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新西兰兔头颈部CT血管造影中图像质量和剂量的评估。

Assessment of image quality and dose in contrast-enhanced head and neck CT angiography of New Zealand rabbit.

作者信息

Hsiao Chia-Chi, Chen Po-Chou, Kuo Pei-Chi, Ho Chih-Hao, Jao Jo-Chi

机构信息

Department of Radiology, Kaohsiung Veterans General Hospital, Taiwan, R.O.C.

Department of Biomedical Engineering, I-Shou University, Taiwan, R.O.C.

出版信息

J Xray Sci Technol. 2020;28(4):739-750. doi: 10.3233/XST-200669.

Abstract

BACKGROUND

Although computed tomography (CT) is a powerful diagnostic imaging modality for diagnosing vascular diseases, it is some what risky to human health due to the high radiation dosage. Thus, CT vendors have developed low dose computed tomography (LDCT) aiming to solve this problem. Nowadays, LDCT has gradually become a main stream of CT examination.

OBJECTIVE

This study aimed to assess the feasibility of LDCTAin an animal model and compare the imaging features and doses in two clinical scanners.

METHODS

Twenty-two New Zealand rabbit head and neck CTA images pre- and post-contrast agent injection were performed using256-sliceand 64-slice CT scanners. The tube voltages used in the 256-slice and the 64-slice CTA were 70 kVp and 80 kVp, respectively. Quantitative images indices and radiation doses obtained from CTA in these two scanners were compared.

RESULTS

More neck arterial vessels could be visualized in multi-planar reconstruction (MPR) CTA on the 256-slice CT scanner than on the 64-slice CT scanner. After contrast agent injection, all observed neck arterial vessels had higher CT numbers in 256-slice CTA than in 64-slice CTA. There was no significant difference in contrast-to-noise (CNR) of CTA images between these two scanners. CT dose index (CTDI) and dose length product (DLP) for the 256-slice CTA were lower than those for the 64-slice CTA.

CONCLUSIONS

Low dose CTA of rabbits with 70 or 80 kVp is feasible in a 256-slice or a 64-slice CT scanner. The radiation dose from the 256-slice CTA was much lower than that from the 64-slice CTA with comparable SNR and CNR. The technique can be further applied in longitudinal monitoring of an animal stroke model in the future.

摘要

背景

尽管计算机断层扫描(CT)是诊断血管疾病的强大诊断成像方式,但由于辐射剂量高,对人体健康存在一定风险。因此,CT设备供应商开发了低剂量计算机断层扫描(LDCT)以解决这一问题。如今,LDCT已逐渐成为CT检查的主流。

目的

本研究旨在评估动物模型中LDCTA的可行性,并比较两种临床扫描仪的成像特征和剂量。

方法

使用256层和64层CT扫描仪对22只新西兰兔进行对比剂注射前后的头颈部CTA成像。256层和64层CTA使用的管电压分别为70 kVp和80 kVp。比较这两种扫描仪CTA获得的定量图像指标和辐射剂量。

结果

256层CT扫描仪的多平面重建(MPR)CTA中比64层CT扫描仪能显示更多的颈部动脉血管。注射对比剂后,256层CTA中所有观察到的颈部动脉血管的CT值均高于64层CTA。这两种扫描仪CTA图像的对比噪声比(CNR)无显著差异。256层CTA的CT剂量指数(CTDI)和剂量长度乘积(DLP)低于64层CTA。

结论

在256层或64层CT扫描仪中,70或80 kVp的兔低剂量CTA是可行的。在信噪比(SNR)和对比噪声比(CNR)相当的情况下,256层CTA的辐射剂量远低于64层CTA。该技术未来可进一步应用于动物中风模型的纵向监测。

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