鼻窦炎疑似患者鼻旁窦 MSCT 解剖信息与重建算法的变化

Sri Mulyati, G. M. Wibowo, Jeffri Ardiyanto, Sylvia Ishlahul Ummah
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摘要

背景:骨窗技术和骨重建算法的标准操作程序被称为医院鼻旁窦 MSCT 方案。然而,大多数放射科医生选择的是实施算法重建的规程,这仍然是试错,没有组织规程开发研究。MSCT SPN 的准确性和图像数据的质量有可能成为关键问题。本研究旨在评估和检查算法重建方法,以获得更准确的鼻窦炎疑似患者的 SPN 解剖数据:研究采用准实验技术。使用重建方法的三种滤波器(骨、骨加和边缘)获得了 10 名患者的 30 张 SPN 图像。图像由两位放射科专家进行评估:根据弗里德曼检验ρ值的解剖学统计检验得出了非参数结果,即 0.00 小于 0.05。这些结果表明,H0 被拒绝,Ha 被接受,这意味着在鼻窦炎疑似患者的鼻旁窦 MSCT 扫描检查中,骨、boneplus 和边缘重建算法的变化在解剖信息上存在差异。弗里德曼检验(Friedman test)使用每种解剖结构的平均秩值得出的结果显示,Boneplus 在可视化解剖结构方面更胜一筹。整个解剖结构的弗里德曼检验平均等级值得出的结果是,在显示疑似鼻窦炎患者鼻旁窦 MSCT 扫描的解剖信息方面,Boneplus 重建算法优于骨和边缘重建算法:结论:根据弗里德曼试验解剖学的均值秩和频率分布结果,骨加重建算法与边缘重建算法和骨重建算法相比,在显示鼻窦MSCT扫描的解剖信息方面,骨加重建算法的变化更为理想。
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Informasi Anatomi MSCT Sinus Paranasal pada Suspek Sinusitis dengan Variasi Rekonstruksi Algorithma
Background: The standard operating procedure with the bone window technique and bone reconstruction algorithm is referred to the MSCT protocol for paranasal sinuses in Hospital. However, the majority of radiologists select a protocol that implements the algorithm reconstruction, which is still trial and error without an organized protocol development study. There is a chance that the accuracy of the MSCT SPN and the quality of the picture data may become crucial problems. This study set out to assess and examine the algorithmic reconstruction method that can yield more accurate SPN anatomical data in sinusitis suspects.Methods: A quasi-experimental technique was taken in conducting the research. Three filters (bone, boneplus, and edge) of the reconstruction method were used to get thirty SPN images from ten patients. The images were  assessed by the two expert radiologist.Results: The results of non-parametric was obtained based on statistical tests using the  Friedman test ρ-value  of anatomy, namely 0.00 less than 0.05. These results indicate that H0 is rejected and Ha is accepted,  meaning that there are differences in anatomical information between variations of bone, boneplus, and  edge reconstruction algorithms on the MSCT scan examination of the paranasal sinuses with sinusitis suspect. The Friedman test results using the mean rank values of each anatomy show that Boneplus is  superior in terms of visualizing anatomy. The Friedman test's mean rank value of the entire anatomy  yielded the result that the boneplus reconstruction algorithm is superior to the bone and edge reconstruction algorithm in displaying anatomical information on the MSCT scan of the paranasal  sinuses with sinusitis suspect.Conclusions: Based on value mean rank For each Friedman test anatomy and the results of the frequency distribution, variations of the bone plus reconstruction algorithm are more optimal in displaying anatomical information on the MSCT Scan of the paranasal sinuses compared with the edge and bone reconstruction algorithms.
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