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Test-Bolus技术联合斜率算法在颅脑CTA成像中的应用
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作者 李佩 高明 +4 位作者 王培洁 王科鑫 李娟 赵娟 陈月芹 《中国中西医结合影像学杂志》 2025年第3期380-383,391,共5页
目的:探讨Test-Bolus技术联合斜率算法在颅脑CTA成像中的应用价值。方法:前瞻性分析行颅脑CTA检查的患者120例,随机分为试验组和对照组各60例。试验组CTA检查时采用Test-Bolus技术联合斜率算法,对照组采用Test-Bolus技术常规法,对2组主... 目的:探讨Test-Bolus技术联合斜率算法在颅脑CTA成像中的应用价值。方法:前瞻性分析行颅脑CTA检查的患者120例,随机分为试验组和对照组各60例。试验组CTA检查时采用Test-Bolus技术联合斜率算法,对照组采用Test-Bolus技术常规法,对2组主观和客观图像质量进行评价。客观评价包括图像CT值、SNR和CNR。主观评价由2位高年资影像医师按5分法完成,2位医师主观一致性分析采用Kappa检验。组间分析行独立样本t检验和Wilcoxon秩和检验。结果:试验组颈内动脉C4段、大脑前动脉A1段、大脑中动脉M1段、大脑后动脉P1段的CT值、SNR、CNR均高于对照组,试验组窦汇的CT值、SNR高于对照组,差异均有统计学意义(均P<0.05)。试验组对比剂用量低于对照组,差异有统计学意义(P<0.05)。试验组图像的主观评分[(4.35±0.65)分]高于对照组[(3.88±1.09)分],图像的优秀率(90.0%)高于对照组(70.0%),差异有统计学意义(Z=-2.06,P<0.05)。2位医师对试验组、对照组的主观评分一致性较好(K=0.812,0.834;均P<0.001)。结论:在颅脑CTA成像中应用Test-Bolus技术联合斜率算法,在获得更高图像质量的同时可降低对比剂用量,减少患者对比剂肾病风险,具有较高的应用价值。 展开更多
关键词 Test-bolus技术 体层摄影术 X线计算机 斜率 图像质量
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Bolus与胸壁间隙对双侧乳腺癌术后放疗的剂量学影响
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作者 袁星星 张云 龚长飞 《实用癌症杂志》 2025年第5期772-776,共5页
目的探讨双侧乳腺癌改良根治手术后放疗补偿膜(Bolus)与皮肤空气间隙对靶区和正常组织的影响。方法随机选取32例乳腺癌切除术后放疗患者(左侧16例,右侧16例),采用Pinnacle三维放疗计划系统设计切线野和均分野两种计划。在补偿膜与胸部... 目的探讨双侧乳腺癌改良根治手术后放疗补偿膜(Bolus)与皮肤空气间隙对靶区和正常组织的影响。方法随机选取32例乳腺癌切除术后放疗患者(左侧16例,右侧16例),采用Pinnacle三维放疗计划系统设计切线野和均分野两种计划。在补偿膜与胸部间隙宽度分别为2 mm、4 mm、6 mm、10 mm和20 mm情况下,用相同的射野参数重新计算计划剂量。通过剂量-体积直方图(DVH)比较不同空气间隙条件下的计划靶区和正常组织剂量分布。结果对于所有在乳房切除术后接受放疗的乳腺癌患者,空气间隙对心脏和肺照射剂量均无显著影响。当空气间隙超过6 mm时,V 50 Gy显著降低,特别是当空气间隙达到10 mm和20 mm时,V 50 Gy在有切线野的左侧病例中分别下降了2.37%和5.33%,左侧均分野的病例下降分别为2.55%和5.18%。右侧切线野的为2.67%和6.6%,右侧均分野分别为2.4%和5.64%(P<0.005)。由空气间隙引起的PTV的V 50 Gy的减少主要是由靠近皮肤的靶区(PTV-s)造成的。空气间隙分别达到10 mm和20 mm,V 50 Gy在不同情况下分别下降了约13%和28%。结论空气对靠近皮肤表面的靶区PTV-s有较大的影响,当空气间隙大于4 mm时,PTV-s的V 50 Gy显著减小。随着空气间隙的扩大,补偿膜的影响可能会消失,也会引起热点,影响剂量的均匀性。建议在乳房切除术后放疗中使用补偿膜时,空气间隙控制在4 mm以内。 展开更多
关键词 空气间隙 补偿膜 调强放射治疗 乳房切除术后调强放射治疗
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Bolus材质对乳腺癌胸壁电子束放疗剂量分布的影响
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作者 吴经 李白威 +2 位作者 杨伟强 孔栋 孔燕 《中国医学装备》 2024年第9期7-12,共6页
目的:评估组织等效物Bolus材质对乳腺癌术后胸壁电子束放疗剂量分布的影响。方法:构建乳腺癌改良根治术后胸壁放疗模型,基于国际原子能机构(IAEA)官网中6 MeV电子束相空间文件(PSF)和Geant4蒙特卡罗应用软件包,计算Bolus材质中水、聚苯... 目的:评估组织等效物Bolus材质对乳腺癌术后胸壁电子束放疗剂量分布的影响。方法:构建乳腺癌改良根治术后胸壁放疗模型,基于国际原子能机构(IAEA)官网中6 MeV电子束相空间文件(PSF)和Geant4蒙特卡罗应用软件包,计算Bolus材质中水、聚苯乙烯、聚乳酸、甘油和硅胶5种不同材质电子束放疗胸部剂量分布,对比胸壁和肺组织中剂量分布差异。结果:Bolus材质对电子束在胸壁的最大剂量深度(d_(max))影响较小,10 mm厚的Bolus所致d_(max)最大差异约2 mm;对剂量分布产生影响较大,尤其在胸壁后缘和浅表肺组织中,胸壁后缘剂量由大到小对应Bolus材质依次为聚苯乙烯、水、聚乳酸、硅胶和甘油,对于5 mm和10 mm厚的Bolus材质,剂量差异分别约为8%和15%;浅表肺组织中剂量由大到小对应Bolus材质依次是水、聚苯乙烯、聚乳酸、硅胶和甘油,对于5 mm和10 mm厚的Bolus材质,剂量差异最大分别可达约50%和70%。结论:Bolus材质对胸壁电子束放疗剂量分布所产生影响较大,合理选择Bolus材质有助于保证靶区剂量,减少肺组织中剂量沉积。 展开更多
关键词 组织等效物(bolus)材质 电子束 剂量分布 乳腺癌 放射治疗
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Test-Bolus改良法在头颈部CTA检查中的应用价值 被引量:11
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作者 杨正彬 谢惠 +2 位作者 吴绍全 邓小林 吴红敏 《放射学实践》 北大核心 2019年第5期486-490,共5页
目的:对比Test-Bolus改良法与经验值法在头颈部CTA检查中的应用效果,探讨TestBolus改良法的应用价值。方法:将140例行头颈部CTA检查的患者按随机数字表法分为Test-Bolus经验值法组(A组)和Test-Bolus改良法组(B组),每组70例,分别运用常... 目的:对比Test-Bolus改良法与经验值法在头颈部CTA检查中的应用效果,探讨TestBolus改良法的应用价值。方法:将140例行头颈部CTA检查的患者按随机数字表法分为Test-Bolus经验值法组(A组)和Test-Bolus改良法组(B组),每组70例,分别运用常规经验值法和改良法进行头颈部CTA扫描,测量两组带骨薄层增强图像不同层面(主动脉弓层面、双侧颈动脉窦层面、双侧大脑中动脉M1段层面)动脉血管内的CT值,并对两组减影VR图像进行主观质量评分。结果:A、B两组不同层面动脉血管内CT值差异均无统计学意义(P值均>0.05)。VR图像评分为优、良的例数总和所占百分比分别为:A组77.1%(54/70),B组95.7%(67/70),B组明显高于A组,差异有统计学意义(Z=-9.567,P=0.000)。A组减影VR图像质量主观评分为(3.11±0.28)分,B组为(3.44±0.32)分,B组评分明显高于A组,差异有统计学意义(P<0.05)。结论:头颈部CTA检查中采用Test-Bolus改良法计算增强延迟时间更合理,图像质量更好。 展开更多
关键词 头颈部 CT血管成像 Test-bolus经验值法 Test-bolus改良法 体层摄影术 X线计算机 延迟时间
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Intravenous Contrast Material Administration at High-pitch Dual-source CT Coronary Angiography: Bolus-tracking Technique with Shortened Time of Respiratory Instruction Versus Test Bolus Technique 被引量:2
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作者 Kai Sun Guo-rong Liu +5 位作者 Yue-chun Li Rui-juan Han Li-fang Cui Li-jun Ma Li-gang Li Chang-yong Li 《Chinese Medical Sciences Journal》 CAS CSCD 2012年第4期225-231,共7页
Objective To investigate the feasibility of acquiring the similar homogeneous enhancement using bolus-tracking techniques with shortened respiratory time in prospectively electrocardiogram-gated high-pitch spiral acqu... Objective To investigate the feasibility of acquiring the similar homogeneous enhancement using bolus-tracking techniques with shortened respiratory time in prospectively electrocardiogram-gated high-pitch spiral acquisition mode (Flash mode) coronary computed tomography angiography (CCTA) compared with test bolus technique. Methods One hundred and eighty-four consecutive patients with mean heart rate ≤65 beats per minute undergoing CCTA were prospectively included in this study. The patients were randomly divided into two groups. Patients in the group A (n=92) instructed to shorten respiratory time received CCTA using bolus-tracking technique with high-pitch spiral acquisition mode (Flash mode), while those in the group B (n=92) underwent CCTA with test bolus technique. The attenuation in the ascending aorta, image noise, contrast-to-noise ratio and radiation doses of the two groups were assessed. Results There were no significant differences in the mean attenuation values in the ascending aorta (483.18±59.07 HU vs. 498.7±83.51 HU, P=0.183), image noise (21.4±4.5 HU vs. 20.9±4.3 HU, P=0.414), contrast-to-noise ratio (12.1±4.2 vs. 13.8±5.1, P=0.31) between the groups A and B. There were no significant differences in the radiation dose of dynamic monitoring scans (0.056±0.026 mSv vs. 0.062±0.018 mSv, P=0.068) and radiation dose of angiography (0.94±0.07 mSv vs. 0.96±0.15 mSv,P=0.926) between the two groups, while 15 mL less contrast material volume was administered in the group A than the group B. Conclusion Bolus-tracking technique with shortened time of respiratory in Flash mode of dual-source CT yields the similar homogeneous enhancement with less contrast material in comparison to the test bolus technique. 展开更多
关键词 dual-source computed tomography coronary angiography contrastenhancement test bolus technique bolus-tracking technique
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小剂量Test Bolus技术在脑动脉瘤诊断中的价值
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作者 慕建成 范红燕 《中国实用神经疾病杂志》 2016年第10期114-115,共2页
脑动脉瘤被称为颅内的"不定时炸弹",瘤体因高血压、动脉粥样硬化等多种因素随时可能发生破裂,导致患者大量脑出血后致死致残率极高,而严重威胁人类生命和健康,是最危险的脑血管病之一,任何年龄阶段均可发生脑动脉瘤,其中以40~60岁多... 脑动脉瘤被称为颅内的"不定时炸弹",瘤体因高血压、动脉粥样硬化等多种因素随时可能发生破裂,导致患者大量脑出血后致死致残率极高,而严重威胁人类生命和健康,是最危险的脑血管病之一,任何年龄阶段均可发生脑动脉瘤,其中以40~60岁多见,且女性多于男性;而脑动脉瘤最常见的CT表现是自发性蛛网膜下腔出血。本文收集我院2012-12—2013-12临床及CT资料完整的17例颅内动脉瘤患者, 展开更多
关键词 脑动脉瘤 小剂量Test bolus技术 诊断价值
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Bolus下空腔对放疗浅表剂量和最大剂量点深度的影响 被引量:1
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作者 庞亚 廖常菊 +3 位作者 张翠翠 温晓平 陈晓梅 王东 《辐射研究与辐射工艺学报》 CAS CSCD 2021年第5期69-74,共6页
探讨浅表肿瘤放疗时Bolus下空腔对浅表剂量和最大剂量点深度的影响。在Eclipse计划系统里创建30 cm×30 cm×30 cm的体模及体模表面创建10 mm厚的Bolus,设置Bolus和体模材料均为水。在Bolus和体模之间设置0 mm、2 mm、5 mm、10... 探讨浅表肿瘤放疗时Bolus下空腔对浅表剂量和最大剂量点深度的影响。在Eclipse计划系统里创建30 cm×30 cm×30 cm的体模及体模表面创建10 mm厚的Bolus,设置Bolus和体模材料均为水。在Bolus和体模之间设置0 mm、2 mm、5 mm、10 mm、20 mm、30 mm厚度的Air空腔,将源皮距设置为100 cm,射野面积大小分别取5 cm×5 cm、10 cm×10 cm、15 cm×15 cm、20 cm×20 cm、25 cm×25 cm。剂量大小为100 cGy,获取不同空腔厚度不同射野大小下,体模浅表1 mm深度的剂量(D s)和体模内最大剂量点的深度值(d_(max)),同时用德国PTW公司水箱在加速器上做同样条件的实验,用EBT 3胶片测量浅表剂量D s,电离室获取d_(max)。将计划系统得到的结果和实验测量的结果进行差异对比,结果表明:无Bolus时,计划系统D s为0,而实验测量D s有剂量,计划系统和测量结果均显示射野面积大小为5 cm×5 cm时,D s随空腔厚度增加减小最快。当射野面积大小在15 cm×15 cm及以上时,D s随空腔厚度变化较为平稳。计划系统和实验测量结果均显示无Bolus时d_(max)最大,计划系统里随着空腔厚度增加d_(max)变化较为平稳;实验结果为射野面积为10 cm×10 cm及以下时,d_(max)随空腔厚度增加变化显著,而射野面积在15 cm×15 cm及以上时d_(max)随空腔厚度变化较为平稳,且计划系统和实验测量的结果都为射野面积越小,d_(max)越大。除在无Bolus时计划系统与实验测量D s差异很大,其他不同射野面积大小、不同空腔厚度的D s差异均接近于0;计划系统与实验测量d_(max)总体差异较大,在不同空腔厚度下,小射野面积差异比大射野面积差异大,且在空腔厚度为0 mm时,所有射野面积的d_(max)差异最接近0。计划系统会低估浅表剂量计算精度,为减小误差,浅表肿瘤需加Bolus,且Bolus下空腔厚度为0 mm最佳。 展开更多
关键词 boluS 空腔 放射治疗 浅表剂量 最大剂量点深度
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"Pretend"Bolus在乳腺癌根治术后调强放疗应用中的剂量学研究 被引量:11
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作者 周瑛瑛 邱小平 +2 位作者 狄晓云 王建 王跃珍 《中国医学物理学杂志》 CSCD 2013年第1期3848-3850,共3页
目的:研究填充物在乳腺癌根治术后调强放疗计划中的剂量并进行比较,并探讨乳腺癌根治术后调强放疗的理想方案。方法:选取15例乳腺癌根治术后病人进行计划设计,应用Pinnacle9.2计划系统,采用5-6个照射野制定两组计划,分别为加填... 目的:研究填充物在乳腺癌根治术后调强放疗计划中的剂量并进行比较,并探讨乳腺癌根治术后调强放疗的理想方案。方法:选取15例乳腺癌根治术后病人进行计划设计,应用Pinnacle9.2计划系统,采用5-6个照射野制定两组计划,分别为加填充物(Bolus)和不加填充物计划,使用相同的剂量一体积约束条件,处方剂量均为200cGy/25day,比较这两个计划PTV的适形度和剂量均匀性,双全肺及患侧肺的V5,V20,V30等剂量学指标。结果:使用BOLUS的IMRT计划能获得较满意的剂量分布,两种方法相比,除了靶区剂量,其余危及器官的剂量受量差异均无统计学意义。肺受量改变不明确,P〉0.05。结论:加了BOLUS做调强计划,大大提高了计划的适形度和均匀性,对某些患者可以减少肺v20,v30等剂量。结论:建议临床对于对乳腺癌根治术后的患者,做IMRT计划时加入0.5cm的填充物,可以提高表面剂量和靶区适形度。 展开更多
关键词 乳腺癌根治术 调强放疗 填充物
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Bolus下空腔对各向异性分析算法计算精度影响 被引量:8
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作者 孔栋 魏贤顶 +3 位作者 惠琳 孔旭东 赵于天 杨波 《中国辐射卫生》 2021年第1期94-98,共5页
目的基于蒙特卡罗算法研究Bolus下不同大小空腔对各向异性分析算法(AAA)计算浅层组织剂量精度的影响。方法在Eclipse中构建上表面位于加速器源轴距、中心与射野中心轴重合的30 cm×30 cm×30 cm水模体,其上表面构建不含或含有... 目的基于蒙特卡罗算法研究Bolus下不同大小空腔对各向异性分析算法(AAA)计算浅层组织剂量精度的影响。方法在Eclipse中构建上表面位于加速器源轴距、中心与射野中心轴重合的30 cm×30 cm×30 cm水模体,其上表面构建不含或含有不同大小空腔的1 cm厚Bolus,采用AAA分别计算不同空腔下水模体中心轴和不同深度x轴上剂量分布;用Geant4构建加速器模型和相同水模体及补偿膜,验证加速器模型正确性,并计算水模体相同位置剂量分布;以Geant4结果为基准,对比不同空腔下AAA计算精度变化。结果对于1 cm厚Bolus,空腔面积为2 cm×2 cm时,其厚度<5 mm,对AAA精度影响在2%左右,空腔厚度进一步增加,AAA会过高评估浅表剂量,随深度增加对AAA影响迅速减小;空腔面积增加,对AAA计算中心区域影响逐渐减小直至基本无影响,影响较大区域逐渐外移,空腔面积≥射野时,对AAA影响不再变化,影响较大区域移至射野边缘附近。结论计划制定时对于相较治疗子野面积较小的空腔,若其厚度≥5 mm应适当提高空腔下浅表剂量;若空腔面积较治疗子野过大或空腔厚度过大,则需重新定位。 展开更多
关键词 补偿膜 空腔 各向异性分析算法 GEANT4 剂量
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Clinical and Dosimetric Implications of Air Gaps between Bolus and Skin Surface during Radiation Therapy 被引量:12
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作者 Yousaf Khan J. Eduardo Villarreal-Barajas +4 位作者 Mona Udowicz Richie Sinha Wazir Muhammad Ahmed N. Abbasi Amjad Hussain 《Journal of Cancer Therapy》 2013年第7期1251-1255,共5页
Purpose: The main objective of the study was to evaluate the effect of air gaps of 0 - 5.0 cm between bolus and skin for 1.0 cm Superflab bolus on surface dose (DSurf) and depth of maximum dose (dmax) in solid water a... Purpose: The main objective of the study was to evaluate the effect of air gaps of 0 - 5.0 cm between bolus and skin for 1.0 cm Superflab bolus on surface dose (DSurf) and depth of maximum dose (dmax) in solid water and Rando? phantoms. Methods: In this work, the effects of bolus to surface distance on DSurf and variation in dmax were analyzed in a solid water phantom and in an anthropomorphic Rando? phantom for different field sizes, using Gafchromic? EBT films and farmer chamber. Results: For field sizes of 5 × 5 cm2 the DSurf is significantly affected by increasing air gaps greater than 5 mm. For field sizes larger than 10 × 10 cm2, DSurf is nearly the same for air gaps of 0 - 5.0 cm. For small fields and 6 MV photon beam, dmax increases with increasing air gap, while for 10 MV beam and smaller field sizes (i.e. 5 × 5 and 10 × 10 cm2) the dmax first decreases and then increases with the air gaps. For both 3DCRT and IMRT plans on Rando?, DSurf reduction is more prominent with increasing air gaps. Conclusion: For field sizes larger than 10 × 10 cm2 DSurf is largely unaffected by air gaps. However, smaller air gap results in shallower dmax for both 6 MV and 10 MV photon beams at all fields sizes. Special consideration should be taken to reduce air gaps between bolus and skin for field sizes smaller than 10 × 10 cm2 or when surface contour variations are greater or when the bolus covers small area and at the border of the field. 展开更多
关键词 boluS DISTANCE SKIN DOSE IMRT DOSE Build-Up
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Peristaltic transport of rheological fluid:model for movement of food bolus through esophagus 被引量:3
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作者 J.C.MISRA S.MAITI 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 2012年第3期315-332,共18页
Fluid mechanical peristaltic transport through esophagus is studied in the paper. A mathematical model has been developed to study the peristaltic transport of a rheological fluid for arbitrary wave shapes and tube le... Fluid mechanical peristaltic transport through esophagus is studied in the paper. A mathematical model has been developed to study the peristaltic transport of a rheological fluid for arbitrary wave shapes and tube lengths. The Ostwald-de Waele power law of a viscous fluid is considered here to depict the non-Newtonian behaviour of the fluid. The model is formulated and analyzed specifically to explore some important information concerning the movement of food bolus through esophagus. The analysis is carried out by using the lubrication theory. The study is particularly suitable for the cases where the Reynolds number is small. The esophagus is treated as a circular tube through which the transport of food bolus takes place by periodic contraction of the esophageal wall. Variation of different variables concerned with the transport phenomena such as pressure, flow velocities, particle trajectory, and reflux is investigated for a single wave as well as a train of periodic peristaltic waves. The locally variable pressure is seen to be highly sensitive to the flow index "n". The study clearly shows that continuous fluid transport for Newtonian/rheological fluids by wave train propagation is more effective than widely spaced single wave propagation in the case of peristaltic movement of food bolus in the esophagus. 展开更多
关键词 non-Newtonian fluid food bolus ESOPHAGUS peristaltic transport flow reversal single wave wave train particle trajectory
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湿纱布与bolus在腱鞘巨细胞瘤放疗中的剂量学差异 被引量:5
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作者 田秀梅 申正文 +3 位作者 董文玲 靳富 吴府容 夏徐 《中国医学物理学杂志》 CSCD 2020年第6期680-684,共5页
目的:探讨利用湿纱布与bolus在腱鞘巨细胞瘤放疗中的剂量学差异。方法:回顾性选取8例采用湿纱布作为组织等效补偿膜的腱鞘巨细胞瘤患者,以原始CT扫描序列作为第一组数据,勾画实际body(不包括纱布),然后,添加虚拟bolus,获得第二套数据。... 目的:探讨利用湿纱布与bolus在腱鞘巨细胞瘤放疗中的剂量学差异。方法:回顾性选取8例采用湿纱布作为组织等效补偿膜的腱鞘巨细胞瘤患者,以原始CT扫描序列作为第一组数据,勾画实际body(不包括纱布),然后,添加虚拟bolus,获得第二套数据。分别在Varian Eclipse 13.6制作两组计划(Plangauze和Planbolus),比较两组数据的剂量学差异。最后,采用两组模体,分别实测两种组织补偿物对射线的衰减程度,比较Plangauze和Planbolus的差异。结果:Plangauze组与Planbolus组的均匀性指数、适形度指数、Dmax、Dmean、总机器跳数以及低剂量区域体积(V10、V20)和高剂量区域体积(V80、V90)的比较均无统计学差异(P>0.05),两组计划靶区剂量均能满足临床要求,且两组模体中,Plangauze和Planbolus实测剂量值差异较小。结论:使用湿纱布作为组织补偿物在腱鞘巨细胞瘤放疗中能达到虚拟bolus的剂量分布。考虑腱鞘巨细胞瘤的特殊性,使用湿纱布能够更好地包覆靶区,减小组织补偿下空腔,结果更加准确,可推荐作为该肿瘤的补偿物。 展开更多
关键词 腱鞘巨细胞瘤 湿纱布 boluS 剂量学
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Evaluation of new Austrian tunnelling method applied to Bolu tunnel’s weak rocks 被引量:6
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作者 Ebu Bekir Aygar 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2020年第3期541-556,共16页
Since the development of the new Austrian tunnelling method(NATM)in the 1960s,this technique has been applied successfully in many tunnels.However,opinions of NATM principles emerged till 2000,i.e.NATM is not a tunnel... Since the development of the new Austrian tunnelling method(NATM)in the 1960s,this technique has been applied successfully in many tunnels.However,opinions of NATM principles emerged till 2000,i.e.NATM is not a tunnelling method,but an approach covering all general principles of tunnelling.To investigate the general principles of the NATM,this study focused on tunnelling practises in the Bolu tunnel,and evaluated the conditions under which the NATM practises could be effective.The Bolu tunnel project was designed following the NATM principles.It is evident that practises adopted in this tunnel are important with respect to the NATM.In addition,it shows that the solutions to the problems encountered in this tunnel are consistent with the NATM principles.Finally,the study determines the ground types of the NATM principles and proposes associated updates. 展开更多
关键词 bolu tunnel New Austrian tunnelling method(NATM) Support types
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乳腺癌根治术后定制化组织补偿物与常规bolus剂量学对比及急性皮肤反应影响 被引量:3
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作者 赵欣 王书君 《临床研究》 2021年第4期63-65,共3页
目的探讨定制化组织补偿物与常规blous用于乳腺癌根治术后胸壁放疗的优势,并验证其临床特性。方法基于定位CT图像获取20例乳腺癌改良根治术后放疗患者的胸壁数据,制作定制化组织补偿物,分别验证定制化组织补偿物和常规bolus与胸壁的贴合... 目的探讨定制化组织补偿物与常规blous用于乳腺癌根治术后胸壁放疗的优势,并验证其临床特性。方法基于定位CT图像获取20例乳腺癌改良根治术后放疗患者的胸壁数据,制作定制化组织补偿物,分别验证定制化组织补偿物和常规bolus与胸壁的贴合性,通过Eclipse计划系统比较计划和实际使用两种组织补偿物的剂量学参数及其对急性皮肤反应的影响。结果定制化组织补偿物无论是在胸壁贴合性方面还是实际计划剂量分布方面均优于常规bolus;且定制化组织补偿物在对急性皮肤反应方面优于常规bolus。结论定制化组织补偿物在实际操作中方便可行,且价格适中,值得临床应用。 展开更多
关键词 定制化组织补偿物 常规bolus 乳腺癌根治术后
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Test-Bolus部位选择对MSCT双期脑血管成像质量的影响 被引量:1
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作者 毛俊 陈海东 +3 位作者 林立娟 袁小梅 彭秀斌 杜中立 《实用医学影像杂志》 2009年第2期69-72,共4页
目的对比不同部位Test-Bolus测试对MSCT脑动静脉双期成像图像质量的影响。方法75例随机分配到脑动脉环窦汇(A)组、颈内动静脉(B)组、颈总动静脉(C)组(每组25例),以相同参数行Test-Bolus测试及MSCT双期脑血管成像,用Kruskal-Wallis H检... 目的对比不同部位Test-Bolus测试对MSCT脑动静脉双期成像图像质量的影响。方法75例随机分配到脑动脉环窦汇(A)组、颈内动静脉(B)组、颈总动静脉(C)组(每组25例),以相同参数行Test-Bolus测试及MSCT双期脑血管成像,用Kruskal-Wallis H检验比较3组测试成功病例CTA、CTV图像质量差异。结果A,B,C3组Test-Bolus测试成功显示动静脉强化峰值率分别为76%,92%,96%;3组测试动静脉峰值时间差有差别(P<0.005);3组测试动脉峰值时间没有统计学差异(P=0.744)。3组CTA图像脑动脉各级分支清晰显示,静脉干扰轻微,两者评分及脑动静脉最大强化CT差值均无显著差异(P=0.192;P=0.347;P=0.327)。3组CTV图像深浅静脉、静脉窦显示清晰,其评分没有差别(P=0.839);脑动脉仍强化明显,动脉干扰评分及动静脉最大强化CT差值没有差别(P=0.347;P=0.327)。结论颅内、颈内、颈总动静脉行Test-Bolus测试成功后,确定MSCT双期脑血管成像延时扫描时间对CTA及CTV图像质量影响无显著差异,颈内动静脉可作为MSCT脑动静脉双期成像推荐测试部位。 展开更多
关键词 脑血管造影术 双期 小剂量对比剂测试 体层摄影术 X线计算机
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ZHIBAO SANBIAN WAN (至宝三鞭丸)——(Treasured Bolus of Triple Animal Penes) 被引量:1
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作者 陈克正 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 1992年第2期87-87,共1页
Chief ComponentsPenis and testes of the ursine seal(Penis etTestes Callorhini)Penis of the deer(Penis Cervi)Penis and testes of the dog(Penis et TestesCanis)
关键词 TRIPLE boluS nital resist WEAKNESS EJECTION SEMEN sexual RADIX bones
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Impact of bolus volume on small intestinal intra-luminal impedance in healthy subjects
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作者 Nam Q Nguyen Laura K Bryant +3 位作者 Carly M Burgstad Robert J Fraser Daniel Sifrim Richard H Holloway 《World Journal of Gastroenterology》 SCIE CAS CSCD 2010年第17期2151-2157,共7页
AIM: To assess the impact of bolus volume on the characteristics of small intestinal (SI) impedance signals.METHODS: Concurrent SI manometry-impedance measurements were performed on 12 healthy volunteers to assess the... AIM: To assess the impact of bolus volume on the characteristics of small intestinal (SI) impedance signals.METHODS: Concurrent SI manometry-impedance measurements were performed on 12 healthy volunteers to assess the pattern of proximal jejunal fluid bolus movement over a 14 cm-segment.Each subject was given 34 boluses of normal saline (volume from 1 to 30 mL) via the feeding tube placed immediately above the proximal margin of the studied segment.A bolus-induced impedance event occurred if there was > 12% impedance drop from baseline,over ≥ 3 consecutive segments within 10 s of bolus injection.A minor or major imped-ance event was defined as a duration of impedance drop < 60 s or ≥ 60 s,respectively.RESULTS: The minimum volume required for a detectable SI impedance event was 2 mL.A direct linear relationship between the SI bolus volume and the occurrence of impedance events was noted until SI bolus volume reached 10 mL,a volume which always produced an impedance flow event.There was a moderate correlation between the bolus volume and the duration of impedance drop (r = 0.63,P < 0.0001) and the number of propagated channels (r = 0.50,P < 0.0001).High volume boluses were associated with more major impedance events (≥ 10 mL boluses = 63%,3 mL boluses = 17%,and < 3 mL boluses = 0%,P = 0.02).CONCLUSION: Bolus volume had an impact on the type and length of propagation of SI impedance events and a threshold of 2 mL is required to produce an event. 展开更多
关键词 bolus volume HEALTH IMPEDANCE Luminal flow Small intestine
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All-round Tonic Bolus of Ten Drugs
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作者 陈克正 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 1992年第3期237-237,共1页
Chief ComponentsPilose asiabell root(Radix CodonopsisPilosulae)Bighead atractylodes rhizome(Rhizoma Atractylodis Macrocephalae)Poria(Poria)Liquorice(Radix Glycyrrhizae)Chinese angelica root(Radix AngelicaeSinensis)
关键词 Radix Poria 十全大补丸 RHIZOME ASTRAGALUS regulate ANEMIA boluS body
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NIU HUANG QING XIN WAN (OX-BEZOAR SEDATIVE BOLUS)
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作者 陈克正 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 1994年第3期236-236,共1页
Chief ComponentsRhizoma Dioscoreae, Radix Ginseng,Rhizoma Atractylodis Macrocephalae,Radix Angelicae Sinensis, Calculus Bovis(man--made), Cornu Antelopis, CornuRhinocerotis and Moschus.
关键词 Radix MOSCHUS clearing prescription HUANG endogenous Chandler boluS nutrition CONSTIPATION
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LARGE BOLUS FOR ACTIVATING CHANNELS AND COLLATERALS
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作者 陈克正 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 1993年第3期238-238,共1页
Chief ComponentsRadix Ginseng,Calculus Bovis,Moschus,Cornu Rhinoceri Asiatici,Borneolum Syntheticum,RhizomaCoptidis,Radix Angelicae Sinensis,Scorpio,Rhizoma Gastrodiae,and Zaocys dhumnades.
关键词 大活络丸 Radix MOSCHUS relieve ALLEVIATE boluS Blood WEAKNESS VITAL exogenous
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