中国临床医学影像杂志
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O-MAR技术在颅内动脉瘤栓塞术后CTA中的应用
高思喆,丁长伟,郭文力,洪  阳
中国医科大学附属盛京医院,辽宁 沈阳  110004
Application of O-MAR technique in postoperative CTA of intracranial aneurysms embolization
GAO Si-zhe, DING Chang-wei, GUO Wen-li, HONG Yang
Shengjing Hospital of China Medical University, Shenyang 110004, China
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摘要 目的:探讨O-MAR技术在颅内动脉瘤栓塞术后CTA中的临床应用价值。方法:收集25例颅内动脉瘤栓塞术后CTA检查的原始数据,分别采用常规FBP重建(A组)和FBP+O-MAR重建(B组)。采用Mann-Whitney U秩和检验主观比较O-MAR去除金属伪影的效果;采用配对样本t检验或Mann-Whitney U秩和检验比较两组的客观指标(伪影的长度、弹簧圈附近组织的CT值及噪声值)的差异。结果:B组的主观评分显著高于A组(U=0.00,P<0.01)。B组较A组的伪影长度显著减短(分别为(15.4±3.2) mm和(38.8±7.1) mm,t=7.73,P<0.01)、CT值增高更接近于正常组织(t=2.99,P<0.05)、噪声值减低(分别为(35.1±12.5) HU和(137.5±58.3) HU,t=5.31,P<0.01)。结论:O-MAR技术可有效地减少颅内动脉瘤弹簧圈栓塞术后CTA的金属伪影,纠正植入体周围的CT值,改善图像质量。
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高思喆
丁长伟
郭文力
洪 阳
关键词 颅内动脉瘤;颅内栓塞;体层摄影术X线计算机    
Abstract:Objective: To evaluate the clinical value of O-MAR technique in postoperative CTA of intracranial aneurysms embolization. Methods: Twenty-five patients with postoperative CTA of intracranial aneurysm after embolization were collected. The raw data were reconstructed by FBP(group A) and FBP+O-MAR(group B) respectively. Mann-Whitney U test was used for comparisons of the effects of the metal artifacts reduction. t-test or Mann-Whitney U test was used for comparisons of objective evaluating indices(length of artifacts, CT value and image noise). Results: The subjective scores of group B were significant higher than group A(U=0.00, P<0.01). There were significant differences between group B and group A in the length of artifacts((15.4±3.2) mm and (38.8±7.1) mm, t=7.73, P<0.01), CT value(t=2.99, P<0.05) and image noise((35.1±12.5) HU and (137.5±58.3) HU, t=5.31, P<0.01). Conclusion: O-MAR technique can reduce the metal artifacts effectively, correct CT values around the plants and improve the image quality.
Key wordsIntracranial aneurysm    Intracranial embolism    Tomography, X-ray computed
收稿日期: 2016-10-20     
PACS:  R739.41  
  R815  
  R814.42  
通讯作者: 丁长伟,中国医科大学附属盛京医院放射科,110004。E-mail:18940254003@163.com   
作者简介: 高思喆(1982-),男,辽宁抚顺人,技师。E-mail:18940254598@189.cn
引用本文:   
高思喆,丁长伟,郭文力,洪 阳. O-MAR技术在颅内动脉瘤栓塞术后CTA中的应用[J]. 中国临床医学影像杂志, 2017, 28(6): 391-393.
GAO Si-zhe, DING Chang-wei, GUO Wen-li, HONG Yang. Application of O-MAR technique in postoperative CTA of intracranial aneurysms embolization. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(6): 391-393.
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