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Evaluation of Image Quality and Radiation Dose according to Use of the Tin Filter during CT Examination CT检查中使用锡滤光片评价图像质量和辐射剂量
Pub Date : 2023-03-30 DOI: 10.31320/jksct.2023.25.1.5
Tae-Gyu Song, Hee-Gon Lee, Jang-Seok Lee, Young-Ju Moon
The Tin Filter used in CT scans in medical field has the effect of reducing patient exposure without deteriorating the image quality by block in low-energy X-rays (ranging 30-50 keV) generated from CT scanners. In this study, chest low-dose CT scans were performed with the lungman phantom and various low-dose scan protocol. Then, the image quality of acquired images were evaluated by comparing the radiation dose as to the use of tin filter. The performed evaluation showed that when performing CT scans with a Tin filter installed, the exposure dose was considerably reduced by removing low energy X-rays, but SNR and CNR decreased slightly. Therefore, it is significantly considered that the use of a tin filter in CT scans will help reduce the exposure dose as well as the patient dose while maintaining image quality.
医学领域CT扫描中使用的锡滤光片在CT扫描仪产生的低能x射线(30-50 keV)中具有减少患者暴露而不影响图像质量的效果。在本研究中,胸部低剂量CT扫描与肺man幻像和各种低剂量扫描方案。然后,通过与使用锡滤光片的辐射剂量进行比较,评价所获取图像的图像质量。结果表明,在CT扫描中安装锡过滤器,去除低能x射线后,暴露剂量明显降低,但信噪比和CNR略有下降。因此,值得注意的是,在CT扫描中使用锡过滤器有助于减少暴露剂量和患者剂量,同时保持图像质量。
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引用次数: 0
A Study on the Difference in the Diameter of the Thoracic Aorta according to the Use of Contrast Medium in Computed Tomography 计算机断层扫描造影剂对胸主动脉直径差异的研究
Pub Date : 2023-03-30 DOI: 10.31320/jksct.2023.25.1.65
Sang-hoon Park, i-Hwa Baek, Jae-yeon Park, H. Koo, Dong-hwan Kim, Y. Joo
Computed tomography imaging has become a recognized and widely used procedure for the evaluation of patients with aortic dissection, stenosis or aneurysm. In CT, an accurate assessment of the size of the aorta plays a key role in detecting the aneurysm and determining how to treat it. However, despite this pivotal role of CT, there is little data on how accurately a CT scan measures the size of the actual thoracic aorta. Specialists in the Department of Radiology have determined that if the diameter of the thoracic aorta is greater than 40 ㎜, there is a finding of thoracic aortic dilatation, but if these criteria differ from non-contrast CT and Contrast CT, the determination may be difficult, and research is needed. This study was to present the average value and difference in diameter measurement of the thoracic aorta in non-contrast and contrast multi-detection computed tomography images and to see how the value varies with gender, age, and vendor.
计算机断层成像已成为一种公认的、广泛应用的评估主动脉夹层、狭窄或动脉瘤患者的方法。在CT中,准确评估主动脉的大小对于发现动脉瘤和决定如何治疗起着关键作用。然而,尽管CT具有如此关键的作用,关于CT扫描测量实际胸主动脉大小的准确性的数据却很少。放射科专家已经确定,如果胸主动脉直径大于40㎜,就有胸主动脉扩张的发现,但如果这些标准与非对比CT和对比CT不同,则可能难以确定,需要进行研究。本研究旨在探讨胸主动脉直径测量在非对比和对比多重检测计算机断层扫描图像中的平均值和差异,并观察该值如何随性别、年龄和供应商而变化。
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引用次数: 0
Usefulness Evaluation of Lower Extremity CT Angiography Examination using Heart Rate 下肢CT血管造影心率检查的有效性评价
Pub Date : 2023-03-30 DOI: 10.31320/jksct.2023.25.1.49
Sung-sik Kim, Rae-Wook Kang, Im-Beom Lee, Jae-Ho Kim, H. Park
The purpose of this study was to find an optimized imaging technique and evaluate its usefulness by comparing and analyzing the difference in contrast enhancement of lower extremity blood vessels according to the patient's heart rate during lower extremity angio CT examination. From January 2022 to August 22nd, 139 outpatients who visited Ajou University Hospital and underwent lower extremity angio CT examination were targeted. According to the heart rate, the groups were divided into four groups: A(HR≤65), B(65
本研究的目的是通过对比分析下肢血管CT检查时根据患者心率对下肢血管造影增强效果的差异,寻找一种优化的成像技术,并评价其实用性。研究对象为2022年1月至8月22日在亚洲大学附属医院就诊并行下肢血管CT检查的139例门诊患者。根据心率分为A组(HR≤65)、B组(65
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引用次数: 0
Hypersensitivity Reaction Incidence Patterns and Risk Factors of Iodinated Contrast Media 碘化造影剂超敏反应发生率及危险因素分析
Pub Date : 2023-03-30 DOI: 10.31320/jksct.2023.25.1.37
Dong-Hwi Kim, J. Mun, Jun-Hwan Kim, Seungh-wan Yun, Hwan-Sang Park, Chang-Kon Kim, Yeong-Deok Kim
The subjects of this study were 2,798 patients who experienced hypersensitivity reaction of contrast media among 72,910 who had had iodinated contrast media administered intravenously and CT examination at our hospital. Retrospective survey was conducted with these subjects. Their age, gender, hypersensitivity reaction symptoms, prepare methods for the patients who had previous hypersensitivity reaction of contrast media, and contrast media administered were analyzed. When it came to the hypersensitivity reaction incidence of contrast media, women and patients aged less than 60 had the high risk of the reaction. Even if patients had previous contrast media hypersensitivity reaction, their hypersensitivity reaction incidence risk was reduced as they had an appropriate premedication drug administered and contrast media were changed. Regarding the hypersensitivity reaction incidence rate by contrast media, Iopromide’s hypersensitivity reaction incidence rate was significantly high, whereas Iohexol and Ioversol had low incidence rates. In order to prevent contrast media hypersensitivity reaction recurrence, it is preferentially necessary to change a contrast media to a different one without reuse of causative contrast media, rather than to use a premedication drug only. Along with that, it is necessary to administer a premedication drug.
本研究的对象是72910例在我院静脉注射碘化造影剂并进行CT检查的造影剂超敏反应患者中的2798例。对这些受试者进行回顾性调查。分析年龄、性别、超敏反应症状、既往造影剂超敏反应患者的制备方法、造影剂给药情况。造影剂超敏反应发生率方面,女性及60岁以下患者发生反应的风险较高。即使患者既往有造影剂超敏反应,但由于给药前给予适当的药物和改变造影剂,其超敏反应发生率降低。对比剂超敏反应发生率方面,碘丙胺的超敏反应发生率明显高,而碘己醇和艾弗索尔的超敏反应发生率较低。为了防止造影剂超敏反应的再次发生,在不重复使用造影剂的情况下,优先更换造影剂,而不是仅仅使用药物前的药物。与此同时,有必要在用药前服用药物。
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引用次数: 0
Device Application to Improve Patient Safety and Image Quality during Chest CT Examination of Unconscious Patients 提高昏迷患者胸部CT检查患者安全和图像质量的设备应用
Pub Date : 2023-03-30 DOI: 10.31320/jksct.2023.25.1.11
Seong-Min Kim, Yeun-ju Kim, S. Choi, K. Lee
This study was to analyze the effect on patient safety and image quality improvement by lowering the arm and applying a self-made device during chest CT examinations of unconscious patients. From April 1 to September 30, 2022, 78 patients (male: 42, female: 36, mean age: 67 years old) among intensive care unit patients who underwent chest CT scan were retrospectively reviewed. The patients were classified into three positions as follows: both arms raised (A position), both arms straight out using the self-made device (B position), and both arms straight out to the side (C position). For radiation dose comparison, dose length product (DLP) values were measured and compared to each other. For image quality evaluation, image noise, signal to noise ratio (SNR), contrast to noise ratio (CNR), and contrast to dose ratio (CNRDR) values were compared, and qualitative evaluation was also performed. The average DLP value of the B position was significantly lower than that of the C position, and it was relatively higher than that of the A position, but there was no significant difference statistically.(p=0.051) In the quantitative evaluation, it was evaluated that the B position maintains a quality quite similar to that of the A position despite the lowering of the both arms. In addition, in the qualitative evaluation, an average score was obtained between A and C. In conclusion, it was confirmed that the use of the self-made device for rapid and safe chest CT examination of unconscious patients is useful in improving patient dose and image quality.
本研究旨在分析在对无意识患者进行胸部CT检查时,降低手臂并应用自制装置对患者安全及图像质量改善的影响。回顾性分析2022年4月1日至9月30日期间重症监护病房行胸部CT扫描患者78例(男42例,女36例,平均年龄67岁)。将患者分为三种体位:双臂抬起(A位)、使用自制器械双臂伸直(B位)、双臂伸直向侧(C位)。对于辐射剂量比较,测量剂量长度积(DLP)值并相互比较。对图像质量进行评价,比较图像噪声、信噪比(SNR)、噪声比(CNR)、剂量比(CNRDR)值,并进行定性评价。B位的平均DLP值明显低于C位,相对高于A位,但在统计学上无显著差异(p=0.051)在定量评价中,评价B位在双臂降低的情况下仍保持了与A位相当的质量。定性评价中,A ~ c的平均得分为A ~ c。综上所述,使用自制装置对昏迷患者进行快速、安全的胸部CT检查,有助于提高患者的剂量和图像质量。
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引用次数: 0
Quantitative Evaluation of the Use of Surface Filter to Reduce Photon Starvation Artifacts 使用表面滤波器减少光子饥饿伪影的定量评价
Pub Date : 2023-03-30 DOI: 10.31320/jksct.2023.25.1.21
Sang-Hun Kim, Woong-Jin Keum, Wan-Youk Kim
During CT (Computed Tomography) examination, Surface Filter made for the reduction of Photon Starvation Artifacts occurring in the patient's shoulder and clavicle was quantitatively evaluated. Image quality was evaluated by changing 120 kVp and 100 mA, 200 mA, and 300 mA fixed to Thorax Phantom, and scattered radiation measurement was performed on the surface of the part to which the filter was applied. As a result, it was confirmed that the SNR(Signal to Noise Ratio) increased by 35.86%, 26.65%, and 18.18%, respectively, and the effect of reducing the thoracic surface dose by an average of 33.7% was shown. The results of this study indicate that it is a useful method that can optimize the image without increasing the dose and reduce the patient's surface dose due to scattered radiation.
在CT(计算机断层扫描)检查中,定量评估了用于减少患者肩部和锁骨发生的光子饥饿伪影的表面滤波器。通过改变120 kVp和固定在胸腔幻影上的100 mA、200 mA和300 mA来评估图像质量,并在应用滤波器的部分表面进行散射辐射测量。结果证实,该方法可使胸部表面剂量平均降低33.7%,信噪比分别提高35.86%、26.65%和18.18%。本研究结果表明,该方法可以在不增加剂量的情况下优化图像,减少因散射辐射引起的患者表面剂量。
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引用次数: 0
Usefulness Evaluation of Water as an Oral Contrast Medium and Virtual Monoenergetic Images in Liver CT 水作为口服造影剂和肝脏CT虚拟单能图像的有效性评价
Pub Date : 2023-03-30 DOI: 10.31320/jksct.2023.25.1.27
Ho-Sung Lee, Seong-Min Oh, Hyeon-Seok Han, H. Yu, Chang-Seop Oh, Min Lee, Yong-Sik Bang
The usefulness of intake water as an oral contrast medium and MonoE(Virtual Monoenergetic Images) 50 keV of DECT(Dual Energy Computed Tomography) was evaluated in Liver CT. In order to compare water intake image and non-water intake image and MonoE 50 keV image of non-water intake data were obtained from 50 patients who underwent liver follow-up CT at our hospital from January 1, 2021 to June 31, 2022 at our hospital, using IQon Spectral CT (Philips Healthcare, Netherlands). In the same patient, compared to non-water intake image, both Water intake image and MonoE 50 keV image of non-water intake showed an increase in the average values of HU of portal vein, liver parenchyma, SNR, CNR. As a result of quantitative analysis using the paired-sample t-test of SPSS (Statistical Package For Social Science, IBM, US), showed a statistically significant increase in portal vein, liver parenchyma, SNR, CNR in all phases except for the liver parenchyma of Artery Phase. In particular, in the case of MonoE 50 keV, it was confirmed that SNR and CNR increased significantly. Both water intake as an oral contrast and MonoE 50 keV of DECT showed significant increases in SNR and CNR compared to when non-water intake. If MonoE 50 keV using DECT is applied to patients who are restricted water intake and difficult to intake due to poor general conditions, it is believed that the safety and convenience of patients will be increased, and the satisfaction of CT will be improved.
在肝脏CT上评价了饮水作为口服造影剂和双能CT(Dual Energy Computed Tomography, DECT) 50 keV的mone (Virtual Monoenergetic Images)的有效性。为了比较2021年1月1日至2022年6月31日在我院行肝脏CT随访的50例患者的摄水图像与非摄水图像及monoe50kev图像的数据,采用IQon频谱CT (Philips Healthcare,荷兰)。在同一患者中,与不喝水的图像相比,喝水图像和不喝水的monoe50kev图像均显示门静脉HU、肝实质、信噪比、CNR的平均值升高。采用SPSS (Statistical Package For Social Science, IBM, US)的配对样本t检验进行定量分析,除动脉期肝实质外,其余各期门静脉、肝实质、信噪比、CNR均有统计学意义的升高。特别是在MonoE 50 keV的情况下,证实了信噪比和CNR的显著提高。与不饮水时相比,饮水作为口服对照和DECT的monoe50kev均显示信噪比和CNR显著增加。如果将使用DECT的MonoE 50 keV应用于一般情况较差、饮水受限、饮水困难的患者,相信会增加患者的安全性和便利性,提高CT满意度。
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引用次数: 0
Usefulness Evaluation of Algorithm for Reducing Noise and Artifact in CT Guided Biopsy Using Fine Needles CT引导细针活检降噪与伪影算法的有效性评价
Pub Date : 2023-03-30 DOI: 10.31320/jksct.2023.25.1.57
Soo-Been Lee, Sang-Hun Kim, Dong-Chan Sung, Wan-Youk Kim
This study analyzed the usefulness of standard, bone, edge and FBP, ASIR, ASIR-V, MAR algorithm to reduce noise caused by low mA and to reduce artifacts caused by fine needle. The CT number value measured through the phantom study was higher in order of MAR, edge, bone, and standard algorithm. In the case of using the ASIR-V in the algorithm excluding MAR, the noise value was reduced compared to the case of using ASIR. In particular, the edge algorithm showed an average noise reduction effect of 4.59times when ASIR-V was applied compared to other algorithms and also scored high in the sharpness of the fine needle. MAR algorithm has the highest CT number and the lowest noise value, but it is difficult to apply clinically because of the severe distortion of the fine needles. As a result of this study, it is considered that the application of edge algorithm with ASIR-V algorithm will be more useful than the application of MAR algorithm in CT examination using fine needles.
本研究分析了标准、骨、边缘和FBP、ASIR、ASIR- v、MAR算法在降低低mA引起的噪声和减少细针引起的伪影方面的有效性。幻影研究测得的CT数值依次为MAR、边缘、骨、标准算法。在排除MAR的算法中使用ASIR- v的情况下,噪声值比使用ASIR的情况有所降低。特别是边缘算法在应用ASIR-V时,平均降噪效果是其他算法的4.59倍,细针的清晰度也很高。MAR算法CT数最高,噪声值最低,但由于细针畸变严重,难以在临床上应用。因此,本研究认为在细针CT检查中,将边缘算法与ASIR-V算法结合使用将比使用MAR算法更有用。
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引用次数: 0
Model Complexity of Deep Residual U-NET for CT Liver Volumetry CT肝脏体积测量中深度残留U-NET的模型复杂度
Pub Date : 2022-09-30 DOI: 10.31320/jksct.2022.24.2.55
Kyoung-jin Park, Sang-hyub Park
Computed Tomography (CT) has been used for liver volume measurement because of the highest location accuracy. Automated segmentation methods may improve CT volumetry time, but it has low accuracy. Residual U-Net which is one of the deep learning methods could improve segmentation accuracy. However optimization of residual U-Net hasn’t been demonstrated yet. The purpose of this paper is to investigate the optimal complexity for CT liver volumetry. The study was conducted using the 3D-IRCADb01 Datasets (10 males, 10 females) published by MIS Training Center, 15 people learned and 5 people tested. Segmented images were generated using Deep Residual U-Nets with a total of four different complexity. As a result, as the model became more complex, the total parameters and training time increased exponentially. In all models, both training and testing showed more than 97% accuracy. All losses were less than 0.2. In the case of DCL, it was the lowest at 0.8037 in 3-layer and the highest at 0.9533 in 5-layer. In conclusion, 5 hidden layers of residual U-Net has the highest dice coefficient loss and could train the datasets faster than other complex models.
由于定位精度高,计算机断层扫描(CT)已被用于肝脏体积测量。自动分割方法可以提高CT体积测量时间,但精度较低。残差U-Net是一种深度学习方法,可以提高分割精度。然而,剩余U-Net的优化还没有得到证实。本文的目的是探讨CT肝脏体积测量的最佳复杂度。本研究使用MIS Training Center发布的3D-IRCADb01数据集(男10人,女10人),学习15人,测试5人。使用深度残差U-Nets生成四种不同复杂度的分割图像。因此,随着模型的复杂化,总参数和训练时间呈指数增长。在所有模型中,训练和测试的准确率都超过97%。所有损失均小于0.2。DCL 3层最低,为0.8037,5层最高,为0.9533。综上所述,残差U-Net的5层隐含层具有最高的骰子系数损失,并且可以比其他复杂模型更快地训练数据集。
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引用次数: 0
Evaluation of the Volume of Coronary Artery Calcification according to Various Kernels and iBHC Algorithm 基于各种核函数和iBHC算法的冠状动脉钙化体积评估
Pub Date : 2022-09-30 DOI: 10.31320/jksct.2022.24.2.49
Moo-geon Kim, Woong-Jin Keum, Young-Kyoon Kim
The purpose of this study was to measure whether the volume of calcium due to cardiac artery calcification changes by functions different from that of the kernel, and to improve the use of more accurate kernels and functions. A Somatom Force(Siemens Healthineers, Forchheim, Germany) was used as CT equipment. Based on the Sa36 kernel, the Agatston score and volumes of calcium with the Br32, Br36, and Br40 kernels were compared. In addition, variables were added to the Br36 kernel by applying the equipment's unique function, iBHC(Beam Hardening Correction). The image was analyzed using the calcium score function of Aquarius iNtusion Edition ver. 4.4.13 P6 software(Terarecon, California, USA). There was a statistically significant difference between the Sa36 kernel to which the iBHC algorithm was applied and the Agatston scores and volumes of the Br32, Br36, and Br40 kernels to which the iBHC algorithm was not applied. In addition, there was a statistically significant difference between the Sa36 kernel to which the iBHC algorithm was applied, the Br36 kernel to which the iBHC algorithm was applied, and the Agatston score and volume of the Br36 kernel to which the iBHC algorithm was not applied. As a result, it can be seen that the Agatston score and volume of calcium change with the change in the kernel and with the application of the iBHC algorithm. Protocol correction is essential for accurate diagnosis and differentiation of coronary artery disease. To this end, it is necessary to use intermediate-level kernels such as Sa36 kernels and to use careful iBHC algorithms.
本研究的目的是测量心脏动脉钙化钙的体积是否因不同于核的功能而改变,从而提高核和功能的准确性。使用Somatom Force(Siemens Healthineers, Forchheim, Germany)作为CT设备。以Sa36为材料,比较了Br32、Br36和Br40的Agatston评分和钙含量。此外,通过应用设备的独特功能iBHC(波束硬化校正),将变量添加到Br36内核中。使用Aquarius inusion Edition ver的钙评分函数对图像进行分析。4.4.13 P6软件(美国加州Terarecon)。应用iBHC算法的Sa36核与未应用iBHC算法的Br32、Br36和Br40核的Agatston分数和体积之间存在统计学差异。此外,应用iBHC算法的Sa36核与应用iBHC算法的Br36核与未应用iBHC算法的Br36核的Agatston评分和体积之间存在统计学差异。由此可以看出,Agatston评分和钙体积随着核的变化以及iBHC算法的应用而变化。方案校正是准确诊断和鉴别冠状动脉疾病的必要条件。为此,有必要使用中间层内核,如Sa36内核,并使用谨慎的iBHC算法。
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引用次数: 0
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Korean Society of Computed Tomographic Technology
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