局解手术学杂志2024，Vol.33Issue(12)：1048-1051,4.DOI:10.11659/jjssx.11E023116
基于体表面积降低对比剂剂量对肝脏增强双能CT图像质量的影响
Effect of reducing contrast agent dosage based on body surface area on the quality of liver enhanced dual-energy CT images
摘要
Abstract
Objective Personalized calculation of contrast agent dose based on body surface area(BSA)was conducted to explore the feasibility of obtaining virtual single energy or reconstruction fusion through dual-energy CT without affecting the enhancement effect of portal vein trunk under the condition of reducing the contrast agent dose.Methods A total of 60 patients who received enhanced upper abdominal CT examination in the First Affiliated Hospital of Army Medical University were selected and divided into the normal dose group and the reduced dose group.The normal dose group used the BSA estimated value as the contrast agent dose,and the reduced dose group used the BSA estimated value reduced by 20%as the contrast agent dose.Both groups of patients were treated with dual-energy CT scanning in portal vein stage,and the scanning parameters were the same.After scanning,Syngo dual-energy post-processing software of Siemens multi-mode image workstation was used to reconstruct and fuse the 5 mm layer thickness image of the portal vein stage in the reduced dose group by two methods:"optimum contrast(OC)"and"monoenergetic(Mono)".The CT value and SD value of the portal vein trunk and the normal liver parenchyma of images in each group were measured.The contrast to noise ratio(CNR)of theportal vein and the liver parenchyma and portal vein signal to ratio(SNR)were calculated.Results Compared with the normal dose group,there was no statistically significant difference in the subjective score in the reduced dose OC group(P>0.05),but the CNR and SNR of the portal vein trunk in the images were significantly improved(P<0.05).The portal vein CT value and the difference between portal vein and liver parenchyma in the reduced dose Mono group were significantly lower than those in the normal dose group,and the subjective score was the lowest,with statistical differences(P<0.05).Conclusion In the case of reducing the contrast agent dose by 20%,the dual-energy CT reconstruction fusion method can not only reduce the damage of contrast agent to patients,but also significantly improve the lesion display,and improve the consistency of liver enhancement image quality.关键词
双能CT/肝脏增强/对比剂/体表面积Key words
dual-energy CT/liver enhancement/contrast agent/body surface area分类
医药卫生引用本文复制引用
雷瑜竹,李晓明,季冰,王洁,李静,陈伟,李莲..基于体表面积降低对比剂剂量对肝脏增强双能CT图像质量的影响[J].局解手术学杂志,2024,33(12):1048-1051,4.基金项目
重庆市自然科学基金(CSTB2022NSCQ-MSX1371) （CSTB2022NSCQ-MSX1371）
