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首页> 外文期刊>Clinical Radiology: Journal of the Royal College of Radiologists >Dual-energy CT angiography of pelvic and lower extremity arteries: dual-energy bone subtraction versus manual bone subtraction.
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Dual-energy CT angiography of pelvic and lower extremity arteries: dual-energy bone subtraction versus manual bone subtraction.

机译:骨盆和下肢动脉的双能CT血管造影:双能骨骼减影与手动骨骼减影。

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摘要

AIM: To analyse the effect of dual-energy bone subtraction (DEBS) on the image quality of peripheral computed tomography (CT) angiograms. MATERIALS AND METHODS: Twenty patients underwent dual-energy CT angiography of the pelvic and lower extremity arteries using commercially available equipment. Two different methods of image processing were employed for each CT angiographic dataset: (1) DEBS, and (2) manual bone subtraction (MBS). Effects on vessel visibility and artificial vessel alterations were compared. RESULTS: Bone removal, and the resultant visibility of vessel segments, were significantly better with DEBS than with MBS (p=0.011). The overall frequency of vessel-related alterations was lower in MBS compared with DEBS (p=0.001). Specifically, in the 249 vessel segments with calcified plaques, MBS generated fewer vessel alterations than DEBS (p<0.001). In the 309 vessel segments without calcified plaques, there was no difference in vessel alteration between the two techniques (p=0.22). CONCLUSION: DEBS facilitates bone removal in peripheral CT angiography, but generates more vessel alterations, particularly in the presence of calcified plaque.
机译:目的:分析双能骨消减术(DEBS)对外周计算机断层扫描(CT)血管造影图像质量的影响。材料与方法:20例患者使用市售设备进行了骨盆和下肢动脉的双能CT血管造影。每个CT血管造影数据集采用两种不同的图像处理方法:(1)DEBS和(2)人工骨消减(MBS)。比较了对血管可见度和人工血管改变的影响。结果:与MBS相比,DEBS显着改善了去骨和血管段的可见性(p = 0.011)。与DEBS相比,MBS中与血管相关的改变的总频率更低(p = 0.001)。具体而言,在249个具有钙化斑块的血管段中,MBS产生的血管改变少于DEBS(p <0.001)。在309个无钙化斑块的血管段中,两种技术之间的血管改变无差异(p = 0.22)。结论:DEBS有助于在外周CT血管造影中去除骨骼,但会产生更多的血管改变,尤其是在钙化斑块存在的情况下。

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