Robert Y, Rocourt N, Chevalier D, Duhamel A, Carcasset S, Lemaitre L
Service de Radiologie Ouest, Hopital Claude Huriez Chu Lille, France.
Clin Radiol. 1996 Dec;51(12):882-5. doi: 10.1016/s0009-9260(96)80088-2.
To compare helical and conventional CT scans of the larynx.
Thirty-three patients underwent helical and conventional CT studies of the neck and the larynx using 3 mm section collimation for both studies and a table feed of 4 mm/sec for helical CT. Helical scans were reconstructed at 2 mm increments. Two independent observers rated the visibility of the laryngeal structures from 1 (poor and non diagnostic) to 5 (excellent and diagnostic), and motion artifacts from 1 (> or = 10 degraded scans) to 5 (no motion artifacts).
The motion artifacts score was significantly better for helical CT. No significant difference was observed for the laryngeal structures score between helical and conventional CT studies. The interobserver kappa mean value was 0.756 and 0.68 for helical and conventional CT, respectively.
Helical CT can be routinely performed and replace conventional CT study for the evaluation of laryngeal diseases.
比较喉部的螺旋CT扫描和传统CT扫描。
33例患者接受了颈部和喉部的螺旋CT及传统CT检查,两项检查均采用3mm层厚准直,螺旋CT的床速为4mm/秒。螺旋扫描以2mm增量重建。两名独立观察者对喉部结构的可视性从1分(差且无诊断价值)至5分(优且有诊断价值)进行评分,对运动伪影从1分(≥10次扫描图像质量下降)至5分(无运动伪影)进行评分。
螺旋CT的运动伪影评分明显更好。螺旋CT和传统CT检查在喉部结构评分上未观察到显著差异。螺旋CT和传统CT的观察者间kappa平均值分别为0.756和0.68。
螺旋CT可常规用于喉部疾病的评估,取代传统CT检查。