个性化扫描与常规扫描对≤1cm肺小结节的CT成像价值比较  

Value of individualized scan in CT imaging of small pulmonary nodules≤1cm

作　　者：张海涛 陈秀琴[1] 柏劲松 舒圣婕 张驰 李宗阳 韩秦刚 朱倩 黄景怡 ZHANG Haitao;CHEN Xiuqin;BAI Jinsong;SHU Shengjie;ZHANG Chi;LI Zongyang;HAN Qingang;ZHU Qian;HUANG Jingyi(Department of Medical Imaging,Hanzhong People's Hospital,Hanzhong 723000,China;Department of Medical Imaging,The Second Affiliated Hospital of Harbin Medical University,Harbin 150000,China)

机构地区：[1]汉中市人民医院放射影像中心,陕西汉中723000 [2]哈尔滨医科大学第二附属医院影像科,黑龙江哈尔滨150000

出　　处：《分子影像学杂志》2023年第1期139-143,共5页Journal of Molecular Imaging

摘　　要：目的比较个性化和常规两种扫描方案对≤1 cm肺小结节的CT成像效果,探索最佳扫描方案。方法按照纳入及排除标准,选择2020年1月~2022年6月在我院行肺小结节CT成像的患者,按随机对照表以平衡对照法随机分为个性化组(n=67)和常规组(n=70),个性化组进行严格的过度吸气训练、个性化体位、个性化扫描方向制定,获得的图像与常规扫描组进行图像质量比较。结果个性化组的CT平扫、肺动脉期、肺静脉期图像质量均优于常规扫描组,差异有统计学意义(χ^(2)=8.204,P=0.017;χ^(2)=6.625,P=0.036;χ^(2)=7.139,P=0.028);两组组内CT平扫、肺动脉期、肺静脉期图像质量比较,常规组组内CT平扫和肺静脉期图像质量差异有统计学意义(χ^(2)=9.188,P=0.010),常规组其余各期、个性化组组内比较图像质量差异均无统计学意义(P>0.05)。结论个性化扫描方案成像质量稳定,能提高≤1cm肺小结节CT成像的图像质量。Objective To compare the CT imaging effects of personalized and conventional scanning schemes on pulmonary nodules≤1 cm,and explore the best scanning scheme.Methods A total of 142 patients were included from January 2020 to June 2022 according to inclusion and exclusion criteria.According to the random control table,they were randomly divided into personalized group and conventional group by balanced control method.Patients in the personalized group were subjected to rigorous hyperinspiratory training,develop personalized position and personalized scanning direction.The obtained images were compared with the conventional scan group for image quality.Results The image quality of CT plain scan,pulmonary artery phase and pulmonary vein phase in the personalized group was better than that in the conventional scan group,the difference was statistically significant(χ^(2)=8.204,P=0.017,χ^(2)=6.625,P=0.036,χ^(2)=7.139,P=0.028).The image quality of CT plain scan,pulmonary artery phase and pulmonary vein phase was compared within the two groups.In the conventional group,there was a statistically significant difference in image quality between CT plain scan and pulmonary venous stage(χ^(2)=9.188,P=0.010),but there was no statistical significance between the rest phases in the conventional group,also between all the phases in the personalized group(P>0.05).Conclusion The personalized scanning scheme can provide stable imaging quality,and improve the image quality of pulmonary nodules≤1cm CT imaging.

关 键 词：肺小结节 个性化扫描 增强 靶重建 计算机体层成像 

分 类 号：R734.2[医药卫生—肿瘤]