对比剂双流技术注射方案在头颈联合CTA检查中的初步应用

doi:10.7517/issn.1674-0475.200610

影像科学与光化学 ›› 2021, Vol. 39 ›› Issue (1): 40-43.DOI: 10.7517/issn.1674-0475.200610

对比剂双流技术注射方案在头颈联合CTA检查中的初步应用

胡广柱^1,2, 陈峰¹, 朱大荣², 汪荣²

1. 浙江大学医学院附属第一医院放射科, 浙江杭州 310000;
2. 浙江大学医学院附属杭州市第一人民医院放射科, 浙江杭州 310000

收稿日期:2020-06-09 发布日期:2021-01-13
通讯作者: 陈峰

Preliminary Application of Contrast Agent Dual-flow Technology Injection Scheme in Combined Head and Neck CTA

HU Guangzhu^1,2, CHEN Feng¹, ZHU Darong², WANG Rong²

1. Department of Radiology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang, P. R. China;
2. Department of Radiology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310000, Zhejiang, P. R. China

Received:2020-06-09 Published:2021-01-13

摘要/Abstract

摘要： 为探讨对比剂双流技术注射方案在双源CT头颈联合CTA检查中的应用价值，将在我院接受双源CT头颈联合CTA检查的164例病例，随机分成传统注射组和双流注射组。比较两组间对比剂用量、颈总动脉起始部、颈总动脉分叉部、颈内动脉虹吸部、M1段感兴趣区的CT值，并对两组间颈总动脉、颈内外动脉和大脑中动脉综合显示情况及远端细小动脉分支的显示情况进行主观质量评分。结果发现，两组间感兴趣区的CT值、颈总动脉、颈内外动脉和大脑中动脉综合显示情况主观质量评分差异无统计学意义（P>0.05）；两组间对比剂用量、远端细小动脉分支显示情况主观质量评分差异有统计学意义（P<0.05）。由以上结果可知，对比剂双流技术注射方案在双源CT头颈联合CTA检查中具有良好的应用价值。

关键词: 对比剂, 双流注射技术, 头颈联合CTA, 双源CT

Abstract: In order to explore the application value of the contrast agent dual-flow technology injection scheme in combined head and neck CTA examination of dual-source CT, 164 cases of combined head and neck CTA examination in our hospital were randomly divided into traditional injection group and dual-flow injection group.The volume of contrast agent, CT values of the origin of common carotid artery, bifurcation of common carotid artery, siphon part of internal carotid artery and M1 segment of interest area were compared between the two groups. Subjective quality score was evaluated for the comprehensive display of common carotid artery, internal and external carotid artery, middle cerebral artery and distal small artery branch between the two groups. The results showed that there was no statistically significant in CT value, subjective quality score of common carotid artery, internal and external carotid artery and middle cerebral artery between the two groups (P>0.05); the volume of contrast agent and the subjective quality score of distal small artery branch were statistically significant difference (P<0.05). From the above results, it can be seen that the contrast agent dual-flow technology injection scheme has good application value in combined head and neck CTA examination of dual-source CT.

Key words: contrast agent, dual-flow technique, combined head and neck CTA, double-source CT

胡广柱, 陈峰, 朱大荣, 汪荣. 对比剂双流技术注射方案在头颈联合CTA检查中的初步应用[J]. 影像科学与光化学, 2021, 39(1): 40-43.

HU Guangzhu, CHEN Feng, ZHU Darong, WANG Rong. Preliminary Application of Contrast Agent Dual-flow Technology Injection Scheme in Combined Head and Neck CTA[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(1): 40-43.

参考文献

[1] 胡杉, 朱文珍, 胡道予,等. 自适应性统计迭代重建(ASIR)算法结合双低技术在头颈CTA中的应用研究[J]. 影像诊断与介入放射学, 2014, 23(1):7-10.
[2] 钟俊锋, 李云霞, 钟兰生. 64排CT在头颈CTA中最佳扫描时机探讨[J]. 中国医学影像技术, 2012, 28(3):579-581.
[3] 胡杉. 能谱CT结合低浓度对比剂及低管电压技术在头颈CTA中的应用研究[D].武汉:华中科技大学, 2014.
[4] 胡刚, 蒙姣姣, 杨晶莹,等. 监测层及触发方式对头颈CTA图像质量的影响[J]. 医疗卫生装备, 2016, 37(11):81-83.
[5] 李立, 钱伟军, 刘芳,等. 低剂量对比剂联合生理盐水在头颈CTA中的应用价值[J]. 中国实用神经疾病杂志, 2016,19(9):30-32.
[6] 林晨琳. 头颈部双能CTA低浓度对比剂成像研究[D].广州:广州中医药大学, 2015.
[7] 王晓娟, 吴诏周, 赖寿伟. 128层螺旋CT头颈CTA扫描的护理[J].当代护士(中旬刊), 2013,(3):96-97.
[8] 李玮, 刘建新, 王霄英, 等. 低电压、低对比剂剂量头颈CTA的可行性研究[J]. 放射学实践, 2013, 28(5):482-485.
[9] 敖永胜, 陈洪亮.个体化对比剂结合双流技术注射方案在128排双源CT胸痛一站式检查中的应用[J].医药前沿,2018,8(3):156-157.
[10] 刘荣华, 徐宇崇, 万维佳. 64排CT多期双流混合注射跟踪法在肺动脉成像中的应用[J].放射学实践, 2014,29(12):1478-1480.
[11] 陈钰,薛华丹,刘炜,等.第二代双源CT双能扫描头颈部CT血管成像不同造影剂用量的比较[J].中国医学科学院学报,2010,32(6):628-633.
[12] 薛春华,顾庆春,范哗辉,等.64层螺旋CT在肺动脉成像中使用小剂量对比剂的可行性研究[J].医学影像学杂志,2013,23(9):1485-1487.
[13] 王俊,周泽东.64层螺旋CT血管成像在头颈部血管病变中的应用价值[J].大家健康,2013,7(11):89-89.
[14] Mehran R,Aymong E D,Nikolsky E,et al. A simple risk score for prediction of contrast-induced nephropathy after percutaneous coronary intervention:development and initial validation[J]. Journal of the American College of Cardiology,2004, 44(7):1393-1399.
[15] 晏子旭,张兆琪,徐磊,等.双源CT低管电压降低冠状动脉CTA辐射剂量[J].中国医学影像技术,2009,25(9):1614-1616.
[16] 王一民,曹建新,杨诚,等.低管电压对头部减影CTA图像质量和辐射剂量的影响[J].临床放射学杂志,2011,30(1):102-105.
[17] Toprak O,Cirit M.Risk factors and therapy strategies for contrast induced nephropathy[J].Renal Failure,2006,28(5):365-381.
[18] Mccullough P A, Adam A, Becker C R, et al. Epidemiology and prognostic implications of contrast-induced nephropathy[J]. The American Journal of Cardiology, 2006,98(6-supp-S1):5-13.
[19] Vionnet J, Petitpierre S, Fumeaux A, et al. Allergy to radiographic contrast media[J]. Revue Médicale Suisse, 2013,9(382):812-818.

对比剂双流技术注射方案在头颈联合CTA检查中的初步应用

Preliminary Application of Contrast Agent Dual-flow Technology Injection Scheme in Combined Head and Neck CTA

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