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Research progresses of dual-layer spectral detector CT for preoperative evaluation on colorectal cancer
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作者 LI Pengqiang LIU Nianjun +5 位作者 ZHANG Yanli WANG Yanfei LAN Jinhui REN Huling DOU Yu LEI Junqiang 《中国医学影像技术》 CSCD 北大核心 2024年第8期1262-1265,共4页
Dual-layer spectral detector CT is a new spectrum CT imaging technology based on detector being able to obtain both images similar to true plain and spectral images in one time scanning.The reconstructed multi-paramet... Dual-layer spectral detector CT is a new spectrum CT imaging technology based on detector being able to obtain both images similar to true plain and spectral images in one time scanning.The reconstructed multi-parameter spectral images can not only improve image quality,enhance tissue contrast,increase the visualization and detection ability of occult lesions,but also provide qualitative and quantitative analysis of the lesions,so as to provide more imaging information and multi-dimensional diagnostic basis.The research progresses of dual-layer spectral detector CT for preoperative evaluation on colorectal cancer were reviewed in this article. 展开更多
关键词 colorectal neoplasms tomography x-ray computed
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Preoperative CT radiomics models for predicting composition of in vivo urinary calculi
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作者 TANG Lei WANG Shixia +3 位作者 LI Wuchao ZENG Xianchun AN Yunzhao SONG Bin 《中国医学影像技术》 CSCD 北大核心 2024年第8期1216-1220,共5页
Objective To observe the value of preoperative CT radiomics models for predicting composition of in vivo urinary calculi.Methods Totally 543 urolithiasis patients were retrospectively enrolled and divided into calcium... Objective To observe the value of preoperative CT radiomics models for predicting composition of in vivo urinary calculi.Methods Totally 543 urolithiasis patients were retrospectively enrolled and divided into calcium oxalate monohydrate stone group(group A,n=373),anhydrous uric acid stone group(group B,n=86),carbonate apatite group(group C,n=30),ammonium urate stone group(group D,n=28)and ammonium magnesium phosphate hexahydrate stone group(group E,n=26)according to the composition of calculi,also divided into training set and test set at the ratio of 7∶3.Radiomics features were extracted and screened based on plain CT images of urinary system.Five binary task models(model A—E corresponding to group A—E)and a quinary task model were constructed using least absolute shrinkage and selection operator algorithm for predicting the composition of calculi in vivo.Then receiver operating characteristic curves were drawn,and the area under the curves(AUC)were calculated to evaluate the predictive efficacy of binary task models,while the accuracy,precision,recall and F1 score were used to evaluate the predictive efficacy of the quinary task model.Results All binary task models had good efficacy for predicting the composition of urinary calculi in vivo,with AUC of 0.860—0.948 in training set and of 0.856—0.933 in test set.The accuracy,precision,recall and F1 score of the quinary task model for predicting the composition of in vivo urinary calculi was 82.25%,83.79%,46.23%and 0.596 in training set,respectively,while was 80.63%,75.26%,43.48%and 0.551 in test set,respectively.Conclusion Binary task radiomics models based on preoperative plain CT had good efficacy for predicting the composition of in vivo urinary calculi,while the quinary task radiomics model had high accuracy but relatively poor stability. 展开更多
关键词 UROLITHIASIS tomography x-ray computed radiomics
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Artificial intelligence models based on non-contrast chest CT for measuring bone mineral density
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作者 DUAN Wei YANG Guoqing +6 位作者 LI Yang SHI Feng YANG Lian XIONG Xin CHEN Bei LI Yong FU Quanshui 《中国医学影像技术》 CSCD 北大核心 2024年第8期1231-1235,共5页
Objective To observe the value of artificial intelligence(AI)models based on non-contrast chest CT for measuring bone mineral density(BMD).Methods Totally 380 subjects who underwent both non-contrast chest CT and quan... Objective To observe the value of artificial intelligence(AI)models based on non-contrast chest CT for measuring bone mineral density(BMD).Methods Totally 380 subjects who underwent both non-contrast chest CT and quantitative CT(QCT)BMD examination were retrospectively enrolled and divided into training set(n=304)and test set(n=76)at a ratio of 8∶2.The mean BMD of L1—L3 vertebrae were measured based on QCT.Spongy bones of T5—T10 vertebrae were segmented as ROI,radiomics(Rad)features were extracted,and machine learning(ML),Rad and deep learning(DL)models were constructed for classification of osteoporosis(OP)and evaluating BMD,respectively.Receiver operating characteristic curves were drawn,and area under the curves(AUC)were calculated to evaluate the efficacy of each model for classification of OP.Bland-Altman analysis and Pearson correlation analysis were performed to explore the consistency and correlation of each model with QCT for measuring BMD.Results Among ML and Rad models,ML Bagging-OP and Rad Bagging-OP had the best performances for classification of OP.In test set,AUC of ML Bagging-OP,Rad Bagging-OP and DL OP for classification of OP was 0.943,0.944 and 0.947,respectively,with no significant difference(all P>0.05).BMD obtained with all the above models had good consistency with those measured with QCT(most of the differences were within the range of Ax-G±1.96 s),which were highly positively correlated(r=0.910—0.974,all P<0.001).Conclusion AI models based on non-contrast chest CT had high efficacy for classification of OP,and good consistency of BMD measurements were found between AI models and QCT. 展开更多
关键词 OSTEOPOROSIS bone density tomography x-ray computed artificial intelligence
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Self-supervised learning artificial intelligence noise reduction technology based on the nearest adjacent layer in ultra-low dose CT of urinary calculi
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作者 ZHOU Cheng LIU Yang +4 位作者 QIU Yingwei HE Daijun YAN Yu LUO Min LEI Youyuan 《中国医学影像技术》 CSCD 北大核心 2024年第8期1249-1253,共5页
Objective To observe the value of self-supervised deep learning artificial intelligence(AI)noise reduction technology based on the nearest adjacent layer applicated in ultra-low dose CT(ULDCT)for urinary calculi.Metho... Objective To observe the value of self-supervised deep learning artificial intelligence(AI)noise reduction technology based on the nearest adjacent layer applicated in ultra-low dose CT(ULDCT)for urinary calculi.Methods Eighty-eight urinary calculi patients were prospectively enrolled.Low dose CT(LDCT)and ULDCT scanning were performed,and the effective dose(ED)of each scanning protocol were calculated.The patients were then randomly divided into training set(n=75)and test set(n=13),and a self-supervised deep learning AI noise reduction system based on the nearest adjacent layer constructed with ULDCT images in training set was used for reducing noise of ULDCT images in test set.In test set,the quality of ULDCT images before and after AI noise reduction were compared with LDCT images,i.e.Blind/Referenceless Image Spatial Quality Evaluator(BRISQUE)scores,image noise(SD ROI)and signal-to-noise ratio(SNR).Results The tube current,the volume CT dose index and the dose length product of abdominal ULDCT scanning protocol were all lower compared with those of LDCT scanning protocol(all P<0.05),with a decrease of ED for approximately 82.66%.For 13 patients with urinary calculi in test set,BRISQUE score showed that the quality level of ULDCT images before AI noise reduction reached 54.42%level but raised to 95.76%level of LDCT images after AI noise reduction.Both ULDCT images after AI noise reduction and LDCT images had lower SD ROI and higher SNR than ULDCT images before AI noise reduction(all adjusted P<0.05),whereas no significant difference was found between the former two(both adjusted P>0.05).Conclusion Self-supervised learning AI noise reduction technology based on the nearest adjacent layer could effectively reduce noise and improve image quality of urinary calculi ULDCT images,being conducive for clinical application of ULDCT. 展开更多
关键词 urinary calculi tomography x-ray computed artificial intelligence prospective studies
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Chest CT quantitative parameters in patients with acute exacerbation of chronic obstructive pulmonary disease:Correlations with blood eosinophil level
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作者 YANG Lu SHENG Yadan +7 位作者 YANG Kai HE Liyu GU Huihui SUN Guoqing CHEN Weiting ZHU Bingjie CHEN Yanrong JIN Chenwang 《中国医学影像技术》 CSCD 北大核心 2024年第8期1189-1193,共5页
Objective To observe the correlations of chest CT quantitative parameters in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)with blood eosinophil(EOS)level.Methods Chest CT data of 16... Objective To observe the correlations of chest CT quantitative parameters in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD)with blood eosinophil(EOS)level.Methods Chest CT data of 162 AECOPD patients with elevated eosinophils were retrospectively analyzed.The patients were divided into low EOS group(n=105)and high EOS group(n=57)according to the absolute counting of blood EOS.The quantitative CT parameters,including the number of whole lung bronchi and the volume of blood vessels,low-attenuation area percentage(LAA%)of whole lung,of left/right lung and each lobe of lung,as well as the luminal diameter(LD),wall thickness(WT),wall area(WA)and WA percentage of total bronchial cross-section(WA%)of grade 3 to 8 bronchi were compared between groups.Spearman correlations were performed to analyze the correlations of quantitative CT parameters with blood EOS level.Results LAA%of the whole lung,of the left/right lung and each lobe of lung,as well as of the upper lobe of right lung LD grade 4,middle lobe of right lung WT grade 5,upper lobe of right lung WA grade 4,middle lobe of right lung WA grade 5 and lower lobe of left lung WA grade 3 in low EOS group were all higher than those in high EOS group(all P<0.05).Except for the upper lobe of right lung LD grade 4,the above quantitative CT indexes being significant different between groups were all weakly and negatively correlated with blood EOS level(r=-0.335 to-0.164,all P<0.05).Conclusion Chest CT quantitative parameters of AECOPD patients were correlated with blood EOS level,among which LAA%,a part of WT and WA were all weakly negatively correlated with blood EOS level. 展开更多
关键词 pulmonary disease chronic obstructive EOSINOPHILS tomography x-ray computed
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Automated body composition analysis system based on chest CT for evaluating content of muscle and adipose
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作者 YANG Jie LIU Yanli +2 位作者 CHEN Xiaoyan CHEN Tianle LIU Qi 《中国医学影像技术》 CSCD 北大核心 2024年第8期1242-1248,共7页
Objective To establish a body composition analysis system based on chest CT,and to observe its value for evaluating content of chest muscle and adipose.Methods T7—T8 layer CT images of 108 pneumonia patients were col... Objective To establish a body composition analysis system based on chest CT,and to observe its value for evaluating content of chest muscle and adipose.Methods T7—T8 layer CT images of 108 pneumonia patients were collected(segmented dataset),and chest CT data of 984 patients were screened from the COVID 19-CT dataset(10 cases were randomly selected as whole test dataset,the remaining 974 cases were selected as layer selection dataset).T7—T8 layer was classified based on convolutional neural network(CNN)derived networks,including ResNet,ResNeXt,MobileNet,ShuffleNet,DenseNet,EfficientNet and ConvNeXt,then the accuracy,precision,recall and specificity were used to evaluate the performance of layer selection dataset.The skeletal muscle(SM),subcutaneous adipose tissue(SAT),intermuscular adipose tissue(IMAT)and visceral adipose tissue(VAT)were segmented using classical fully CNN(FCN)derived network,including FCN,SegNet,UNet,Attention UNet,UNET++,nnUNet,UNeXt and CMUNeXt,then Dice similarity coefficient(DSC),intersection over union(IoU)and 95 Hausdorff distance(HD)were used to evaluate the performance of segmented dataset.The automatic body composition analysis system was constructed based on optimal layer selection network and segmentation network,the mean absolute error(MAE),root mean squared error(RMSE)and standard deviation(SD)of MAE were used to evaluate the performance of automatic system for testing the whole test dataset.Results The accuracy,precision,recall and specificity of DenseNet network for automatically classifying T7—T8 layer from chest CT images was 95.06%,84.83%,92.27%and 95.78%,respectively,which were all higher than those of the other layer selection networks.In segmentation of SM,SAT,IMAT and overall,DSC and IoU of UNet++network were all higher,while 95HD of UNet++network were all lower than those of the other segmentation networks.Using DenseNet as the layer selection network and UNet++as the segmentation network,MAE of the automatic body composition analysis system for predicting SM,SAT,IMAT,VAT and MAE was 27.09,6.95,6.65 and 3.35 cm 2,respectively.Conclusion The body composition analysis system based on chest CT could be used to assess content of chest muscle and adipose.Among them,the UNet++network had better segmentation performance in adipose tissue than SM. 展开更多
关键词 body composition THORAX muscle skeletal adipose tissue deep learning tomography x-ray computed
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0D-1D coupling model and 3D fluid-structure interaction model based on coronary CT angiography for displaying hemodynamic characteristics of coronary artery stenosis
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作者 LIU Shanfeng LU Xiaochen +1 位作者 TIAN Hao WU Huiqun 《中国医学影像技术》 CSCD 北大核心 2024年第8期1236-1241,共6页
Objective To observe value of 0D-1D coupling model and 3D fluid-structure interaction(FSI)model based on coronary CT angiography(CCTA)for displaying hemodynamic characteristics of coronary artery stenosis.Methods Base... Objective To observe value of 0D-1D coupling model and 3D fluid-structure interaction(FSI)model based on coronary CT angiography(CCTA)for displaying hemodynamic characteristics of coronary artery stenosis.Methods Based on CCTA data of the stenosed left anterior descending branch(LAD)in a patient with coronary heart disease,an 0D-1D coupling model and 3D FSI model were built,respectively.Then hemodynamic characteristic indexes,including the pressure,flow velocity and wall shear stress(WSS)were obtained in every 0.01 s during 1 s at 5 sampling points(i.e.sampling point 1—5)using these 2 models,respectively,and the consistencies of the results between models were evaluated with Spearman correlation coefficient r s.Results The time consuming for construction of 0D-1D coupling model and 3D FSI model was 0.033 min and 704 min,respectively.Both models showed basically distribution of the pressure,flow velocity and WSS of the stenosed LAD.For more details,the pressure at the stenosed segment of LAD and the proximal segment of stenosis were both higher,which gradually decreased at the distal segment of stenosis,and the flow velocity at the proximal segment of stenosis was in a relatively slow and uniform condition,with significantly increased flow velocity and WSS at the stenosed segment.Compared with 3D FSI model,0D-1D vascular coupling model was relatively unrefined and lack of distal flow lines when displaying blood flow velocity.For sampling point 2 at the stenosed segment of LAD,no significant consistency for pressure between 2 models was found(P=0.118),but strong consistency for the flow velocity and WSS(r s=0.730,0.807,both P<0.05).The consistencies of pressure,flow velocity and WSS between 2 models at the proximal and distal segment of stenosis,i.e.1,3—5 sampling points were week to moderate(r s=0.237—0.669,all P<0.05).Conclusion 0D-1D coupling model exhibited outstanding computational efficiency and might provide relatively reasonable results,while 3D FSI model showed higher accuracy for details and streamline when simulating LAD stenosis. 展开更多
关键词 coronary stenosis HEMODYNAMICS coronary angiography tomography x-ray computed
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Soil Macropore Structure Characterized by X-Ray Computed Tomography 被引量:4
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作者 FENGJie ZHANGJia-Bao +1 位作者 ZHUAn-Ning BIJing-Wei 《Pedosphere》 SCIE CAS CSCD 2003年第4期289-298,共10页
Undisturbed soil core with many macropores and disturbed soil core with onlyone macropore (diameter is 10 mm) were probed by X-ray computed tomography (CT). The size, number,shape and continuity of macropores in the t... Undisturbed soil core with many macropores and disturbed soil core with onlyone macropore (diameter is 10 mm) were probed by X-ray computed tomography (CT). The size, number,shape and continuity of macropores in the transverse and vertical sectionsof soil were characterizedusing CT scanning images. The probability densities of macropores in the transverse section of soilcore exhibited a logarithmic P distribution. Results indicated that CT scanning was a promisingnondestructive method for characterizing macropores in soils. 展开更多
关键词 CT scanning DISTRIBUTION IMAGE MACROPORES
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Quantification of 3D macropore networks in forest soils in Touzhai valley(Yunnan,China)using X-ray computed tomography and image analysis 被引量:2
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作者 ZHANG Jia-ming XU Ze-min +2 位作者 LI Feng HOU Ru-ji REN Zhe 《Journal of Mountain Science》 SCIE CSCD 2017年第3期474-491,共18页
The three dimensional (3D) geometry of soil macropores largely controls preferential flow, which is a significant infiltrating mechanism for rainfall in forest soils and affects slope stability. However, detailed st... The three dimensional (3D) geometry of soil macropores largely controls preferential flow, which is a significant infiltrating mechanism for rainfall in forest soils and affects slope stability. However, detailed studies on the 3D geometry of macropore networks in forest soils are rare. The intense rainfall-triggered potentially unstable slopes were threatening the villages at the downstream of Touzhai valley (Yunnan, China). We visualized and quantified the 3D macropore networks in undisturbed soil columns (Histosols) taken from a forest hillslope in Touzhai valley, and compared them with those in agricultural soils (corn and soybean in USA; barley, fodder beet and red fescue in Denmark) and grassland soils in USA. We took two large undisturbed soil columns (250 mm^25o mmxsoo mm), and scanned the soil columns at in-situ soil water content conditions using X-ray computed tomography at a voxel resolution of 0.945 × 0.945 × 1.500o mm^3. After reconstruction and visualization, we quantified the characteristics of macropore networks. In the studied forest soils, the main types of maeropores were root channels, inter-aggregate voids, maeropores without knowing origin, root-soil interfaee and stone-soil interface. While maeropore networks tend to be more eomplex, larger, deeper and longer. The forest soils have high maeroporosity, total maeropore wall area density, node density, and large maeropore volume, hydraulie radius, mean maeropore length, angle, and low tortuosity. The findings suggest that maeropore networks in the forest soils have high inter- connectivity, vertical continuity, linearity and less vertically oriented. 展开更多
关键词 Slope stability Touzhai valley Rainfall infiltration Forest soils x-ray computed tomography 3D macropore networks
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Studies of Microstructure of Kernels of Macadamia integrifolia and Its Hybrids through MRI, X-Ray Tomography and Confocal Microscopy
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作者 Warangkana Srichamnong Bill Price +4 位作者 Timothy Gardner Ryan Dean Ervan Plougonven Angelique Leonard George Srzednicki 《Journal of Food Science and Engineering》 2013年第9期503-516,共14页
The aim of this study was to apply the existing techniques that enable examination ofmacadamia kernels to provide a better understanding of physico-chemical properties of kernels during postharvest processing. These t... The aim of this study was to apply the existing techniques that enable examination ofmacadamia kernels to provide a better understanding of physico-chemical properties of kernels during postharvest processing. These techniques, such as X-ray tomography, could be applied for quality monitoring in the macadamia industry. The objectives of this study were to investigate the browning centre symptoms that usually occur in macadamia nuts-in-shell. The applied techniques included confocal microscopy, X-ray tomography and magnetic resonance imaging (MRI). Five different varieties of macadamia nuts (A38, 246, 816, 842 and Daddow) were selected to include distinct characteristics, such as drop pattern and growing location. Analysis of the microstructure of kernels by confocal microscopy showed the distribution of possible brown pigment compounds as well as the distribution of lipids, carbohydrates and proteins inside macadamia cells. Physical properties data, including shell density and seed to volume ratio, were obtained by X-ray tomography. Magnetic resonance diffusion tensor imaging used in this study showed marked differences in microstructure which indicate that different varieties exhibit different microstructures expressed as fraction ofanisotropy and apparent diffusion coefficient that appear to be related to the occurrence of the brown centre. Hence, the findings of this study have potential to improve the existing postharvest techniques used in the macadamia processing industry. They will be of benefit to the industry in terms of improved quality control and cost reduction. 展开更多
关键词 Macadamia integrifolia MICROSTRUCTURE magnetic resonance imaging confocal microscopy x-ray tomography
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64排螺旋CT血管造影评价肝硬化血管改变及侧支循环 被引量:14
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作者 李妙玲 赵婷婷 +2 位作者 袁会军 孙兴旺 强永乾 《中国医学影像技术》 CSCD 北大核心 2011年第9期1859-1862,共4页
目的探讨MSCTA评价肝硬化肝脏血管的异常改变及侧支循环形成的价值。方法对168例肝硬化患者(肝硬化组)及120例无肝硬化的患者(对照组)行肝区三期MSCTA,应用MIP和VR进行重建,并对获得的图像进行对照分析。结果肝硬化组和对照组门静脉1级... 目的探讨MSCTA评价肝硬化肝脏血管的异常改变及侧支循环形成的价值。方法对168例肝硬化患者(肝硬化组)及120例无肝硬化的患者(对照组)行肝区三期MSCTA,应用MIP和VR进行重建,并对获得的图像进行对照分析。结果肝硬化组和对照组门静脉1级和肝静脉1级血管的显示差异无统计学意义(P分别为0.51、0.08),肝动脉、门静脉、肝静脉分级显示差异均有统计学意义(P<0.01)。肝硬化组肝动脉、门静脉起始部增粗85例,分支纤细、纡曲98例,门静脉癌栓形成9例,海绵变性8例,肝动脉持续显影55例、门静脉持续显影57例;对照组3例肝动脉、门静脉起始部增粗,2例分支纤细、纡曲,4例肝动脉持续显影,3例门静脉持续显影。肝硬化组交通支开放总数258支,其中食管胃底静脉曲张196例(196/258,75.97%),对照组仅2例见腹膜后分流。结论 64排CT三期血管成像可准确、全面显示肝硬化血管的异常改变及门体分流,尤其能较早、较全面地显示食管胃底静脉曲张,为临床提供更多可靠的诊断和治疗依据。 展开更多
关键词 肝硬化 体层摄影术 x-线计算机 血管造影术
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HRCT多平面重组及最大密度投影对慢性化脓性中耳炎听骨链病变的术前评估 被引量:11
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作者 丁元萍 孙晓卫 +4 位作者 李笃民 邓基波 张寒冰 荣宝刚 丁寿玲 《山东大学学报(医学版)》 CAS 北大核心 2006年第6期630-633,共4页
目的:通过HRCT多平面重组及最大密度投影观察正常听骨链的形态,并对慢性化脓性中耳炎听骨链病变进行术前评估。方法:对20例(40耳)突发性聋患者(对照组)和62例(71耳)慢性化脓性中耳炎患者(病变组)行高分辨率CT扫描,分别沿三个听小骨的长... 目的:通过HRCT多平面重组及最大密度投影观察正常听骨链的形态,并对慢性化脓性中耳炎听骨链病变进行术前评估。方法:对20例(40耳)突发性聋患者(对照组)和62例(71耳)慢性化脓性中耳炎患者(病变组)行高分辨率CT扫描,分别沿三个听小骨的长轴进行多平面重组(MPR),对显示图像直接进行最大密度投影重建(MIP)。对照组比较MPR和MIP图像整体显示听骨的形态和结构情况;病变组观察听骨链破坏情况,并与手术结果比较。结果:对照组听小骨在MPR及MIP图像均明确显示,MPR对镫骨整体的显示优于MIP,MIP可以立体显示听骨链的空间结构;病变组,胆脂瘤型39例(44耳),MPR显示43耳有听骨破坏,MIP显示41耳有听骨破坏;肉芽肿型15例(17耳),MPR显示6耳有听骨破坏,MIP显示5耳有听骨破坏。单纯性中耳炎8例(10耳),MPR及MIP均未显示听骨破坏。术中见胆脂瘤型中耳炎41耳有听骨破坏;肉芽肿型中耳炎6耳有骨质破坏,单纯型无听骨破坏。结论:MPR对镫骨的整体显示优于MIP,MIP对听骨链破坏的显示能力优于MPR,两者相结合可以提高听骨链破坏的诊断率,为手术方式的制定提供重要信息。 展开更多
关键词 体层摄影术 x-计算机 中耳炎 胆脂瘤 高分辨率CT
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冠状动脉形态与粥样硬化病变关系的多层螺旋CT研究 被引量:3
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作者 范卫君 刘远健 +3 位作者 吕衍春 顾仰葵 杨有优 刘鹏程 《中山大学学报(医学科学版)》 CAS CSCD 北大核心 2008年第3期320-323,346,共5页
【目的】探讨冠状动脉的三维形态结构、变异及与冠心病(CAD)发生的相关关系。【方法】用多层螺旋CT(MSCT)增强方法行冠状动脉造影,通过工作站三维重建处理,观察、测量冠状动脉的分支、位置、形态及其变异,并分析其与冠状动脉粥样硬化病... 【目的】探讨冠状动脉的三维形态结构、变异及与冠心病(CAD)发生的相关关系。【方法】用多层螺旋CT(MSCT)增强方法行冠状动脉造影,通过工作站三维重建处理,观察、测量冠状动脉的分支、位置、形态及其变异,并分析其与冠状动脉粥样硬化病变的关系。【结果】成功进行MSCT冠状动脉造影的病例1057人,发现冠状动脉狭窄面积>70%诊为冠心病352例。资料显示左侧优势型的冠心病发病数相对较少,而左冠状动脉主干发出角度较大、主干较短、冠状动脉开口于冠状动脉窦之外变异与冠心病发生有显著相关关系。【结论】MSCT能够准确地显示冠状动脉管径、三维形态结构;冠状动脉的某些结构如开口变异等可能造成血液动力学改变,导致冠心病的发生。 展开更多
关键词 冠状动脉 体层摄影术 x-线计算机 变异 粥样硬化
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急性胰腺炎累及肾周间隙的CT表现与临床严重程度的相关性 被引量:8
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作者 严志汉 闵鹏秋 +3 位作者 刘再毅 宋彬 许崇永 虞志康 《温州医学院学报》 CAS 2004年第1期17-19,共3页
目的 :探讨肾周间隙 (PS)的受累程度与急性胰腺炎 (AP)严重程度的相关性 ,分析PS受累判断AP严重程度的价值。方法 :回顾分析 87例AP病例螺旋CT表现 ,着重观察PS是否受累以及受累的严重程度 ,并进行CT分级评分 ,同时记录AP的临床严重程... 目的 :探讨肾周间隙 (PS)的受累程度与急性胰腺炎 (AP)严重程度的相关性 ,分析PS受累判断AP严重程度的价值。方法 :回顾分析 87例AP病例螺旋CT表现 ,着重观察PS是否受累以及受累的严重程度 ,并进行CT分级评分 ,同时记录AP的临床严重程度及评分。结果 :PS的CT表现形态评分与AP严重程度评分呈正相关 (P <0 .0 5 )。本组轻症AP 2 4例 ,其中 9例PS受累 ;6 3例重症AP ,5 6例PS受累。若以PS受累作为判断重症AP的阳性数 ,则其敏感度为 89% (5 6 / 6 3) ,特异度为 6 2 % (15 / 2 4 ) ,阳性预测值为 86 % (5 6 / 6 5 ) ,阴性预测值为 70 % (15 / 2 2 ) ,准确度为 82 % (71/ 87)。结论 :肾周间隙受累的CT表现能一定程度地反映急性胰腺炎的严重程度。 展开更多
关键词 胰腺炎 急性 肾周间隙 体层摄影术 x-线计算机
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耳鼻咽喉部腺样囊性癌影像分析 被引量:7
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作者 钱雯 唐作华 包兵 《中国医学计算机成像杂志》 CSCD 北大核心 2013年第4期317-320,共4页
目的:通过分析耳鼻咽喉部腺样囊性癌(ACC)的影像表现,提高对本病的认识和诊断。方法:回顾性分析耳鼻咽喉部经手术和病理证实的ACC病例的临床和影像资料,共38例(鼻腔鼻窦或鼻底腭部22例、外耳道11例、鼻咽3例和喉部2例),均行CT检查,19例... 目的:通过分析耳鼻咽喉部腺样囊性癌(ACC)的影像表现,提高对本病的认识和诊断。方法:回顾性分析耳鼻咽喉部经手术和病理证实的ACC病例的临床和影像资料,共38例(鼻腔鼻窦或鼻底腭部22例、外耳道11例、鼻咽3例和喉部2例),均行CT检查,19例行MRI检查。结果:①部位和形态:鼻腔、鼻窦和鼻底腭部ACC中20例呈分叶或浸润状,2例边缘光滑,5例见肿瘤侵犯三叉神经分支,2例沿鼻腔和腭部结构浸润状生长;耳部ACC多数发生于外耳道外侧段,沿耳道壁浸润性生长;鼻咽部ACC呈分叶状,2例肿瘤沿三叉神经分支侵入颅内;喉部ACC范围广泛,累及喉及颈段气管,基底广且表面不规则。②密度和信号:CT平扫中等或稍低密度,增强扫描呈轻或中度强化;MRI T1WI等或稍低信号,T2WI等或高信号,中等或明显强化;27例(71%)肿瘤内见囊性区,其中16例(42%)呈特异性筛囊样改变,以鼻腔鼻窦和鼻咽部病例为多。③骨质:破坏13例(鼻腔鼻窦10例、鼻咽2例、喉部1例);破坏伴受压11例(鼻腔鼻窦10例、耳部1例);骨质受压1例(鼻窦);较多外耳道ACC骨质无异常。结论:耳鼻咽喉部ACC的影像表现具有恶性肿瘤的共同特点:边缘不规则、不清楚、浸润状生长、肿瘤内囊性或坏死区、伴骨质破坏等。其较特异性的表现为筛囊状、沿神经侵犯和沿结构浸润生长,筛囊状表现可能以鼻咽和鼻窦ACC较多见,耳部ACC骨质破坏相对少见。 展开更多
关键词 腺样囊性癌 体层摄影术 x-线计算机 磁共振成像
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动态容积CT对心力衰竭患者左心室静脉系统的评价 被引量:3
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作者 张闯 田梅 +4 位作者 袁小东 全昌斌 乔远罡 敖国昆 唐发宽 《中国心血管病研究》 CAS 2014年第9期816-818,864,共4页
目的 应用320排动态容积CT对心力衰竭患者的左心室静脉系统进行评价,以指导心脏再同步治疗(CRT)中左心室电极的置入.方法 对在我院应用320排动态容积CT行冠状动脉检查的70例心衰患者,行冠状静脉系统重建.其中男性33例,女性37例,平均... 目的 应用320排动态容积CT对心力衰竭患者的左心室静脉系统进行评价,以指导心脏再同步治疗(CRT)中左心室电极的置入.方法 对在我院应用320排动态容积CT行冠状动脉检查的70例心衰患者,行冠状静脉系统重建.其中男性33例,女性37例,平均年龄(58.4±11.5)岁.重点对左室侧静脉及左室后侧静脉进行测量及分析.结果 60例患者可清晰显示左室侧静脉和(或)左室后侧静脉,其中54例患者可观察到心侧静脉,55例患者观察到心后侧静脉.对比性别发现,男性心侧静脉与CS开口距离、可显示最大长度大于女性(P<0.05),男性心后侧静脉开口直径、血管弯曲度大于女性(P<0.05);女性心侧静脉血管最大弯曲度大于男性(P<0.05),女性心侧、心后侧静脉与心大静脉右房侧或CS夹角大于男性(P<0.05).结论 应用动态容积CT可以清晰地重建心衰患者左心静脉系统,为CRT提供术前指导. 展开更多
关键词 体层摄影术 x-线计算机 冠状静脉 冠状静脉窦 心力衰竭 心脏再同步治疗
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64层螺旋CT诊断冠状动脉粥样硬化斑块研究 被引量:9
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作者 常燕 王冬伟 +2 位作者 李渭征 张启华 唐帆 《陕西医学杂志》 CAS 2017年第1期47-49,共3页
目的:探讨64层螺旋CT在诊断冠状动脉粥样硬化斑块中的临床意义。方法:将70例冠状动脉粥样硬化性心脏病患者根据临床症状的不同分为急性冠脉综合征组(ACS)46例和稳定型心绞痛组(SAP)24例,利用CT值定性分析不同类型斑块的性质程度,计算斑... 目的:探讨64层螺旋CT在诊断冠状动脉粥样硬化斑块中的临床意义。方法:将70例冠状动脉粥样硬化性心脏病患者根据临床症状的不同分为急性冠脉综合征组(ACS)46例和稳定型心绞痛组(SAP)24例,利用CT值定性分析不同类型斑块的性质程度,计算斑块的数目和构成比例,计算血管的狭窄程度,分析与不同性质斑块之间的关系。结果:与稳定型心绞痛组对比,急性冠脉综合征组斑块检出率显著升高(P<0.05);根据相关标准计算出四支主要血管的狭窄程度,结构提示血管的狭窄性和斑块的类型之间没有明显的关联(P>0.05)。结论:64层螺旋CT在对冠状动脉粥样硬化斑块的诊断中起到了重要的作用,可以判断血管的狭窄程度和斑块类型。 展开更多
关键词 冠状动脉硬化/放射摄影术 体层摄影术 x-线计算机 @64层螺旋CT @冠状动脉斑块
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MSCTA多平面重组及三维重建图像对胡桃夹综合征的诊断价值 被引量:5
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作者 闫呈新 李筱倩 +1 位作者 杨可乐 王艳 《中国CT和MRI杂志》 2012年第3期68-70,共3页
目的研究MSCT的血管多平面重组及三维重建图像对胡桃夹综合征的诊断价值。方法应用MSCTA对15例胡桃夹综合征病例进行泌尿系增强多期扫描,并获得各种后处理图像。结果 15例胡桃夹综合征病例均可见肠系膜上动脉(SMA)压迫左肾静脉(LRV)的... 目的研究MSCT的血管多平面重组及三维重建图像对胡桃夹综合征的诊断价值。方法应用MSCTA对15例胡桃夹综合征病例进行泌尿系增强多期扫描,并获得各种后处理图像。结果 15例胡桃夹综合征病例均可见肠系膜上动脉(SMA)压迫左肾静脉(LRV)的征象。CT多平面重建(MPR)直观地显示了腹主动脉(AO)与SMA之间的夹角,两者之间交角13.4°~31.8°,平均为21.5°±4.6°。LRV受SMA压迫狭窄处前后径为2.8~4.1mm,平均为3.4mm,近肾端左肾静脉明显扩张,前后径为11.8~18.2mm,平均为15.6mm,两者的管径之比为1:4.20~6.43;受压处左肾静脉上下径明显拉长,直径为11.3~21.2mm。结论 MSCTA可清楚地显示胡桃夹综合征的LRV形态及立体走向,利用重建功能准确、直观地评估LRV扩张及变窄的程度,对临床诊断、治疗具有重要的应用价值。 展开更多
关键词 胡桃夹综合征 体层摄影术 x-线计算机 肠系膜上动脉 血管造影术
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鼻咽癌海绵窦受侵的临床及影像学分析 被引量:2
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作者 周益琴 陆进成 +2 位作者 钱普东 朱军 张宜勤 《江苏医药》 CAS CSCD 北大核心 2007年第4期367-369,共3页
目的 探讨鼻咽癌海绵窦受侵的临床及影像学特点.方法 回顾分析1998年~2003年我院诊治的鼻咽癌海绵窦受侵患者72例.全部经CT和MRI诊断,比较CT与MRI在海绵窦受侵中的诊断差异.分析头痛、颅神经症状及颅底骨破坏与海绵窦受侵的关系.结果 7... 目的 探讨鼻咽癌海绵窦受侵的临床及影像学特点.方法 回顾分析1998年~2003年我院诊治的鼻咽癌海绵窦受侵患者72例.全部经CT和MRI诊断,比较CT与MRI在海绵窦受侵中的诊断差异.分析头痛、颅神经症状及颅底骨破坏与海绵窦受侵的关系.结果 72例中,MRI均能显示海绵窦受侵,CT有12例不能确诊.全组伴头痛59例(81.9%),其中与受侵海绵窦同侧52例(88.1%);合并前组颅神经症状62例(86.1%),其中两对以上的40例(64.5%);颅底骨破坏70例(97.2%),其中两个部位以上的65例(92.8%).结论 MRI较CT能更早期准确诊断鼻咽癌海绵窦受侵.头痛和颅神经症状是海绵窦受侵的主要指征. 展开更多
关键词 鼻咽癌 海绵窦 x-线计算机体层摄影术 磁共振成像
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甲状腺癌的CT诊断及误诊分析 被引量:14
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作者 李莉 许向东 钟添荣 《实用医学影像杂志》 2008年第1期11-12,15,共3页
目的分析甲状腺癌的CT表现,探讨CT在甲状腺癌的诊断价值及误诊原因。方法回顾性分析32例甲状腺癌患者术前CT资料及术后病理检查结果。结果32例中24例癌性病灶边缘不规则,10例为囊性伴高密度乳头状结节,9例出现钙化,13例侵犯周围组织器官... 目的分析甲状腺癌的CT表现,探讨CT在甲状腺癌的诊断价值及误诊原因。方法回顾性分析32例甲状腺癌患者术前CT资料及术后病理检查结果。结果32例中24例癌性病灶边缘不规则,10例为囊性伴高密度乳头状结节,9例出现钙化,13例侵犯周围组织器官,14例颈部淋巴结转移。术前误诊8例,误诊为腺瘤4例,结节性甲状腺肿3例,弥漫性甲状腺肿1例。结论肿瘤突破被膜向周围浸润,转移淋巴结内颗粒状钙化,肿物囊性变伴高密度乳头状结节是甲状腺癌的特征性表现;而肿瘤较小,边缘清晰或合并其他甲状腺疾病是误诊的主要原因。 展开更多
关键词 甲状腺癌 体层摄影术 x-线计算机 误诊
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