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多层螺旋 CT 后处理技术在四肢关节成像诊断中的应用

Multislice Spiral Computed Tomography Postprocessing Technology in the Imaging Diagnosis of Extremities and Joints.

机构信息

Xinxiang University, Xinxiang, Henan 453003, China.

Hainan General Hospital, Haikou, Hainan 570311, China.

出版信息

Comput Math Methods Med. 2021 Dec 13;2021:9533573. doi: 10.1155/2021/9533573. eCollection 2021.

Abstract

OBJECTIVE

To improve the clinical detection rate of bone and joint fractures of the extremities and to explore the value and significance of the application of multislice spiral computed tomography (MSCT) postprocessing technology in diagnosis.

METHODS

80 patients with bone and joint fractures of the extremities admitted to the hospital were selected as the research objects. The patients received X-ray digital radiography (DR) plain film examination and then MSCT examination. At the same time, multiplane reconstruction (MPR) and surface shadow display (SSD) and volume rendering three-dimensional imaging (VRT) technology and other postprocessing technologies compare the differences in the detection rate of limbs and joint fractures between the two inspection methods.

RESULTS

A total of 100 fractures were found in 80 patients. The detection rate of X-ray DR was 69%. After MSCT postprocessing technology, the detection rates of MPR, SSD, and VRT were 96%, 98%, and 99%, respectively. The accuracy of MSCT postprocessing technology in diagnosing extremity bone and joint fractures was significantly higher than that of DR, and the difference between groups was statistically significant.

CONCLUSION

MSCT postprocessing technology for patients with extremity bone and joint fractures has a good effect. It is not only noninvasive but also has a high detection rate. It can significantly reduce the missed and misdiagnosed rate and provide detailed imaging data for the formulation of clinical treatment plans.

摘要

目的

提高四肢骨关节骨折的临床检出率,探讨多层螺旋 CT(MSCT)后处理技术在诊断中的应用价值及意义。

方法

选取我院收治的 80 例四肢骨关节骨折患者作为研究对象,患者均接受 X 线数字 X 射线摄影(DR)平片检查和 MSCT 检查,同时采用多平面重建(MPR)、表面遮盖显示(SSD)及容积再现三维成像(VRT)等后处理技术,对比两种检查方法对四肢骨关节骨折的检出率差异。

结果

80 例患者共检出 100 处骨折,X 线 DR 的检出率为 69%,MSCT 后处理技术的 MPR、SSD、VRT 检出率分别为 96%、98%、99%,MSCT 后处理技术诊断四肢骨关节骨折的准确率明显高于 DR,组间差异有统计学意义。

结论

MSCT 后处理技术应用于四肢骨关节骨折患者中具有良好的效果,不仅具有无创性,而且检出率较高,能够明显降低漏诊、误诊率,为临床治疗方案的制定提供详细的影像学资料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7241/8687770/c940dfaa9aa9/CMMM2021-9533573.001.jpg

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