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纸质出版:2009
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黎川,付强,陈伟,周代全,王健.CTVC肠液标记的实验研究[J].陆军军医大学学报(原第三军医大学学报),2009,31(12):1168-1171.
LI Chuan,FU Qiang,CHEN Wei,ZHOU Dai-quan,WANG Jian.Experimental study of tagged fluid in CT virtual colonoscopy[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(12):1168-1171.
目的 探讨实验条件下在CT仿真结肠镜(CT virtual colonoscopy
CTVC)的检查中引入肠液标记和CT“减影”的方法后,对息肉的检出率及大小有无影响;并确定最佳的造影剂浓度和最佳的观察窗。 方法 选用新鲜离体猪结肠,人工制成3~10 mm的息肉模型,用生理盐水均匀混合阳性造影剂,制成CT值分别为200、400、600 HU和800 HU的肠液模型。在注入不同CT值肠液模型后,利用CT减影技术,分别于减影前、后对息肉大小进行测量,并与对照组相比较,分析不同观察窗和不同造影剂浓度对息肉大小测量的影响,以及对息肉检出能力的影响。 结果 肠液标记最佳造影剂CT值为800 HU;减影前最佳观察窗为结肠窗(-150、1 500 HU)和骨窗(500、2 500 HU)。 结论 肠液标记与CT“减影”技术相结合可有效提高肠液掩盖下小息肉的检出率。
Objective To investigate the effects of tagged fluid and substraction in CT virtual colonoscopy (CTVC) on the conspicuity of polyps and to confirm the optimal attenuation value and the optimal viewing window. Methods Polyps measured 3-10 mm were created in fresh porcine colon in vitro and submerged in saline and mixed with positive contrast medium for the CT values of 200 HU
400 Hu
600 HU
and 800 HU. Polyps were measured before and after substraction and compared with those in the control group. The effects of different viewing windows and different attenuation values on the measurement and conspicuity of polyps were analyzed. Results The optimal attenuation value of tagged fluid was 800 HU and the optimal viewing window was colon (-150 HU
1 500 HU) and bone (500 HU
2 500 HU). Conclusion The combination of tagged fluid and CT substraction can improve the conspicuity of small polyps covered by colonic fluid.
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