多层螺旋CT多模态三维重建技术在气管憩室诊断中的效果评价  

To Evaluate the Effect of Multi-slice Spiral CT Multi-modal Three-dimensional Reconstruction Technology in the Diagnosis of Tracheal Diverticulum

作　　者：窦科妮 张敏刚 李笑石 耿纪刚 范晓娟 吴永斌 DOU Ke-ni;ZHANG Min-gang;LI Xiao-shi;GENG Ji-gang;FAN Xiao-Juan;WU Yong-bin(Department of Radiology,Xi'an No.5 Hospital,Xi'an 710000,Shaanxi Province,China;Department of Radiology,Xi'an Daxing Hospital,Xi'an 710000,Shaanxi Province,China;Department of Radiology,Xi'an Mental Health Center,Xi'an 710000,Shaanxi Province,China)

机构地区：[1]西安市第五医院影像科,陕西西安710000 [2]西安大兴医院影像科,陕西西安710000 [3]西安市精神卫生中心影像科,陕西西安710000

出　　处：《中国CT和MRI杂志》2024年第2期79-81,共3页Chinese Journal of CT and MRI

基　　金：中国红十字基金会“影瑞西北公益行”之ICON科研基金(XM HR_ICON_2020_10)。

摘　　要：目的评价多层螺旋CT三维重建图像融合技术在气管憩室诊断的效能与临床价值。方法回顾性选取129名临床确诊的气管憩室患者影像学数据,使用三维重建图像融合技术进行后处理重建,并结合传统三维重建方法MPR、VR及minMIP进行诊断,分析影像学资料与临床指征。结果129名患者共计175个憩室,97人仅有一个憩室,18人有2个憩室,14人有3个憩室。三维重建图像融合技术在憩室显示率、位置准确性、阳性符合率、阳性预测率及诊断准确性评价中分别为100%、95.22%、96.36%、100%、99.07%,临床图像满意度97.22%。结论多层螺旋CT三维重建图像融合技术的诊断效能上符合临床治疗需求,能清楚显示憩室范围与位置,在传统三维重建的基础上对憩室进行更详细的显示。可以提高临床诊断效能,值得在临床推广使用。Objective To evaluate the efficacy and clinical value of multi-slice spiral CT three-dimensional reconstruction image fusion technology in the diagnosis of tracheal diverticulum.Methods The imaging data of 129 patients with clinically diagnosed tracheal diverticulum were retrospectively selected.The three-dimensional reconstruction image fusion technology was used for post-processing and reconstruction,and the traditional three-dimensional reconstruction methods MPR,VR,and minMIP were used for diagnosis.Results 129 patients had a total of 175 diverticula,97 had only one diverticulum,18 had two diverticula,and 14 had three diverticula.The diverticulum display rate,position accuracy,positive coincidence rate,positive prediction rate and diagnostic accuracy of 3D reconstruction image fusion technology were 100%,95.22%,96.36%,100%and 99.07%,respectively,and the clinical image satisfaction was 97.22%.Conclusion The diagnostic efficacy of multi-slice spiral CT three-dimensional reconstruction image fusion technology meets the needs of clinical treatment.It can clearly show the scope and location of diverticulum,and display diverticulum in more detail on the basis of traditional three-dimensional reconstruction.It can improve the efficiency of clinical diagnosis and is worthy of clinical promotion.

关 键 词：气管憩室 图像后处理技术 体层摄影术 X线计算机 

分 类 号：R562.1[医药卫生—呼吸系统]