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胸部低剂量CT扫描在体检中的应用分析
作者:赵建峰 陈佳 
单位:山东省聊城市第四人民医院
关键词: 胸部 辐射剂量 体层摄影术 X线计算机 
分类号:
出版年·卷·期(页码):2013·41·第八期(526-530)
摘要:

【摘要】 目的 分析本院近三年应用胸部低剂量CT扫描查体检查的结果,初步探讨这种方法在胸部体检中的必要性和合理性。方法 对来我院查体的5103人行胸部低剂量CT扫描,扫描条件120Kv,50mA,层厚1.25mm,螺距1.375,常规5mm层厚、5mm间隔重建,扫描范围自胸廓入口上约30mm至肾脏平面,扫描结束后除常规图像重建外,另行高分辨率重建,病变者用图像后处理软件分析。结果5103人受检者中,共发现包括胸部及周围脏器异常3280人(其中多人发现不止一种病变),其中胸部(包括肺部、气管支气管、纵隔、主动脉、冠脉及心脏、肋骨、胸椎、胸膜、乳腺)病变3006例;相邻脏器(包括颈椎、甲状腺、肝、胆、胃、肾、肾上腺)病变520例。结论 胸部低剂量CT扫描不但可以发现肺内病变,对于相邻脏器病变的发现或显示也优于其它影像学检查,且与之相互补充和印证,该种方法也可以作为肺部结节或磨玻璃样密度病变随访观察的对比依据。作为查体检查,不失为一种较为安全合理、可靠必要的检查方法,符合放射影像检查的正当化原则。

【Abstract】Objective:To analyze the application in our hospital in recent three years of thorax low dose CT scan examination examination results, preliminary discuss this method in chest examination in the necessity and rationality. Method to my courtyard checks the body of 5103 lines of thorax low dose CT scanning, scan conditions for 120Kv, 50mA, thickness 1.25mm, pitch 1.375, conventional 5mm thick, 5mm interval reconstruction, scanning range from thoracic entrance 30mm to the plane of the kidney, after the scan in addition to conventional image reconstruction, the other with high resolution reconstruction, lesions with image processing and analysis software. Results: 5103 people, were found in the client's chest and the surrounding organs include abnormal 3280 people (many of them more than a kind of pathological changes), the chest (including the lungs, tracheal bronchus, mediastinum, aorta, coronary artery and heart, frame, pleura, thoracic vertebra, breast) lesions in 3006 cases, and the adjacent organs (including cervical vertebra, thyroid, stomach, liver, bravery, kidney, adrenal) lesions in 520 cases. Conclusion: Thorax low dose scan can be found not only lung lesions, for the adjacent organ lesions found or display is superior to other imaging examination, and complement each other and confirm, this method can also be used as a pulmonary nodule or ground glass density lesions were observed according to ratio. As a physical examination, Thorax low dose scan can be found not only lung lesions, for the adjacent organ lesions found is a safe, reliable and reasonable necessary inspection method, consistent with the radiographic examination of legitimation principles.

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