌血流量、血容量及肝动脉分数值均明显高于肝实质(P<0.05),其它的灌注值在两者

  10. The value of multi-slice spiral CT enterography in the diagnosis of small bowel tumors%多层螺旋CT小肠造影对常见小肠肿瘤的诊断价值

    Institute of Scientific and Technical Information of China (English)

    饶圣祥; 曾蒙苏; 张利军; 陈刚; 陆秀良; 刘红春

    2012-01-01

    目的 探讨口服甘露醇多层螺旋CT小肠造影(multi-slice spiral CT enterography,MSCTE)对小肠肿瘤检出的价值以及分析常见小肠肿瘤的CT特征.方法 回顾性分析135例患者的MSCTE图像,由2名放射科医生评价,分析小肠是否存在肿瘤和小肠肿瘤MSCTE表现特点.结果 最终证实小肠肿瘤26例,包括胃肠道间质瘤10例,淋巴瘤8例,腺癌6例,类癌2例.2位阅片者的敏感性、特异性、阳性预测值及阴性预测值平均值分别为90.39%,97.25%,88.75%及97.7%.2位阅片者之间结果 的一致性的Kappa值为0.925.胃肠道间质瘤、淋巴瘤和腺癌在强化方式、形态改变以及是否伴淋巴结肿大等具有各自的特点.结论 口服甘露醇MSCTE对小肠肿瘤的检出准确性高,对常见小肠肿瘤的诊断与鉴别诊断有重要的临床应用价值.%Objective To evaluate the diagnostic accuracy of multi-slice spiral CT enterography (MSCTE) with orally administrated isosmotic mannitol in the detection of small bowel tumors, and to identify characteristics of common small bowel tumors through images of MSCTE. Methods MSCTE images of 135 patients were independently reviewed retrospectively by 2 radiologists and MSCTE findings of different types of small bowel tumors were analyzed. Results Histopathologic diagnoses were as follows:gastrointestinal stromal tumors(GIST) (n=10), lymphoma (n=8), primary small-bowel adenocarcinoma (n=6), carcinoid tumor (n= 2). The mean sensitivity, specificity ,PPV,NPVwere 90.39%,97.25%,88.75%,97.7% respectively. The value of Kappa was 0. 925 between the two readers. The common small bowel tumors mainly including GIST, lymphoma and adenocarcinoma had respective characteristics in the enhancement pattern , tumor shape and mesenteric lymph nodes at MSCTE. Conclusion MSCTE with orally administrated isosmotic mannitol is an accurate modality for detecting and characterizing small bowel tumors.

  11. Post-processing techniques of multi-slice spiral CT in normal orbital related structures%MSCT后处理技术在眶骨正常解剖中的应用

    Institute of Scientific and Technical Information of China (English)

    李晓; 李春卫; 张峰峰; 徐卓东

    2011-01-01

    Objective: To explore the value of post-processing techniques of multi-slice spiral CT(MSCT) in normal orbiral related structures. Methods: 207cases with the source images of normal orbit were retrospectively reviewed and processed using multiple planar reformation ( MPR) , curved planar reformation (CPR ) , volume rendering rechnique ( VRT).The show results of conventional and reconstructed sections were statistically analysed. Results : The orbital related structures can be display symmetrically by the standard section. The display rate of sutura nygomaticofrontalis. the canal of temporal bone , infraorbital canal, supraorbital notch and optic canal in the standard section was significantly higher than in conventional images ( P <0.05). There was no difference in the display rate of the sutura zygomaticosphenoidalis ( P >0. 05), Conclusion:① The post-processing of multi-slice CT isotropic scanning can reduce the radiation dose and avoid the difficulty in positioning patient;② The orbital related structures can be display very well after post processing with multislice CT isotropic scanning by using the post-processing rechniques.%目的:探讨多层螺旋CT后处理技术在眶骨正常相关结构中的应用价值.方法:收集207例正常眶骨被检者的多层螺旋CT图像,对所得图像进行MPR,CPR,VRT后处理,对某些结构常规显示断面和标准化断面的显示结果进行统计学分析.结果:重组后的标准化图像能清晰显示眶骨相关结构的左右对称情况.标准化图像对颧额缝、颧骨管、眶下管、眶上切迹及视神经管的对称性显示明显优于常规扫描图像(P<0.01):而对颧蝶缝的显示无明显差异(P>0.05).结论:①利用多层螺旋CT各向同性扫描进行后处理在避免摆位困难的同时,减少了患者的辐射剂量;②多层螺旋CT各向同性扫描结合多种后处理技术能够很好地对称显示眼眶相关结构.

  12. Effect of Multi Slice Spiral CT in the Diagnosis of Gastrointestinal Tract Perforation%多层螺旋CT在胃肠道穿孔诊断中的应用效果

    Institute of Scientific and Technical Information of China (English)

    高运英

    2014-01-01

    Objective To explore the clinical application of multislice spiral CT in the diagnosis of gastrointestinal tract perforation in effect. Methods In our hospital diagnosed as gastrointestinal perforation in 42 cases of the disease, to get the related information of their multi slice spiral CT scanning. Research on MSCT the image data, analyze the internal various features of abdominal and free gas ratio. Results In all 42 patients, diagnosed by MSCT were 39 cases, accounting for about 92.86%. In addition to, accurately determine the position of the 25 cases, about 59.52%. Also observe gastrointestinal tumor, abscess, and effusion lesions. Conclusion The clinical application of multi slice spiral CT in the diagnosis of gastrointestinal tract perforation has very good effect, can improve the diagnosis rate and hole position accuracy. This method is suitable for use in clinical practice.%目的:探讨多层螺旋CT在胃肠道穿孔中的诊断效果。方法回顾性分析经病理确诊为胃肠穿孔患者的多层螺旋CT扫描的相关资料共42例,探究MSCT所得影像资料,分析腹腔内部各种特征和游离气体比例等。结果在所有42例病患中,经MSCT确诊的有39例,约占92.86%。此外,准确确定穿孔位置的有25例,约占59.52%。同时观察到胃肠道有肿块、脓肿、积液等病变。结论多层螺旋CT应用于胃肠道穿孔诊断方面有很好的效果,有利于提高确诊率和孔道位置准确率,此方法适合在临床上推广使用。

  13. 多排CT对小儿支气管内异物的诊断价值%Value of Multi Slice CT in Diagnosis of Bronchial Foreign Bodies in Children

    Institute of Scientific and Technical Information of China (English)

    冯锦兰

    2015-01-01

    Objective Comparative analysis of the diagnosis value of multi slice CT in the diagnosis of foreign bodies in children with bronchiolitis.Methods 76 children who were confirmed by fiberbronchoscope in our hospital were chosen, X-ray examination and 16 slice spiral CT examination were performed respectively, diagnosis accuracy of two methods were compared.Results The accordance rate of 16 slice spiral CT in the diagnosis of middle left bronchus, bronchus and right main bronchus were 100%, The direct indication of tracheal foreign body accounted for 88.1%, The indirect signs accounted for 11.9%; Clinical X-ray diagnosis coincidence rate was 85.5%, The direct signs accounted for 18.4%, The indirect signs accounted for 81.6%.the diagnosis rates of spiral CT were obviously higher than the X-ray, The difference had statistically significant(P<0.05). Conclusion Multi slice CT has high value in the diagnosis of bronchial foreign bodies in children.%目的:对比分析多排CT在诊断小儿支气管炎内异物的诊断价值。方法对我院进行治疗的经纤支镜确诊为支气管异物的患儿76例,分别对其进行X线检查及16排螺旋CT检查,对比观察两种检查方式的诊断准确性。结果76例患儿左支气管、主支气管及右主支气管异物应用16排螺旋CT诊断符合率为100%,其中直接提示气管异物占88.1%,间接征象占11.9%;X线临床诊断符合率为85.5%,其中直接征象占18.4%,间接征象占81.6%。螺旋CT对左支气管、中段支气管、右主支气管异物及总的诊断符合率均明显高于X线诊断符合率,差异有统计学意义(P<0.05)。结论多排CT对小儿支气管内异物具有较高的临床应用价值。

  14. 多层螺旋CT MPR、MIP及VRT剖切技术在腰椎峡部裂中的应用%Multi Slice Spiral CTMPR,MIP and VRT Cutting Technique in the Application of Iumbar Spondylolysis

    Institute of Scientific and Technical Information of China (English)

    公维云

    2013-01-01

    Objective:To investigate the multi-slice spiral CT post-processing method MPR,MIP and VRT combined cutting technique in lumbar spondylolysis application effect. Method:From October to 2012 in our hospital in 2010 August included 87 cases of lumbar spondylolysis with multi-slice spiral CT,and took MPR,MIP and VRT processing,to observe the effect of the clinical diagnosis. Result:Through the comparative analysis, of which,MPR and MIP display rate was 100%,while the VRT cutting front display rate was 94%,VRT after cutting display rate of 100%. Conclusion:Clinical application of lumbar spondylolysis patients taking spiral CT of the MPR,MIP and VRT cutting technology can effectively observed in patients with lesion site,MPR,MIP is the diagnosis of spondylolysis optimal method,three-dimensional sense of strong VRT.%  目的:探讨多层螺旋CT后处理方法MPR、MIP及VRT结合剖切技术在腰椎峡部裂中的应用效果。方法:选取本院2010年10月-2012年8月收治的87例腰椎峡部裂患者进行多层螺旋CT检查,并采取MPR、MIP及VRT进行处理,观察其临床诊断效果。结果:通过比较分析,其中,MPR和MIP的显示率均为100%,而VRT切割前显示率为94.0%,VRT切割后显示率为100%。结论:临床中腰椎峡部裂患者采取多层螺旋CT的MPR、MIP及VRT剖切技术能够有效的观察患者病变部位,MPR、MIP是诊断椎弓峡部裂的最佳方法,VRT的立体感较强。

  15. Single coronary artery anomaly: the left main coronary artery originating from the proximal segment of right coronary artery

    Institute of Scientific and Technical Information of China (English)

    ZHU Jun; QIN Xu-guang; WU Qing-yu; XIONG Wei-guo; LU Chun-peng; WANG Rong-feng

    2011-01-01

    This case report we presented is that the anomalous left main coronary artery (LMCA) originates from the proximal segment of right coronary artery. In order to confirm the origin and course of the anomalous LMCA, a multi-slice computed tomography (MSCT) of the heart was performed on a 64-slice machine (Philips 64 Slice, Philips, USA) after 6 months of coronary angiography operation. The results showed that the anomalous LMCA originates from the proximal segment of right coronary artery, lies posteriorly to the aorta before taking acute sharply to go between the aorta and left atrium. It was classified as R-Ⅱ P subtype according to Lipton's classification. It is a rare case in the clinical practice.

  16. Effects of Sennae Folium Combined with Mannitol on Multi-slice Spiral CT Bowel Imaging%番泻叶联合甘露醇肠道清洁对多层螺旋CT肠道成像的影响

    Institute of Scientific and Technical Information of China (English)

    项微微; 刘克昌; 殷焱

    2016-01-01

    OBJECTIVE:To evaluate the effects of Sennae Folium combined with mannitol for bowel cleaning on multi-slice spiral CT bowel imaging. METHODS:52 patients receiving multi-slice spiral CT imaging examination in our hospital during Jun. 2011 to Jun. 2012 were collected retrospectively,and then divided into control group(22 cases)and observation group(30 cases) according to the methods of bowel preparation. Both groups fasted for 12 h before examination. Sennae Folium 20 g soaked in boiled water 500 ml for half an hour was given to patients in control group 12 h before examination,and then was soaked in boiled water 500 ml again for drinking and other pure water 1 000 ml was also given to patients. Sennae Folium 10 g soaked in boiled wa-ter 500 ml was given to patients in observation group 1 d before examination and 2 h after breakfast;soaked in boiled water 500 ml again 2 h after lunch;10% mannitol 500 ml and pure water 1 000 ml were given to patients after supper. Both groups received multi-slice spiral CT bowel imaging until the patients defecated watery stool after medication. The effective rate of bowl cleaning, image quality and the incidence of ADR were compared between 2 groups. RESULTS:The effective rate of bowel cleaning was 100% in observation group,which was significantly higher than that of control group(81.82%),with statistical significance(P<0.05). The excellent and good rate of imaging quality was 96.67% in observation group,which was significantly better than that of control group(81.82%),with statistical significance(P<0.05). The incidence of ADR as abdominal distension,nausea,intestinal mucosa damage in observation group were significantly lower than those of control group,with statistical significance (P<0.05). CONCLUSIONS:Sennae Folium combined with mannitol is effective method to prepare enteric multi-slice spiral CT imaging exam-ination,and perform good bowl cleaning effect,high image quality and low incidence of ADR.%目的:评价番泻叶联合

  17. The Clinical Value of Multi-slice CT Perfusion in the Differentiation of Lung Lesions%多层CT灌注技术在鉴别肺占位病变的临床价值

    Institute of Scientific and Technical Information of China (English)

    何建平; 白毓

    2015-01-01

    目的:探讨多层CT灌注技术在鉴别肺占位病变中的应用价值。方法前瞻性分析我院自2013年2月-2015年2月收治的92例肺部占位病变患者,其中肺癌58例,病灶直径2-7cm,34例为良性,其中肺结核14例,肺脓肿6例,炎性假瘤2例,非特异性炎症6例,错构瘤4例,曲菌球2例,病灶直径2-5cm,所有病例均行多层CT灌注扫描,图像传输至工作站,应用肿瘤软件包分析,记录病变BV(血容积)、BF(血流量)、PS(表面渗透性)、MTT(平均通过时间),分析多层CT灌注成像在鉴别肺肿瘤病变中的应用价值。结果本组92例肺部占位患者,恶性病变患者灌注参数BF、BV、MTT、PS参数均较良性组高,两组间BV、MTT及PS参数差异有统计学意义(P<0.05),以BV值≥6mg/100g作为恶性病变阈值,则多层CT灌注成像诊断良性组符合率为64.71%,恶性组符合率则达100.00%。若以PS值≥30ml/min·100g作为恶性病变阈值,34例良性肺病变中,30例确诊,符合率为88.24%,4例误诊(肺结核2例,肺脓肿2例),58例恶性病变中,50例确诊,8例误诊,符合率为86.21%。结论恶性肺肿瘤CT灌注参数BV、PS值均高于良性组。多层螺旋CT灌注成像检查,可反映不同性质肺肿瘤病变微血管特征,有利于良恶性肿瘤的鉴别。%Objective To investigate the application value of multi-slice CT perfusion in the differentiation of lung lesions.Methods A total of 92 cases lung lesions patients which admitted into the hospital during February 2013 to February 2015 were prospectively analyzed. Among the objects, 58 cases were lung cancer with the diameter of 2-7cm,34 cases were benign lesions, including pulmonary tuberculosis (14 cases), lung abscess (6 cases), inflammatory pseudotumor in (2 cases), nonspecific inflammation(6 cases), hamartoma in (4 cases), and Aspergillus in (2 cases). The diameters of the lesions were 2 to 5cm. All cases underwent multi-slice

  18. The evaluation of 64-slice spiral CT perfusion to hepatic fibrosis of dog model and the correlation research with pathologic and VEGF change%犬肝纤维化64排螺旋CT全肝灌注成像及与病理对照、VEGF表达的相关研究

    Institute of Scientific and Technical Information of China (English)

    胡跃群; 章雅琴; 李丛蕊; 骆雷; 容鹏飞; 王维

    2011-01-01

    目的 利用64排螺旋CT全肝灌注模式成像测定中华田园犬肝纤维化模型的相关灌注参数并与病理对照来反映肝纤维化程度,分析其与VEGF表达水平的相关性.方法 采用腹腔注射50%四氯化碳油溶液辅以高脂饮食,建立犬肝纤维化模型,定期行64排螺旋CT全肝灌注成像及肝穿活检.根据病理分期分析各组CT灌注参数,并与VEGF表达水平作对照研究.结果 成功获得各期肝纤维化模型.对照组HAP(28.25 ±2.19) ml/(min·100 g),PVP( 53.53±10.71) ml/( min ·100 g),TLP(81.78±18.56) ml/(min·100 g);随肝纤维化程度加重,PVP、TLP持续性下降(P<0.05),HAP总体略呈上升趋势.PVP值、TLP值与肝纤维化程度呈负相关(P<0.01);VEGF表达水平随着肝纤维化程度的加重而明显增高(P<0.05).结论 腹腔注射四氯化碳油溶液辅以高脂饮食可以成功模拟人类从肝细胞变性、肝纤维化至肝硬化的全过程.64排螺旋CT全肝灌注成像克服了以往灌注成像的不足,且能反映肝纤维化各期的血流动力学变化趋势,VEGF可能在慢性肝病所致肝纤维化过程中起重要作用.%Objective To measure the perfusion parameters of liver fibrosis of dog model with 64-slice spiral CT,and compare with positive control to reflect the degree of liver fibrosis,and analyze the correlation with VEGF values.Methods Liver fibrosis was induced in dogs by intraperitoneal injection of CC14 and high fat diet.CT perfusion scan and liver biopsies were performed.The perfusion parameters were measured according to the liver fibrosis models,and the correlation with VEGF values was analyzed.Results The animals in experimental group were successfully induced different degree of liver fibrosis.In normal group,the hepatic artery perfusion,portal vein perfusion and total hepatic blood flow were (28.25 ±2.19)ml/(min · 100 g),(53.53 ± 10.71)ml/(min · 100 g) and (81.78 ± 18.56) ml/(min · 100 g).The PVP and TLP values of the

  19. Application of ECG editing soltware in coronary angiography using 64-slice CT in arrythmia patients%心电编辑软件在64层螺旋CT心律失常患者冠状动脉成像中的初步应用

    Institute of Scientific and Technical Information of China (English)

    姚红霞; 张国富; 张鹏; 崔二峰; 杨鹏午

    2011-01-01

    目的:探讨64层螺旋CT冠状动脉成像心电编辑功能对于改善心律失常或心电图信号不明原因故障中冠脉成像质量的作用.方法:搜集30例在检查前已知心律失常或仅在检查过程中出现心律失常或检查过程中出现同步记录的心电图信号部分缺失的64层螺旋CT冠状动脉成像资料,使用心电图编辑功能,比较编辑前后重建的冠状动脉图像质量.结果:对于低心率(<70次/分)的房性早搏(扫描过程中出现一次),心电编辑软件可以有效改善其冠脉图像质量,编辑前后可评估率差异有统计学意义(P<0.05);对于房室传导阻滞、心电信号缺失冠脉图像质量可以有限度地改善,对房颤改善不明显.对于高心率(≥70次/分)的房性早搏(扫描过程中出现一次)、房室传导阻滞,心电编辑软件均可有限度地改善,对房颤改善不明显,编辑前后可评估率差异无统计学意义(P>0.05).对心率不同的两组心律失常,低心率组图像质量可评估率(74.74%)高于高心率组(66.07%),心电编辑软件均可改善两组图像质量,但两组间比较差异无统计学意义.对于窦性心律不齐,心率波动幅度越大,冠脉图像不可评估率越大,两组心电编辑后图像质量均得到明显改善,差异有统计学意义(P<0.05).结论:在检查前或检查过程中出现的心律失常或者不明原因出现心电信号的异常,使用心电编辑功能,能提高冠脉成像质量.%Objective : To investigate the value of ECG editing software in improving the image quality of coronary an giography with 64-slice spiral CT (MSCTCA) in patients having arrhythmia or unidentified synchronous ECG error. Methods : MSCTCA materials of 30 patients with previously known arrhythmia/arrhythmia merely occurred during MSCT CA/unidentified ECG mechanic error happened during examination were included in this study. Using ECG editing soft ware,the image quality of MSCTCA before and after

  20. The value of volume doubling time in diagnosis of solitry pulmonary nodules by 64-slice spiral CT%容积倍增时间在64层螺旋CT诊断孤立性肺结节中的价值

    Institute of Scientific and Technical Information of China (English)

    安彩霞; 王云生; 杨丽娟; 桑俊文; 张文莉; 王哲; 贺进军; 张凤艳; 刘静

    2011-01-01

    目的 探讨容积倍增时间( DTV)在64层螺旋CT诊断孤立性肺结节(SPN)中的价值.方法 初次胸部CT检查后,于第一个月末及第三个月末行2次以上随访的SPN患者46例,分别采用普通平扫横断面测量直径及LungCARE软件测定体积,计算所有结节的直径倍增时间(DTD)和DTV,比较两种测量方法对恶性肺结节的诊断价值;并用Mann-Whitney U非参数检验方法评价DTV在恶性SPN不同复查时期及不同病例类型之间的差异.结果 经临床和病理证实,46例SPN患者中,恶性肺结节29例(包括18例腺癌和11例鳞癌)、良性肺结节17例.DTV法与DTD法在恶性SPN诊断中的灵敏度、特异度、阳性预测率、阴性预测率和Youden指数分别为93.10%、94.11%、96.42%、88.89%和0.87 vs.79.31%、70.59%、82.14%、66.67%和0.50,DTV法的诊断价值显著优于DTD法(x2=10.211,P< 0.05).腺癌与鳞癌患者第一个月末与第三个月末的DTV比较,差异无统计学意义(U=0.127和U=0.066,P均>0.05).第一个月末及第三个月末,腺癌患者恶性肺结节的DTV显著大于鳞癌患者(U=-3.193和U=-2.810,P均<0.01).结论 DTV法在64层螺旋CT诊断SPN中的效能优于DTD法.DTV可作为观察指标,评估不同性质SPN的生长特征,为肺结节的早期随访及定性诊断提供帮助.%Objective To discuss the value of volume doubling time (DTV) in diagnosis of solitry pulmonary nodules (SPN) by 64-slice spiral CT.Methods There were 46 cases which were underwent repeated follow-up CT at the first month and at the third month after the initial chest CT.We evaluated the value of DTV calculated by LungCARE volumetry software and diameter doubling time (DTD) calculated by diameter method in the diagnosis of SPN.We compared the difference of DTV in different kinds of SPN and in different follow-up periods by Mann-Whitney U test.Results Twenty-nine malignant nodules and seventeen benign nodules were confirmed in forty-six SPN cases

  1. Three dimensional reconstruction of the liver and the abdominal blood vessels based on the 64-slice spiral CT data%64排螺旋CT扫描数据的肝脏及腹腔血管三维重建的研究

    Institute of Scientific and Technical Information of China (English)

    朱新勇; 方驰华; 焦培峰; 全显跃; 唐海亮; 鲍苏苏; 钟世镇

    2008-01-01

    目的 探讨利用64排螺旋CT扫描数据进行肝脏及其内部管道和腹腔血管的计算机辅助三维重建的准确性及临床意义.方法 利用64排螺旋CT薄层扫描正常人肝脏二维图像数据集,采用自主研发的医学图像处理系统对二维图像数据进行肝脏及其肝内管道、腹腔血管系统三维可视化重建,并对重建肝脏模型的体积与肝脏实际体积以及重建门静脉与64排螺旋CT后处理工作站采用容积再现法重建的门静脉进行对比研究.结果 肝动脉、门静脉和肝静脉系统三维效果逼真,立体感强,可任意角度旋转、观察;能够显示肝内各主要管道系统的空间位置关系,并准确地反映肝脏实际体积及肝内管道系统的真实情况.通过调节肝脏的透明度可同时显示肝脏和肝内动静脉、门静脉分支和腹腔动脉系统.计算机重建后的门静脉与螺旋CT后处理工作站容积再现法重建的门静脉完全一致.结论 计算机辅助的三维肝脏及其管道和腹腔血管系统能准确反映人体的真实结构,为肝脏的虚拟手术设计提供了可靠和真实的虚拟器官和血管系统.%Objective To explore the accuracy and practical significance of the 3-dimensional (3D) reconstruction of the liver and the abdominal blood vessels based on the data of 64-slice spiral computerized tomography (64S-SCT). Methods The 2D images of the liver and the abdominal blood vessels were collected after TLC-scanning with 64S-SCT. The 3D images of the liver, hepatic internal duct system and the abdominal blood vessels were reconstructed by the medical image processing system. The volume of the 3D reconstructed liver was compared with that of the actual liver measured by the 64S-SCT, and the portal vein of the reconstructed liver model was compared with that reconstructed by the Mxview workstation based on the 64S-SCT data. Results The 3D models of the liver, hepatic internal duct system and abdominal blood

  2. Value of Multi-Slice Spiral CT in the Diagnosis of Atypical Appendicitis%多排CT对非典型阑尾炎的诊断价值

    Institute of Scientific and Technical Information of China (English)

    李水婷; 江魁明; 麦慧; 张家云; 侍丽

    2013-01-01

    To investigate the value of the multi-detector row computed tomography in the diagnosis of appendicitis with atypical clinical feature. Methods: 58 cases of appendicitis which were not initially considered on clinical presentation, were confirmed surgically and pathologically were collected, CT characteristics were retrospectively analyzed. Results: 54 of the 58 patients were correctly diagnosed on CT. It included: 6 cases of dissect abnormal appendicitis, 22 cases of women of childbearing age appendicitis. 19 cases of elderly appendicitis. 11 cases of pediatric appendicitis. The direct CT signs of acute appendicitis were an charged appendix with wall thickening and appendicolith. Indirect signs included appendiceal perityphlitis and periappendicular. Conclusion: Multi-detector row computed tomography is valuable for early diagnosis of appendicitis with atypical clinical feature.%目的:探讨多排CT对缺乏典型临床表现的阑尾炎的应用价值.材料方法:搜集2010年1月~2012年1月临床首诊未考虑阑尾炎,经手术、病理证实为阑尾炎患者58例,回顾分析其CT表现.结果:58例阑尾炎患者中CT术前诊断为阑尾炎54例,渗断准确率93%.其中:解剖位置异常的阑尾炎6例;育龄妇女急性阑尾炎22例;老年急性阑尾炎19例;小儿急性阑尾炎11例.急性阑尾炎CT直接征象:阑尾肿胀、阑尾壁增厚及阑尾结石.CT间接征象:阑尾周围炎、阑尾周围脓肿.结论:使用多排CT对临床早期明确非典型阑尾炎的诊断有重要意义.

  3. 腹股沟疝和股疝的多层螺旋CT表现%The Findings of Inguinal Hernia and Femoral Hernia on Multi-slice Spiral CT

    Institute of Scientific and Technical Information of China (English)

    潘华山; 匡楚龙; 蔡云国; 陈容; 孙春梅

    2012-01-01

    目的 研究腹股沟疝和股疝的多层螺旋CT (multi-slice spiral CT,MSCT)表现,探讨如何通过MSCT对腹股沟疝和股疝做出诊断与鉴别诊断.方法 回顾性分析30例经手术证实的腹股沟疝和股疝MSCT包括多平面重组(multiplanar reformation,MPR)表现,重点观察疝的位置、形态、走行、内容物及与周围结构间的关系以及继发征象.结果 MSCT诊断腹股沟斜疝16例,腹股沟直疝11例,股疝3例.16斜疝中12例有腹股沟深环的扩大,16例显示腹股沟管的扩大.以耻骨结节为参考点,10例斜疝和4例直疝跨越中线位于外上象限和内上象限,3例股疝则位于外下象限.3例股疝中2例显示股静脉受压变形.结论 MSCT能够显示腹股沟疝和股疝的位置、形态、走行、内容物、与周围结构之间的关系及并发症,能够为腹股沟疝和股疝的诊断与鉴别诊断提供有价值的信息.对于腹股沟疝和股疝的诊断与鉴别诊断,应综合观察腹股沟管、腹股沟管深环的改变以及疝与腹壁下血管、股血管、腹股沟韧带的关系,并重视多平面重组在诊断中的应用价值.%Objective To study the multi-slice spiral CT (MSCT) features of hernia of inguinal hernia and femoral hernia, and to explore the diagnosis and differential diagnosis of inguinal hernia and femoral hernia with MSCT. Methods 30 cases with inguinal hernia and femoral hernia confirmed by operation were retrospectively analyzed. All cases were undergone the MSCT examination. The key point of observation was the position, course, herniated contents, adjacent structures as well as complications. Result A total of 30 subjects were enrolled in this study, 16 were indirect inguinal hernia, 11 were direct hernia, 3 were femoral hernia. 12 indirect hernia displayed enlargment of the groin deep ring, and 16 indirect hernia showed enlargment of the inguinal canal. When took the pubic tubercle as the point of reference, 10 indirect hernia and 4 direct

  4. Evaluation of multi-slice spiral CT perfusion on blood supply of rabbits model bearing VX2 hepatic carcinoma%多排螺旋CT灌注成像对兔VX2肝癌血供的评价

    Institute of Scientific and Technical Information of China (English)

    周悦; 高剑波; 杨学华; 张永高; 岳松伟; 曲艳红

    2011-01-01

    Aim:To assess the diagnostic value of Muhi-slice CT perfusion for blood supply evaluation of the rabbits VX2 hepatic tumors. Methods: VX2 hepatic carcinoma mass were implanted into the left lobe of liver of 30 rabbits via laparotomic route. Multi-slice CT enhancement and perfusion were performed in these rabbits at twenty-one day after implantation. The CT imaging features of the tumors were observed and the perfusion parameters were measured in the rim of the tumor, non-tumorous regions nearby the tumor and the normal liver tissues. Results: Twenty-five (83%) rabbits were sucessfully implanted with the tumor. The tumors which has smooth border were demostrated itself as the round-shaped tumors with hypodensity on plain CT scan,significantly tinge-enhancement on arterial phase, relatively hypodensity on portal phase and no enhanced in the zone of necrosis. Blood flow, blood volume, permeability surface, hepatic arterial fraction, hepatic arterial perfusion increased and mean transit time decreased in the rim of the tumor compared with those of the non-normorous regions nearby the tumor and the normal liver ( P < 0.05). Conclusion: Multi-slice CT perfusion could evaluate the blood supply station of hepatic tumors in vivo by perfusion parameters.%目的:探讨多排螺旋CT灌注成像对兔VX2肝癌血供的评价价值.方法:采用开腹瘤组织块直接包埋法将VX2肝癌移植瘤植入30只新西兰大白兔肝左叶,并于种植后第21天行多排螺旋CT增强及灌注扫描,观察其CT征象,并对比肿瘤边缘区、瘤旁肝组织以及对照肝组织的CT灌注参数(血流量、血容量、平均通过时间、表面通透性、肝动脉分数以及肝动脉灌注量).结果:25只(83%)大白兔种植成功.CT平扫肿瘤为类圆形低密度灶;增强动脉期病灶表现为边缘环状强化;门脉期呈相对低密度,中心见低密度坏死区,与周围组织界限较清.CT灌注成像结果:肿瘤边缘区、瘤旁肝组织及对照肝

  5. 中央型小细胞肺癌和鳞癌的多层螺旋CT表现分析%Analysis of Multi Slice Spiral CT in Central Type Small Cell Lung Cancer and Squamous Cell Carcinoma

    Institute of Scientific and Technical Information of China (English)

    陈亮

    2016-01-01

    目的:对中央型小细胞肺癌和鳞癌的多层螺旋 CT 表现进行分析探讨,为今后的临床诊断工作,提供有价值的参考信息。方法选择2014年8月~2015年5月我院收治的获得明确诊断的,中央型小细胞肺癌与鳞癌患者共计48例作为研究对象,对其展开多层螺旋 CT 检查,并对检查资料展开回顾性分析。结果观察发现,中央型小细胞肺癌患者的胸膜腔存在积液、远处有转移、支气管狭窄无阻塞、心脏大血管受到侵害、肺叶发生实变、纵隔肺门淋巴结肿大、淋巴结融合发生率较鳞癌患者高(P <0.05);对比发现,两组患者心包腔积液、胸膜结节、支气管不全性阻塞、肺不张发生率比较,差异无统计学意义(P >0.05)。鳞癌患者肿瘤不均匀强化、坏死、支气管闭塞发生率较中央型小细胞肺癌高(P <0.05)。结论中央型小细胞肺癌、鳞癌患者的多层螺旋 CT 表现存在一定差异,综合分析,可做出准确鉴别。%Objective Purpose of center type smal cel lung cancer and squamous cel carcinoma of the multislice spiral CT findings were analyzed for future clinical work,providing valuable reference information. Methods From August 2014 to May 2015,our hospital access to diagnosis,central smal cel lung cancer in patients with squamous cel carcinoma of 48 cases studied,the multi-slice spiral CT examination and check the information retrospectively. Results Observed that patients with central type smal cel lung cancer pleural cavity effusion,distant have transfer,bronchial stenosis,non blocking, heart and great vessels have been infringed,lobar occur consolidation,mediastinal and hilar lymph nodes,lymph node fusion rate is high in patients with squamous cel carcinoma(P 0.05)in two groups of patients with pericardial effusion, pleural nodules,bronchial obstruction,and the incidence of lung failure. The incidence of non homogeneous enhancement

  6. 多排螺旋CT与CR在肋骨骨折诊断中的比较%Comparison of Multi-slice Spiral CT and CR in Rib Fracture

    Institute of Scientific and Technical Information of China (English)

    高雷

    2016-01-01

    Objective Evaluation of row Multi-slice Spiral CT and CR use value in the diagnosis of rib fracture, and to discuss the advantages of two different methods in the diagnosis of rib fracture, so look for ways to improve the accuracy of diagnosis. Methods Retrospective analysis of 60 patients who check rib fracture from 2014 to 2015 in our hospital because of chest trauma. The patients were randomly divided into CT inspection group and CR inspection group, and each group of 30 cases. Among them CT inspection group: male 19, female 11; CR inspection group: male 17, female 13. Two radiologists doctor diagnosis with double-blind method. Results 1 ~ 3 ribs: The diagnostic accuracy of CT was 46.3% (25/54), and the diagnostic accuracy of CR was 74.4% (32/43);4~8 ribs:The diagnostic accuracy of CT was 88.5% (119/135), and the diagnostic accuracy of CR was 55.1% (81/147); 9~12 ribs: The diagnostic accuracy of CT was 91.7% (55/60), and the diagnostic accuracy of CR was 53.2% (33/62). False positive misdiagnosis rate of CT was 15.1% (71/471), and false positive misdiagnosis rate of CR was 7.1% (33/468). Conclusion Multi-slice spiral CT and CR each other and cooperate with the inspection can effectively improve the accuracy of diagnosis of rib fracture, meanwhile reduce missed diagnosis and misdiagnosis rate.%目的:评价多排螺旋CT与CR在肋骨骨折诊断中的运用价值,探讨两种检查方法各自诊断肋骨骨折的优势,寻找提高诊断准确性的检查方法。方法回顾性分析2014~2015年60例因胸部外伤后来我院行影像学检查诊断有无肋骨骨折的患者。将患者随机分为CT检查组和CR检查组,每组30例。其中CT检查组:男19例,女11例;CR检查组:男17例,女13例。由放射科两名主治医师采用双盲法进行诊断。结果第1~3肋骨:CT诊断准确率为46.3%(25/54),CR诊断准确率为74.4%(32/43);第4~8肋骨:CT诊断准确率为88.5%(119/135),CR诊断准确率为55.1%(81/147);第9~12

  7. 多层螺旋CT肠道造影在溃疡性结肠炎活动期的影像分析%The analysis for images of multi-slice spiral CTE performance levels in active ulcerative ;colitis

    Institute of Scientific and Technical Information of China (English)

    赵宾; 王继红

    2016-01-01

    Objective: To investigate the imaging characteristics of the intestinal multi-slice spiral CT enterography (CTE) in active ulcerative colitis(UC), analyze and summarize its application value. Methods: A total 43 cases diagnosed with active UC from April 2014 to April 2015 in our hospital were selected and divided into mild, moderate and severe three levels with each level as a group, treated by multi-slice spiral CTE examination system based on the improved Mayo system, comparing different performances of CTE levels. Results:43 cases of UC patients participating in the study, eight patients were mild, 16 cases were moderate and 19 cases were severe. There was statistically different in the intestinal mucosa in the presence of air bubbles between the mild and moderate group (x2=21.62; P0.05). Conclusion:UC patients CTE examination, which can effectively conduct a comprehensive assessment against bowel, intestinal and parenteral, provide favorable conditions for the activity of UC clinical diagnosis and classification.%目的:观察多层螺旋CT肠道造影(CTE)在溃疡性结肠炎活动期(UC)中的成像特点,分析探讨其应用价值。方法:选取43例确诊的活动期UC患者,对其行多层螺旋CTE检查,依据改良后的Mayo系统将患者分为轻、中、重三个等级,每个等级为一组,对比不同等级患者CTE的表现。结果:43例UC患者中,8例为轻度,16例为中度,19例为重度,将三组患者多层螺旋CTE检查结果进行对比,其中轻度组与中度组对比,于肠黏膜下气泡一项上差异存在统计学意义(x2=21.62,P<0.05);中度组与重度组进行对比,于结肠袋消失情况、淋巴结肿大情况以及肠壁分层情况3个项目上差异有统计学意义(x2=25.95,x2=17.46,x2=19.46;P<0.05);而于肠黏膜强化程度增加、肠壁增厚、直肠周围脂肪沉积以及肠腔狭窄等项目上,差异均无统计学意义(F=0.36,F=1.58,F=0.31,P>0.05)

  8. The Effects Analysis of Multi-slice Spiral CT Perfusion Imaging of Different Parts of Normal Pancreas%正常胰腺不同部位的多层螺旋CT灌注成像效果分析

    Institute of Scientific and Technical Information of China (English)

    黄英荷; 杜绪仓

    2013-01-01

    目的:对正常胰腺不同部位的多层螺旋CT灌注成像效果进行分析。方法:抽取行中上腹部CT增强检查而胰腺正常的病例20例作为研究对象,对其胰腺头部、体部以及尾部感兴趣区层面进行CT灌注扫描,对采集的影像数据使用相关灌注软件进行计算,并对灌注参数进行统计学分析。结果:患者正常胰腺的头部、体部以及尾部的灌注参数均无统计学意义,P>0.05。结论:正常胰腺的头部、体部以及尾部的CT灌注参数基本一致。%Objective:To analyze the multi-slice spiral CT perfusion imaging effects of different parts of the normal pancreas Methods:20 patients with normal pancreas were included in this study from January 2010 to December 2011. All Cases underwent contrast-enhanced CT scan and perfusion imaging with pancreatic head,body and tail which included the region of interest (ROI). The perfusion parameters were calculated and statistically analyzed by using the correlational perfusion software. Results:There were not significantly perfusion parameters difference among the head, body and tail of pancreas, P>0.05.Conclusion:The perfusion parameters of normal pancreatici are even consistent.

  9. Application Research on Multi-slice Spiral CT Perfusion Imaging in Patients with Acute Cerebral Infarction%多层螺旋 CT 灌注成像在急性脑梗死患者的应用研究

    Institute of Scientific and Technical Information of China (English)

    罗友琛

    2014-01-01

    目的:探讨急性脑梗死患者多层螺旋 CT 灌注成像特点,及其与临床预后的关系。方法选择符合标准的患者40例,行 CT 灌注成像检查,计算脑血流量(CBF)、脑血容量(CBV)、平均通过时间(MTT)及峰值时间(TTP);分别在入院时和治疗后14d 采用美国国立卫生研究院卒中量表(NIHSS)评价临床神经功能缺损,计算缺血脑组织的可恢复比率(PRR)和神经功能恢复比率。结果脑梗死病灶中心 CBV 及 CBF 最低,健侧最高,而缺血半暗带居中,差异有统计学意义(P 0.05);PRR 与患者治疗14d 时 NIHSS 评分存在负相关性(r =-0.340, P 0. 05),negatively dependent of those at day 14 after treatment (r = - 0. 340,P < 0. 05) and positive-ly dependent of patient’s neural functional recovery ratio (r = 0. 467,P < 0. 05). Conclusion Multi-slice spiral CT perfusion im-aging can reflecthemodynamic changes in acute cerebral infarction lesions and their perihemodynamic changes. PRR is closely de-pendent of the neural functional recovery. It can serve as a reliable theoretical basis for clinical treatment.

  10. 肺挫伤患者多层螺旋CT影像学表现与预后%Association of multi-slice spiral CT images of occult pulmonary contusion with disease prognosis

    Institute of Scientific and Technical Information of China (English)

    王凌; 唐怨; 孔德会; 陈友强; 付子文; 杨华

    2014-01-01

    探讨肺挫伤(occult pulmonary contusion,OPC)患者多层螺旋CT(multi-slice spiral CT,MSCT)影像学表现与预后.对143例胸部钝性伤后行常规胸部正位平片和MSCT检查患者影像及临床资料进行回顾性分析.共87例患者检出肺挫伤,其中显性挫伤58例,24例继发肺炎,13例继发脓胸,16例继续发展为急性呼吸窘迫综合征(ARDS);隐匿性肺挫伤(OPC)29例,6例继发肺炎,1例发展为ARDS,未见继发脓胸患者;其余56例中7例继发肺炎,1例继发ARDS,未见继发脓胸患者.在OPC患者中,所有挫伤局限于一个肺叶的患者临床预后均较好;所有继发肺炎的患者挫伤范围均大于两个肺叶.OPC患者总体临床预后较好,MSCT能可靠的评价挫伤的范围,对OPC患者的临床治疗具有一定的指导意义.

  11. Improvement Techniques and Experiment Research of Multi-detector of Multi-slice CT%对多层CT的多排探测器的改进技术及实验研究

    Institute of Scientific and Technical Information of China (English)

    苏重清; 刘东红; 杨立国; 乔驰; 陶行成; 崔力元; 郑伟; 郭媛媛

    2013-01-01

    Objective To design a new kind of multidetector for multi-slice CT, so as to decrease X-ray dosage and increase resolution. Methods Laid additional detectors under the detectors of CT, to obtain new X-ray energy and new resolution data through the upper detectors and make various images with original detector data. Results Laid a layer of X-ray attenuation material on the present detectors of CT as the first layer detector and regarded the present detector as the second layer detector in the design to scan, the second layer detector data is testified available. Conclusion Through simulating tests on present CT scanner, the design is testified to be feasible.%目的 设计一种新型多层CT机的多排探测器,降低X线剂量和提高分辨率.方法在CT探测器下面再加探测器,接收穿透上层探测器的X线获得能量与分辨率不同的额外数据,和原来探测器数据做各种形式的叠加成像.结果在现有CT探测器上加X线衰减层模拟第1层探测器而视现有CT探测器为本设计的第2层探测器扫描,证明了第2层探测器的数据可用.结论通过在现有CT上的模拟实验,证明此设计是可行的.

  12. 胰腺导管内乳头状黏液性肿瘤的MSCT和MRCP诊断%Multi-slice CT and MR cholangio-pancreatographic diagnosis of intraductal papillary mucinous neoplasm of the pancreas

    Institute of Scientific and Technical Information of China (English)

    张超; 弓静; 郭帅; 殷长均

    2011-01-01

    Objective To evaluate the multi- slice CT (MSCT) and magnetic resonance cholangio- pancreatography (MRCP) features of intraductal papillary mucinous neoplasm (IPMN) ofthe pancreas.Methods The CT and MRCP of 26 cases of IPMN including adenocarcinoma (6 cases), borderline malignancy (2), and adenoma (1) were reviewed.Results CT and MRI of IPMN in the pancreatic ductal branches (12 cases) showed solitary or multiple cystic lesions with septa or nodules in the ducts.In the 5 patients with main pancreatic duct IPMN, there was dilation of the main pancreatic duct with mural nodule.In 9 patients with mixed type pancreatic IPMN, dilation of the main pancreatic duct and cystic lesions were noted.Conclusion MSCT and MRCP are useful in the diagnosis ofpancreatic IPMN.%目的 探讨胰腺导管内乳头状黏液性肿瘤 (IPMN)的MSCT和MRCP影像学表现.方法 对26例经内镜或手术病理证实的IPMT患者的CT和MRCP表现进行回顾性分析.结果 分支胰管型IPMN12 例,表现为单发囊性病变或葡萄串样多发囊性病变伴腔内分隔或结节样突起;主胰管型 IPMN 5 例,表现为主胰管扩张伴管壁结节样突起;混合型IPMN 9例,表现为主胰管扩张和囊性病变合并存在.9例手术病理结果为腺瘤1例,交界性肿瘤2例,腺癌6例.结论 MSCT和MRCP对发现和诊断胰腺 IPMN具有较高价值.

  13. Quantitative perfusion imaging by multi-slice CT in stroke patients; Quantitative Perfusionsbildgebung mittels Mehrschicht-Spiral-CT bei Patienten mit akuter zerebraler Ischaemie

    Energy Technology Data Exchange (ETDEWEB)

    Bohner, G.; Klingebiel, R. [Humboldt-Universitaet, Berlin (Germany). Universitaetsklinikum Charite, Abt. Neuroradiologie; Humboldt-Universitaet, Berlin (Germany). Universitaetsklinikum Charite, Inst. fuer Radiologie; Foerschler, A.; Lehmann, R. [Humboldt-Universitaet, Berlin (Germany). Universitaetsklinikum Charite, Abt. Neuroradiologie; Hamm, B. [Humboldt-Universitaet, Berlin (Germany). Universitaetsklinikum Charite, Inst. fuer Radiologie

    2003-06-01

    Objectives: Evaluation of a parametric deconvolution algorithm (DA) in the diagnostic assessment of stroke patients by multislice spiral computed tomography (MS-CT). Material and Methods: 52 patients (age range 34-89 years) with clinically suspected acute ischemia of one hemisphere and no infarct demarcation on plain cerebral CT underwent CT perfusion (CTP), performed on average 3.4 hours after the onset of symptoms by using MS-CT (4 x 8 mm scan volume). Using a DA-based software module, perfusion images of the cerebral blood perfusion (CBP), cerebral blood volume (CBV) and mean transit time (MTT) were calculated and assessed by two readers for visually apparent perfusion abnormalities. Amount and extension of perfusion disturbances were measured and correlated with the outcome. Results: Of 44 patients, in whom perfusion maps could be generated, territorial infarction was confirmed by follow-up in 22 subjects. With a sensitivity of 95% ischemia could be detected on MTT-maps (CBP 91%, CBV 77%). Specificity was highest (100%) for CBV-maps. Patients with infarction showed significant (p<0.001) reduction of CBP (10.7 vs. 38.3 ml/100 ml/min), CBV (1.3 vs. 2.3 ml/100 ml) and prolongation of MTT (12.3 vs. 4.3 s) compared to the contralateral hemisphere, whereas in patients without infarction no significant changes were found. Extension of CBV reduction showed the best correlation (r=0.82) with final infarct volume. Conclusion: The DA-based CTP protocol evaluated in this study is a suitable tool for the early identification and quantification of acute cerebral ischemia. (orig.) [German] Ziel: Evaluation des Einsatzes der Mehrschicht-Spiral-CT (MS-CT) in Kombination mit einem parametrischen Dekonvolutionsalgorithmus (DA) zur zerebralen Perfusionsbildgebung bei Patienten mit klinischen Zeichen einer akuten territorialen Ischaemie. Material und Methoden: 52 Patienten (Altersspanne 34-89 Jahre) mit klinischen Zeichen einer akuten territorialen Ischaemie sowie fehlender

  14. MSCT灌注成像在肾细胞癌临床应用价值研究%The Value of Muti-slice Spiral Computed Tomography Perfusion Imaging in Diagnosis of Renal Cell Cancer

    Institute of Scientific and Technical Information of China (English)

    董丹丹; 赵新宇; 陈文军; 王恩峰; 程明

    2012-01-01

    目的:探讨肾细胞癌多层螺旋CT(MSCT)灌注成像特征,并研究其临床应用价值.方法:肾癌患者69例,采用64排多层螺旋CT对其肾脏进行平扫及灌注增强扫描,使用renal tumor perfusion软件对图像进行后处理,自动生成时间-密度曲线(TDC),各种灌注图像及感兴趣区(ROI)内的灌注参数,包括血流量(BF)、血容量(BV)、平均通过时间(MTT)及表面通透性(PS),将得到的灌注参数分别进行统计分析.结果:肾癌肿块灌注参数与已测得的正常肾皮质各灌注参数值均存在显著性差异(P值均<0.01),其中,正常肾皮质的BF值、BV值及PS值均高于肾癌组织,MTT值则相反;肾癌肿块灌注参数与已测得的正常肾髓质各灌注参数值同样存在显著性差异(p值均<0.01),正常肾髓质各灌注参数值均低于肾癌组织,而PS值二者之间差别不显著(P<0.05);肾癌患者健侧肾皮髓质灌注参数值与已测得的正常肾皮髓质各灌注参数值及肾癌患者癌旁正常肾皮髓质各灌注参数值,三者之间差异无统计学意义(P>0.05).结论:多层螺旋CT(MSCT)灌注成像在显示肾脏形态的同时,还可定量测量皮髓质的血流灌注情况,间接反映肾脏生理特征.%Objective: To study the perfusion technique of Multi-slice Sprial Computed Tomography (MSCT) and its clinical application in malignant kidney tumors. Methods: The kidney non-enhenced imaging and perfusion imaging with 64-slice spiral CT were performed in Sixty-eight cases of RCC (renal cell carcinoma). Perfusion parameters of renal including blood flow (BF), blood volume (BV), mean transit time(MTT) and permeability surface(PS )were computed by Perfusion software. Results: The same perfusion parameter between renal cortex and solid components of RCCs, have significant differences (P0.05). Conclusions: MSCT perfusion techniques can not only show the morphologie changes of the malignant tumors,but also indicate the functional changes of

  15. Clinical Significance of Multi - slice CT in Diagnosis of Thyroid Nodules with Calcification%多层螺旋CT诊断钙化性甲状腺结节的临床意义

    Institute of Scientific and Technical Information of China (English)

    于军

    2012-01-01

    Objective To investigate the clinical significance of features of thyroid nodule with calcification in diagnosis and differential diagnosis of benign and malignant thyroid nodules. Methods We retrospectively analyzed the pathologic results and multi - slice CT (MSCT) signs of 77 cases of thyroid nodules. Results The detection rate of thyroid nodules with calcification in MSCT imaging was 21.60% (35/162), the detection rate of benign nodules was 15.45% (19/123) which was significantly lower than 41.03% (16/39) of malignant nodules. The thyroid calcification ratio of bulky- calcification in benign nodules was higher than that of malignant nodules, while micro - calcification in malignant nodules was higher than that in benign nodules (P<0.05). But there was no significant correlation between the number of calcification and malignant nodules. Conclusions Thyroid nodules with calcification especially micro- calcification is considered to be the important sign of thyroid carcinoma.%目的 探讨甲状腺结节的钙化特点对其良恶性诊断与鉴别诊断中的临床意义.方法 对137例经病理和多层螺旋CT(MSCT)检查证实的甲状腺结节的临床资料进行回顾性分析.结果 甲状腺结节MSCT的钙化检出率为21.60% (35/162),良性结节为15.45%(19/123),显著低于癌性结节的41.03% (16/39);良性钙化粗大钙化的发生率显著高于恶性结节,而良性结节微小钙化的发生率显著低于恶性结节(P<0.05),但钙化灶数目与甲状腺恶性结节无显著性关系.结论 甲状腺结节伴有钙化尤其是微小钙化灶是诊断甲状腺癌的重要征象.

  16. The diagnostic value of VR techniques of multi-slice spiral CT in the pulmonary sequestration%多层螺旋CT容积再现对肺隔离症的应用价值

    Institute of Scientific and Technical Information of China (English)

    刘玉芳

    2012-01-01

    Objective To evaluate the diagnostic value of VR techniques with multi - slice spiral CT in the pulmonary sequestration. Methods MSCT angiography were performed and reconstructed imaging VR in 11 patients with surgically confirmed pulmonary se-questration( PS ), The emphasis was shown the relationship between abnormal vessels and lesions. Results Among 11 cases PS,the lesion was located at the left lower lobe in 7 and at the right lower lobe in 4 cases, abnormal supplying arteries were from the thoracic aorta. On plain CT scan images,the mass-like lesions were found in 6 cases,irregular shape lesions in 5 cases. On VR images clearly displayed abnormal supplying arteries from systemic arteries in all patients. Conclusion MSCT angiographytechnology can accurately and directly display the blood - supply of the segregation tissue. So this method is very important value in PS.%目的 研究多层螺旋CT容积对肺隔离症的应用价值.方法 对经外科手术及病理证实的11例肺隔离症患者多层螺旋CT血管造影,利用容积再现(VR)技术,分析异常血管与病灶的关系.结果 11例患者中,7例病灶位于左下叶,4例病灶位于右下叶,异常供血全部来自胸主动脉.MSCT平扫表现为囊实性肿块6例,其他不规则形5例.VR重组技术中11例能明确显示异常体动脉供血及肺内血管网.结论 多层螺旋CT血管造影及结合容积再现重组技术能直观显示肺隔离症的异常体动脉供血及肺内血管网,具有重要的临床应用价值.

  17. Analysis of multi-slice spiral CT images in patients with esophageal cancer after surgery or radiotherapy%食管癌患者术后或放疗后多排螺旋 CT 影像分析

    Institute of Scientific and Technical Information of China (English)

    王锋

    2016-01-01

    Objective To explore the application value of multi-detector row spiral CT after the operation or radiotherapy in patients with esophageal carcinoma .Methods From August 2014 to March 2015,23 patients with esophageal cancer treated in our hospital received the examination of multi-detector row spiral CT after the operation or radiotherapy .Results After operation,CT re-sults showed that there were 4 cases with postoperative lymph node metastasis ,2 with lung metastasis and 3 with bone metastases ,2 with pericardial effusion ,1 with pleural effusion ,1 with esophageal mediastinum fistula and 1 with anastomotic recurrence .CT results also showed that after radiotherapy there were 12 with lymph node metastasis ,2 with liver metastasis ,3 with lung metastasis ,1 with radioac-tive pneumonia and 2 with pleural effusion .Conclusion The multi-slice helical CT can display a number of clinical manifestations such as complications ,recurrence and metastasis after operation and radiotherapy .It has an important clinical value .%目的:探讨多排螺旋CT在食管癌患者术后或放疗中的应用价值。方法2014年8月至2015年3月我院收治的23例食管癌患者,术后或放疗后均行多部位多排螺旋CT检查。结果 CT结果显示:术后患者出现淋巴结转移4例,肺部转移2例,骨转移3例,心包积液2例,胸腔积液1例,食管纵膈瘘1例,吻合口复发1例;而放疗后患者出现淋巴结转移12例,肝脏转移2例,肺部转移3例,放射性肺炎1例,胸腔积液2例。结论多排螺旋CT可显示出食管癌患者术后或放疗后的并发症、复发及转移等临床表现,具有重要的临床应用价值。

  18. 多层螺旋CT对甲状旁腺腺瘤的诊断价值%The value of multi-slice spiral CT in diagnosis of parathyroid adenoma

    Institute of Scientific and Technical Information of China (English)

    于永慧; 朱吉高; 贾志东; 王立兴; 吴海涛

    2011-01-01

    Objective:To study the value of multi-slice spiral CT (MSCT) in diagnosis of parathyroid adenoma. Methods: Retrospective analysis was performed in clinical data and CT images of 10 cases of parathyroid adenoma proved surgically and pathologically. Results: All of the parathyroid adenomas were originated from the inferior pole of parathyroid gland with 4 cases at the right side and 6 cases at the left side. All located at the recess between trachea and esophagus. The sizes of adenomas ranged from 0. 9 cm× 1. 0 cm~3. 0 cm×8. 0 cm. The tumors were round or oval. Well-demarcated. Iso-attenuated yet higher than that of thyroid gland on plain CT scan. After contrast medium administration, the adenomas revealed enhancement with various degrees but lower than that of thyroid and adjacent blood vessels. 8 cases of adenomas were enhanced homogeneously. 2 cases showed no enhancement in necrosis. Conclusion: The location. Shape. Size. And the relationship with surrounding structures of parathyroid adenoma could be precisely displayed on enhanced MSCT and 3D reconstruction, which is valuable for surgery.%目的:探讨多层螺旋CT(MSCT)对甲状旁腺腺瘤的诊断价值.方法:回顾性分析10例经手术病理证实为甲状旁腺腺瘤的CT及临床资料.结果:10例甲状旁腺腺瘤均起源于下甲状旁腺.右侧4例,左侧6例,均位于气管食管沟内.肿瘤大小约0.9cm×1.0cm~3.0cm×8.0cm.呈圆形或卵圆形,边缘光滑完整.平扫肿瘤呈等密度.较正常甲状腺为低密度.增强后10例肿瘤均有不同程度强化,但均较周围血管密度及正常甲状腺密度低.增强后肿瘤呈均匀强化者8例,坏死不均匀强化者2例.结论:MSCT增强及三维重建检查可准确显示甲状旁腺腺瘤的部位、形态、大小及其与周围结构的关系,对临床手术有重要的指导意义.

  19. Clinical application of dental panoramic imaging by multi-slice spiral CT%多排螺旋CT全景齿科成像技术的临床价值探讨

    Institute of Scientific and Technical Information of China (English)

    徐刚; 胡海菁; 徐新超; 杜丽云

    2011-01-01

    目的 探讨多排螺旋CT(MSCT)全景齿科成像技术的临床应用价值.方法 对38例患者的牙齿、颌骨部位的容积数据进行后处理,重建出全景齿科图像和牙槽骨的矢状面和冠状曲面图像,与原始图像结合,对牙科疾病进行分析.结果 行MSCT检查的38例口腔疾病患者中,均能全方位立体再现齿科全貌:包括牙冠、牙体、牙根、牙髓腔的局部细节以及牙齿排列及咬合关系,可以从多个角度完整地显示了单个牙体的表面形态、各牙所在的位置、倾斜角度以及各牙之间的距离、牙列的整体形态和牙根的走行方向.结论 多排螺旋CT全景齿科成像可对牙、颌骨内微小病变的诊断治疗提供重要的客观依据,为牙科疾病提供了一种新的先进的检查手段及诊断方法.%Objective To investigate the clinical application of dental panoramic imaging by multi-slice spiral CT (MSCT).Methods Dental panoramic images, coronal and sagittal images of alveolar bone were reconstructed from initial data of tooth and jaw MSCT scanning in 38 patients with oral disease, and the results were compared with original images.Results All these 38 patients accepted MSCT scaning, the panorama of dental could be display clearly, including local details of the crown, dental body, root and pulp cavity, the teeth alignment and occlusal relationship.The surface morphology of each single dental body, the location, inclination angle and distance of each tooth, the dentural integral shape and the root walking direction could be displayed completely.Conclusions As an advanced examinational means and diagnosis method, dental panoramic imaging by MSCT could provide important objective basis?for clinical diagnosis and treatment of minute lesion of the tooth and jaw.

  20. The Application of Multi-slice Spiral CT and MRI in Diagnosis of Facial Paralysis%CT、MRI在周围性面瘫诊断中的应用

    Institute of Scientific and Technical Information of China (English)

    汪建华; 田建明; 左长京; 马小龙; 王志锋; 曾新力

    2011-01-01

    目的 探讨多层螺旋CT与MRI技术在周围性面瘫的定位及病因诊断中的价值.方法 回顾性分析68例周围性面瘫患者的CT、MRI资料,分析总结影像学在周围性面瘫的定位、定性诊断中的意义.结果 本组68例周围性面瘫中影像学能明确定位45例(66.2%).病因分别是耳部先天畸形时伴面神经管异常2例,外伤性面瘫25例,慢性中耳乳突炎合并胆脂瘤10例,肿瘤11例及Bell's面瘫20例.除Bell's面瘫影像学无异常发现外,其他均准确发现病变并提示诊断.结论 合理运用CT、MRI技术,对耳部先天性发育畸形、脑外伤、慢性中耳乳突炎及肿瘤所致的周围性面瘫具有重要的诊断意义.%Objective To investigate the value of multi-slice spiral CT and MRI in diagnosis of pcripheral facial paralysis . Methods Imaging data of 68 patients with peripheral facial paralysis were analyzed retrospectively. The values of CT and MRI in localizing and qualitative diagnosing peripheral facial paralysis were summarized. Results In present study,45 of 68 cases(66. 2% ) of peripheral facial paralysis could be evaluated accurately in the etiology by CT and MRI,including congenital malformations of ear ( n= 2 ) ,traumatic facial paralysis ( n= 25) , chronic tympanitis with cholestcatoma( n= 10) and tumors( n= 11 ) , but Bell ' s facial paralysis ( n=20) was no of positive imaging findings . Conclusion CT and MRI are of significance for congenital ear deformities, traumaticbrain injury, chronic tympanitis with cholesteatomas , and tumors-induced peripheral facial paralysis.

  1. 多层螺旋CT(MSCT)在异位阑尾炎诊断中的临床价值%Value of Multi-slice Spiral CT in the Diagnosis of Heterotopia Appendicitis

    Institute of Scientific and Technical Information of China (English)

    裴守科

    2015-01-01

    目的探讨MSCT (多层螺旋CT)超薄层扫描和后处理技术在异位阑尾炎诊断中的临床价值。方法18例异位阑尾炎患者行MSCT,并经计算机后处理工作站行多平面重组(Multiplanar reconstruction,MPR)、曲面重组(Curved planar reformation,CPR),回顾性分析其类型,对异位阑尾炎CT表现进行分析、总结,并与手术及病理结果对照。结果18例患者中高位肝下阑尾5例,低位阑尾7例,盲肠后腹膜外阑尾(腰部阑尾)2例,左下腹位阑尾4例。结论 MSCT超薄层扫描及后处理技术可以多方位显示异位阑尾解剖关系及病变周边情况,提高对异位阑尾炎术前诊断准确率。%Objective To evaluate the clinical value of Multi-slice spiral CT (MSCT) in the diagnosis of Heterotopia Appendicitis. Methods 18 patients with Heterotopia Appendicitis underwent preoperative contrast-enhanced MSCT.Images were transfer ed to the workstation and then processed with multiplanar reconstruction (MPR),curved planar reformation (CPR).CT manifestations were analysed and compared with surgical and pathological findings. Results 18 patients with Heterotopia Appendicitis , 5 have under liver high Appendix ,and 7 have low Appendix, 2 for waist Appendix, and 4 for the bot om left of abdomen Appendix. Conclusion MSCT and MPR/CPR can provide an advantage of showing the appendix multi-directional y that can improve the diagnosis accuracy of Heterotopia Appendicitis .

  2. 肝细胞癌合并近端肝动脉-门静脉分流的多层螺旋CT诊断及临床意义%Diagnosis and clinical significance of multi-slice spiral CT in hepatocellular carcinoma combined with proximal hepatic artery portal vein shunt

    Institute of Scientific and Technical Information of China (English)

    王长河

    2015-01-01

    目的 探讨多层螺旋CT在肝细胞癌(HCC)合并近端肝动脉-门静脉分流(APS)中的临床诊断价值和意义.方法 选取驻马店市中心医院收治的84例肝细胞癌患者作为研究对象,对其分别进行多层螺旋CT及肝动脉数字减影血管造影(DSA)检查,对两种方法的临床诊断准确性进行观察比较,并以DSA诊断近端APS为标准,对多层螺旋CT诊断的CT表现特征进行对比分析.结果 经DSA检查,65例患者检查出合并近端APS,占77.4%,经多层螺旋CT检查,57例检测出合并近端APS,占67.9%,多层螺旋CT与DSA两种检查方式对比临床诊断准确性差异未见统计学意义(P>0.05).多层螺旋CT对于周围型肝APS的检出率明显高于DSA检查,组间检测情况差异有统计学意义(P<0.05).结论 肝细胞癌合并近端肝动脉-门静脉分流经多层螺旋CT检查诊断的准确性可与DSA相比,其对肝癌临床治疗具有重要指导意义.%Objective To evaluate the clinical diagnostic value and clinical significance of multi-slice spiral CT in hepatocellular carcinoma (HCC) combined with proximal arterioportal shunt (APS).Methods Eighty-four cases of hepatocellular carcinoma in our hospital were selected as the research objects,and were given the multi-slice spiral CT and hepatic arterial digital subtraction angiography (DSA) examination.The diagnostic accuracy of the two methods were observed and compared.DSA diagnosis of proximal APS as the standard,CT features of multi-slice spiral CT were andyzed and compared.Results Sixty-five patients had combined with proximal APS,accounting for 77.4% through the DSA examination.Fifty-seven cases were detected with proximal APS,accounting for 67.9% through the multi slice spiral CT examination.No significant difference between the two kinds of inspection methods of comparative clinical diagnostic accuracy (P > 0.05).The detection rate of multi slice spiral CT for peripheral hepatic APS was significantly higher

  3. The clinical value of multi-slice spiral CT perfusion imaging in diagnosis of thyroid diseases%多层螺旋CT灌注成像在甲状腺疾病诊断中的临床价值

    Institute of Scientific and Technical Information of China (English)

    龚礼春

    2015-01-01

    ObjectiveTo investigate the clinical application value of multi-slice spiral CT perfusion imaging in diagnosis of thyroid diseases.Methods 112 patients with thyroid diseases in our hospital from January 2011 to December 2014 were selected as the research object. All patients with thyroid disease preoperatively received thyroid spiral CT scan, perfusion imaging and color Doppler ultrasonography, diagnosis and comparison of CT and ultrasound results and comparison of application effect in the differential diagnosis of benign and malignant thyroid lesions and imaging characteristics of spiral CT perfusion imaging.ResultsThe operation findings and pathology results was the gold standard, CT group detected thyroid benign lesions in 58 cases, 49 cases of malignant lesions, diagnosis rate was 95.54%, the diagnosis rate was significantly higher than the ultrasound group, and no significant difference compared with pathology results(P>0.05), has no statistical significance; Comparison of benign and malignant thyroid lesions of CT perfusion parameters known, benign and malignant lesions of blood volume (BV) and blood flow (BF) showed no significant difference, but the perfusion time to peak (TTP) and capillary permeability surface (PS) index comparison had the remarkable difference(P<0.05), was statistically significant.Conclusion The sensitivity and specificity for the diagnosis of thyroid diseases with high multi-slice spiral CT perfusion imaging and blood vessels, according to the pathological perfusion parameters and image difference can be accurately distinguish benign and malignant thyroid disease form, has the clinical value of application and popularization.%目的:探讨多层螺旋CT灌注成像在甲状腺疾病诊断中的临床应用价值。方法选取2011年1月~2014年12月我院收治的甲状腺疾病患者112例,作为研究对象。所有患者均以甲状腺疾病拟手术治疗术前进行甲状腺螺旋CT平扫、血管灌注成像及彩色多

  4. 多排螺旋CT后处理技术在胆源性胆囊-十二指肠瘘诊断中的应用%Multi-slice CT in diagnosing cholecysto-duodenal fistula

    Institute of Scientific and Technical Information of China (English)

    王均庆; 陆风旗; 张雷; 张追阳; 丁忠; 余迅

    2015-01-01

    目的 应用多排螺旋CT(MSCT)后处理技术分析胆源性胆囊-十二指肠瘘的典型影像学特征,探讨其临床价值.方法 回顾性分析2011年1月到2015年7月南京医科大学附属第二医院收治的33例胆源性胆囊-十二指肠瘘患者资料,所有患者均行MSCT平扫及增强检查,用CT后处理技术分析其影像学特征性改变.结果 33例患者胆源性胆囊-十二指肠瘘发生部位:十二指肠球部15例(45.5%),十二指肠球降部3例(9.1%),降部10例(30.3%),水平部5例(15.1%).胆源性胆囊-十二指肠瘘直接征象:瘘道清楚显示,部分呈哑铃型,共有16例显示了瘘道.胆源性胆囊-十二指肠瘘间接征象:2例胆囊显示不清,1例因胆囊癌体积增大,1例因急性胆囊炎胆囊增大;29例胆囊体积明显缩小,体积为6 cm×2 cm~2 cm×1 cm;胆囊壁增厚,平均厚度5 cm;胆囊与十二指肠粘连,分解不清,胆囊周围结构紊乱,可见积液.26例胆道系统积气,其中胆囊积气22例次,胆管积气19例次;胆道系统结石26例次,胆囊结石22例次,胆囊颈部结石6例次,胆总管结石13例次,肝内外胆管结石1例次.十二指肠与胆囊粘连处见憩室样征改变,11例十二指肠出现憩室样征.胆源性胆囊-十二指肠瘘并发症:5例胆石性肠梗阻,2例肝多发脓肿.结论 多层螺旋CT扫描及后处理技术的应用不但可有效显示胆源性胆囊-十二指肠瘘的部位、有无瘘道及形态、胆囊形态、胆囊及胆管积气、结石及周围情况,还可充分显示其并发症,对手术方案的制定有指导意义,具有较高的临床应用价值.%Objective To study the radiologic features and the diagnostic value of multi-slice spiral CT (Multi-slice CT, MSCT) in cholecysto-duodenal fistula.Methods A retrospective analysis was conducted on 33 patients with cholecysto-duodenum fistula.Plain and IV enhanced MSCT were carried out on these patients.Results Of the 33 patients, the fistula was located at

  5. 多层螺旋CT在肠道Crohn病诊断中的应用价值%The Value of Multi-slice Spiral CT Enterography in Diagnosing Crohn's Disease

    Institute of Scientific and Technical Information of China (English)

    杨春; 姚倩东; 郑敏文

    2013-01-01

    Objective To investigate the value of multi-slice spiral CT (MSCT) enterography in diagnosing Crohn 's disease (CD). Methods The manifestations on routine CT enterography of 41 patients diagnosed to have CD with comprehensive methods between February 2009 and February 2012 were analyzed retrospectively, including location of the involved bowel segment, thickness of bowel wall and degree of contrast enhancement of the bowel wall as well as the existence of complications. Results Among the 41 cases, there were 36 (87.8%) of skip lesions, 16 (39.0%) of lesions limited to the small intestine, 23 (56.2%) of lesions involving both small intestine and colon, 2 (4.8%) of lesions limited to the colon, 36 (87.8%) of lesions involving the terminal ileum, and 22 (53.7%) of lesions involving cecum or ascending colon. The findings of those patients on MSCT were 41 cases (100%) of bowel wall thickening and mural hyperenhancement, 28 cases (68.3%) of mural stratification, 23 cases (56.1%) of fibrofatty proliferation or para-bowel phlegmon, 16 cases (39.0%) of increased mesenteric vascularity (comb sign), 20 cases of mesenteric lymphadenopathy, 6 cases of incomplete bowel obstruction, and 1 case of fistula. Conclusions MSCT can demonstrate lesions of the small intestine and the colon simultaneously, and it proves to have advantages in depicting mural abnormalities and evaluating extramural abnormalities and activity of CD. Thus, MSCT is helpful in evaluating the course of CD and guiding clinical treatment.%目的 探讨多层螺旋CT (MSCT)在肠道Crohn病(CD)诊断中的应用价值.方法 回顾性分析2009年2月-2012年2月经综合方法确诊为CD的41例患者的MSCT表现,分析病变肠管的部位、肠壁的厚度和增强后病变肠壁的强化程度及并发症.结果 41例中,患病肠段多节段性受累36例(87.8%),单独小肠受累16例(39.0%),小肠和结肠同时受累23例(56.2%),单独结肠受累2例(4.8%),回肠末段受累36例(87.8

  6. 28例儿童漏斗胸术前多层螺旋CT的诊断与评估%Preoperative diagnosis and assessment of 28 children with pectus excavatum Multi-Slice CT

    Institute of Scientific and Technical Information of China (English)

    白林; 彭泽华; 梁洪; 高燕

    2012-01-01

    Objective To evaluate the preoperative diagnosis of multi-slice CT (MSCT) in children with pectus excavatum. Methods We retrospectively analyzed 28 cases of funnel chest diagnosed by MSCT examination. All the cases were divided into three groups with pathogenetic condition in mild, moderate, serious degree respectively according to the depression of the chest diagnosed by CT. We measured the degree of sternal depression, CT depression index, the angle of sternal depression, cardiac rotation angle, Haller index,compare those five indicators among the three groups,and analyzed the correlation between cardiac rotation angle and the other four indices. Results Varying degrees of pectus excavatum were found in the 28 cases including 14 cases of mild depression,9 cases of moderrate depression, and 5 cases of serious depression. The five indicators between each of the two groups were significantly different ( P < 0.01). Cardiac rotation angle was positively correlated to sternal depression depth, CT depression index and Haller index ( rs = 0. 736,0. 873,0. 881 ,P < 0.01) ,and was negative correlated to sternal depression angle (rt = -0.731 ,P < 0.01). Conclusion MSCT can accurately display the deformity of funnel chest and the rotation of cardiac compression, to provide effective help for clinical treatment.%目的 评价多层螺旋CT(MSCT)在儿童漏斗胸术前诊断中的价值.方法 回顾性分析28例经MSCT检查并诊断为漏斗胸患儿的CT资料,根据CT凹陷指数,将其分为轻、中、重度三组,测量并比较三组患儿胸骨凹陷深度、CT凹陷指数、胸骨凹陷角度、心脏旋转角度及Haller指数五项指标的差异,分析心脏旋转角与其它四项指标的相关性.结果 ①28例均有不同程度胸骨凹陷,其中轻度凹陷14例,中度凹陷9例,重度凹陷5例;②胸骨凹陷深度、CT凹陷指数、胸骨凹陷角度、心脏旋转角度及Haller指数五项指标在轻、中、重度三组间差异均有统计学

  7. 鼻咽癌多层螺旋CT灌注输入动脉的选择%Selection of reference arteries with multi-slice spiral CT perfusion imaging in diagnosis of nasopharyngeal carcinoma

    Institute of Scientific and Technical Information of China (English)

    丁玲; 苏丹柯; 刘丽东; 金观桥; 赵梦鸥

    2011-01-01

    目的 分析不同输入动脉所得鼻咽癌(NPC)多层螺旋CT灌注参数值的差异.方法 对38例经病理确诊的初发NPC患者进行CT灌注扫描,每例患者均分别选择肿瘤同侧的颈内动脉(ICA组)和颈外动脉(ECA组)作为输入动脉、颈内静脉作为输出静脉进行灌注成像后处理,获得两组灌注参数.采用配对t检验分析两组灌注参数值的差异,并对两组数据进行直线相关分析.结果 两组不同血管所得灌注参数值差异均无统计学意义(P>0.05),两组数据血流量、血容量、平均通过时间和表面通透性的相关系数分别为0.879、0.630、0.525、0.695(P均<0.001),两组血管所得数据均成正相关.结论 在对NPC患者进行CT灌注成像后处理时,可根据患者血管的显示情况选择颈内动脉和(或)颈外动脉作为输入动脉.%Objective To observe the difference of multi-slice spiral CT perfusion parameters in different reference arteries in diagnosis of nasopharyngeal carcinoma (NPC). Methods Thirty-eight patients with NPC underwent CT perfusion imaging, internal carotid artery (ICA group) and external carotid artery (ECA group) were selected respectively as reference artery with CT perfusion imaging post-processing in each patient. The differences of perfusion parameters between the two groups were analyzed with paired-samples t test and linear correlation. Results Parameters derived from ICA and ECA as reference artery were not statistically different (all P>0. 05). There were positive correlation of all parameters between both groups, the correlation coefficients was 0. 879 for blood flow, 0. 630 for blood volume, 0. 525 for mean transit time and 0. 695 for permeability surface (all P<0. 001). Conclusion On the post-processing of CT perfusion imaging for NPC,internal carotid artery and external carotid arteries can both be selected as the reference artery according to their displaying.

  8. Correlative Study between Multi-slice CT Perfusion Imaging and Molecular Pathology in Renal Cell Carcinoma%肾细胞癌MSCT灌注成像与分子病理学的相关性研究

    Institute of Scientific and Technical Information of China (English)

    相成; 丰长申; 徐锐; 朱甲峰

    2010-01-01

    目的 运用多层螺旋CT(MSCT)获取肾癌灌注图像,并与其分子病理学特征相对照,探讨MSCT灌注成像在肾癌诊断和鉴别诊断中的临床应用价值.方法 对42例疑有肾肿瘤的患者行MSC灌注扫描,获得伪彩色的血流灌注参数图,包括血流量(BF)、血容量(BV)、表面通透性(PS)及平均通过时间(MTT)图.在瘤体及瘤旁正常肾皮质选取感兴趣区并记录相应的各项参数值.所有患者均经手术病理证实.采用免疫组化方法(SP法)检测肾肿瘤中血管内皮生长因子(VEGF)的表达及微血管密度(MVD).结果 肾细胞癌的BF、BV和PS值均明显低于正常肾皮质,且Ⅲ级肾癌与Ⅰ、Ⅱ级相比,其BF、BV和PS值明显增高.肾癌的BF、BV、PS值与其VEGF平均光密度值呈正相关(P<0.05),MTT值与VEGF平均光密度值呈负相关(P<0.05).肾癌的MVD值与VEGF值呈正相关(P<0.05).结论 MSCT灌注成像能定量评价肿瘤血管生成、血流灌注及血管通透性改变,有助于肾细胞癌的术前分级,并在肾癌的定性诊断和鉴别诊断方面有一定临床应用价值.%Objective To study the correlation of the perfusion CT parameters and the molecular pathology characteristics of the renal cell carcinoma( RCC ),and to discuss the value of multi-slice CT(MSCT) perfusion imaging in the diagnosis and differential diagnosis of RCC.Methods 42 patients with clinically suspected renal tumors underwent MSCT perfusion imaging.The maps of renal blood volume (BV),blood flow (BF),permeability surface (PS)and mean transit time (MTT)were obtained.Regions of interest (ROI)were drawn within the tumor and the region of normal area adjacent to the tumor.All of the tumors were proved by surgery and pathology withRCC ( n = 42 ).Vascular endothelial growth factor (VEGF) expression and micro-vascular density (MVD) were measured with immuno-histology chemistry technique( SP technique).Results Of the 42RCC,the mean BF,BV and PS value were obviously lower

  9. Diagnostic value of multi-slice CT in solitary fibrous tumor of the pleura%多层螺旋CT对胸部孤立性纤维瘤的诊断价值

    Institute of Scientific and Technical Information of China (English)

    李会菊; 李晓阳; 邢国凤; 张德江; 付敬华

    2015-01-01

    Objective To explore the value of multi-slice CT in the diagnosis of solitary fibrous tumor of the pleura (SFTP). Methods The clinical symptoms and CT imaging features of 8 patients clinically and pathologically diagnosed as SFTP were retrospectively analyzed, which were compared with histopathological results. Results All the lesions of the 8 patients were located in dirty pleura. CT-scan showed 6 cases of mass boundary finishing, 1 case of lobulated rim, 1 case of irregular shape, 5 cases of uniform density, and 3 cases with low density area in mass center. Six patients underwent contrast-enhanced CT, of which 4 showed non-uniform reinforcement and 2 showed uniform reinforcement, including 3 cases of tumors with enhancement of blood vessels. Pathological examination showed that the tumor was composed of spindle cells, with a number of arrangements:immunohistochemical Vimentin (+) in 7 cas-es, CD34 (+) in 8 cases, the bcl-2 positive (+) in 8 cases, Sl00 (-) in 7 cases. Conclusion SFTP patients have certain characteristic CT manifestations. CT examination has a certain value for SFTP positioning and the relationship be-tween tumor and surrounding tissue structure.%目的:探讨多层螺旋CT对胸部孤立性纤维瘤(SFTP)的诊断价值。方法回顾性分析经临床和肿瘤病理学确诊的8例SFTP患者的临床症状、螺旋CT影像特点,并与组织病理学结果进行对照。结果所有8例患者病变均位于脏层胸膜,CT平扫显示6例肿块边界光整,1例边缘呈分叶状,1例呈不规则形状;5例密度较均匀,3例肿块中心有低密度区。6例行对比增强后4例不均匀强化,2例强化均匀,其中3例肿块内出现增强的血管。病理学检查显示,肿瘤由梭形细胞构成,有多种排列方式;免疫组化Vimentin(+)7例、CD34(+)8例、bcl-2阳性(+)8例,Sl00(-)7例。结论 SFTP患者的CT表现具有一定的特征性,CT检查对SFTP的定位以及明确肿瘤与周围组织结构的关系有一定价值。

  10. The Diagnostic Value and Type of Multi-slice Spiral CT Reconstruction in Small Renal Carcinomas%多层螺旋CT三维重建对小肾癌的诊断及分型

    Institute of Scientific and Technical Information of China (English)

    宋强; 汪秀玲; 胡春峰

    2011-01-01

    Objective:According to the CT scan image and the performance of three-dimensional reconstruction,to study the diagnostic value and type of MSCT reconstruction in small renal carcinomas.Materials and Methods:A retrospective analysis was done for 43 cases of small renal carcinomas which received MSCT examination and confirmed by pathology in our hospital,analysis and type them with their performance in the CT examination.Results:There are 16 cases of small renal carcinoma of protruding type,their performance of CT examination are the tumors convex to the outline of the kidney or convex to the renal pelvis or calyx,when in enhancement CT scan,the contrast agent in the tumor are fast flowing in and fast flowing out which are the performance of malignant tumor;There are 6 cases of small renal carcinoma of inside renal parenchyma type,their performance of CT examination are the tumors limited in the renal parenchyma,when in enhancement CT scan,the performance of the tumor are f the typical performance of malignant tumor;There are 9 cases of small renal carcinoma of cystic type,their performance of CT examination are that when in enhancement CT scan,there are multiple enhanced uneven thickness stripes or small pitchy enhancement in the tumor;There are 5 cases of small renal carcinoma of multiple type,their performance of CT examination are that there are multiple small renal carcinomas in one kidney.Conclusion:Multi-slice spiral CT scan with 3D reconstruction image post-processing techniques can accurately and effectively diagnose various types of small renal carcinoma.%目的:根据CT扫描图像及三维重建表现,探讨多层螺旋CT扫描对小肾癌的诊断及鉴别诊断的价值,并对小肾癌进行分型。资料与方法:收集行多层螺旋CT扫描并经临床病理证实的43例小肾癌病例资料,就其CT表现进行分析并进行分型。结果:凸出型小肾癌23例,CT表现为肿瘤凸向肾轮廓之外或凸向肾盂、肾盏,增强

  11. 多层螺旋CT在腹股沟区解剖中的应用%Application of multi-slice spiral CT in the study of the anatomy of inguinal region

    Institute of Scientific and Technical Information of China (English)

    沈超; 张联合; 陈文辉; 俞一歆

    2011-01-01

    Objective:To evaluate multi-slice spiral CT (MSCT) with three-dimensional reconstruction techniques in the study of the anatomy of inguinal region. Methods: MSCT three-dimensional reconstruction images of inguinal region in order to display the inguinal ligament (IL) .inferior epigastric artery (IEA) and round ligament or spermatic cord on the axial, coronal,and sagittal views in 20 patients were retrospectively analyzed. Results:The inferior epigastric artery was identified in all planes of all 20 patients (100%). The inguinal ligament and the round ligament or spermatic cord could only be well identified on axial plane in 70% of 20 patients. On coronal views, the inguinal ligament could be revealed in 100%, whereas the round ligament or spermatic cord could only be showed in 77. 5 % of the patients. The inguinal ligament was Identifiable in 90% and the round ligament or spermatic cord in 72. 5% of the patients on sagittal view. Conclusion: Combination of the axial, coronal and sagittal reconstruction images of MSCT could display the key anatomic structures of inguinal region,and is significant in the diagnosis and classification of inguinal hernia.%目的:探讨多层螺旋CT三维重建在腹股沟区解剖的应用.方法:回顾性分析20例行多层螺旋CT腹股沟区扫描的三维重建图像,观察在横断面、冠状面及矢状面上腹股沟韧带、腹壁下动脉、圆韧带或精索的显示情况.结果:20例病例中腹壁下动脉在3个轴面上均能显示,显示率100%.横断面不能很好的显示腹股沟韧带,圆韧带或精索的显示率为70%.冠状面能100%显示腹股沟韧带,圆韧带或精索的显示率为77.5%.矢状面腹股沟韧带的显示率为90%,圆韧带或精索的显示率为72.5%.结论:结合多层螺旋CT重建的横断面、冠状面及矢状面图像能满意显示腹股沟区的关键解剖结构,对诊断分型腹股沟疝有较大意义.

  12. MSCT和MRI对浸润性宫颈癌术前分期的价值对比%Comparison of multi-slice spiral CT and MRI in the diagnosis of pre-surgicai staging of invasive cervical cancer

    Institute of Scientific and Technical Information of China (English)

    邱书珺; 陆晓兰; 蒋小平; 王家强; 顾倩

    2012-01-01

    目的:对比浸润性宫颈癌在MSCT和MRI上表现差异及术前分期价值.方法:搜集有手术病理结果证实的宫颈癌82例,术前行CT检查74例,行MRI检查63例,以术后病理分期为标准,计算并比较CT、MRI对不同期宫颈癌的诊断符合率;对比分析两组图像上肿瘤大小、阴道或穹窿侵犯、宫体侵犯以及宫旁侵犯,分别计算并比较诊断符合率、敏感度及特异度.结果:对≤Ⅰ B1期宫颈癌,CT和MRI诊断符合率分别为47.56%、70.73%,Ⅰ B2~ⅡA期分别为80.49%、87.80%,≥ⅡB期分别为91.46%、82.93%.在显示肿瘤方面,MRI对≤4cm癌肿、阴道或穹窿侵犯方面的显示优于CT;CT对宫体侵犯诊断灵敏度高,对盆腔转移淋巴结的诊断优于MRI.结论:对≤Ⅰ B1和Ⅰ B2~ⅡA的早中期浸润性宫颈癌术前行MRI检查更有价值;而对于≥ⅡB的晚期浸润性宫颈癌行MSCT检查则更具有价值.%Objective:To retrospectively evaluate the significance of MRI and multi-slice Spiral CT (MSCT) for pre-treatment staging of invasive cervical cancer. Methods:82 patients with biopsy-proven cervical cancer were enrolled in this study. 74 patients underwent CT and 63 underwent MRI before surgery. Using surgicopathologic findings as the reference standard, to compare the accuracy of CT and MRI in various stages of cervical cancer, Tumor size, infiltration of vagina or fornix,corpus and parametrium involvement found in these 2 groups were compared and analysed,and the sensitivity,specificity and accuracy were calculated. Results:For stage ≤I Bl ,the diagnostic accuracy was 47. 56% for CT and 70. 73% for MRI; for stage I B2 ~ H A, the accuracy was 80. 49% and 87. 80% respectively; for advanced stage (≤ II B),it was 91. 46% and 82. 93% respectively. MRI was superior to CT for delineating cervical carcinoma with the size smaller than 4. 0cm and infiltration of vagina or fornix. CT is superior to MRI for the diagnosis of pelvic lymph node

  13. 多排CT对肾结石并肾盂恶性肿瘤的诊断价值%Value of Multi-slice CT for the Diagnosis of Kidney Calculi with Renal Pelvis Malignant Tumor

    Institute of Scientific and Technical Information of China (English)

    易志军; 刘建滨; 范立新; 谢安; 郑海军; 王诗斌; 彭国洪

    2012-01-01

    [Objective] To explore the CT diagnosis and the reason of missed diagnosis of kidney calculi with renal pelvis malignant tumor. [Methods] The CT data of 9 cases of kidney calculi with renal pelvis malignant tumor confirmed by pathology were analyzed retrospectively. The site of pathogenesis, histological type, metastasis, complication and the relation with the surrounding tissue were observed. [Results] Among 9 cases of kidney calculi with renal pelvis malignant tumor, 5 cases were transitional cell carcinoma, 3 cases were squamous cell carcinoma and 1 case was adenocarcinoma. Retroperitoneal lymph node metastasis was found in 5 cases including one case of adenocarcinoma and one case of transitional cell carcinoma involving the metastasis of renal capsule and adjacent adipose tissue, liver and adrenal gland. Seven cases were combined with the inflammation of renal pelvis and ureter or pyonephrosis. Three cases were combined with inflammatory granulation of renal pelvis. Two cases of transitional cell carcinoma and one case of cases of squamous cell carcinoma were misdiagnosed as kidney calculi with hydronephrosis infection. The definite diagnosis rate was 66. 7% (6/9) and the misdiagnosis rate was 33. 3% (3/9). [Conclusion] Multi-slice CT for kidney calculi with renal pelvis malignant tumor has higher diagnostic value. However, kidney calculi with renal pelvis accompanied by other lesions are easy to be misdiagnosed.%[目的]探讨肾结石并肾盂恶性肿瘤的CT诊断和漏诊原因.[方法]回顾性分析经手术病理证实的9例肾结石并肾盂恶性肿瘤的CT资料,重点观察肾结石并肾盂恶性肿瘤的发生部位、病理类型、有无转移、合并症及与周围组织关系.[结果]9例肾结石并肾盂恶性肿瘤患者5例为肾盂移行细胞癌,3例为肾盂鳞癌,1例腺癌;5例有腹膜后淋巴结转移,鳞癌、移行细胞癌各1例,累及肾被膜及邻近脂肪组织及肝、肾上腺等多处转移;7例合并肾盂、

  14. Multi-slice spiral CT perfusion imaging of chronic obstructive pulmonary disease%多层螺旋CT灌注成像对慢性阻塞性肺疾病的诊断价值

    Institute of Scientific and Technical Information of China (English)

    邵燕惠; 钱农; 薛跃君; 戴伊红

    2008-01-01

    目的 研究CT灌注成像对慢性阻塞性肺疾病(COPD)的诊断价值.方法 20例COPD患者和20例志愿者行8层螺旋CT灌注成像,采用电影扫描(cine)方式,层厚5 mm,扫描时间0.5 s/层,注射对比剂后延时5 s,总扫描时间为45 s,测量感兴趣区血流量、血容量、平均通过时间及表面通透性和时间-密度曲线.结果 COPD患者的时间-密度曲线较志愿者曲线平坦,峰值明显降低.COPD患者血流量[(24.77±11.49)ml·min-1·100 g-1]、血容量[(2.48±1.02)ml/100 g]及表面通透性[(2.75±1.13)ml·min-1·100 g-1]明显低于志愿者[血流量(290.14±107.59)ml·min-1·100 g-1、血容量(16.51±5.98)ml/100 g、表面通透性(8.80±3.03)ml·min-1·100 g-1];平均通过时间[(10.58±4.85)s]高于志愿者[(4.50±1.71)s],差异均具有统计学意义(P<0.01).结论 多层螺旋CT肺灌注扫描对COPD的诊断有一定的辅助作用.%Objective To evaluate the diagnostic value of multi-slice spiral CT(MSCT)perfusion imaging in chronic obstructive pulmonary disease(COPD).Methods Twenty COPD patients and20 volunteers underwent 8-row detector spiral CT(MSCT)perfusion imaging using cine scan mode with5 mm slice thickness.0.5 s rotation time and a total scan time of 45 s with 5 s intervals.60 ml contrast agent(300 mg I/ml)were administered at a rate of 4 ml/s from the forearm superficial vein.The imaging data were transferred to a workstation.A time-density curve and pseudo-color map were generated automatically with GE CT perfusion 3 software,the blood flow(BF),blood volume(BV),mean transit time(MTr)and permeability surface(PS)were measured.Results Time-density curve was flatter and the peak of the curve was obviously lower in COPD patients than the volunteers.The BF.BV.PS in COPD volunteers was(10.58 ±4.85)s and(4.50 ±1.71)s respectively.The BF,BV and PS in COPD patients Was lower than the volunteers,the MTY was higher(P<0.01).Conclusion MSCT perfusion imaging is helpful for the diagnosis of COPD.

  15. Study on Blood Perfusion of Normal Femur Heads Epiphyses in Piglets by Multi-Slice CT Perfusion%正常乳猪股骨头骨骺的MSCT灌注研究

    Institute of Scientific and Technical Information of China (English)

    黄春元; 罗帝林; 赵志清; 许朝璇; 梁焕莲; 吴冬; 冯登殿

    2011-01-01

    Objective To evaluate the blood perfusion of epiphyses, physis and metaphysis in normal femur heads of piglets by using multi-slice CT perfusion techniques. Methods Fifty five piglets(2 weeks old) were scanned by MSCT perfusion. The data of creating dynamic picture were analyzed, and the dynamic pictures of 26 femur heads were obtained completely. Every parameters including blood flow(BF) ,blood volume(BV) ,mean transit time(MTT) and time to peak(TTP) were analyzed,and compared with the histological findings. Results The BF of physis was higher than that of epiphysis( P <0.05 ). The BV of metaphysis was the highest in all anatomic regions( P <0.05). The MTT of epiphysis was the longest( P <0.05). There was no significant difference in MTT between physis and metaphysis( P >0.05 ). The TTP of physis was the shortest( P <0.05 ) ,and the other two were the same. CT perfusion imaging coincided with the histological results of the locations and concentrations of blood vessels in epiphyses,physis and metaphysis. Conclusion MSCT perfusion images can demonstrate the perfusion features in the various anatomic regions of femur heads.%目的 运用多层螺旋CT灌注技术评价正常乳猪股骨头骨骺、骺板软骨、干骺端等不同解剖区域的血液供应特征.方法 对15只2周龄的健康乳猪进行多层螺旋CT电影模式灌注扫描,对生成的动态图像数据进行测量分析,共获得26个股骨头的完整图像资料,统计并比较血流量(BF)、血容量(BV)、平均通过时间(MTT)、对比剂到达峰值时间(TTP),并与相应组织学表现进行时照.结果 骺板软骨的BF比骨骺的BF有明显增高(P0.05).各解剖区域中骺板软骨的TTP最短(P<0.05),骨骺与干骺端的TTP基本相同.组织学发现骨骺、骺板软骨、干骺端的血管密度分布特征与相应部位的CT增强率所提示的血供状态基本吻合.结论 多层螺旋CT灌注能够显示股骨头不同解剖区域的血液灌注特征.

  16. Experimental research and its clinical significance of precise postural adjustment and mean measurement by multi-slice spiral CT reconstruction of acetabular abduction angle%测量髋臼外展角度的实验研究及其临床意义MSCT三维重建精确体位调整均值法

    Institute of Scientific and Technical Information of China (English)

    范新成; 马振波; 于春丽; 朱海涛; 赵伟; 彭国庆; 张伟; 魏开斌; 刘峰

    2016-01-01

    Objective:To investigate the application of multi-slice spiral CT reconstruction accurate measurement of ace-tabular abduction angle,and to provide a scientific basis for guidance of total hip replacement acetabular prosthesis individu-alized accurate placement and postoperative evaluation. Methods:The research objects were 60 acetabulars of 30 pelvic spec-imens,and with anterior plane of pelvis as a reference plane,acetabular abduction angles were measured respectively by digital goniometer and multi-slice CT reconstruction with precise postural adjustment. Results:The acetabular abduction an-gle means of 30 pelvic specimens by digital goniometer and multi-slice CT reconstruction with precise postural adjustment were(48. 73 ± 3. 19)°and(48. 65 ± 2. 47)° respectively,and they had no significant difference(P > 0. 05). These data showed that the measurement of acetabular abduction angle by multi-slice CT reconstruction with precise postural ad-justment was accurate,which had no significant difference from the actual measurement. Conclusion:Multi-slice CT recon-struction with precise postural adjustment,with the anterior plane of the pelvis as a reference plane,is a new method of a preoperative acetabular abduction angle measurement for total hip arthroplasty,which can reduce human error in operation and achieve standardized measurement and evaluation of hip acetabular abduction angle.%目的:探讨应用 MSCT 三维重建精确测量髋臼外展角度的新方法,为指导全髋关节置换髋臼假体个体化准确置入及术后评估提供科学依据。方法选取30具骨盆标本共60个髋臼为研究对象,以骨盆前平面为参照平面,分别应用数显角度仪及 MSCT 三维重建精确体位调整均值法对髋臼外展角度数值进行测量,对两种方法的测量结果进行比较。结果应用数显角度仪及 MSCT 三维重建精确体位调整均值法测量髋臼外展角度分别为(48.73±3.19)°和(48.65±2.47)°

  17. Role of Multi-slice Computed Tomography Angiography in the Diagnosis of Visceral Artery Aneurysms%多层螺旋CT血管成像对内脏动脉瘤的诊断价值

    Institute of Scientific and Technical Information of China (English)

    明韦迪; 李晓光; 薛华丹; 金征宇

    2014-01-01

    目的 探讨多层螺旋CT血管成像技术(MSCTA)在内脏动脉瘤(VAA)诊断中的应用价值.方法 回顾性分析2008年5月至2010年10月在北京协和医院PACS工作站上,经腹部普通增强CT及MSCTA诊断的123例VAA患者的影像资料,以综合诊断为参照标准,以血管为分析单位,评价后处理图像检出VAA的诊断敏感性.结果 综合诊断出123例共172枚VAA,脾动脉瘤91例,肾动脉瘤16例,多支内脏动脉瘤8例,胃周动脉瘤、肠系膜上动脉瘤各2例,腹腔干、胃十二指肠、胰十二指肠动脉瘤及肝右动脉瘤各1例,VAA行MSCTA诊断的敏感性和特异性为100%.结论 MSCTA不同重建方法可准确、清晰地显示瘤体位置、形态、范围、瘤壁、载瘤动脉和与周围血管的关系.

  18. 多层螺旋CT在肠系膜上动脉栓塞诊断中的应用价值%Application of Multi-slice CT in the Diagnosis of Superior Mesenteric Artery Embolization

    Institute of Scientific and Technical Information of China (English)

    张银; 吴智玲; 周立强; 杨建平; 徐开鹏; 陈士花; 宋淮

    2013-01-01

    Objective To investigate the value of multi - slice CT ( MSCT ) in diagnosis of superior mesenteric artery embolization ( SMAE ) . Methods Clinical and imaging data of 18 SMAE patients admitted to our hospital from April 2006 to November 2011 were retrospectively analyzed to summarize the MSCT imaging characteristics of SMAE. Results All the 18 patients were given MSCT three - phase scan, and 11 patients were also given DSA test. The accuracy of MSCT in predicting trunk embolism of SMA was 100. 0% ( 13/13 ), while the accuracy of MSCT in predicting branch embolism was 60% ( 3/5 ), and 2 cases were suspected of SMAE and then confirmed by DSA. MSCT plain scan showed that the embolus was low density and could not be easily differentiated from normal SMA. 4 cases were combined with gut cavity expansion, but without seroperitoneum or intestinal obstruction. Enhancement scan showed that 13 cases had filling defects of SMA trunk, and dotted or oval enhanced shadow were seen in 6 incomplete SMA trunk embolism cases and filling defect shadow were seen in 5 complete branch embolism cases. Data post -processing and image reconstruction showed that volume rendering ( VR ) of the 13 SMA trunk embolism cases could well demonstrate space relationship and could well demonstrate the shape of blood vessels and their relationship with surroundings. MIP of the 3 cases showed the formation of plaque on blood vessel wall. Multi - planar reconstruction ( MPR ) and curve planar reformation ( CPR ) could demonstrate vessel lumen more directly. Conclusion MSCT and post - processing technology is non - invasive, and can diagnose SMAE rapidly and accurately, providing reliable information for assessing the condition of SMAE.%目的 探讨多层螺旋CT(MSCT)在肠系膜上动脉栓塞(SMAE)诊断中的应用价值.方法 回顾性分析我院2006年4月-2011年11月收治的18例SMAE患者的临床及影像学资料,总结SMAE的MSCT影像学特征.结果 18例

  19. 多层螺旋CT小肠造影对克罗恩病活动度的评估价值%Evaluation of Crohn's disease activity with multi-slice CT enterography

    Institute of Scientific and Technical Information of China (English)

    亓昌珍; 章士正; 刘义涛; 胡鹏

    2015-01-01

    Objective To discuss the diagnostic value of Crohn's disease activity with multi-slice CT enterography.Methods MSCTE examination data of 88 cases of CD patients by clinical,endoscopy,pathology confirmed in Sir Run Run Shaw Hospital from January 2013 to June 2014 were analysed.According to the Harvey-Bradshaw index,all of CD patients were divided into the active phase group and remission phase group.Imaging findings of two groups were compared.To explore the relationship between MSCTE findings and CRP/ESR of CD patients.Results The wall thickness (8.2 ± 2.6)mm and enhancement degree(112 ± 16)HU in active phase group were higher than the wall thickness(5.4 ± 1.6)mm and enhancement degree(93 ± 17)HU in the remission phase group(P < 0.01).The incidences of intestinal wall stratification enhancement,comb sign,swollen lymph nodes,phlegmon,intestinal fistula,intestinal stenosis in active phase group (88.5%,72.1%,77%,45.9%,26.2%,65.6%) were significantly higher than those in remission phase group (29.6%,18.5%,25.9%,0,3.7%,37%) (P <0.05).The incidences of intestinal wall homogeneous enhancement in remission phase group(70.4%) were higher than those in active phase group(11.5%) (P < 0.01).There was no significant difference in the incidences of abscesse in two groups (P > 0.05).CRP was correlated with the wall thickness and enhancement degree,abnornlal mesentery vascularity,lymph node enlargement,phlegmon,intestinal fistula (r > 0.2,P < 0.05).ESR was correlated with the wall enhancement degree,abnormal mesentery vascularity,lymph node enlargement and phlegmon (r > 0.2,P < 0.05).Conclusion CT enterography can adequately demonstrate mural abnormalities and assess the presence of extramural complications,which are helpful in evaluating the activity of Crohn's disease.%目的 探讨多层螺旋CT小肠造影(MSCTE)在克罗恩病活动度中的评估价值.方法 收集2013年1月至2014年6月在浙江大学附属邵逸夫医院经

  20. The role of multi-slice spiral CT in diagnosis and treatment of lumbar hernia%多层螺旋 CT 在腰疝诊治中的意义

    Institute of Scientific and Technical Information of China (English)

    吴茂铸; 汪官富; 倪淑红; 赵年家; 王芬; 韩子华

    2015-01-01

    Objective To explore the imaging appearances and the value of multi-slice CT (MSCT)with post-processing tech-niques in diagnosis and treatment of lumbar hernia (LH).Methods The imaging and clinical data of 1 6 patients with LH which were confirmed by surgery were analyzed retrospectively.Results In 1 6 patients,1 7 lesions of LH were revealed by MSCT.There were superior lumbar hernias in 13 (76.5%),inferior lumbar hernias in 3 (1 7.6%)and diffuse lumbar hernia in 1 (5.9%).Hernia ring in diameter ranged from 1.5 to 9.3 cm,and the hernia sac size ranged from 1.8 cm×2.4 cm to 1 1.3 cm× 6.2 cm.MSCT showed oval or flask shaped mass of extraperitioneal fat with or without peritoneum and visceral contents protruded through the de-fecting fascia floor into lumbar triangle.Superior lumbar hernia was bounded by the 12th rib superiorly,the erector spine muscle medially and the internal oblique muscle laterally.Inferior lumbar hernia was bounded by latissimus dorsi muscle medially,the ex-ternal oblique muscle laterally and the iliac crest inferiorly.Hernia contents included colon in 3 patients and small bowel in 2 with in-carcerated hernia with small bowel obstruction in 1,and adipose tissue and mesentery in other 12.All patients received surgery treatment,and the appropriate surgical methods were selected according to the MSCT findings.The surgical findings were consistent with MSCT results.No recurrence was found during follow-up.Conclusion LH has characteristic CT manifestations.MSCT volu-metric scanning with post-processing techniques can clearly display the type of LH,the size of abdominal wall defect,hernia contents and their complications.It is helpful for diagnosis of the LH and differentiation from other diseases,which may provide important information for clinical surgery.%目的:探讨腰疝(LH)的多层螺旋 CT(MSCT)表现特征及后处理重建技术在 LH 诊治中的临床价值。方法收集经手术病理证实的 LH 16例,回顾性分析其临

  1. 正常胰腺不同部位的多层螺旋CT灌注成像研究%A study on multi-slice spiral CT perfusion imaging in different parts of normal pancreas

    Institute of Scientific and Technical Information of China (English)

    张喜荣; 黄小华; 董国礼; 张小明; 敬宗林; 郭静

    2012-01-01

    目的 应用多层螺旋CT灌注成像技术,探讨正常胰腺头、体和尾部的血流灌注特点.方法 选择临床行中上腹增强CT检查并符合正常胰腺纳入标准的患者35例,采用Toshiba Aquilion 16层螺旋CT先行平扫,在胰腺头、体和尾部显示完整的中心层面进行胰腺同层动态增强扫描,将扫描后所得影像数据传输到Vitrea 2.0后处理工作站,采用Toshiba体部灌注软件对正常胰腺各部位灌注参数做三点测量,其每部三点测量的平均值视为各部灌注参数最后值,并对各部灌注参数行统计学分析.结果 正常胰腺头部、体部和尾部的血流量(BF)、血容量(BV)、表面通透性(PS)和平均通过时间(MTT)的测量值分别为:头部(128.34±29.23) mL·100 g-1·min-1,(43.19±13.77) mL/100 g,(218.39±99.21) mL·100 g-1·min-1,(299.26±81.99)0.1 s;体部 (136.20±23.00) mL·100 g-1·min-1,(44.63±13.74) mL/100 g,(223.20±73.82) mL·100 g-1·min-1,(310.99±59.00) 0.1 s;尾部(128.04±27.67) mL·100 g-1·min-1,(46.04±20.14) mL/100 g,(232.24±76.65) mL·100 g-1·min-1,(299.96±71.45) 0.1 s.3组参数间均无统计学意义(P>0.05).结论 正常胰腺头部、体部和尾部供血动脉有所差异,但各部组织血流灌注基本一致.%Objective To explore the blood flow perfusion characteristics of different parts of normal pancreas by means of multi-slices spiral CT perfusion imaging. Methods Thirty-five patients without pancreatic disease,received contrast-enhanced CT exami-nation for the venter superior abdomen by 16-slice spiral CT. The completely displayed center level in the head,body and tail of nor-mal pancreas were examined by dynamic enhancement scanning. These data were processed on a Start Vitrea 2. 0 workstation by using Toshiba body software package. The three-point measurement approach was used to examin the parameters of blood flow (BF) ,blood volume (BV) ,permeability surface (PS) and mean transit time (MTT) of pancreatic tissues in

  2. Diagnostic Value of Non-segmental Misty Mesentery on Multi-slice CT%多层螺旋CT弥漫性肠系膜混浊征的诊断价值

    Institute of Scientific and Technical Information of China (English)

    符熙; 靳仓正; 姚吕祥; 李春芳; 谭婉嫦

    2013-01-01

    Purpose To investigate the value of non-segmental misty mesentery (NMM) in the diagnosis of different diseases on the multi-slice CT (MSCT),and to improve the diagnostic level.Materials and Methods Eighty patients displayed as NMM on CT and proved by pathology or follow-up were selected,including 25 cases of portal hypertension (PH),20 cases of non tuberculous peritonitis,15 cases of tuberculous peritonitis (TBP)and 20 cases of carcinomatous peritonitis (CP).The characteristics of NMM caused by different diseases were compared.Results Of 80 patients with NMM caused by different diseases,PH was easily displayed as grade Ⅰ NMM,acute pancreatitis often had prerenal fascial thickening,and TBP easily lead to high density (>20 Hu) MM.CP was more vulnerable to show grade Ⅲ NMM,parietal peritoneum mass and abdominal mass.There were 21 patients of PH with grade Ⅰ NMM,18 patients (85.71%) were more likely to occur in the mesenteric root.Intestinal wall thickening was seen at the ascending colon in 2patients with PH.There were 11 patients of CP displayed as perietal peritoneum tumor,7 patients (7/11,63.64%) in the right lower abdomen,2 (2/11,18.18%) in the anterior peritoneum and 2 (2/11,18.18%) around the parietal peritoneum.There were 9 patients of CP showed abdominal mass,5 (5/9,55.56%) were found in the right lower abdomen,2(2/9,22.22%) in the anterior lower abdomen,and 2 (2/9,22.22%) showed multiple lesions in the peritoneal cavity.Conclusion NMM can be caused by different reasons.Combined with other CT findings and clinical history would be helpful to make the correct diagnosis.%目的 探讨不同性质病变所致弥漫性肠系膜混浊征(NMM)的多层螺旋CT (MSCT)诊断价值,提高疾病的诊断水平.资料与方法 80例经手术病理或随访证实的非创伤、代谢类疾病患者,CT均表现为NMM,其中门脉高压症(PH)25例,非结核性腹膜炎20例,结核性腹膜炎(TBP) 15例,癌性腹膜炎(CP) 20例.观察不同性

  3. A differentiated approach to the diagnosis of pulmonary embolism and deep venous thrombosis using multi-slice CT; Abklaerung von Lungenembolie und venoeser Thromboembolie mittels Mehrschicht-Spiral CT

    Energy Technology Data Exchange (ETDEWEB)

    Wildberger, J.E.; Mahnken, A.H.; Stargardt, A.; Haage, P.; Guenther, R.W. [Klinik fuer Radiologische Diagnostik (Germany); Sinha, A.M. [Medizinische Klinik 1, Universitaetsklinikum der RWTH Aachen (Germany); Schaller, S. [Siemens Medical Solutions, Computertomographie, Forchheim (Germany)

    2002-03-01

    Purpose: To establish a differentiated protocol for multi-slice CT (MSCT) examinations in cases of clinically suspected pulmonary embolism (PE) using pulmonary CT-angiography (CTA) and indirect CT-phlebography (CTP). Materials and Methods: 161 patients with suspected PE were examined using an MSCT (SOMATOM Volume Zoom; Siemens, Forchheim, Germany). After intravenous administration of 120 ml of contrast material, a thin collimation chest-CT scan was performed (120 kV, 100 mAs, collimation: 4 x 1 mm). If PE was present, or previous examinations and clinical signs suggested deep venous thrombosis (DVT), a CTP was subsequently completed. CTPs were performed using a 4 x 5 mm protocol (120 kV, 170 mAs). Venous phase scanning, starting from the pelvic crest, was completed in the popliteal fossa three minutes after contrast material injection. In 73 extremities, CTP were compared to the results of ultrasound, phlebography and autopsy. Scan ranges were documented in all patients. Cumulative doses were calculated for male and female subgroups. Results: 62 patients in our series suffered from PE and in 47 of these patients deep venous thrombosis was seen additionally. Of the 99 patients without PE, 47 also received indirect CTP. CTP confirmed the suspicion and extent of DVT in 8 patients. Only in 2 of 39 patients (5.1%) was previously unknown DVT found, despite the exclusion of PE. Regarding DVT, sensitivity was 94.3% and specificity was 92.1% for indirect CTP. Cumulative chest CT doses averaged 3.3 mSv for males and 4.2 mSv for females, the calculated CTP dosage was 9.3 mSv (according to ICRP 60). Conclusions: the examination protocol presented its suitable for clinical usage in patients with suspected PE. If PE is confirmed, indirect CTP is justified, so that detailed information of the venous system can be obtained. However, the relatively high radiation dosage of an additional CTP requires a strict indication regiment in patients with a negative CTA. (orig.) [German

  4. Sixty-four-slice computed tomography in surgical strategy of portal vein cavernous transformation

    Institute of Scientific and Technical Information of China (English)

    Ming-Man Zhang; Cong-Lun Pu; Ying-Cun Li; Chun-Bao Guo

    2011-01-01

    AIM:To investigate the role of 64-slice computed tomography (CT) in portal vein cavernous transformation to determine surgical strategy.METHODS:The site of lesions and extent of collateral circulation in 12 pediatric cases of cavernous transformation of the portal vein with surgical treatment were analyzed.RESULTS:Eleven of 12 children had esophageal vari-ces and were treated with lower esophageal and gastric devascularization and splenectomy,and the other case was only treated with splenectomy.There were eight cases with spontaneous spleen/stomach-renal shunt,four with Retzius vein opening,which was reserved during surgery.Three cases of lesions involving the intrahepatic portal vein (PV) were treated with livingdonor liver transplantation.One patient died from PV thrombosis after liver transplantation,and the rest had no significant complications.CONCLUSION:The PV,its branches and collateral circulation were clearly seen by 64-slice spiral CT angi-ography,which helped with preoperative surgical planning.

  5. Pulmonary Findings on Computed Tomography in Asymptomatic Total Joint Arthroplasty Patients.

    Science.gov (United States)

    Vigdorchik, Jonathan M; Riesgo, Aldo M; Lincoln, Denis; Markel, David C

    2016-08-01

    An increase in the diagnosis of pulmonary embolus (PE) in the early postoperative period has been attributed to the use of multidetector 64-slice computed tomographic (CT) scans. It was suspected that this finding was the result of marrow or fat emboli that are commonly associated with arthroplasty rather than a true venous thromboembolic phenomenon. The purpose of this study was to determine the baseline pulmonary findings in asymptomatic patients after total joint arthroplasty (TJA). Over a 1-year period, an institutional review board-approved prospective study of 20 asymptomatic patients using a multidetector 64-slice CT scanner was performed. Overall, 15 TKAs and 5 total hip arthroplasties were included for analysis. All of the CT scans were negative for PE. There were no signs of microemboli or fat emboli on any scan. No patient went on to develop a PE at 2 years postoperatively. Despite the fact that emboli are created during TJA, if emboli are seen on a CT scan postoperatively, they should be assumed to be real events with clinical sequelae. If pulmonary symptoms develop postoperatively, they should not simply be assumed to be the result of fat or marrow embolism.

  6. 多层螺旋CT灌注成像在肾脏良恶性肿瘤鉴别诊断中的临床应用%Clinical Application of Multi - slice Spiral CT Perfusion Imaging in the Differential Diagnosis of Benign and Malignant Renal Tumors

    Institute of Scientific and Technical Information of China (English)

    赵红; 夏文平; 李培

    2012-01-01

    Objective To discuss the clinical practice value of multi - slice spiral CT perfusion imaging in the differential diagnosis of benign and malignant renal tumors. Methods Using multi - slice spiral CT machine, we detected the CT perfusion parameters of 20 cases of normal healthy volunteers(the control group) ,22 cases of renal clear cell carcinoma proved by operation (the renal carcinoma group) and 18 cases of renal hamarloma( the renal hamartoma group). Perfusion (perfusion) , relative blood volume (rBV) , time to peak (TTP) and peak enhancementimage (PEI) were obtained and calaculated. Results ①The perfusion,PEI of the renal carcinoma group Were significantly lower than thnse of the coutrol group, while the rBV.TTP were significantly higher than those of the control group; ② The perfusion, PEI of the renal hamarlunia group were significantly lower than those of the control group, while the rBV ,TTP of the renal hamanoma group were significantly higher than those of the control group; ③The perfusion .PEI of ihe renal carcinoma group were significantly higher than those of the renal hamartoma group, while the rBV,TTP of the renal carcinoma group were significantly lower lhan those of renal hamartoma group. The differences were significant statistically significant. Conclusion Multi - slice spiral CT perfusinn imaging can quantitatively assess hemortynamics variation of the normal kidney,benign and malignant renal tumors. It can provide a reliable hasis for differential diagnosis,which has important clinical application value.%目的 探讨多层螺旋CT(MSCTPI)灌注成像在肾脏良恶性肿瘤鉴别诊断中的应用价值.方法 采用多层螺旋CT机对正常健康志愿者20例(对照组)及经手术病理证实的肾透明细胞癌患者22例(肾癌组)、肾错构瘤患者18例(肾错构瘤组)的肾皮质CT灌注参数进行检测,分别计算:灌注(perfusion);相对组织血容量(rBV);峰值时间(TTP);峰值增强影像(PEI).结果 ①肾

  7. Clinical application value of multi slice spiral CT in the variation of sinus and nasal complex and sinusitis diagnosis%多层螺旋CT对窦口鼻道复合体解剖变异及鼻窦炎诊断的临床应用价值

    Institute of Scientific and Technical Information of China (English)

    张爱军

    2016-01-01

    目的研究多层螺旋CT对窦口-鼻道复合体(OMC)变异及鼻窦炎诊断的临床应用价值。方法选取2014年5月~2015年4月我院收治的192例慢性鼻窦炎患者,其中40例行鼻内镜手术。经多层螺旋CT观察OMC的解剖变异、鼻窦炎症及鼻内镜技术在手术中的应用。结果192例慢性鼻窦炎症患者中,有164例(85.4%)为OMC解剖变异,其中泡状鼻甲30.21%(58/192),反常中鼻甲9.38%(18/192),钩突肥厚13.54%(25/192),钩突内侧偏移11.64%(22/192),钩突外侧偏移4.17%(8/192),钩突气化3.13%(6/192),Haller气房8.33%(16/192),鼻丘气房9.38%(18/192),鼻中隔偏曲25%(48/192)。鼻及鼻窦炎发病部位分布:前组筛窦168例,后组筛窦72例,上颌筛窦134例,上颌窦126例,额隐窝38例,额窦28例,碟窦16例。行鼻内镜手术患者术中所见和CT显示一致。结论慢性鼻窦炎患者OMC变异及解剖结构采取多层螺旋CT进行观察具有重要的价值,尤其是对功能性内镜鼻窦手术具有重要作用。%Objective To study the clinical applica-tion value of multi slice spiral CT in the variation of sinus and nasal complex(OMC)and sinusitis diagnosis.Methods From May 2014 to April 2015,192 cases with chronic sinusitis,including 40 cases underwent nasal endoscopic surgery were included in this study. OMC anatomical variations and sinusitis were observed by multi-slice spiral CT. Nasal sinus endoscope was used in the surgery. Results Of the 192 cases,164 cases(85.4%)were proved with OMC anatomical variations,including 30.21% concha bullosa, 9.38% abnormal middle turbinate,13.53% uncinate process hypertrophy,11.64% uncinate medial offset,4.17% lateral deviation of uncinate process,3.13%cuncinate gasification, 8.33% Haller cell and 9.38% agger nasi cell,and 25% nasal septum deviation. The nasal sinusitis distribution:168 cases of anterior ethmoid sinus,72 cases of ethmoid sinus,134 cases of

  8. Experimental research of acetabular abduction angle and anteversion measurement by three-dimensional reconstruction of multi-slice spiral CT%多层螺旋CT三维重建测量髋臼外展角及前倾角的实验研究

    Institute of Scientific and Technical Information of China (English)

    范新成; 葛东; 刘峰; 魏开斌; 马振波; 张伟; 赵伟; 李军; 朱海涛; 初培罡

    2014-01-01

    Objective To investigate a new method of three-dimensional reconstruction of multi-slice spiral CT in measurement of acetabular abduction angle and acetabular anteversion. Methods The research objects were 60 acetabulars of 30 pelvic specimens, acetabular abduction angle and acetabular anteversion were measured respectively by radiological and actual measurements. The first one using digital X-ray photography and three-dimensional reconstruction of multi-slice spiral CT. The second one using a protractor and digital goniometer two methods. Results The acetabular abduction angle and anteversion were (48.61±2.31)° and (15.82±4.62)° respectively, there was no statistically significant difference of these two angles between actual measurement and radiological measurement(P>0.05). There were no significant differences for each angle between radiological and actual measurements(P>0.05). Conclusions The measurement of acetabular abduction angle and anteversion by MSCT three-dimensional reconstruction were accurate, which provide a new and standardized method of measurement of acetabular abduction angle and anteversion. The digital goniometer provide an accurate and convenient new method for specimens’ anatomical measurements.%目的:探讨应用多层螺旋CT(multi-slice spiral CT,MSCT)三维重建精确测量髋臼外展角及前倾角的新方法。方法选用30具成人完整骨盆标本共60个髋臼为研究对象,应用放射学方法及实际测量法分别对其外展角、前倾角进行测量,放射学方法采用数字化 X 线摄影(digital X-ray radiography,DR)及MSCT三维重建两种方法,实际测量采用量角器及数显角度仪两种方法。结果 MSCT重建法测得的髋臼外展角为48.61°±2.31°,前倾角为15.82°±4.62°,与实际测量结果比较,差异均无统计学意义(P>0.05);放射学方法与实际测得的髋臼外展角、前倾角分别比较,差异均无统计学意义(P>0.05

  9. 多层螺旋CT血管成像在脑动静脉畸形诊断及治疗中的价值%Value of multi-slice spiral CT angiography in diagnosis and treatment of cerebral arteriovenous malformations

    Institute of Scientific and Technical Information of China (English)

    余海浪; 庹秀均; 李战辉; 张应和

    2013-01-01

    目的 探讨脑动静脉畸形(CAVM)在多层螺旋CT血管造影(MSCTA)中的表现及MSCTA的临床价值.方法 收集36例行MSCTA检查的CAVM患者的资料,采用容积再现重组(VR)血管生长技术(AV)进行血管重建,分析供血动脉、引流静脉的表现.结果 36例CAVM患者中,病变累及枕叶10例,颞叶9例,额叶2例,顶叶3例,枕叶、小脑半球7例,颞、枕叶3例,额、顶叶2例,均清楚显示畸形血管团、供血动脉及引流静脉;4例合并血管畸形内动脉瘤,2例合并血管畸形外动脉瘤,3例蛛网膜下腔出血,6例脑出血.结论 MSCTA能清楚显示CAVM的畸形血管团、供血动脉、引流静脉及合并的动脉瘤.%Objective To evaluate the manifestation of cerebral arteriovenous malformations (CAVM) on multi-slice spiral CT (MSCT) angiography and the clinical value of this examinaion.Methods The data on 36 patients with CAVM undergoing MSCT angiography were collected.Vascular reconstruction were performed by volume rendering and AV.The manifestations of feeding arteries and draining veins were then analyzed.Results Among these 36 patients with cerebral arteriovenous malformations,ten patients had the lesion in occipital lobe,nine in temporal lobe,two in frontal lobe,three in parietal lobe,seven in occipital lobe and cerebellar hemisphere,three in occipital and temporal lobe,and two in frontal and parietal lobe,with a clear display of masses of deformed vessels,feeding arteries and draining veins; 4 patients were complicated by intra-aneurysm of CAVM,2 were complicated by extra-aneurysm of CAVM,3 concurred with subarachnoid hemorrhage,and 6 concurred with cerebral hemorrhage.Conclusions Multi-slice spiral angiography can clearly detect masses of deformed vessels,feeding arteries,draining veins,and coexisting aneurysms.

  10. Clinical Value of Multi-slice Spiral CT in the Staging of Sacroiliac Arthropathy in Ankylosing Spondylitis%多层螺旋CT在强直性脊柱炎骶髂关节病变分期中的应用价值

    Institute of Scientific and Technical Information of China (English)

    王辉; 徐春生; 汪四海; 张金山; 杨佳; 刘健

    2011-01-01

    目的 探讨多层螺旋CT(multi-slice spiral CT,MSCT)在强直性脊柱炎(ankylosing spondylitis,AS)骶髂关节病变的诊断及分期中的应用价值.方法 回顾性分析82例AS患者骶髂关节的MSCT表现,对其进行分期.结果 82例中,双侧骶髂关节正常9例,单侧受累6例,双侧均受累67例;164个骶髂关节中,0级24个(构成比0.146),Ⅰ级42个(构成比0.256),Ⅱ级36个(构成比0.220),Ⅲ级54个(构成比0.329),Ⅳ级8个(构成比0.049).结论 MSCT分期为AS骶髂关节病变提供了半定量分析方法,更客观、准确地反映了患者的病情及骶髂关节受累程度,为长期随访患者的病情和疗效判断提供了客观依据.%Objective To evaluate the clinical values of multi-slice spiral CT (MSCT) in the diagnosis and staging of sacroiliac arthropathy in patients with ankylosing spondylitis(AS). Methods The MSCT features of sacroiliac arthropathy in 82 patients with AS were analyzed retrospectively, and the staging of sacroiliac arthropathy were determined by MSCT. Results Of 82 patients, there were normal bilateral sacroiliac joints in 9, unilateral involvement in 6, and bilateral involvement in 67. Of 164 sacroiliac joints, 24 (accounting for 0. 146) were classified into grade 0, 42 (accounting for 0. 256) into grade Ⅰ, 36 (accounting for 0. 220) into grade Ⅱ, 54 (accounting for 0. 329) into grade Ⅲ , and 8 (accounting for 0. 049) into grade Ⅳ. The CT features included cartilage calcification, joint space narrowing or widening, articular surface and undersurface erosion, and ligament calcification. Conclusion MSCT staging of sacroiliac arthropathy provides a method of semi-quantitative analysis on AS. It can reflect the clinical state of AS more objectively and accurately, and can provide an objective basis for judgement on the disease conditions and curative effects in patients with long-term follow-up.

  11. study on the significance of application of multi - slice spiral CT(MsCT)angiography in diagnosis of aortic dissecting aneurysm%多层螺旋 CT 血管成像技术在主动脉夹层动脉瘤中的应用价值

    Institute of Scientific and Technical Information of China (English)

    张喜军; 李淳成; 吴耀军

    2015-01-01

    供立体及精确的解剖信息,故 MSCTA 可作为 AD 首选的影像学检查方法。%Objectine To explore the diagnostic performance and clinical significance of multi - slice spiral CT(MSCT)angiography and computed tomography angiography(CTA)in diagnosis of aortic dissecting aneurysm. Methods The Clinical data of 68 cases diagnosed with aor-tic dissections(AD)were retrospectively analyzed. All these patients were examined with 64 - detector CTA using intelligent tracking technique for rapid volume enhanced scanning,and primary data were processed with multiplannar reformation( MPR),curved plannar reconstruction (CRP),the maximum intensity projection(MIP),volume representation technical reconstruction(VR),CT virtual endoscopy(CTVE)and vol-ume representative technical reconstruction(VR). The true and false lumens,intimal flap and tears were analyzed. Results There were 21 cases with Stanford A type,and 47 cases with B type;the average strengthening value of AD in true lumen group(279. 00 ± 46. 55 HU)was significant-ly higher than the average strengthening value of false lumen group(260. 06 ± 49. 59 HU,t = 2. 2963,P = 2. 2963). It could be seen in 66 ca-ses(97. 06% )of first tear and 60 cases(88. 24% )of re - entry tears. In 42 cases of true lumen value which strengthening value was greater than that of false lumen,the first tear size was 12. 05 ± 6. 48 mm,which was much smaller than the size of first tear(19. 08 ± 8. 56 mm,t = 3. 8394, P = 3. 8394)in 26 cases with true lumen,in which strengthening value was almost the same to that of false lumen. The true and false lumens of 60 patients with AD were spirally contorted,another 8 cases were parallel contortion,their size was differed. Enhanced scanning of 68 patients showed mezzanine intimal flap was clearly performed,and the movement was in accordance with that of true and false lumens. Bilateral common il-iac arteries were most easily affected. The rates of breach in MPR,CPR,CTVE and VR were 92. 65% ,95

  12. 多层螺旋CT肠道造影在诊断克罗恩病中的应用%Multi-slice CT in the diagnosis of Crohn's disease

    Institute of Scientific and Technical Information of China (English)

    赵庆玲

    2016-01-01

    克罗恩病(Crohn's disease,CD)为一种终身性疾病,大部分患者常反复发病,严重影响着患者的生活质量.现在主要以临床表现、影像学、内镜以及病理组织学的综合判断作为诊断该病的方法.多层螺旋CT肠道造影(Computed Tomographic Enterography,CTE)为近年来新兴的一种影像学检查方法,因其时间及空间分辨率高,检查速度快、价格适宜等优点而发挥着特异的诊断价值,本文就CTE在克罗恩病中的诊断价值进行综述.

  13. 腰椎多层螺旋CT低剂量扫描参数优化的研究%Study of Multi-slice Spiral CT Low-dose Scanning Parameters Optimization in the Lumbar Spine

    Institute of Scientific and Technical Information of China (English)

    董艳军; 张磊磊; 唐晓; 白男男; 胡蓬勃; 郭兰田

    2014-01-01

    目的:评价不同扫描条件腰椎多层螺旋CT扫描对成像质量及辐射剂量的影响,探讨多层螺旋CT在腰椎软组织病变扫描中适宜的低剂量扫描参数。方法通过CT设备扫描患者腰椎,以240 mAs为起点,逐渐降低管电流量,记录CT主机上显示的辐射剂量;评价图像质量采用adw 4.3工作站,统计学处理采用SPSS18.0软件。结果管电流量80 mAs扫描所获得的图像评分均不低于3分,其产生的辐射剂量为6.81 mGy;而管电流量240 mAs扫描所获得的图像评分均为4分,其产生的辐射剂量为20.22 mGy。结论腰椎软组织多层螺旋CT低剂量扫描的适宜扫描参数为80 mAs。%Objective To evaluate the effect of lumbar spine multiple-slice spiral CT different scanning schemes on image quality and radiation dose and investigate the suitable low-dose scanning parameters of multiple-slice spiral CT in lumbar spine soft tis-sue lesions. Methods We scanned the patients' lumbar spine by CT equipment. We started with 240mAs and gradually reduced mAs. We also recorded the radiation dose showed by the CT host computer and evaluated image quality by the adw 4.3 worksta-tion. We analyzed data through SPSS 18.0. Results All image quality scores were no less than 3 points at 80mAs, and the radia-tion dose at 80mAs was 6.81mGy. All image quality scores were 4 points at 240mAs, and the radiation dose at 240mAs was 20.22mGy. Conclusion The suitable multiple-slice spiral CT low-dose scanning parameters in the lumbar spine soft tissue lesions is 80mAs.

  14. 多排螺旋CT在快速扩弓器联合前方牵引矫治替牙期骨性反的应用效果%Application Effect of Multi-slice Spiral CT in Orthodontic Treatment of Skeletal Crossbite during Mixed Dentition by Rapid Maxillary Expansion Device Combined with Anterior Traction

    Institute of Scientific and Technical Information of China (English)

    李洪; 朱光恒; 黄文英

    2016-01-01

    目的:探讨多排螺旋CT在快速扩弓器联合前方牵引矫治替牙期骨性反的应用效果。方法:36例儿童替牙期骨性安氏Ⅲ类错患儿均接受快速扩弓器联合前方牵引矫治治疗,均同时接受拍摄X线片及MSCT片,测量上下颌骨各项参数。结果:X线片与MSCT的SNA角、SNB角、ANB角、U1-NA角、颌凸角、U1-NA距、ANS-Ptm距、L1-MP角及U1-SN角比较,差异均有统计学意义(P<0.05)。X线片各角的CV值均高于MSCT,差异均有统计学意义(P<0.05)。结论:多排螺旋CT在替牙期骨性反儿童快速扩弓器联合前方牵引矫治中上颌骨相关指标测量的精确度更高,离散程度小,重复测量结果好,通过较准确的测量数据分析来探讨快速扩弓器联合前方牵引矫治替牙期骨性反诱导上颌骨生长量的变化,对该技术作出更为准确的疗效评价并指导临床治疗等方面具有较高的应用价值。%Objective:To investigate the application effect of multi-slice spiral CT in orthodontic treatment of skeletal crossbite during mixed dentition by rapid maxillary expansion device combined with anterior traction. Method:36 children with mixed dentition skeletal class III malocclusion were treated with rapid palatal expansion and protraction treatment,were also being filmed X-ray and MSCT sheet,measuring the parameters of the upper and lower jaw.Result:X-ray and MSCT SNA angle,SNB angle,ANB angle,U1-NA angle,angle of convexity, U1-NA distance,ANS-Ptm distance,L1-MP angle and U1-SN angle of comparison,the differences were statistically significant(P<0.05).X-ray of the CV were higher than MSCT,the differences were statistically significant(P<0.05).Conclusion:The accuracy of multi slice spiral CT measurement of related indexes in skeletal malocclusion in mixed dentition children rapid palatal expansion combined with maxillary protraction in the higher dispersion degree of small, repeated measurement results, through the

  15. Diagnostic value of combination of 99mTc-MIBI imaging,multi-slice spiral CT and tumor marker measurements for lung cancer%99mTc-MIBI肺显像、多排螺旋CT和肿瘤标志物检测对肺癌的诊断价值

    Institute of Scientific and Technical Information of China (English)

    党国际

    2009-01-01

    目的 探讨99Tc-甲氧基异丁基乙腈(99Tc-MIBI)亲肿瘤显像、多排螺旋CT、血清肿瘤标志物[癌胚抗原(CEA)、细胞角蛋白19片断(CYFRA21-1)、神经元特异性烯醇化酶(NSE)]检测联合应用对肺癌的诊断价值.方法 对350例临床怀疑为肺癌患者的99mTc-MIBI亲肿瘤显像、多排螺旋CT、血清肿瘤标志物榆测资料进行回顾性分析,总结每种方法及三种方法联合应用诊断肺癌的灵敏度、特异度及正确度.350例患者分别经纤维支气管镜检查、手术治疗及穿刺活组织枪查、病理最后证实200例为肺癌患者.结果 三种检查方法诊断肺癌的灵敏度、特异度及正确度分别为74.5%(149/200)、68.7%(103/150)、72.0%(252/350),97.5%(195/200)、42.7%(64/150)、74.0%(259/350)及62.5%(125/200)、28.7%(43/150)、48.0%(168/350).三法联合应用为99.5%(199/200)、82.0%(123/150)、92.0%(322/350).结论 上述三种检查方法对肺癌诊断各有其独特的重要的临床价值,三种方法联合应用诊断价值更大.%Objective To explore the clinical value of the combination of three methods including 99mTc-MIBI imaging, multi-slice spiral CT and tumor markers [carcinoembryonic antigen(CEA),cytokeretin19 fragment(CYFRA21-1), neuron-specific enolase(NSE)] measurement for diagnosis of lung cancer. Methods 350 patients were performed 99mTc-MIBl imaging, multi-slice spiral CT and measurements of tumor markers apart within one week. 200 patients were proved by pathology lung cancer in all 350 patients. Results The sensitivity, specificity and accuracy obtained with the three methods and combination of three methods were 74.5 %(149/200), 68.7 %(103/150), 72.0 %(252/350);97.5 %(195/200), 42.7 %(64/150), 74.0 %(259/350);62.5 %(125/200), 28.7 %(43/150), 48.0 %(168/350) and 99.5 %(199/200), 82.0 %(123/150), 92.0 %(322/350),respectively. Conclusion The results imply that three methods has its distinct important clinical value in diagnosis of lung cancer respectively

  16. 总结多层螺旋CT在创伤性上颈椎隐形损伤患者诊断中的应用体会%Summary of Multi-Slice Spiral CT in traumatic Upper Cervical Injury Patients Contact Experience Application in Diagnosis

    Institute of Scientific and Technical Information of China (English)

    魏波

    2015-01-01

    Objective: To explore the focus of traumatic upper cervical contact diagnosis value of multi-slice spiral CT in injury patients.Methods: the research object selected is 2011 02 Feb 01 to 2014 02 months 01 days in our hospital underwent multislice spiral CT examination of 56 patients with suspected in patients with upper cervical injury, detailed analysis of the results of image.Results: the display for the contact damage in a total of 45 patients, 4 patients belonged to the ring gear joint, 2 patients belonged to the vertebral rotation dislocation, 9 cases belong to C1 lateral mass fracture, 2 cases belong to the simple transverse ligament injury, atlas lateral mass fracture on the right side of a total of 3 cases of C1 fracture dislocation;accompanied by vertebral attachment a total of 2 cases of fracture of vertebral arch fracture C1, a total of 6 cases of vertebral fracture and dislocation; C2 with a total of 3 cases of accessory fracture, fracture C2 of vertebral arch of a total of 5 cases;C2 vertebral fracture accompanied by accessory fracture has a total of 3 cases, C2 a total of 6 cases of vertebral fracture, tooth styloid fractures with a total of 11 cases.Conclusion: multi slice spiral CT in the diagnosis of traumatic upper cervical application invisible injury high accuracy, can provide valuable references for clinical treatment.%目的:重点探索在创伤性上颈椎隐形损伤患者中应用多层螺旋CT的诊断价值。方法挑选的研究对象是2011年02月01日—2014年02月01日在我院行多层螺旋CT检查的56例疑似上颈椎损伤患者,细致的分析影像学结果。结果显示为隐形损伤的总共有45例,4例患者属于环齿关节,2例患者属于椎体旋转脱位,9例属于C1侧块骨折,2例属于单纯横韧带损伤,环椎右侧侧块骨折的总共有3例;C1骨折脱位并伴随椎体附件骨折的总共有2例,C1椎弓骨折的总共有6例;C2椎体骨折脱位并伴随附件骨折的总共有3

  17. Analysis of imaging findings of multi-slice CT enterography in patients with Crohn's disease%Crohn病的多层螺旋CT 小肠造影征象分析

    Institute of Scientific and Technical Information of China (English)

    成科; 邓生德

    2015-01-01

    目的:分析Crohn病的多层螺旋CT小肠造影(multislice computer tomography enterography ,MSCTE)影像征象,并讨论其对该病的诊断价值。方法回顾性分析28例经内镜、手术、病理证实的Crohn病的MSCTE影像学资料,全部患者行C T平扫和动脉期、静脉期增强扫描,并行M PR、厚层M IP等重建。结果28例中单纯小肠受累(9/28),小肠‐结肠同时受累(16/28),单独结肠受累(3/28),病变以累及回肠末端最为常见(20/28)。M SC T E表现:肠壁增厚(28/28),肠壁厚度4.5~23.2mm ;增强扫描肠壁分层状强化(19/28),均匀强化(9/28),肠腔狭窄(15/28),肠系膜淋巴结增大(19/28),病变肠管周围肠系膜血管增多(15/28);MSCTE表现肠壁增厚、分层状强化、肠系膜脂肪渗出性改变、血管增多(梳征)等征象可提示克罗恩病(CD)病变处于活动期。结论 MSCTE是一种诊断Crohn病较敏感的非侵入性成像方法,可同时显示肠壁及肠腔外病变,且对CD的活动性评估具有一定优势,可作为该病首选的影像诊断方法。%Objective To analyse the MSCTE imaging fingdings and to discuss the diagnostic value of Crohn's disease . Methods 28 patients with histologically proven Crohn's disease underwent MSCTE .Imaging findings were analyzed retro‐spectively .All patients underwent CT enterography examination ,The multi‐planar reformation (MPR) ,maximum inten‐sity projection (MIP) images were generated from raw data .Results Among the 28 cases ,9 cases had lesions limited to the small intestine ,the small int estine and the colon were involved simultaneously in 16 cases ,only 3 cases had lesions limited to the colon .Terminalileum is most frequently involved in CD (20/28) ,MSCTE showed there were 28 cases of bowel wall thickening ,wich wall thickness of 4 .5~23 .2 mm ,19 cases of enhanced scanning strengthen the intestinal

  18. Diagnostic Value of Low Dose Multi-slice Spiral VHRCT (MSCT) CT in Children with Chronic Interstitial Lung Disease%小剂量多层螺旋CT(MSCT)VHRCT在小儿慢性肺间质病变中的诊断价值

    Institute of Scientific and Technical Information of China (English)

    李燕北; 李云秀; 王宝军

    2016-01-01

    目的:分析研讨小剂量多层螺旋CT(MSCT)VHRCT在小儿慢性肺间质病变中的诊断价值。方法:此研究中所研讨的32例患儿均随机从2013年5月至2014年11月期间我院收治的小儿慢性肺间质病变患儿中选取而出,回顾分析患儿临床病历资料,32例患儿均接受小剂量多层螺旋CT(MSCT)容积数据重组高分辨和HRCT扫描,对比此两者检查扫描方式在囊状透亮部位、网格影、结节影、肺大泡影、磨玻璃密度影等差异性,对比诊断准确性和图像质量评分状况。结果:对比同层面囊状透亮部位、网格影、结节影、肺大泡影、磨玻璃密度影、蜂窝影等显影状况,HRCT方式比MSCT方式要稍微高一点,但组间数据无统计学意义(P>0.05)。小剂量MSCT检查方式在图像质量评分上比VHRCT检查方式要稍高,但组间数据无统计学意义(P>0.05);在诊断准确率上,小剂量MSCT(93.75%)和VHRCT方式(96.87%)比较,虽后者稍高,但组间数据无统计学意义(P>0.05)。结论:HRCT检测结果比小剂量多层螺旋CTMSCT检查结果更加具有优势性,特别是针对小剂量多层螺旋CTMSCT和大龄患儿检查判定不佳时,可依据实际状况考虑是否采用HRCT,因此,建议临床在诊断疾病时,按照患儿实际状况确定检查方式,确保诊断准确性。%ABSTRACT:Objective:To analyze and discuss the value of low dose multi-slice spiral VHRCT (MSCT) CT in the diagnosis of chronic interstitial lung disease in children.Methods:32 children with this research studied were randomly from 2013 May to 2014 November period in our hospital pediatric chronic lung interstitial lesion in children with selected out, children with clin-ical data were retrospectively analyzed, 32 cases underwent low dose multislice spiral CT (MSCT) volume number according to the restructuring of high resolution scanning and HRCT, compared with the two scanning way

  19. Diagnostic yield and complications of transthoracic computed tomography-guided biopsies

    DEFF Research Database (Denmark)

    Vagn-Hansen, Chris Aksel; Pedersen, Malene Roland Vils; Rafaelsen, Søren Rafael

    2016-01-01

    INTRODUCTION: The widespread use of computed tomography (CT) improves detection of pulmonary lesions, which are not only detected at an increased rate but also at a smaller size. CT-guided lung biopsies are now more frequently used than fluoroscopy-guided lung biopsies. The main aim of the present...... paper was to investigate the outcome and complications of the biopsies. METHODS: We retrospectively collected the results and information from 520 CT-guided thorax biopsies. All biopsies were performed with CT-guided “beam-through” technique, using a 64-slice CT scanner. RESULTS: In 86% of the biopsies......, the tissue material was found to be sufficient. In 32% of the biopsies, a complication arose, mostly pneumothorax (30%), but chest drainage was needed in only 15% of the 520 cases. Patients with more than ten cigarette pack-years had a complication risk that was twice as high at that of patients with fewer...

  20. COMPUTING

    CERN Multimedia

    M. Kasemann

    Overview In autumn the main focus was to process and handle CRAFT data and to perform the Summer08 MC production. The operational aspects were well covered by regular Computing Shifts, experts on duty and Computing Run Coordination. At the Computing Resource Board (CRB) in October a model to account for service work at Tier 2s was approved. The computing resources for 2009 were reviewed for presentation at the C-RRB. The quarterly resource monitoring is continuing. Facilities/Infrastructure operations Operations during CRAFT data taking ran fine. This proved to be a very valuable experience for T0 workflows and operations. The transfers of custodial data to most T1s went smoothly. A first round of reprocessing started at the Tier-1 centers end of November; it will take about two weeks. The Computing Shifts procedure was tested full scale during this period and proved to be very efficient: 30 Computing Shifts Persons (CSP) and 10 Computing Resources Coordinators (CRC). The shift program for the shut down w...

  1. COMPUTING

    CERN Multimedia

    M. Kasemann

    Overview During the past three months activities were focused on data operations, testing and re-enforcing shift and operational procedures for data production and transfer, MC production and on user support. Planning of the computing resources in view of the new LHC calendar in ongoing. Two new task forces were created for supporting the integration work: Site Commissioning, which develops tools helping distributed sites to monitor job and data workflows, and Analysis Support, collecting the user experience and feedback during analysis activities and developing tools to increase efficiency. The development plan for DMWM for 2009/2011 was developed at the beginning of the year, based on the requirements from the Physics, Computing and Offline groups (see Offline section). The Computing management meeting at FermiLab on February 19th and 20th was an excellent opportunity discussing the impact and for addressing issues and solutions to the main challenges facing CMS computing. The lack of manpower is particul...

  2. COMPUTING

    CERN Multimedia

    I. Fisk

    2011-01-01

    Introduction CMS distributed computing system performed well during the 2011 start-up. The events in 2011 have more pile-up and are more complex than last year; this results in longer reconstruction times and harder events to simulate. Significant increases in computing capacity were delivered in April for all computing tiers, and the utilisation and load is close to the planning predictions. All computing centre tiers performed their expected functionalities. Heavy-Ion Programme The CMS Heavy-Ion Programme had a very strong showing at the Quark Matter conference. A large number of analyses were shown. The dedicated heavy-ion reconstruction facility at the Vanderbilt Tier-2 is still involved in some commissioning activities, but is available for processing and analysis. Facilities and Infrastructure Operations Facility and Infrastructure operations have been active with operations and several important deployment tasks. Facilities participated in the testing and deployment of WMAgent and WorkQueue+Request...

  3. COMPUTING

    CERN Multimedia

    P. McBride

    The Computing Project is preparing for a busy year where the primary emphasis of the project moves towards steady operations. Following the very successful completion of Computing Software and Analysis challenge, CSA06, last fall, we have reorganized and established four groups in computing area: Commissioning, User Support, Facility/Infrastructure Operations and Data Operations. These groups work closely together with groups from the Offline Project in planning for data processing and operations. Monte Carlo production has continued since CSA06, with about 30M events produced each month to be used for HLT studies and physics validation. Monte Carlo production will continue throughout the year in the preparation of large samples for physics and detector studies ramping to 50 M events/month for CSA07. Commissioning of the full CMS computing system is a major goal for 2007. Site monitoring is an important commissioning component and work is ongoing to devise CMS specific tests to be included in Service Availa...

  4. COMPUTING

    CERN Multimedia

    I. Fisk

    2013-01-01

    Computing activity had ramped down after the completion of the reprocessing of the 2012 data and parked data, but is increasing with new simulation samples for analysis and upgrade studies. Much of the Computing effort is currently involved in activities to improve the computing system in preparation for 2015. Operations Office Since the beginning of 2013, the Computing Operations team successfully re-processed the 2012 data in record time, not only by using opportunistic resources like the San Diego Supercomputer Center which was accessible, to re-process the primary datasets HTMHT and MultiJet in Run2012D much earlier than planned. The Heavy-Ion data-taking period was successfully concluded in February collecting almost 500 T. Figure 3: Number of events per month (data) In LS1, our emphasis is to increase efficiency and flexibility of the infrastructure and operation. Computing Operations is working on separating disk and tape at the Tier-1 sites and the full implementation of the xrootd federation ...

  5. Computer

    CERN Document Server

    Atkinson, Paul

    2011-01-01

    The pixelated rectangle we spend most of our day staring at in silence is not the television as many long feared, but the computer-the ubiquitous portal of work and personal lives. At this point, the computer is almost so common we don't notice it in our view. It's difficult to envision that not that long ago it was a gigantic, room-sized structure only to be accessed by a few inspiring as much awe and respect as fear and mystery. Now that the machine has decreased in size and increased in popular use, the computer has become a prosaic appliance, little-more noted than a toaster. These dramati

  6. The value of multi-slice spiral CT enterography and double-balloon enteroscopy in the diagnosis of unexplained abdominal pains%多层螺旋CT小肠造影与双气囊小肠镜在不明原因腹痛诊断中的价值

    Institute of Scientific and Technical Information of China (English)

    周建伟; 潘杰; 侯俊良

    2012-01-01

    Objective To assess the value of multi-slice spiral CT enterography (MSCTE) and double-balloon enteroscopy (DBE) in the diagnosis of unexplained abdominal pains. Methods 41 patients with unexplained abdominal pains were selected and received MSCTE and DBE examination. With combining the results of endoscopy and/or surgical pathology, clinical follow-ups, the differences in pathological detection rate and diagnostic accuracy between these two measures were compared. Results The detection rates of MSCTE and DBE were 63.41% (26/41) and 87.80% (36/41), and the diagnostic accuracies were 70.73% (29/41) and 92.68% (38/41), respectively. Conclusion The detection rate and diagnostic accuracy of DBE were both higher than those of MSCTE. MSCTE could facilitate the diagnosis of small bowel tumor and Crohn's disease, with positioning and qualitative value. MSCTE could be a pre-test to help decide the appropriate way of DBE insertion.%目的:评价多层螺旋CT小肠造影(MSCTE)与双气囊小肠镜(DBE)在不明原因腹痛患者诊断中的价值.方法:41例不明原因腹痛患者,同时行MSCTE和DBE检查,结合内镜和(或)手术病理、临床随访等,比较两者对不明原因腹痛病因的检出率、诊断准确率.结果:MSCTE和DBE的病变检出率分别为63.41%(26/41)和87.80%(36/41);诊断准确率分别为70.73%(29/41)和92.68%(38/41).结论:DBE对不明原因腹痛患者的病变检出率、诊断准确率均高于MSCTE; MSCTE对小肠肿瘤、克罗恩病有一定的定位、定性诊断价值;MSCTE可作为DBE检查前筛选性检查,对DBE进镜方式选择提供有效的帮助.

  7. 多层螺旋CT扫描及重建技术在腹股沟疝分类中的应用%Application of multi-slice spiral CT and three-dimensional reconstruction techniques in the classification of inguinal hernia

    Institute of Scientific and Technical Information of China (English)

    皇旭辉; 卢跃忠; 葛宇曦

    2013-01-01

    Objective To assess the contribution of multi-slice spiral CT and three-dimensional reconstruction techniques in the accurate diagnosis of direct and indirect inguinal hernias. Methods Fifty-four patients, who had undergone both a multi-section CT and a hernioplasty, were identied in order to evaluate the display of inguinal hernia on axial, coronary and sagittal planes and to distinguish the direct and indirect inguinal hernias. Then, we compared the classification of inguinal hernia with the result of surgery. Results Inguinal hernias were clearly demonstrable using multi-section CT and reconstructions and were accurately classified in direct and indirect inguinal hernias. On coronal CT reconstructions, the anatomy of inguinal hernias was clearly demonstrated than others and the accuracy of inguinal hernias classification was 100% , following by sagittal planes with the accuracy of 94% , the axial was poor for the identication of the inguinal hernias with the accuracy rate of 87%. Conclusion The high-resolution coronal and sagittal images available from multisection CT now permit the accurate diagnosis of groin hernias. Using simple anatomical criteria, direct and indirect inguinal hernias can be reliably distinguished.%目的 评估多层螺旋CT扫描及三维重建技术在区别腹股沟直疝及斜疝的应用.方法 收集54例同时行CT扫描及外科疝修补术的腹股沟疝病例资料,分别观察CT轴位、冠状位及矢状位对腹股沟疝的显示情况并区分腹股沟斜疝及直疝,并与手术结果对照.结果 MSCT及重建可以清晰直观地显示腹股沟疝并区分直疝及斜疝.其中冠状位对腹股沟结构显示最清楚,对腹股沟疝分类诊断正确率100%;矢状位次之,诊断正确率94%;横断位诊断正确率87%.结论 MSCT及高分辨率冠状位及矢状位重建可以精确地显示以及辨别腹股沟直疝、斜疝.

  8. Study on Relationship between Gastric Multi-slice Spiral CT Perfusion Imaging and Perfusion and Tumor Factor%胃癌多层螺旋CT灌注成像及灌注参数与肿瘤因子的相关性研究

    Institute of Scientific and Technical Information of China (English)

    张颖颖; 范小波; 亓子坤

    2015-01-01

    Objective To explore the correlation between gastric cancer multi-slice spiral CT perfusion imaging and perfusion and tumor factor. Methods 32 cases of gastric cancer patients random selected from Department of oncology in our hospital from 2010 January to 2012 September as the observation group, 40 cases healthy subjects randomly chosen in the physical examination center as control group, the two groups of subjects were using CT perfusion imaging, compared blood flow perfusion software into the packet processing after the CT perfusion (Perfusion)(blood volume or per unit time per 100gin renal tissue)、blood volume (100g in renal tissue of blood within the capacity of (BV))、peak enhancement (PEI), time to peak (TTP),mean transit time (MTT), permeability surface (PS) differences and related tumor factor levels of two groups, and analyzed the correlation between CT perfusion parameters and tumor factor by using Pearson analysis method. Results The observation group and the control group Perfusion, PEI, TTP, PS with significant difference (p0.05); observation group tumor factor CEA, AFP, CA199, CA72-4 levels were significantly higher than those in the control group and the difference was statistically significant (p0.05);观察组的肿瘤因子CEA、AFP、CA199、CA72-4水平均显著的高于对照组且差异具有统计学意义(p<0.05);Perfusion、PEI、PS与肿瘤因子CEA、AFP、CA199、CA72-4呈显著的正相关性, TTP与肿瘤因子CEA、AFP、CA199、CA72-4呈显著的负相关性。结论通过对胃癌患者胃癌进行多层螺旋CT灌注成像检测,可以有效分析肿瘤因子的水平,两者间存在良好的相关性。

  9. The value of multi-slice spiral CT perfusion imaging in evaluating the changes of blood supply of hepatocellular carcinoma before and after transcatheter hepatic arterial chemoembolization%多层螺旋CT灌注成像对肝癌经导管肝动脉栓塞化疗前后血供变化的应用价值

    Institute of Scientific and Technical Information of China (English)

    周霖; 邹文远; 陈玉峰

    2010-01-01

    目的 研究多层螺旋CT灌注成像在评价肝癌经导管肝动脉栓塞化疗(TACE)前后血流动力学改变中的价值.方法 17例肝癌患者TACE术前及术后行CT灌注扫描.计算肝血流量(HBF)、肝血容量(HBV)、平均通过时间(MTT)、毛细血管表面通透性(PS)、肝动脉灌注分数(HAF),并计算肝动脉灌注量(HAP)、门静脉灌注量(PVP).根据各灌注参数值评价肝癌TACE前后血流动力学改变.结果 TACE术后,HBF、HBV和HAP[(167.89±96.06)ml/(100 g·min),(14.95±15.13)ml/100 g,(97.71±68.18)ml/(100g·min)]较TACE术前[(250.59±129.56)ml/(100 g·min),(24.44±20.03)ml/100 g,(184.61±178.83)ml/(100 g·min)]减少(P0.05).结论 肝脏灌注参数可有效评价TACE前后肝癌组织的血流灌注改变,具有重要的临床应用价值.%Objective To study the multi-slice spiral CT (MSCT) perfusion imaging in evaluating the changes of blood supply of hepatocellular carcinoma( HCC ) before and after transcatheter hepatic arterial chemoembolization (TACE). Methods Before and after TACE, MSCT perfusion was performed in 17 patients with HCC. The perfusion indexes such as hepatic blood flow (HBF), hepatic blood volume(HBV),mean transit time (MTT),hepatic arterial fracture (HAF),permeability surface (PS), hepatic artery perfusion (HAP), portal venous perfusion (PVP) were calculated. The hemodynamic changes of HCC after TACE were evaluated according to perfusion parameters. Results After TACE, HBF,HBV and HAP found in MTT and PS before and after TACE (P > 0.05). Conclusion The parameters of MSCT perfusion imaging( HBF, HBV and HAP) can effectively evaluate the hemodynamic changes of HCC after TACE, and has important value in chnical application.

  10. Diagnostic study of multi-slice spiral CT 3D reconstruction and virtual endoscope technology on diagnosing ear temporal diseases%多层螺旋CT三维重建及仿真内镜技术对耳颞部疾病的诊断研究

    Institute of Scientific and Technical Information of China (English)

    张金玲; 李延皎; 陈鹏; 王海波; 李金平; 刘白鹭

    2012-01-01

    Objective To investigate the diagnostic value of multi-slice spiral CT (MSCT) 3D reconstruction and virtual endoscope technology on ear temporal diseases.Methods One hundred and forty patients suspected with ear temporal diseases were examined with MSCT,and all the scanned images were 3D reconstructed and processed by virtual endoscopy.Results In 140 patients,97 cases were detected with ear temporal disease,including 58 cases with acute and chronic otitis media,20 cases with artificially cochlear placement evaluation,2 cases with concha and middle ear malformations and 17 cases with temporal bone injury.MSCT 3D reconstruction and virtual endoscope technology could clearly show the location,scope and form of the lesions and structure relationships with nearby tissues.Conclusions MSCT 3D reconstruction and virtual endoscope technology have important value on diagnosing ear temporal diseases.%目的 探讨多层螺旋CT (MSCT)三维重建及仿真内镜技术对耳颞部疾病的诊断价值.方法 对140例怀疑有耳颞部疾病患者行颞骨MSCT检查,对所有扫描图像进行三维重建及仿真内镜处理.结果 140例患者中97例检出耳颞部疾病,其中58例急、慢性中耳炎,20例人工耳蜗植入术前进行评价,2例外中耳部发育畸形,17例颞骨外伤.MSCT三维重建及仿真内镜技术能够清晰显示病变的位置、范围、形态及与周围组织结构的关系.结论 MSCT三维重建及仿真内镜技术对耳颞部疾病的诊断具有重要价值.

  11. MSCT多平面重组结合分型在十二指肠乳头旁憩室综合征的临床应用%Clinical application of multi-slice CT and multi-planar reconstruction in Lemmel’ s syndrome combined with its types

    Institute of Scientific and Technical Information of China (English)

    阚宏; 邓克学; 张朝强; 马友章; 田娜

    2014-01-01

    Objective To investigate the clinical application value of multi-slice CT (MSCT) and multi-planar reconstruction ( MPR) in Lemmel’ s syndrome combined with its types. Methods MSCT and MPR manifestations of 32 patients who were diagnosed as Lem-mel’ s syndrome by clinicians were retrospectively analysed. The anatomical relationship among nipples, diverticulitis and bile duct was analysed combined with endoscopic characteristic. Results There were 32 cases of Lemmel’ s syndrome, of which the central type was in 23 cases and peripheral type in 9 cases;in the 32 cases, biliary dilatation occurred in 30 cases, bile duct stones in 13 cases, acute and chronic cholecystitis in 8 cases, gallstones in 7 cases, gallbladder polyps in 2 cases, acute pancreatitis in 2 cases, and cholangiocarcinoma in 1 case. Conclusion MSCT and MPR can effectively display the anatomical relationship among nipple, diverticulitis and bile duct, and provide the basis for the etio-logical diagnosis and treatment in periampullary diverticula with pancreaticobiliary diseases.%目的:探讨MSCT多平面重组并结合分型在十二指肠乳头旁憩室综合征的临床应用价值。方法利用MPR回顾性分析32例临床确诊为十二指肠乳头旁憩室综合征的CT征象,观察憩室与乳头及胆、胰管的解剖关系,结合内镜治疗特点进行分型。结果32例乳头旁憩室综合征中中心型23例,周围型9例。32例中合并胆总管扩张30例,胆管结石13例,急慢性胆囊炎8例,胆囊结石7例,胆囊息肉2例,急性胰腺炎2例,胆管细胞癌1例。结论 MSCT多平面重组可有效显示乳头、憩室及胆、胰管的解剖关系,为合并的胆胰疾病提供病因诊断及治疗依据。

  12. [Computed tomography and cranial paleoanthropology].

    Science.gov (United States)

    Cabanis, Emmanuel Alain; Badawi-Fayad, Jackie; Iba-Zizen, Marie-Thérèse; Istoc, Adrian; de Lumley, Henry; de Lumley, Marie-Antoinette; Coppens, Yves

    2007-06-01

    Since its invention in 1972, computed tomography (C.T.) has significantly evolved. With the advent of multi-slice detectors (500 times more sensitive than conventional radiography) and high-powered computer programs, medical applications have also improved. CT is now contributing to paleoanthropological research. Its non-destructive nature is the biggest advantage for studying fossil skulls. The second advantage is the possibility of image analysis, storage, and transmission. Potential disadvantages include the possible loss of files and the need to keep up with rapid technological advances. Our experience since the late 1970s, and a recent PhD thesis, led us to describe routine applications of this method. The main contributions of CT to cranial paleoanthropology are five-fold: --Numerical anatomy with rapid acquisition and high spatial resolution (helicoidal and multidetector CT) offering digital storage and stereolithography (3D printing). --Numerical biometry (2D and 3D) can be used to create "normograms" such as the 3D craniofacial reference model used in maxillofacial surgery. --Numerical analysis offers thorough characterization of the specimen and its state of conservation and/or restoration. --From "surrealism" to virtual imaging, anatomical structures can be reconstructed, providing access to hidden or dangerous zones. --The time dimension (4D imaging) confers movement and the possibility for endoscopic simulation and internal navigation (see Iconography). New technical developments will focus on data processing and networking. It remains our duty to deal respectfully with human fossils.

  13. COMPUTING

    CERN Document Server

    I. Fisk

    2010-01-01

    Introduction It has been a very active quarter in Computing with interesting progress in all areas. The activity level at the computing facilities, driven by both organised processing from data operations and user analysis, has been steadily increasing. The large-scale production of simulated events that has been progressing throughout the fall is wrapping-up and reprocessing with pile-up will continue. A large reprocessing of all the proton-proton data has just been released and another will follow shortly. The number of analysis jobs by users each day, that was already hitting the computing model expectations at the time of ICHEP, is now 33% higher. We are expecting a busy holiday break to ensure samples are ready in time for the winter conferences. Heavy Ion An activity that is still in progress is computing for the heavy-ion program. The heavy-ion events are collected without zero suppression, so the event size is much large at roughly 11 MB per event of RAW. The central collisions are more complex and...

  14. COMPUTING

    CERN Multimedia

    M. Kasemann P. McBride Edited by M-C. Sawley with contributions from: P. Kreuzer D. Bonacorsi S. Belforte F. Wuerthwein L. Bauerdick K. Lassila-Perini M-C. Sawley

    Introduction More than seventy CMS collaborators attended the Computing and Offline Workshop in San Diego, California, April 20-24th to discuss the state of readiness of software and computing for collisions. Focus and priority were given to preparations for data taking and providing room for ample dialog between groups involved in Commissioning, Data Operations, Analysis and MC Production. Throughout the workshop, aspects of software, operating procedures and issues addressing all parts of the computing model were discussed. Plans for the CMS participation in STEP’09, the combined scale testing for all four experiments due in June 2009, were refined. The article in CMS Times by Frank Wuerthwein gave a good recap of the highly collaborative atmosphere of the workshop. Many thanks to UCSD and to the organizers for taking care of this workshop, which resulted in a long list of action items and was definitely a success. A considerable amount of effort and care is invested in the estimate of the comput...

  15. The analysis of gastric function using computational techniques

    CERN Document Server

    Young, P

    2002-01-01

    The work presented in this thesis was carried out at the Magnetic Resonance Centre, Department of Physics and Astronomy, University of Nottingham, between October 1996 and June 2000. This thesis describes the application of computerised techniques to the analysis of gastric function, in relation to Magnetic Resonance Imaging data. The implementation of a computer program enabling the measurement of motility in the lower stomach is described in Chapter 6. This method allowed the dimensional reduction of multi-slice image data sets into a 'Motility Plot', from which the motility parameters - the frequency, velocity and depth of contractions - could be measured. The technique was found to be simple, accurate and involved substantial time savings, when compared to manual analysis. The program was subsequently used in the measurement of motility in three separate studies, described in Chapter 7. In Study 1, four different meal types of varying viscosity and nutrient value were consumed by 12 volunteers. The aim of...

  16. COMPUTING

    CERN Multimedia

    I. Fisk

    2011-01-01

    Introduction It has been a very active quarter in Computing with interesting progress in all areas. The activity level at the computing facilities, driven by both organised processing from data operations and user analysis, has been steadily increasing. The large-scale production of simulated events that has been progressing throughout the fall is wrapping-up and reprocessing with pile-up will continue. A large reprocessing of all the proton-proton data has just been released and another will follow shortly. The number of analysis jobs by users each day, that was already hitting the computing model expectations at the time of ICHEP, is now 33% higher. We are expecting a busy holiday break to ensure samples are ready in time for the winter conferences. Heavy Ion The Tier 0 infrastructure was able to repack and promptly reconstruct heavy-ion collision data. Two copies were made of the data at CERN using a large CASTOR disk pool, and the core physics sample was replicated ...

  17. COMPUTING

    CERN Multimedia

    M. Kasemann

    Introduction More than seventy CMS collaborators attended the Computing and Offline Workshop in San Diego, California, April 20-24th to discuss the state of readiness of software and computing for collisions. Focus and priority were given to preparations for data taking and providing room for ample dialog between groups involved in Commissioning, Data Operations, Analysis and MC Production. Throughout the workshop, aspects of software, operating procedures and issues addressing all parts of the computing model were discussed. Plans for the CMS participation in STEP’09, the combined scale testing for all four experiments due in June 2009, were refined. The article in CMS Times by Frank Wuerthwein gave a good recap of the highly collaborative atmosphere of the workshop. Many thanks to UCSD and to the organizers for taking care of this workshop, which resulted in a long list of action items and was definitely a success. A considerable amount of effort and care is invested in the estimate of the co...

  18. COMPUTING

    CERN Multimedia

    I. Fisk

    2012-01-01

    Introduction Computing continued with a high level of activity over the winter in preparation for conferences and the start of the 2012 run. 2012 brings new challenges with a new energy, more complex events, and the need to make the best use of the available time before the Long Shutdown. We expect to be resource constrained on all tiers of the computing system in 2012 and are working to ensure the high-priority goals of CMS are not impacted. Heavy ions After a successful 2011 heavy-ion run, the programme is moving to analysis. During the run, the CAF resources were well used for prompt analysis. Since then in 2012 on average 200 job slots have been used continuously at Vanderbilt for analysis workflows. Operations Office As of 2012, the Computing Project emphasis has moved from commissioning to operation of the various systems. This is reflected in the new organisation structure where the Facilities and Data Operations tasks have been merged into a common Operations Office, which now covers everything ...

  19. COMPUTING

    CERN Multimedia

    M. Kasemann

    Introduction During the past six months, Computing participated in the STEP09 exercise, had a major involvement in the October exercise and has been working with CMS sites on improving open issues relevant for data taking. At the same time operations for MC production, real data reconstruction and re-reconstructions and data transfers at large scales were performed. STEP09 was successfully conducted in June as a joint exercise with ATLAS and the other experiments. It gave good indication about the readiness of the WLCG infrastructure with the two major LHC experiments stressing the reading, writing and processing of physics data. The October Exercise, in contrast, was conducted as an all-CMS exercise, where Physics, Computing and Offline worked on a common plan to exercise all steps to efficiently access and analyze data. As one of the major results, the CMS Tier-2s demonstrated to be fully capable for performing data analysis. In recent weeks, efforts were devoted to CMS Computing readiness. All th...

  20. COMPUTING

    CERN Multimedia

    P. McBride

    It has been a very active year for the computing project with strong contributions from members of the global community. The project has focused on site preparation and Monte Carlo production. The operations group has begun processing data from P5 as part of the global data commissioning. Improvements in transfer rates and site availability have been seen as computing sites across the globe prepare for large scale production and analysis as part of CSA07. Preparations for the upcoming Computing Software and Analysis Challenge CSA07 are progressing. Ian Fisk and Neil Geddes have been appointed as coordinators for the challenge. CSA07 will include production tests of the Tier-0 production system, reprocessing at the Tier-1 sites and Monte Carlo production at the Tier-2 sites. At the same time there will be a large analysis exercise at the Tier-2 centres. Pre-production simulation of the Monte Carlo events for the challenge is beginning. Scale tests of the Tier-0 will begin in mid-July and the challenge it...

  1. COMPUTING

    CERN Multimedia

    I. Fisk

    2010-01-01

    Introduction The first data taking period of November produced a first scientific paper, and this is a very satisfactory step for Computing. It also gave the invaluable opportunity to learn and debrief from this first, intense period, and make the necessary adaptations. The alarm procedures between different groups (DAQ, Physics, T0 processing, Alignment/calibration, T1 and T2 communications) have been reinforced. A major effort has also been invested into remodeling and optimizing operator tasks in all activities in Computing, in parallel with the recruitment of new Cat A operators. The teams are being completed and by mid year the new tasks will have been assigned. CRB (Computing Resource Board) The Board met twice since last CMS week. In December it reviewed the experience of the November data-taking period and could measure the positive improvements made for the site readiness. It also reviewed the policy under which Tier-2 are associated with Physics Groups. Such associations are decided twice per ye...

  2. COMPUTING

    CERN Multimedia

    M. Kasemann

    CCRC’08 challenges and CSA08 During the February campaign of the Common Computing readiness challenges (CCRC’08), the CMS computing team had achieved very good results. The link between the detector site and the Tier0 was tested by gradually increasing the number of parallel transfer streams well beyond the target. Tests covered the global robustness at the Tier0, processing a massive number of very large files and with a high writing speed to tapes.  Other tests covered the links between the different Tiers of the distributed infrastructure and the pre-staging and reprocessing capacity of the Tier1’s: response time, data transfer rate and success rate for Tape to Buffer staging of files kept exclusively on Tape were measured. In all cases, coordination with the sites was efficient and no serious problem was found. These successful preparations prepared the ground for the second phase of the CCRC’08 campaign, in May. The Computing Software and Analysis challen...

  3. Correlation of radiation dose and heart rate in dual-source computed tomography coronary angiography

    Energy Technology Data Exchange (ETDEWEB)

    Laspas, Fotios; Roussakis, Arkadios; Kritikos, Nikolaos; Efthimiadou, Roxani; Kehagias, Dimitrios; Andreou, John (CT and MRI Dept., Hygeia Hospital, Athens (Greece)), e-mail: fotisdimi@yahoo.gr; Tsantioti, Dimitra (Statistician, Hygeia Hospital, Athens (Greece))

    2011-04-15

    Background: Computed tomography coronary angiography (CTCA) has been widely used since the introduction of 64-slice scanners and dual-source CT technology, but the relatively high radiation dose remains a major concern. Purpose: To evaluate the relationship between radiation exposure and heart rate (HR), in dual-source CTCA. Material and Methods: Data from 218 CTCA examinations, performed with a dual-source 64-slices scanner, were statistically evaluated. Effective radiation dose, expressed in mSv, was calculated as the product of the dose-length product (DLP) times a conversion coefficient for the chest (mSv = DLPx0.017). Heart rate range and mean heart rate, expressed in beats per minute (bpm) of each individual during CTCA, were also provided by the system. Statistical analysis of effective dose and heart rate data was performed by using Pearson correlation coefficient and two-sample t-test. Results: Mean HR and effective dose were found to have a borderline positive relationship. Individuals with a mean HR >65 bpm observed to receive a statistically significant higher effective dose as compared to those with a mean HR =65 bpm. Moreover, a strong correlation between effective dose and variability of HR of more than 20 bpm was observed. Conclusion: Dual-source CT scanners are considered to have the capability to provide diagnostic examinations even with high HR and arrhythmias. However, it is desirable to keep the mean heart rate below 65 bpm and heart rate fluctuation less than 20 bpm in order to reduce the radiation exposure

  4. COMPUTING

    CERN Multimedia

    I. Fisk

    2013-01-01

    Computing operation has been lower as the Run 1 samples are completing and smaller samples for upgrades and preparations are ramping up. Much of the computing activity is focusing on preparations for Run 2 and improvements in data access and flexibility of using resources. Operations Office Data processing was slow in the second half of 2013 with only the legacy re-reconstruction pass of 2011 data being processed at the sites.   Figure 1: MC production and processing was more in demand with a peak of over 750 Million GEN-SIM events in a single month.   Figure 2: The transfer system worked reliably and efficiently and transferred on average close to 520 TB per week with peaks at close to 1.2 PB.   Figure 3: The volume of data moved between CMS sites in the last six months   The tape utilisation was a focus for the operation teams with frequent deletion campaigns from deprecated 7 TeV MC GEN-SIM samples to INVALID datasets, which could be cleaned up...

  5. COMPUTING

    CERN Document Server

    I. Fisk

    2012-01-01

      Introduction Computing activity has been running at a sustained, high rate as we collect data at high luminosity, process simulation, and begin to process the parked data. The system is functional, though a number of improvements are planned during LS1. Many of the changes will impact users, we hope only in positive ways. We are trying to improve the distributed analysis tools as well as the ability to access more data samples more transparently.  Operations Office Figure 2: Number of events per month, for 2012 Since the June CMS Week, Computing Operations teams successfully completed data re-reconstruction passes and finished the CMSSW_53X MC campaign with over three billion events available in AOD format. Recorded data was successfully processed in parallel, exceeding 1.2 billion raw physics events per month for the first time in October 2012 due to the increase in data-parking rate. In parallel, large efforts were dedicated to WMAgent development and integrati...

  6. COMPUTING

    CERN Multimedia

    Matthias Kasemann

    Overview The main focus during the summer was to handle data coming from the detector and to perform Monte Carlo production. The lessons learned during the CCRC and CSA08 challenges in May were addressed by dedicated PADA campaigns lead by the Integration team. Big improvements were achieved in the stability and reliability of the CMS Tier1 and Tier2 centres by regular and systematic follow-up of faults and errors with the help of the Savannah bug tracking system. In preparation for data taking the roles of a Computing Run Coordinator and regular computing shifts monitoring the services and infrastructure as well as interfacing to the data operations tasks are being defined. The shift plan until the end of 2008 is being put together. User support worked on documentation and organized several training sessions. The ECoM task force delivered the report on “Use Cases for Start-up of pp Data-Taking” with recommendations and a set of tests to be performed for trigger rates much higher than the ...

  7. COMPUTING

    CERN Multimedia

    M. Kasemann

    Introduction A large fraction of the effort was focused during the last period into the preparation and monitoring of the February tests of Common VO Computing Readiness Challenge 08. CCRC08 is being run by the WLCG collaboration in two phases, between the centres and all experiments. The February test is dedicated to functionality tests, while the May challenge will consist of running at all centres and with full workflows. For this first period, a number of functionality checks of the computing power, data repositories and archives as well as network links are planned. This will help assess the reliability of the systems under a variety of loads, and identifying possible bottlenecks. Many tests are scheduled together with other VOs, allowing the full scale stress test. The data rates (writing, accessing and transfer¬ring) are being checked under a variety of loads and operating conditions, as well as the reliability and transfer rates of the links between Tier-0 and Tier-1s. In addition, the capa...

  8. COMPUTING

    CERN Multimedia

    Contributions from I. Fisk

    2012-01-01

    Introduction The start of the 2012 run has been busy for Computing. We have reconstructed, archived, and served a larger sample of new data than in 2011, and we are in the process of producing an even larger new sample of simulations at 8 TeV. The running conditions and system performance are largely what was anticipated in the plan, thanks to the hard work and preparation of many people. Heavy ions Heavy Ions has been actively analysing data and preparing for conferences.  Operations Office Figure 6: Transfers from all sites in the last 90 days For ICHEP and the Upgrade efforts, we needed to produce and process record amounts of MC samples while supporting the very successful data-taking. This was a large burden, especially on the team members. Nevertheless the last three months were very successful and the total output was phenomenal, thanks to our dedicated site admins who keep the sites operational and the computing project members who spend countless hours nursing the...

  9. COMPUTING

    CERN Multimedia

    P. MacBride

    The Computing Software and Analysis Challenge CSA07 has been the main focus of the Computing Project for the past few months. Activities began over the summer with the preparation of the Monte Carlo data sets for the challenge and tests of the new production system at the Tier-0 at CERN. The pre-challenge Monte Carlo production was done in several steps: physics generation, detector simulation, digitization, conversion to RAW format and the samples were run through the High Level Trigger (HLT). The data was then merged into three "Soups": Chowder (ALPGEN), Stew (Filtered Pythia) and Gumbo (Pythia). The challenge officially started when the first Chowder events were reconstructed on the Tier-0 on October 3rd. The data operations teams were very busy during the the challenge period. The MC production teams continued with signal production and processing while the Tier-0 and Tier-1 teams worked on splitting the Soups into Primary Data Sets (PDS), reconstruction and skimming. The storage sys...

  10. COMPUTING

    CERN Multimedia

    2010-01-01

    Introduction Just two months after the “LHC First Physics” event of 30th March, the analysis of the O(200) million 7 TeV collision events in CMS accumulated during the first 60 days is well under way. The consistency of the CMS computing model has been confirmed during these first weeks of data taking. This model is based on a hierarchy of use-cases deployed between the different tiers and, in particular, the distribution of RECO data to T1s, who then serve data on request to T2s, along a topology known as “fat tree”. Indeed, during this period this model was further extended by almost full “mesh” commissioning, meaning that RECO data were shipped to T2s whenever possible, enabling additional physics analyses compared with the “fat tree” model. Computing activities at the CMS Analysis Facility (CAF) have been marked by a good time response for a load almost evenly shared between ALCA (Alignment and Calibration tasks - highest p...

  11. COMPUTING

    CERN Multimedia

    I. Fisk

    2011-01-01

    Introduction The Computing Team successfully completed the storage, initial processing, and distribution for analysis of proton-proton data in 2011. There are still a variety of activities ongoing to support winter conference activities and preparations for 2012. Heavy ions The heavy-ion run for 2011 started in early November and has already demonstrated good machine performance and success of some of the more advanced workflows planned for 2011. Data collection will continue until early December. Facilities and Infrastructure Operations Operational and deployment support for WMAgent and WorkQueue+Request Manager components, routinely used in production by Data Operations, are provided. The GlideInWMS and components installation are now deployed at CERN, which is added to the GlideInWMS factory placed in the US. There has been new operational collaboration between the CERN team and the UCSD GlideIn factory operators, covering each others time zones by monitoring/debugging pilot jobs sent from the facto...

  12. Left coronary to right ventricle fistula in a child: management strategy based on cardiac-gated 64-slice CT

    Energy Technology Data Exchange (ETDEWEB)

    Marini, Davide; Agnoletti, Gabriella; Bonnet, Damien [University Rene Descartes-Paris V, Department of Paediatric Cardiology, Hopital Necker-Enfants Malades, AP-HP, Paris (France); Brunelle, Francis; Ou, Phalla [University Rene Descartes-Paris V, Department of Paediatric Radiology, Hopital Necker-Enfants Malades, AP-HP, Paris (France)

    2008-03-15

    Congenital coronary fistulae are a diagnostic challenge. A prerequisite for best management is accurate anatomical evaluation, traditionally provided by invasive catheter angiography. Multislice CT (MSCT) is an emerging noninvasive technique for coronary artery evaluation. We present a 3-year-old boy and highlight the clinical usefulness of new-generation MSCT to study coronary artery fistulae in children. Multiplanar and 3-D reconstruction offer invaluable information to plan the best therapeutic strategy in this setting. We provide evidence for the expanding clinical role of MSCT for coronary artery imaging in children. (orig.)

  13. COMPUTING

    CERN Multimedia

    M. Kasemann

    CMS relies on a well functioning, distributed computing infrastructure. The Site Availability Monitoring (SAM) and the Job Robot submission have been very instrumental for site commissioning in order to increase availability of more sites such that they are available to participate in CSA07 and are ready to be used for analysis. The commissioning process has been further developed, including "lessons learned" documentation via the CMS twiki. Recently the visualization, presentation and summarizing of SAM tests for sites has been redesigned, it is now developed by the central ARDA project of WLCG. Work to test the new gLite Workload Management System was performed; a 4 times increase in throughput with respect to LCG Resource Broker is observed. CMS has designed and launched a new-generation traffic load generator called "LoadTest" to commission and to keep exercised all data transfer routes in the CMS PhE-DEx topology. Since mid-February, a transfer volume of about 12 P...

  14. 多层螺旋 CT 小肠造影在诊断肠结核与克罗恩病中的价值研究%Diagnostic value of multi-slice CT enterography in Crohn’s disease and intestinal tuberculosis

    Institute of Scientific and Technical Information of China (English)

    徐莹; 余晨; 陈业媛; 肖香佐; 龚洪翰

    2015-01-01

    Objective To investigate the application value of multi-slice CT enterography (MSCTE)in diagnosing intestinal tuberculosis (ITB)and Crohn’s disease (CD).Methods MSCTE findings were retrospectively analyzed in 25 patients with ITB and in other 25 patients with CD diagnosed through endoscopy,pathologic examination and clinical follow-up.Statistical analysis was performed to find out the difference in CT findings between the ITB and CD.Results 25 patients with CD included the involved ileum in 23,involved duode-num and jejunum in 8,multiple segmental lesions in 20,asymmetrically thickened intestinal wall in 20,hierarchical reinforcement in 1 9,mesenteric vascular hyperplasia in 20,fibrofatty hyperplasia in 18,peritoneal abscess or fistula in 8,anal fistula in 1,and pseu-do-diverticulum formation in the intestinal wall on the opposite side of the mesentery in 2.Meanwhile,the other 25 patients with ITB included the involved terminal ileum in 25,symmetrically thickened intestinal wall in 23,annular enhancement of lymph nodes in 11,thickened peritoneum and omentum together with distinct enhancement,or intestinal adhesion,or ascites appeared in 15.The CD was more likely to represent multiple segmental lesions,asymmetrically thickened intestinal wall,hierarchical reinforcement,mesenteric vascular hyperplasia,fibrofatty hyperplasia,and peritoneal abscess or fistula formation (P <0.05).Meanwhile,the ITB was more likely to represent the lesion only in ileum,symmetrically thickened intestinal wall,and annular enhancement of lymph nodes (P <0.05).Conclusion MSCTE shows promising clinical application in diagnosis and differential diagnosis of CD and ITB.%目的:探讨多层螺旋 CT 小肠造影(MSCTE)在肠结核(ITB)、克罗恩病(CD)诊断中的应用价值。方法回顾性分析经内镜、病理或临床随访证实的 ITB、CD 各25例的 MSCTE 影像表现,并对两者间的差异进行统计学分析。结果25例 CD 中,病变累及回肠23

  15. The clinical value of transthoracic echocardiography and Multi-slice spiral CT for evaluation of fistula diameter in patients with coronary artery fistula%经胸超声心动图及多层螺旋CT对诊断冠状动脉瘘患者的临床价值

    Institute of Scientific and Technical Information of China (English)

    李晓明; 牛宝荣; 吴山; 杨娅; 张纯

    2015-01-01

    目的:以血管造影为“金标准”,评价经胸超声心动图( transthoracic echocardiography,TTE)和多层螺旋CT( multi-slice spiral CT,MSCT)筛查冠状动脉瘘及估算瘘口直径的能力,并分析其各自的影响因素。方法回顾性分析北京安贞医院接受封堵术治疗并经血管造影确诊为冠状动脉瘘的患者,所有患者均于术前1个月内接受TTE及MSCT辅助检查。结果以血管造影结果为金标准,MSCT及TTE对冠状动脉瘘患者的明确诊断准确度为96.7%及90.0%。针对瘘口直径的测定,血管造影对瘘口直径的平均测定值为(8.70±3.50)mm,MSCT及TTE的平均估算值分别为(8.86±3.71)mm及(7.50±5.90)mm,经配对t检验,P值均>0.05。但MSCT估测值较TTE的估算值与血管造影结果的相关性更好( r值分别为0.913及0.778,P值均10.5mm时,TTE高估瘘口直径;MSCT估测结果则与血管造影间的吻合性良好。结论 TTE和MSCT对冠状动脉瘘患者的筛查准确度均较高。但是,对于瘘口直径的判断,MSCT的稳定性较TTE更佳,其术前应用可以进一步提高诊断的准确性。%Objective Angiography as a reference to evaluate the clinical value of transthoracic echocardiography ( TTE) and multi – slice apiral CT ( MSCT) for evaluation of fistula diameters in patients with coronary artery fis-tula( CAF) ,and to investigate their influencing factors. Method Thirty consecutive patients who had coronary artery fistula were revealed by angiography through the interventional operation in Anzhen Hospital. Result Accuracy of MSCT and TTE for diagnosis of CAF are 96. 7% and 90. 0% ,with angiography as reference. For CAF patients, di-ameter of fistula determined by MSCT ,TTE and Angiography were (8. 86 ± 3. 71) mm,(7. 50 ± 5. 90) mm and (8. 70 ± 3. 50)mm (all P>0. 05). But, fistula diameter revealed by MSCT was better related with angiography re-sult than that revealed by TTE (r=0. 913 and 0. 778,P<0. 001). And through Bland-Altman analyze

  16. Multi-slice Spiral CT in Cochlear Implantation on Clinical Significance of Display Cochlear Inner Electrode%多排螺旋CT在人工耳蜗植入术后对蜗内电极显示的临床意义

    Institute of Scientific and Technical Information of China (English)

    周万勇; 马玉; 巩武贤

    2013-01-01

    目的 探讨多排螺旋CT (MSCT)在人工耳蜗植入术后对蜗内电极显示的应用价值及临床意义.方法 对28例已行人工耳蜗植入术的患者做MSCT横断扫描,MPR重组及容积再现技术(VRT)重建,扫描参数为120kv,80mas,0.6mm准直器宽度,重建图像厚度0.6mm,间隔0.1mm,骨算法重建,对特殊患者行VRT三维重建.结果 25例显示植入电极在耳蜗内呈点状高密度影,VRT图像显示电极在耳蜗内呈自然螺旋状,无扭曲、滑脱与耳蜗走形一致,其中23例患者,耳蜗内显示植入电极12对,2例显示11对.2例植入失败,其中1例并发中耳炎,电极脱落仅于耳蜗底转,1例电极位于耳蜗外.内耳畸形成功植入1例,VRT图像显示植入耳蜗前段4-5电极.结论 MSCT扫描结合MPR及VRT重建对人工耳蜗植入术后植入电极在耳蜗内形态、位置、数目有准确、清晰、直观显示,对术后患者的康复评估有重要帮助.%Objective To investigate the multi-slice spiral CT in the cochlear implantation on application value display cochlear inner electrode and its clinical significance.Methods Patients with have cochlear implantation was performed in 28 cases of MSCT transverse scanning,MPR recombination and volume rendering technique (VRT) reconstruction,scanning parameters for 120kv,80mas,0.6mm collimation,reconstruction thickness 0.6mm,interval 0.1 mm,bone algorithm reconstruction,for special patients underwent VRT three-dimensional reconstruction.Results Of the 25 cases showed punctate hyperdense electrodes implanted in the cochlea,VRT image display electrode is natural spiral in the cochlea,no distortion,spondylolisthesis and cochlear out of shape,in which 23 cases,cochlear implanted electrodes to display 12,2 cases showed that 11 of the.2 cases of implant failure,of which 1 cases complicated by otitis media,electrode off only in the basal turn of the cochlea,1 cases located in the outer electrode.In 1 cases with inner ear malformation successful

  17. The correlation between periodontal diseases and carotid arteries atherosclerosis by three-dimensional reconstruction technique of multi-slice spiral CT in elderly people%三维CT成像评价老年人牙齿残缺与颈动脉粥样硬化的关系

    Institute of Scientific and Technical Information of China (English)

    王瑾; 刘海霞; 孙静华; 付英杰

    2013-01-01

    目的 探讨三维CT成像技术显示牙齿残缺的临床应用价值,并通过三维CT成像评价老年人牙齿残缺与颈动脉粥样硬化的关系. 方法 从年龄大于60岁的三维CT血管造影检查者中随机选择60例颈部动脉粥样硬化患者为病例组,颈部动脉正常者60例为对照组,采用多种图像后处理技术,分别观察两组牙齿残缺情况和颈部动脉情况. 结果 病例组患龋人数、缺齿人数、无牙颌人数均多于对照组(P<0.05).牙齿完整人数对照组(19例)高于病例组(7例),患龋者病组(7.3±3.0)颗高于对照组(6.0±2.1)颗,缺齿者均数病例组(45例)高于对照组(39例)(P<0.05);牙齿疾患与颈动脉粥样硬化疾病相关,三维CT成像技术观察颌骨牙齿情况,可以全面展示牙齿立体形态和内部结构,为牙周疾病提供有价值的资料. 结论 老年人龋齿、牙缺失与动脉粥样硬化密切相关.三维CT成像技术可为研究外周血管疾病与牙周疾病提供有价值的方法.%Objective To explore the possible correlation between periodontal disease and carotid arteries atherosclerosis in old people,and to study the diagnostic value for periodontal disease using three-dimensional (3D) reconstruction technique of multi-slice spiral CT (MSCT).Methods Patients underwent multi-detector row CT angiography with carotid arteries atherosclerosis (control group) and without carotid arteries atherosclerosis (case group) were evaluated with the stereoscopic configuration of teeth,and the number of decayed teeth and lost teeth were recorded.Results Bythe 3D reconstruction technique,the number of decayed teeth and lost teeth between two groups were significantly different (P<0.05).The number of dental integrity patients was higher in control group (19 cases) than in case group(7 cases).The mean of dental caries was higher in control group(7.3±3.0) than in case group(6.0±2.1).The mean of hypodontia was higher in control group(45 cases) than

  18. 多层螺旋CT及多维重建技术对隐匿性肋骨骨折的诊断价值探讨%Study of the multi-slice CT and for multi-dimensional reconstruction techniques the diagnosis of occult rib fracture

    Institute of Scientific and Technical Information of China (English)

    蔡洪涛

    2014-01-01

    目的:考察多层螺旋CT(MSCT)联合多维重建技术对隐匿性肋骨骨折的临床诊断价值,为该类疾病临床诊断提供参考。方法:以我院2012年7月至2014年2月间收治的73例隐匿性肋骨骨折患者为研究对象,使用MSCT联合VR、SSD、CRP等多种重建技术对患者进行检查,统计并分析影像学检查结果。结果:73例患者经MSCT检查确诊隐匿性肋骨骨折107处,骨折多发于肋骨角(59.81%)且以非完全线性骨折为主(91.59%)。所用多维重建技术的诊断精度依次为:CRP(100.0%)>MPR(97.19%)>SSD(85.89%)>VR(78.50%)>MIP(27.88%)。结论:MSCT联合多维重建技术对隐匿性肋骨骨折具有较为明确的诊断价值,MSCT与CRP/MPR及VR等联用可获得较为理想的诊断率。%Objective:To investigate the clinical value of the multi-slice CT and for multi-dimensional reconstruction techniques the diagnosis of occult rib fracture, to provide a reference for the diagnosis of occult rib fracture.Methods:73 cases patients with occult rib fracture which received treatment during 2012.07 to 2014. 02, were the objects for this study, used MSCT joint VR, SSD, CRP and other reconstruction techniques to detected the occult rib fracture of all the patients, and then the imaging results of the patients were analyzed. Results:The results of MSCT showed 107 occult rib fracture were detected for 73 cases patients, and about 59.81% occult rib fracture were occurred in the rib angle, and the non- fully linear fracture dominated 91.59%. The diagnostic accuracy of all the multi-dimensional reconstruction techniques used in this study were: CRP (100.0%)> MPR (97.19%)>SSD (85.89%)> VR (78.50%)> MIP (27.88%).Conclusions:The MSCT joint multi-dimensional reconstruction techniques has a speciifc diagnostic value for the occult rib fractures, MSCT combined with MSCT CRP / MPR and VR, etc. could received a ideal diagnostic accuracy.

  19. Correlation study of multi-slice spiral CT perfusion imaging in liver cirrhosis and portal morphology%肝硬化多层螺旋CT灌注成像及与门静脉形态学的相关研究

    Institute of Scientific and Technical Information of China (English)

    肖平; 娄明武; 谭理连; 李扬彬; 李泳; 高立; 林焕兴

    2009-01-01

    Objective To discuss correlation of hemodynamic changes and portal vein diameter with multi-slice spiral CT peffusion imaging in liver cirrhosis. Method 31 cases liver cirrhosis were enrolled in this study. The first porta hepatis were selected for target lay of CT perfusion scan. Liver perfusion parameters were obtained by color perfusion map method. Right to left diameter and occipitofrontal diame-ter of portal vein were measured. 30 cases of normal persons were used as control group. Result Hepatic arterial perfusion (HAP) in liver 0.05). Hepatic perfusion index (HPI) were (19.13±3.33)% and (20.61±8.56)%, which had no statistically significant difference with the other two groups (P>0.05). Conclusion Multi-spiral CT perfnsion imaging is an effectively noninvasive method to evaluate the hemodynamic changes of liver cirrhosis. Occipitofrontal diameter of portal vein with liver cirrhosis can reflect the state of liver hemodynamics.%目的 利用多层CT灌注成像探讨肝硬化血流灌注变化及与门静脉径线的相关性.方法 肝硬化31例,选取第一肝门层面作为CT灌注扫描靶层面,采用彩色灌注图法获得各肝脏灌注参数并对门静脉径线进行均值测量;30例正常人作对照组.结果 正常组与肝硬化组肝脏灌注参数分别为:肝动脉灌注量(HAP)(24.80±5.84)、(19.49±7.30)ml/(min·100ml),门静脉灌注量(PVP)(104.91±21.70)、(79.17±23.05)ml/(min·100ml),总肝灌注量(TLP)(129.90±25.19)、(98.67±22.74)ml/(min·100ml),2组比较,差异均有统计学意义(P0.05).肝硬化患者的TLP与门静脉前后径呈负相关(r=-0.46,P<0.05).结论 多层螺旋CT灌注成像是评价肝硬化血流灌注变化的一种有效的非创伤性的检查方法.肝硬化时门静脉前后径的变化反映其肝脏血流灌注状况.

  20. Clinical value of multi-slice spiral CT perfusion imaging in evaluation of the interventional therapy of lung cancer%多层螺旋CT灌注成像评价肺癌介入治疗效果的临床应用价值

    Institute of Scientific and Technical Information of China (English)

    殷好治; 梁付奎; 傅晓琴; 伦俊杰; 刘明标

    2012-01-01

    目的 研究多层螺旋CT灌注成像评价肺癌介入治疗效果的临床应用价值.方法 选择50例中晚期肺癌病人,介入治疗前及治疗后1个月行灌注扫描,对瘤体中心层面进行动态灌注扫描,计算血流量(BF)、血容量(BV)、平均通过时间(MTT)、毛细血管表面通透性(PS),比较介入治疗前后各项灌注参数的变化,3个月后行常规CT检查观察肿瘤大小有无变化.结果 35例肺癌介入治疗后,肿瘤BF、BV降低,MTT显著升高(差异有统计学意义,P<0.05),但PS 变化不明显(P>0.05),3个月后随访观察瘤体组织出现不同程度缩小;15例肺癌BF、BV、MTT、PS均无明显变化(P>0.05),3个月后随访观察瘤体显示不同程度增大或无明显变化.结论 MSCT灌注成像参数变化可早期判断和预测治疗肺癌介入治疗效果.%Objective To evaluate the clinical value of multi-slice spiral CT(MSCT) perfusion imaging in vealuation of the interventional therapy of lung cancer. Methods Fifty patients with advanced lung cander were involved in the study. All patients underwent MSCT perfusion scanning preoperatively and postoperatively in one month, which was focused on the central area of lesions. The pre- and post-operative factors including tissue blood flow(BF) , blood volume(BV) , mean transit time(MTT) and vascular permeability surface (PS) were compared. The volume changes of the lesions 3 months after the intervention were obtained by conventional CT scanning. Results After interventional therapy, the BF and BV in 35 patiens significantly reduced, while MTT rised(P0. 05) ,the volumes of lesions reduced after 3 months. In 15 patiens,BF,BV,MTT and PS showed no significant variation (P>0. 05) , the lesion's volume increased or had no significant changes after 3 months. Conclusion MSCT perfusion imaging can earlier evaluate the therapeutic effect on the intervention of advanced lung cancer.

  1. Application of Multi-slice Spiral CT Angiography in Diagnosis and Preoperative Evaluation of Abdominal Aortic Aneurysm%多层螺旋CT血管成像在腹主动脉瘤诊断及术前评估中的应用价值

    Institute of Scientific and Technical Information of China (English)

    刘继峰; 郭旺明

    2015-01-01

    Objective To explore the effectiveness of application of multi-slice spiral CT angiography (CTA) in diagnosis and preoperative evaluation of abdominal aortic aneurysm. Methods Altogether 82 patients conifrmed as abdominal aortic aneurysm by surgery or digital subtraction angiography (DSA) were chosen. CTA was performed to observe abdominal aorta and its branches. Multiplanar reconstruction, maximum intensity projection and volume rendering were used to reconstruct images. Then classiifcation was made, lesion sites and involved scope were located. Results Among 82 patients with abdominal aortic aneurysm, 76 cases were detected by CTA, 82 cases were detected by DSA, the difference was signiifcant (P>0.05). With evaluation by CTA, 8 cases wereⅠtype, 7 cases wereⅡA type, 9 cases wereⅡB type, 40 cases wereⅡC type, 12 cases wereⅢtype;10 cases were proximal kidney type, 66 cases were infrarenal type. Compared with DSA results, there was no statistically signiifcant difference (P>0.05). Conclusion CTA technique which could accurately evaluate the shape, site, and size of abdominal aortic aneurysm, had a high accuracy rate in diagnosis of abdominal aortic aneurysm. CTA technique could direct the selection of treatment methods and determine the surgical indications.%目的:探讨多层螺旋CT血管成像(CTA)在腹主动脉瘤诊断及术前评估中的应用价值。方法选择经手术或数字减影血管造影(DSA)证实的82例腹主动脉瘤患者作为研究对象。采用CTA技术对患者的腹主动脉及其分支进行扫描,应用多平面重建、最大密度投影、容积成像等技术对图像进行重建,并进行分型、病灶位置和累及范围等定位。结果82例腹主动脉瘤中,CTA检出76例,与DSA检查结果相比,差异无统计学意义(P>0.05)。CTA评估Ⅰ型8例、ⅡA型7例、ⅡB型9例、ⅡC型40例、Ⅲ型12例,近肾型10例,肾下型66例,与DSA检查结果相比,

  2. 多层螺旋CT多模式重组在复杂髋臼骨折术前检查中的应用%The preoperative application of multi slice CT with three-dimensional reconstruction in complex acetabular fractures

    Institute of Scientific and Technical Information of China (English)

    陈木养; 黄伟坚; 余洪希; 王东

    2016-01-01

    Objective To evaluate the value of volume scanning method, multiplanar reconstruction (MPR), surface shaded display (SSD), and volume reconstruction (VR) techniques in the preoperative examination of complex acetabular fractures. Methods Fifty-eight cases with ancetabular fractures were all accepted CT volume scanning , and MPR were done in all cases. In addition, case-control analysis were done with conventional acetabular CT imagings. Results Coronal plane of MPR, surface shaded display (SSD) combined with VR imaging, could display the acetabular fractures clearly, in accordance with the operations, and its diagnostic accuracy was significantly higher than conventional CT scan. The two sets of data had significances difference (P<0.05) in displaying fracture type, the length of the fracture lines, the shapes and direction of the fracture, the sizes of fracture pieces, the spatial location, the degree of fracture displacement and the joint dislocation classification. Conclusion Multi slice CT (MSCT) volume scanning, MPR, SSD and VR techniques have good display abilities of acetabular fractures , their performance are close to the pathological anatomy. They are considered to be the ideal imaging methods to know about the complex acetabular fractures and its microscopic structures.%目的:利用多层螺旋CT的容积扫描方法和多平面重建(MPR)、表面遮盖法(SSD)及容积再现(VR)技术,评价其在复杂性髋臼骨折术前检查中的应用价值。方法选取58例患者的损伤髋臼进行多层螺旋CT容积扫描,所得原始数据做数字化三维重组处理,并与常规髋臼CT平扫图像进行对照分析。结果 MPR冠状面、SSD重建结合VR成像,能清晰显示58例髋臼骨折情况,与手术相符,诊断正确率明显高于常规CT平扫。在显示骨折分型、骨折线的长短、形态、走向,骨折片大小、空间位置以及骨折移位程度和关节脱位分类征象方面,2组

  3. 前后交叉韧带及半月板损伤的MDCT与关节镜的对比研究%Comparative study between multi-slice spiral CT and knee arthroscopy in diagnosis of anterior and posterior cruciate ligament injury and meniscus injury

    Institute of Scientific and Technical Information of China (English)

    黄瑞庭; 刘玉涛; 张德佳; 杜中立; 张应鹏; 郭宗义; 黄海松

    2013-01-01

    目的 探讨多层螺旋CT在膝关节外伤中前后交叉韧带与半月板损伤的诊断价值.方法 回顾性分析45例经膝关节镜证实的前后交叉韧带和半月板损伤的多层螺旋CT直接征象和间接征象.结果 前后交叉韧带损伤的直接征象表现为韧带断裂、密度欠均匀,韧带附着点撕脱性骨折,间接征象表现为韧带肿胀,周围脂肪间隙模糊欠清;半月板损伤的MDCT直接征象是形态失常、密度不均匀及裂隙征,间接征象是膝关节滑膜增厚、关节囊关节腔内积液、损伤的半月板周围软组织肿胀等.45例患者中,MDCT显示前交叉韧带损伤14例(14/20),后交叉韧带损伤11例(11/15),内侧半月板损伤8个(8/12),外侧半月板损伤12个(12/20),交叉韧带与半月板同时损伤10例,韧带附着点及胫骨平台骨折18例.结论 多层螺旋CT在膝关节外伤中的前后交叉韧带及半月板的损伤有一定的诊断价值,可为缺少磁共振设备的基层医院提供一有用的检查方法.%Objective To evaluate the diagnotic value of multi-slice spiral CT(MDCT) in anterior and posterior cruciate ligament injury and meniscus injury. Methods Retrospective analysis of the CT direct signs and indirect signs in 45 cases diagnosed with anterior and posterior cruciate ligament injury and meniscus injury confirmed by knee arthroscopic was conducted. Results MDCT findings of the direct signs of the anterior and posterior cruciate ligament injury included the ligament rupture, less uniform density, ligament attachment points avulsion fracture. Indirect signs included ligament swelling, fuzzy around the fat space less clear; MDCT findings of the direct signs of the meniscus injury included morphological disorders, uneven density and broken sign. Indirect signs included thickening of the synovium, joint capsule effusion, soft tissue swelling of the injuryed meniscus. In 45 patients, MDCT showed the anterior cruciate ligament injury in 14 cases (14

  4. High-performance computing and networking as tools for accurate emission computed tomography reconstruction

    Energy Technology Data Exchange (ETDEWEB)

    Passeri, A. [Dipartimento di Fisiopatologia Clinica - Sezione di Medicina Nucleare, Universita` di Firenze (Italy); Formiconi, A.R. [Dipartimento di Fisiopatologia Clinica - Sezione di Medicina Nucleare, Universita` di Firenze (Italy); De Cristofaro, M.T.E.R. [Dipartimento di Fisiopatologia Clinica - Sezione di Medicina Nucleare, Universita` di Firenze (Italy); Pupi, A. [Dipartimento di Fisiopatologia Clinica - Sezione di Medicina Nucleare, Universita` di Firenze (Italy); Meldolesi, U. [Dipartimento di Fisiopatologia Clinica - Sezione di Medicina Nucleare, Universita` di Firenze (Italy)

    1997-04-01

    It is well known that the quantitative potential of emission computed tomography (ECT) relies on the ability to compensate for resolution, attenuation and scatter effects. Reconstruction algorithms which are able to take these effects into account are highly demanding in terms of computing resources. The reported work aimed to investigate the use of a parallel high-performance computing platform for ECT reconstruction taking into account an accurate model of the acquisition of single-photon emission tomographic (SPET) data. An iterative algorithm with an accurate model of the variable system response was ported on the MIMD (Multiple Instruction Multiple Data) parallel architecture of a 64-node Cray T3D massively parallel computer. The system was organized to make it easily accessible even from low-cost PC-based workstations through standard TCP/IP networking. A complete brain study of 30 (64 x 64) slices could be reconstructed from a set of 90 (64 x 64) projections with ten iterations of the conjugate gradients algorithm in 9 s, corresponding to an actual speed-up factor of 135. This work demonstrated the possibility of exploiting remote high-performance computing and networking resources from hospital sites by means of low-cost workstations using standard communication protocols without particular problems for routine use. The achievable speed-up factors allow the assessment of the clinical benefit of advanced reconstruction techniques which require a heavy computational burden for the compensation effects such as variable spatial resolution, scatter and attenuation. The possibility of using the same software on the same hardware platform with data acquired in different laboratories with various kinds of SPET instrumentation is appealing for software quality control and for the evaluation of the clinical impact of the reconstruction methods. (orig.). With 4 figs., 1 tab.

  5. NOTE: An algorithm for automatic determination of the respiratory phases in four-dimensional computed tomography

    Science.gov (United States)

    Kleshneva, T.; Muzik, J.; Alber, M.

    2006-08-01

    Recently, several techniques have been developed to improve the quality of computed tomography (CT) images of the thoracic and abdominal region that are degraded by the interference of the scanning process and respiration. Several devices for respiratory-correlated CT are available for clinical usage. They are based on the synchronization of the acquired CT image data with the respiratory motion using a signal from an external respiratory monitoring system. In this work, some practical aspects of clinical implementation of the multi-slice 4D CT scanner Somatom Sensation Open (Siemens Medical Solutions, Erlangen, Germany) equipped with a respiratory gating system (RGS) AZ-733V (Anzai Medical, Tokyo, Japan) are discussed. A new algorithm developed for automatic respiratory phase determination needed for the reconstruction of the 4D CT images is presented.

  6. 多层螺旋CT小肠造影在结肠受累克罗恩病患者诊断中的价值%The clinical value of multi-slice CT enterography in diagnosis of Crohn disease involving colon

    Institute of Scientific and Technical Information of China (English)

    丰萍璐; 程建美; 吴兴旺; 胡乃中

    2015-01-01

    Objective To analyze the clinical,endoscopic,histological and multi-slice CT enterography(MSCTE)characteristics of Crohn disease(CD),and to explore the value of MSCTE in the diagnosis of CD involving the colon. Methods Clinical,endoscopic,histo-logical and MSCTE data of 71 patients with CD attending in our hospital from January 2009 to September 2013 were analyzed,and the data of 28 patients with ITB as a control at the same period were studied. The parameters for diagnosis of CD were screened by logistic regression a-nalysis. Results The incidence rates of diarrhea,perianal disease and C-reaction protein elevated in CD were higher than those in intestinal tuberculosis(ITB);the occurrence rate of history of abenteric tuberculosis,and the positive rates of PPD and T-SPOT were lesser than those of ITB(P0. 05). The pathological analysis showed that non-caseous granulomas,fissure-like ulcers,crypt abscess and caseous granulomas between the two groups had no statistically significant difference (P>0. 05 ). The analysis of MSCTE imaging showed that mural stratification enhancement,thickening obviously of the membrane margin and comb sign occurred more frequently in CD than in ITB and that Lymph node calcification or central necrosis was more frequently found in ITB than in CD. The results of logistic regression anal-ysis showed that thickening obviously of the membrane margin(OR=5. 140,95%CI:1. 053~25. 087)was an independent predictor for the diagnosis of CD. Conclusion CD has clinical,colonoscopic and pathological characteristics,but the diagnostic value of these characteristics is limited,and the comprehensive judgment can not meet the demand of clinical diagnosis. Application of MSCTE is helpful to improve the level of diagnosis of CD.%目的:分析结肠受累克罗恩病(CD)的临床、内镜、病理及多层螺旋CT小肠造影(MSCTE)特征,探讨MSCTE在CD诊断中的临床价值。方法选择结肠受累CD住院患者71例,选取同期28

  7. 大小肠双充盈法多层螺旋CT肠道成像对炎症性肠病的诊断价值%Multi-slice CT Enterography with Double-iflling Method in Diagnosis of Inlfammatory Bowel Diseases

    Institute of Scientific and Technical Information of China (English)

    刘克昌; 项微微; 张胜兰; 项光涨; 殷焱; 杨国平

    2015-01-01

    Purpose To summarize the imaging features of inflammatory bowel diseases (IBD) with double-filling method using multi-slice CT enterography (MSCTE), and to evaluate the clinical significance of MSCTE in diagnosis of IBD. Materials and Methods MSCTE data with double-filling method of 52 patients with IBD were retrospectively analyzed. 52 IBD patients included 42 cases of Crohn's disease (CD) and 10 cases of ulcerative colitis (UC). Bowel dilatation and lesions display were evaluated. Results Among 52 patients, ileum dilated optimal in 10 cases (19.23%) and good in 42 cases (80.77%); jejunum dilated good in 21 cases (40.38%) and poor in 31cases (59.62%). Exhaustive evaluation for large bowel diseases were good in 50 cases (96.15%). The ileocecal junction displayed well in 52 cases (100.00%). Among the 42 cases of CD, 20 cases (47.62%) had lesions limited in the small intestine, 22 cases (52.38%) had lesions involved both small intestine and colon. Among 10 cases of UC, 9 cases had lesions limited in the colon, and 1 case with the terminal ileum and the colon involved simultaneously. The MSCTE findings of 52 patients included bowel wall thickening and abnormal enhancement in 52 cases, stenosis in 28 cases, increased mesenteric vascularity in 46 cases, enlarged mesenteric lymph nodes in 27 cases, phlegmon in 10 cases, incomplete intestinal obstruction in 4 cases, abscess or inflammatory masses in 7 cases, fistulas in 3 cases, perianal lesion in 12 cases, serous cavity effusion in 15 cases, sacroiliitis in 13 cases, the urinary and biliary stones in 18 cases, and hepatosplenomegaly in 9 cases. Conclusion MSCTE with double-filling method can delineate the wall lesions of small bowels and colons very well, and can also display extraintestinal lesions and complications. It obviously improves the accuracy of localization and qualitative diagnosis on IBD.%目的:总结炎症性肠病(IBD)在大小肠双充盈法多层螺旋CT(MSCT)肠道成像中的影像表现,

  8. Application of multi-slice CT in measurement of morphological parameters of waist muscle and its clinical significance%多排螺旋 CT 在腰部肌群形态学参数测量中的应用及其临床意义

    Institute of Scientific and Technical Information of China (English)

    付卫光; 刘硕; 丁军; 安俐莹

    2015-01-01

    -69 years old group,and 70-79 years old group were set up.The lumbar transverse psoas muscle,lumbar side muscle,erector spinae cross-sectional areas (CSA)and mean CT values were measured at different levels.Scanning equipment:Toshiba Activion 16-slice spiral CT scanners, acquisition range from the waist 1 to S1.Results ①Compared between the measurement results of the same age groups (except 70-79 years old group),the average CSA of the male at the same level waist was higher than the female (P 0.05).Compared between the same level groups of 50-59 years,60-69 years and 70-79 years,there was no significant difference (P >0.05).③Compared the CSA of man’s erector spinae muscle between 40-49 years group and 50-59 years group,there were significant differences (P 0.05).⑤The same level average density of erector spinae muscle was lowest compared with the psoas major muscle and quadratus lumborum muscle,and falling faster,the psoas major muscle was relatively higher.The same level average density of female’s erector spinae muscle was lower than man’s,specially in 70-79 years group.Conclusion Multi-slice spiral CT can be used to diagnose the lumbar degenerative conditions.

  9. The value of fast low-angle shot 2-dimensional sequence with sliding multi-slice technique in the detection of abdominal metastasis of rectal cancer%滑动多层技术的二维快速小角度激发成像序列在直肠癌腹部转移诊断中的应用价值

    Institute of Scientific and Technical Information of China (English)

    熊斌; Tobias Baumann; 冯敢生; Arnd-Oliver Schaefer; Mathias Langer

    2008-01-01

    目的 探讨采用滑动多层(SMS)技术的二维快速小角度激发成像(FLASH-2D)序列在直肠癌腹部转移灶诊断中的价值.方法 由2名放射科医师回顾性分析15例经手术病理证实的直肠癌患者资料,15例均接受SMS FLASH-2D MRI和多层螺旋CT(MSCT)检查(4例进行了2次检查).以SMS和MSCT及6个月内所有随诊检查的最终一致意见作为疾病诊断的参考标准.采用Kappa检验评价2种检查方法对于直肠癌肝转移、淋巴结转移和骨转移诊断的一致性和不同观察者对疾病诊断的一致性,并比较2种方法对各种转移病灶诊断的灵敏度.结果 2名医师采用SMS技术都发现了60个病灶中的56个转移灶,灵敏度均为93.33%(56/60);采用MSCT均发现了50个病灶,灵敏度均为83.33%(50/60).对于肝转移灶的诊断,2名医师采用SMS诊断的灵敏度分别为97.44%(38/39)和100%(39/39);采用MSCT诊断的灵敏度均为100%(39/39).对于淋巴结转移的诊断,SMS诊断的灵敏度为85.71%(12/14)和71.43%(10/14);MSCT分别为78.57%(11/14)和71.43%(10/14).对骨转移灶的诊断,SMS的灵敏度分别为85.71%(6/7)和100%(7/7);MSCT分别为0(0/7)和14.29%(1/7).结论 SMS FLASH-2D序列在对直肠癌肝转移和淋巴结转移诊断上有和MSCT相同的能力,对于骨转移灶的诊断则明显较MSCT敏感.%Objective To evaluate the potential of a sliding multi-slice (SMS)fast low-angbe shot 2-dimensional (FLASH-2D) sequence for abdominal lesion detection in patients with rectal cancer.Methods Nineteen paired SMS MRI( FLASH-2D sequnce) and MSCT examinations of the whole abdomen and pelvis in 15 patients (four of them were examined twice) with rectal cancer were retrospectively analyzed by two radiologists.While the lesion-based agreement between the two methods and the diagnostic agreement between two observers were tested by means of Kappa statistics,the sensitivities of SMS FLASH-2D and MSCT to detect liver metastases,lymph node metastases and bone

  10. 多层螺旋 CT 多平面重组在诊断先天感音神经性耳聋儿童内耳畸形中的应用%The diagnostic value of multiplanar reconstruction of multi-slice spiral CT in pediatric sensorineural hearing loss children induced by inner ear malformation

    Institute of Scientific and Technical Information of China (English)

    胡辉军; 李国照; 王东烨; 张翔; 沈君

    2015-01-01

    Objective To investigate the diagnostic value of multiplanar reconstruction (MPR) of multi-slice spiral CT (MSCT) in inner ear malformation of children. Methods Retrospective analysis of 223 children in Sun Yat-Sen Memorial Hospital suspected sensorineural hearing loss (SNHL) clinically was performed between September 2010 and March 2014. All the patients received MSCT scan and 68 patients of inner ear malformation were detected. Deformed bony labyrinths of 68 patients and two cases of normal inner ear were reconstructed with the method of MPR on basis of raw data of MSCT images by one radiologist. In 68 patients of inner ear malformation, there were 33 males and 35 females (aged from 9 days to 16 years). Two senior radiologists evaluated the MSCT manifestations of 68 patients and than statistics analysis of classification for inner ear malformation were performed. Results Sixty-eight patients (5 patients with single ear malformation, 63 patients with bilateral ear malformation, 131 ears in total) with SNHL were clearly shown by MPR images. There were 33 ears of cochlear malformation, 39 ears of vestibular malformation, 42 ears of semicircular canal malformation, 18 ears of internal auditory canal malformation and 86 ears of vestibular aqueduct malformation. In 68 patients (131 ears), single constructive malformation was detected in 8 ears (6. 1% ), two or more kinds of combined malformations were detected in 123 ears (93. 9% ). Conclusions Most of these patients suffered from two or more kinds of combined malformations. MPR images can display the structures of cochlear, vestibule, semicircular canal, internal auditory canal and vestibular aqueduct. The application of this kind of post-processing technology is expected to improve the detection rate of inner ear malformation, especially the various structural malformations, which is conducive to the treatment decisions making and surgical planning.%目的:探讨多层螺旋 CT(MSCT)多平面重组(MPR)技术在

  11. 多层螺旋CT门静脉血管成像在胰源性门脉高压症诊断中的应用%The application of multi-slice spiral CT portography in pancreatic portal hypertension disease

    Institute of Scientific and Technical Information of China (English)

    靳勇; 林晓珠; 吴云林; 朱晖; 吴志远; 瞿晴; 徐学勤; 陈克敏

    2008-01-01

    Objective To study the application of multi-slice spiral CT(MSCT) portography in diagnonsis of pancreatic portal hypertension. Methods Forty-seven patients with lesion in body or tail of pancrease,47 normal subjects and 126 patients with portal hypertension underwent MSCT portography with LightSpeed 16 CT scanner. The inner diameter of portal system and the main collateral veins were measured in maximun intensity projection (MIP) image. The volume of liver and spleen were also measured in volume rendering (VR) image. The liver parenchyma and main portal vein enhancement in portal vein phase were also taken. The endoscopy examination was made in 57 patiens with portal hypertension. Results In 47 patiens with lesion in body or tail of pancreas , stenosis or occlusion of spleen vein were found in 38 patients(pancreatic portal hypertension in 27 patients, chronic and acute pancreatitis in 11 patients). In 38 patients with pancreatic portal hypertension, esophageal varices was found in 5 patients(13.2%), gastric fundus varix in 25 patients (65.8%), gastric body variees in 22 patients (57.9%), short-gastric vein/post-gastric vein(SGV/PGV) in 26 patients (68.4%), coronal gastric vein in 26 patients (68.4%),dilated gasto-omenta vein in 24 patients(63.2%), mesenterica varicesin 1 patient, splenic vein occlusion in 14 patients (36.8%), splenic vein stenosis in 23 patinets(63.2%). Conclusions The patients with pancreatic portal hypertension were demonstrate characteristic changes in MSCT portography. The MSCT portography is helpful in etiological diagnosis of pancreatic portal hypertension by supplying images in vessel morphology.%目的 研究多层螺旋CT门静脉血管成像在胰源性门静脉高压患者诊断中的应用.方法 应用16排多层螺旋CT门静脉血管成像,对47例临床怀疑胰腺体尾部病变的患者的门静脉系统形态改变与126例肝源性门脉高压患者和47例正常对照组进行形态学对比观察,并测量胃

  12. A study of the relationship between the portal vein thrombosis and clinical progression in portal hypertension on multi-slice CT portal venography%MSCT门静脉成像对门脉高压症中门静脉血栓形成与临床病情关系的研究

    Institute of Scientific and Technical Information of China (English)

    王克扬; 贺文; 赵丽琴

    2012-01-01

    目的:采用64排螺旋CT门静脉成像探讨肝硬化(LC)门脉高压症(PH)门静脉血栓(PVT)形成对临床病程进展的影响.方法:对183例LC患者行CT检查,其中并发PVT者109例,无血栓者74例,应用MIP、MPR、CPR方法多角度多层面显示门静脉系统血管结构和侧支循环,测量血栓范围和狭窄程度.分别比较PVT组和对照组之间、不同Child-Pugh(CP)分级亚组间的肝功能、凝血功能、门脉系统血管宽度、侧支循环、脾脏大小的差异,分析PVT组各影像特之间及其与肝功能的相关性.结果:PVT组与对照组间的血清总胆红素、门静脉和脾静脉宽度、脾面积、脾/胃-肾分流的差异均有统计学意义(t=-2.830、P=0.005;t=3.576、P0.05);前腹壁静脉曲张在各分级中差异均有统计学意义(χ2=4.485,P=0.034).PVT组肠系膜上静脉血栓与肠壁水肿有一定的相关性(r=0.227,P=0.018);脾静脉与胃左静脉宽度有一定的相关性(r=0.371,P<0.001).结论:门静脉血栓形成与门脉高压症病情密切相关,可能为促进肝硬化临床病程发展的重要因素.%Objective: To investigate the effect of the portal vein thrombosis (PVT) on disease progression of liver cirrhosis (LC) portal hypertension (PH) using CT portal venography (CTPV). Methods:183 patients with LC,divided into PVT group (n = 109) and control group (n = 74) ,were performed by multi slice CT (MSCT). MIP,MPR and CPR were used to display the portal venous system and collateral circulations,and to measure the thrombosis as well as stenosis. The liver function,coagulation function,the imaging features of portal veins and PVT were compared between these two groups, then in different Child Pugh (CP) classifications. Results. There were significant differences between the two groups in total serum bilirubin,the width of main portal vein (MPV) and spleen vein (SPV),sectional area of spleen,splenic or gastric re nal shunt (t = - 2. 830,P = 0. 005 ; t=3. 576,P<0. 001;t=0. 780

  13. Diagnostic value of multi-slice spiral CT post-processing technique on sacroiliac joint lesions in patients with ankylosing spondylitis%多层螺旋CT后处理技术在强直性脊柱炎骶髂关节病变中的诊断价值

    Institute of Scientific and Technical Information of China (English)

    亓立勇

    2012-01-01

    Objective To investigate the diagnostic value of multi-slice spiral CT(MSCT) and its multi-planar reconstruction(MPR) and curved planar reconstruction(CPR) on sacroiliac joint with ankylosing spondylitis(AS).Methods Fifty-six patients with AS proved clinically were examined and analyzed with MSCT and reconstruction.Then the CT manifestations of sacroiliace joints were analyzed.And choose a sagittal image respectively in the margin of the sacrum one-four,one-second and two-four.Then went down the sacrum line trace for CPR technique get double sided sacroiliac joint imaging.The images,MPR transect images and CPR image were analyed.Results Early CT findings included coarsearticular surface,interrupted jiont cortex,vague articular face,subcortical microcysts and sclerotic articular surface,while jiont space was normal.CT findings in progressive stage were uneven articular surface,damaged bony cortex,subcartilaginous bone microcyats,obviously sclerotic articular surface,extended jiontspace.In stable stage,CT findings included joint ankylosis,articular space dsiappearance,and sacroiliac ligament calcification.Fifty-six cases of AS patients,bilateral simultaneous involvement in 47 cases,unilateral involvement in 9 cases,axial image diagnosis,Ⅰ-Ⅱ grade 16 cases,Ⅲ-Ⅳ grade 26 cases.MPR image diagnosis of Ⅰ-Ⅱ grade 24 cases,Ⅲ-Ⅳ Grade 26 cases,CPR class Ⅰ diagnostic images-Ⅱ grade 29 cases,Ⅲ-Ⅳ grade in 26 cases,early diagnosis of axial images and reconstruction images were significantly different (P < 0.05),the late diagnosis rates were not significantly different (P > 0.05).Conclusions It is valuable to use MPR and CPR images to diagnosis sacroiliac joint lesions in patients with ankylosing spondylitis.Especially CPR image can be used to comprehensively observe sacroiliac joint,and it is more meaningful in early diagnosis of sacroiliac joint lesions in patients with AS.%目的 探讨多层螺旋CT(MSCT)多平面重组(MPR)技术和曲面重组(CPR

  14. Multi-slice CT diagnosis of anomaly of ostiomeatal complex and chronic sinusitis%多螺旋 CT检测在窦口-鼻道复合体解剖变异与慢性鼻窦炎中的应用

    Institute of Scientific and Technical Information of China (English)

    刘景旺; 蒋守芳

    2014-01-01

    Objective To study the incidence of anomaly of ostiomeatal complex ( OMC) and its relation to chronic sinusi-tis.Methods CT images of 933 cases who received health examination were retrospectively analyzed .The anatomical variants of OMC were clearly displayed by MPR .Variants of middle turbinate recurvation/gasification , ethmoidal bulla excessive gasi-fication,uncinate process diviation/hypertrophy/gasification,agger excessive gasification,and Haller cell were observed and compared in order to search the relation between anomaly and sinusitis .Results In the 933 cases,the incidence of chronic si-nusitis was 30.12%,with chronic genyantritis being the highest .The incidences of OMC anomaly were 1.7%,13.8%,5.8%, 6.8%,5.1%,1.1%,0.4%,and 2.7%respectively.OMC anomaly in chronic genyantritis ,ethmoidal sinusitis and frontal si-nusitis showed significant differences (P<0.01).The incidence of nasosinusitis in the mixed anomaly group was remarkably higher than the single anomaly group .In 457 cases of non-smokers,OMC anomaly was significantly related to the incidence differences of chronic genyantritis ,ethmoidal sinusitis and frontal sinusitis (P<0.05).In terms of single anomaly factors,mid-dle turbinate recurvation ,uncinate process gasification/diviation/hypertrophy were closely related to the incidence of chronic genyantritis;ethmoidal bulla excessive gasification was closely related to chronic ethmoidal sinusitis ;uncinate process diviation was closely related to chronic frontal sinusitis .Conclusion 1.Multi-slice CT can clearly show the anomaly of OMC .2.Differ-ent anomalies of OMC play different roles in the development of chronic sinusitis .%目的:应用多螺旋CT检测窦口-鼻道复合体( OMC)解剖变异发生率及探讨其与慢性鼻窦炎发生的关系。方法回顾性分析本院933例健康查体者鼻窦扫描图像,薄层横断图像重建冠状面图像,观察OMC解剖变异情况:中鼻甲(反曲、气化)、筛泡过度气化、

  15. Evaluation of aortic valve stenosis by cardiac multislice computed tomography compared with echocardiography: a systematic review and meta-analysis

    DEFF Research Database (Denmark)

    Abdulla, Jawdat; Sivertsen, Jacob Christian; Kofoed, Klaus Fuglsang;

    2009-01-01

    BACKGROUND AND AIM OF THE STUDY: It has not yet been established whether multi-slice computed tomography (MSCT) is reliable for the quantification of aortic valve area (AVA) in patients with aortic valve stenosis (AVS) and simultaneously for assessment of the coronary anatomy. The study aim, via...... a systematic literature review and meta-analysis, was to explore whether MSCT is a reliable method for AVA quantification, and simultaneously to assess the coronary anatomy in patients with AVS. METHODS: A comprehensive systematic literature search and meta-analysis was conducted that included 14 studies...... with invasive coronary angiography. RESULTS: The AVA was measured by MSCT and TTE in all 14 studies, and by TEE in four studies. The results of the meta-analyses showed that planimetry by MSCT overestimated the AVA, with a bias of 0.08 (95% CI 0.04, 0.13) cm2) (p = 0.0001) compared to TTE. The MSCT measurement...

  16. Possibilities of differentiation of solitary focal liver lesions by computed tomography perfusion

    Directory of Open Access Journals (Sweden)

    Irmina Sefić Pašić

    2015-08-01

    Full Text Available Aim To evaluate possibilities of computed tomography (CT perfusion in differentiation of solitary focal liver lesions based on their characteristic vascularization through perfusion parameters analysis. Methods Prospective study was conducted on 50 patients in the period 2009-2012. Patients were divided in two groups: benign and malignant lesions. The following CT perfusion parameters were analyzed: blood flow (BF, blood volume (BV, mean transit time (MTT, capillary permeability surface area product (PS, hepatic arterial fraction (HAF, and impulse residual function (IRF. During the study another perfusion parameter was analyzed: hepatic perfusion index (HPI. All patients were examined on Multidetector 64-slice CT machine (GE with application of perfusion protocol for liver with i.v. administration of contrast agent. Results In both groups an increase of vascularization and arterial blood flow was noticed, but there was no significant statistical difference between any of 6 analyzed parameters. Hepatic perfusion index values were increased in all lesions in comparison with normal liver parenchyma. Conclusion Computed tomography perfusion in our study did not allow differentiation of benign and malignant liver lesions based on analysis of functional perfusion parameters. Hepatic perfusion index should be investigated in further studies as a parameter for detection of possible presence of micro-metastases in visually homogeneous liver in cases with no lesions found during standard CT protocol

  17. Computed tomography imaging of early coronary artery lesions in stable individuals with multiple cardiovascular risk factors

    Directory of Open Access Journals (Sweden)

    Xi Yang

    2015-04-01

    Full Text Available OBJECTIVES: To investigate the prevalence, extent, severity, and features of coronary artery lesions in stable patients with multiple cardiovascular risk factors. METHODS: Seventy-seven patients with more than 3 cardiovascular risk factors were suspected of having coronary artery disease. Patients with high-risk factors and 39 controls with no risk factors were enrolled in the study. The related risk factors included hypertension, impaired glucose tolerance, dyslipidemia, smoking history, and overweight. The characteristics of coronary lesions were identified and evaluated by 64-slice coronary computed tomography angiography. RESULTS: The incidence of coronary atherosclerosis was higher in the high-risk group than in the no-risk group. The involved branches of the coronary artery, the diffusivity of the lesion, the degree of stenosis, and the nature of the plaques were significantly more severe in the high-risk group compared with the no-risk group (all p < 0.05. CONCLUSION: Among stable individuals with high-risk factors, early coronary artery lesions are common and severe. Computed tomography has promising value for the early screening of coronary lesions.

  18. Coronary computer tomographic angiography for preoperative risk stratification in patients undergoing liver transplantation

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    Jodocy, Daniel, E-mail: daniel.jodocy@klinikum-minden.de [Department of Internal Medicine III (Cardiology), Medical University of Innsbruck, Anichstraße 35, A-6020 Innsbruck (Austria); Abbrederis, Susanne, E-mail: susanne.abbrederis@uki.at [Department of Internal Medicine II (Gastroenterology and Hepatology), Medical University of Innsbruck, Anichstraße 35, A-6020 Innsbruck (Austria); Graziadei, Ivo W., E-mail: ivo.graziadei@i-med.ac.at [Department of Internal Medicine II (Gastroenterology and Hepatology), Medical University of Innsbruck, Anichstraße 35, A-6020 Innsbruck (Austria); Vogel, Wolfgang, E-mail: wolfgang.vogel@uki.at [Department of Internal Medicine II (Gastroenterology and Hepatology), Medical University of Innsbruck, Anichstraße 35, A-6020 Innsbruck (Austria); Pachinger, Otmar, E-mail: otmar.pachinger@uki.at [Department of Internal Medicine III (Cardiology), Medical University of Innsbruck, Anichstraße 35, A-6020 Innsbruck (Austria); Feuchtner, Gudrun M., E-mail: gudrun.feuchtner@i-med.ac.at [Department of Radiology, Medical University of Innsbruck, Anichstraße 35, A-6020 Innsbruck (Austria); Jaschke, Werner, E-mail: werner.jaschke@i-med.ac.at [Department of Radiology, Medical University of Innsbruck, Anichstraße 35, A-6020 Innsbruck (Austria); Friedrich, Guy, E-mail: guy.friedrich@uki.at [Department of Internal Medicine III (Cardiology), Medical University of Innsbruck, Anichstraße 35, A-6020 Innsbruck (Austria)

    2012-09-15

    The assessment of the cardiovascular risk profile in patients with end-stage liver disease is essential prior to liver transplantation (LT) as cardiovascular diseases are major causes of morbidity and mortality in the posttransplant course. The aim of this study was to evaluate the accuracy of a 64-slice coronary computed tomographic angiography (CTA) and coronary calcium scoring (CCS) to predict the postoperative cardiovascular risk of patients assessed for LT. In this single center, observational study we included 54 consecutive patients who were assessed for LT and consequently transplanted. Twenty-four patients (44%) presented with a high CCS above 300 and/or a significant stenosis (>50% percent narrowing due to stenotic plaques) and were further referred to coronary angiography. Three of these patients had a more than 70% LAD stenosis with subsequent angioplasty (n = 1) or conservative therapy (n = 2). The other patients showed only diffuse CAD without significant stenosis. The remaining 30 patients with normal CTA findings were listed for LT without further tests. None of the 54 patients developed cardiovascular events peri- and postoperatively. This study indicated that CTA combined with CCS is a useful non-invasive imaging technique for pre-LT assessment of coronary artery disease and safe tool in the risk assessment of peri- and postoperative cardiovascular events in patients undergoing LT.

  19. Prevalence of extracardiac findings in the evaluation of ischemic heart disease by multidetector computed tomography

    Institute of Scientific and Technical Information of China (English)

    Jeong-Hwan Cho; Jong-Seon Park; Dong-Gu Shin; Young-Jo Kim; Sang-Hee Lee; Yoon-Jung Choi; Ihn-Ho Cho

    2013-01-01

    Objective Multidector computed tomography (MDCT) is now commonly used for the evaluation of coronary artery disease. Because MDCT images include many non-cardiac organs and the patient population evaluated is highly susceptible to extracardiac diseases, this study was designed to evaluate the prevalence of extracardiac findings in the MDCT evaluation of ischemic heart disease. Methods From March 2007 to March 2008, a total of six-hundred twenty patients, who underwent 64-slice MDCT evaluations for chest pain, or dyspnea, were enrolled in this study. Cardiac and non-cardiac findings were comprehensively evaluated by a radiologist. Results Enrolled patients included 306 men (49.4%), with a mean age of 66 years. Significant coronary artery stenosis was found in 41.6%of the patients. A total of 158 extracardiac findings were observed in 110 (17.7%) patients. Commonly involved extracardiac organs were lung (36.7%), hepatobiliary system (21.5%), thyroid (19.6%), kidney (10.8%), spine (9.7%) and breast (0.6%). Of those 110 patients, 50 (45.5%) patients underwent further diagnostic investigations. Malignant disease was detected in three (2.7%) patients (lung cancer, pancreatic cancer, and thyroid cancer). Conclusions Extracardiac findings are frequently present and should be a concern in the MDCT evaluation of chest pain syndrome.

  20. Role of multidetector computed tomography (MDCT in patients with ovarian masses

    Directory of Open Access Journals (Sweden)

    Mubarak F, Alam MS

    2011-04-01

    Full Text Available Fatima Mubarak, Muhammad Shahbaz Alam, Waseem Akhtar, Saima Hafeez, Noureen NizamuddinRadiology Department, Aga Khan University Hospital, Karachi, PakistanObjective: To evaluate the diagnostic accuracy of multidetector 64-slice computed tomography (MDCT in the diagnosis and differentiation of benign and malignant ovarian masses using histopathology and surgical findings as the gold standard.Material and methods: This study was conducted in Aga Khan University Hospital, Karachi, Pakistan. Data was reviewed retrospectively from 1 November 2008 to 12 December 2009. One hundred patients found to have ovarian masses on CT scan were included in the study. CT scan was performed in all these patients after administration of oral and IV contrast. Ovarian masses were classified as benign and malignant on scan findings. Imaging findings were compared with histopathologic results and surgical findings. Sensitivity, specificity, positive predictive value (PPV, negative predictive value (NPV, and diagnostic accuracy of MDCT were calculated.Results: MDCT was found to have 97% sensitivity, 91% specificity, and an accuracy of 96% in the differentiation of benign and malignant ovarian masses, while PPV and NPV were 97% and 91%, respectively.Conclusion: MDCT imaging offers a safe, accurate and noninvasive modality to differentiate between benign and malignant ovarian masses.Keywords: ovarian masses, surgery, MDCT

  1. Determination of dosimetric quantities in pediatric abdominal computed tomography scans*

    Science.gov (United States)

    Jornada, Tiago da Silva; da Silva, Teógenes Augusto

    2014-01-01

    Objective Aiming at contributing to the knowledge on doses in computed tomography (CT), this study has the objective of determining dosimetric quantities associated with pediatric abdominal CT scans, comparing the data with diagnostic reference levels (DRL). Materials and methods The study was developed with a Toshiba Asteion single-slice CT scanner and a GE BrightSpeed multi-slice CT unit in two hospitals. Measurements were performed with a pencil-type ionization chamber and a 16 cm-diameter polymethylmethacrylate trunk phantom. Results No significant difference was observed in the values for weighted air kerma index (CW), but the differences were relevant in values for volumetric air kerma index (CVOL), air kerma-length product (PKL,CT) and effective dose. Conclusion Only the CW values were lower than the DRL, suggesting that dose optimization might not be necessary. However, PKL,CT and effective dose values stressed that there still is room for reducing pediatric radiation doses. The present study emphasizes the importance of determining all dosimetric quantities associated with CT scans. PMID:25741103

  2. Determination of dosimetric quantities in pediatric abdominal computed tomography scans

    Energy Technology Data Exchange (ETDEWEB)

    Jornada, Tiago da Silva [Universidade Federal de Sao Paulo (UNIFESP), Sao Paulo, SP (Brazil). Escola Paulista de Medicina. Dept. de Diagnostipo por Imagem; Silva, Teogenes Augusto da, E-mail: silvata@cdtn.br [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)

    2014-09-15

    Objective: aiming at contributing to the knowledge on doses in computed tomography (CT), this study has the objective of determining dosimetric quantities associated with pediatric abdominal CT scans, comparing the data with diagnostic reference levels (DRL). Materials and methods: the study was developed with a Toshiba Asteion single-slice CT scanner and a GE BrightSpeed multi-slice CT unit in two hospitals. Measurements were performed with a pencil-type ionization chamber and a 16 cm-diameter polymethylmethacrylate trunk phantom. Results: No significant difference was observed in the values for weighted air kerma index (C{sub W}), but the differences were relevant in values for volumetric air kerma index (C{sub VOL}), air kerma-length product (P{sub KL,CT}) and effective dose. Conclusion: Only the CW values were lower than the DRL, suggesting that dose optimization might not be necessary. However, P{sub KL,CT} and effective dose values stressed that there still is room for reducing pediatric radiation doses. The present study emphasizes the importance of determining all dosimetric quantities associated with CT scans. (author)

  3. 急性胰腺炎64层螺旋CT灌注成像研究%Acute Pancreatitis: 64-slice Spiral CT Perfusion Imaging

    Institute of Scientific and Technical Information of China (English)

    姜海峰; 郭顺林; 周怀琪; 王刚; 张安; 徐风

    2009-01-01

    目的 探讨64层螺旋CT灌注成像在急性胰腺炎诊断中的作用.方法 分别对胰腺正常者30例和急性胰腺炎患者28例行Siemens 64层螺旋CT胰腺灌注检查,采用Siemens Body Perfusion软件测量所有病例的胰头部、胰体尾部的CT灌注参数:血流量(blood flow,BF)、血流容积(blood volume,BV)、灌注起始时间(time to start,TTS)、达峰时间(time to peak,TTP)、渗透性(permeability,P)、patlak血流容积(patlak blood volume,pBV)的平均值, 并进行统计学分析.结果 Siemens灌注软件计算所得时间-密度曲线(density-time curve,TDC)符合数据分析要求.统计数据结果显示急性胰腺炎组胰头部和体尾部的BF、BV、 pBV明显低于正常胰腺组,而其渗透性高于正常胰腺组, 差异均有显著的统计学意义(P0.05);急性胰腺炎组、正常胰腺组各自的胰头部与胰体尾部之间各灌注参数 无统计学意义(P>0.05).结论 64层螺旋CT灌注成像能够反映急性胰腺炎的血流灌注改变,对其临床的早期诊断有重要的指导意义.

  4. Comparison of findings of spontaneous splenorenal shunt in color Doppler sonography with multislice CT scan (64 slices) in liver transplant candidates

    Energy Technology Data Exchange (ETDEWEB)

    Bagheri, Mohammadhadi, E-mail: Bagherimh@gmail.com [Department of Radiology, Shiraz University of Medical Sciences, Namazi Hospital, Shiraz (Iran, Islamic Republic of); Hajati, Azadeh, E-mail: azadeh.hajati@gmail.com [Department of Radiology, Shiraz University of Medical Sciences, Namazi Hospital, Shiraz (Iran, Islamic Republic of); Hosseini, Mohammadkazem, E-mail: hosseiniaslm@sums.ac.ir [Department of Radiology, Shiraz University of Medical Sciences, Namazi Hospital, Shiraz (Iran, Islamic Republic of); Ostad, Seyed Pouria, E-mail: Pouria.Ostad@gmail.com [Department of Radiology, Shiraz University of Medical Sciences, Namazi Hospital, Shiraz (Iran, Islamic Republic of)

    2012-09-15

    Background: Liver transplantation is the only definite treatment for end stage liver disease and it has high costs for the medical system so decreasing its complication and increasing its effectiveness is crucial. One of the factors that affect liver transplantation is the presence of spontaneous splenorenal shunt. Its diagnosis is mainly overlooked in pre-liver transplant patients. Main modality for its diagnosis is multislice CT scan however this is more expensive than sonography. Also, it exposes the patients to ionizing radiation. Considering the advantages of color Doppler ultrasound, studies to determine the sensitivity and specificity for detection of spontaneous splenorenal shunt is essential. Materials and methods: In our study 70 cirrhotic patients who were referred by liver transplant surgeons for evaluation of abdomen by CT and sonograhy were assessed for presence of spontaneous splenorenal shunt, left adrenal varix and left renal vein diameter and velocity and sensitivity and specificity of both modalities were checked. Patients in whom left renal vein could not evaluated by sonography and patients with splenectomy and nutcracker syndrome were excluded. Results: In the point of 10 mm diameter of left renal vein in CT scan there was 78.6% sensitivity and 67.9% specificity for the presence of spontaneous splenorenal shunt. Left adrenal varix in CT had sensitivity of 71.4%, specificity of 100%, and positive predictive value of 100% and negative predictive value of 70% and varix below spleen in CT had sensitivity of 54.8%, specificity of 96.4%, and positive predictive value of 95.8% and negative predictive value of 58.7% for the presence of spontaneous splenorenal shunt. In the point of 8 mm diameter of left renal vein in sonography there was 66.7% sensitivity and 85.7% specificity for the presence of spontaneous splenorenal shunt. For the velocity of more than 35 cm/s of left renal vein in sonography there was 61.9% sensitivity and 82.1% specificity for the presence of spontaneous splenorenal shunt. Left adrenal varix in sonography had sensitivity of 45.2%, specificity of 96.4%, positive predictive value of 95% and negative predictive value of 54% for the presence of spontaneous splenorenal shunt. Conclusion: There was moderate agreement between CT scan and sonography for detection of spontaneous splenorenal shunt. CT scan is choice for detection of SSRS but sonography is somehow useful. It means that if sonograhy is positive it is sufficient, if negative, then CT should be performed. This is due to low sensitivity of sonography.

  5. 64-slices spiral CT for detection of patent foramen ovale%64层螺旋CT对卵圆孔未闭的检测

    Institute of Scientific and Technical Information of China (English)

    毛定飚; 滑炎卿; 吴昊; 葛虓俊; 唐平; 郑向鹏; 张国桢

    2010-01-01

    @@ 近年来国外文献报道卵圆孔未闭(patent foramen ovale,PFO)的存在与反常栓塞、缺血性脑卒中、偏头痛、潜水减压病等的发生密切相关,与冠状动脉旁路移植术及各种心、肺手术后不明原因的卒中或猝死也有关系[1-2].本研究通过对186例患者进行心电门控64层CT心脏成像探讨CT检测PFO的可行性.

  6. Assessment of Blood Flow in Hepatocellular Carcinoma: Correlations of Computed Tomography Perfusion Imaging and Circulating Angiogenic Factors

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    Chen-Pin Chou

    2013-08-01

    Full Text Available Hepatocellular carcinoma (HCC is a highly vascular tumor through the process of angiogenesis. To evaluate more non-invasive techniques for assessment of blood flow (BF in HCC, this study examined the relationships between BF of HCC measured by computer tomography (CT perfusion imaging and four circulating angiogenic factors in HCC patients. Interleukin 6 (IL-6, interleukin 8 (IL-8, vascular endothelial growth factor (VEGF, and platelet derived growth factor (PDGF in plasma were measured using Bio-Plex multiplex immunoassay in 21 HCC patients and eight healthy controls. Circulating IL-6, IL-8 and VEGF showed higher concentrations in HCC patients than in controls (p < 0.05, and predicted HCC occurrence better than chance (p < 0.01. Twenty-one patients with HCC received 21-phase liver imaging using a 64-slice CT. Total BF, arterial BF, portal BF, arterial fraction (arterial BF/total BF of the HCC and surrounding liver parenchyma, and HCC-parenchyma ratio were measured using a dual-vessel model. After analyzing the correlations between BF in HCC and four circulating angiogenic factors, we found that the HCC-parenchyma ratio of arterial BF showed a significantly positive correlation with the level of circulating IL-8 (p < 0.05. This circulating biomarker, IL-8, provides a non-invasive tool for assessment of BF in HCC.

  7. Computer-assisted LAD bypass grafting at the open heart

    Science.gov (United States)

    Hartung, Christine; Gnahm, Claudia; Friedl, Reinhard; Hoffmann, Martin; Dietmayer, Klaus

    2009-02-01

    Open heart bypass surgery is the standard treatment in advanced coronary heart diseases. For an effective revascularization procedure, optimal placement of the bypass is very important. To accelerate the intraoperative localization of the anastomosis site and to increase the precision of the procedure, a concept for computer assistance in open heart bypass surgery has been developed comprising the following steps: 1. Preprocedural planning: A patient-specific coronary map with information on vessel path