采用薄层CT扫描骨中CT值的质量控制
Experimental study on the quality control of CT values for thin-layer CT bone scanning
  
DOI:10.3969/j.issn.1006.7108.2017.12.002
中文关键词:  薄层CT扫描  CT值  骨密度  骨质疏松症  大数据
英文关键词:Thin layer CT scanning  CT value  Bone density  Osteoporosis  Big data
基金项目:福建省自然科学基金项目(2014J01377);福建省自然科学基金项目(2013J01391);福建省莆田市科技局计划项目(2012S03(1))
作者单位
陈宣煌1* 朱敏1 张国栋1,2 黄文华2 陈旭1 余正希1 林海滨1 1.福建省莆田学院附属医院骨科福建 莆田 351100 2.南方医科大学基础医学院人体解剖学教研室广东 广州510515 
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中文摘要:
      目的 探讨采用薄层CT扫描骨诊断骨质疏松过程中,CT值的质量控制。方法 9根猪的股骨分别在2台CT机上扫描,控制因素:电压:100kV及120kV;电流:150mAs及328mAs。数据按照骨算法、标准算法及软组织算法输出,获得结果传输至个人图形工作站。通过Mask编辑,将数据分为单骨比较组和多骨比较组。统计学分析①t检验;② 及Vσ变化幅度;③单因素方差分析;④卡方检验;⑤等比验证。结果 ①SBCG在2台CT上所获得的结果进行两两t检验,GE CT 594个P中有523个P<0.05(523/594),而SIEMENS CT594个P中有547个P<0.05(547/594);② 总的变化幅度为0.0664± 0.0506,Vσ总的变化幅度为0.0310± 0.0300;③单因素方差分析结果中P<0.05的发生个数,按与4个因素相关性排列,由大到小分别为:电压>机器=算法>电流;④卡方检验: 与Vσ,P<0.01。 的kV因素与CT机器因素,P<0.01。 的kV因素与算法因素,P<0.01。 的CT机器因素与算法因素,P>0.05。 的mAs因素与其他三种,P<0.01;⑤标准差与CT值均值近似成等比变化。结论 在基于薄层CT扫描诊断骨质疏松过程中,骨CT值的标准差系数具有十分良好的质量控制。
英文摘要:
      Objective Explore the quality control of CT values when using thin layer CT scanning for the diagnosis of osteoporosis. Osteoporosis can lead to bone loss and higher risk of fracture. There are several kinds of methods on its diagnosis. At present, some scholars put forward the method of using thin-layer CT scanning for the diagnosis of osteoporosis, but there have been no reports on the quality control of this method. Methods Nine pieces of pig femur were scanned on two CT scanners. The control factors were: Voltage: 100kV and 120kV; Electric current: 150mAs and 328mAs. According to bone and soft tissue algorithm and standard algorithm output of the data, the results were transmitted to a personal workstation. Through the Mask editor, the data were divided into single and multiple bone comparison groups. Statistical analyses performed include (1) t-test; (2) and Vσ change range; (3) One-way ANOVA; (4) Chi-Square Test; (5) Geometric verification. Results (1) Comparing the SBCG results obtained on the two CT scanners using t-test, GE CT had 523/597 P<0.05, and SIEMENS CT had 547/594 P<0.05; (2) 's total change range was 0.0664± 0.0506, and Vσ's total change range was 0.0310± 0.0300; (3) Single factor analysis of variance on number of results with P<0.05, according to the correlation with the 4 factors, from large to small were: voltage>machine=algorithm>current. (4) Chi-Square Test: vs. Vσ, P<0.01; 's KV factors vs. CT factors, P<0.01; 's KV factors vs. algorithm factors, P<0.01; 's CT factors vs algorithm factors, P>0.05; 's current factors vs other factors, P<0.01. (5) The standard deviation and the mean value of CT approximated to the geometric change. Conclusions In the diagnosis of osteoporosis based on thin-layer CT scanning, the standard deviation coefficient of the CT value of bone had very good quality control.
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