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^(18)F-FDG PET/CT征象及外周血炎症指标表达与伴实体/微乳头成分肺腺癌患者EGFR突变的相关性
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作者 吴云霞 陈杨 +3 位作者 胥博文 王景诗 张哲峰 赵波 《标记免疫分析与临床》 2026年第1期80-85,138,共7页
目的探究18 F-氟脱氧葡萄糖正电子发射断层显像/计算机断层扫描(18 F-FDG PET/CT)征象及外周血炎症指标表达与伴实体/微乳头成分肺腺癌患者表皮生长因子受体(EGFR)突变的相关性。方法收集秦皇岛市第一医院2022年6月至2025年6月共301例... 目的探究18 F-氟脱氧葡萄糖正电子发射断层显像/计算机断层扫描(18 F-FDG PET/CT)征象及外周血炎症指标表达与伴实体/微乳头成分肺腺癌患者表皮生长因子受体(EGFR)突变的相关性。方法收集秦皇岛市第一医院2022年6月至2025年6月共301例经手术病理证实为伴实体/微乳头成分肺腺癌患者资料为研究对象,根据EGFR突变状态分为突变组和野生组。18 F-FDG PET/CT检查最大标准摄取值(SUV max)、肿瘤代谢体积(MTV)及糖酵解总量(TLG)等参数;全自动血液分析仪计数中性粒细胞(NEU)、淋巴细胞(LYM)及单核细胞(MON),免疫比浊法测定C反应蛋白(CRP);多因素Logistic分析EGFR突变影响因素;受试者工作特征(ROC)及决策曲线分析(DCA)18 F-FDG PET/CT征象及炎症指标水平对患者EGFR突变诊断价值,以及模型临床诊断应用价值。结果本研究纳入301例伴实体/微乳头成分肺腺癌患者中,EGFR野生组患者166例,突变组患者135例,其中L858R突变73例,19-Del突变42例,其他为20例。突变组患者女性及无吸烟史比例较高(P<0.05);18 F-FDG PET/CT征象结果显示EGFR突变组患者SUV max、MTV和TLG均低于野生组(P<0.05);并且突变组患者炎症指标NEU、MON和CRP均低于野生组,LYM高于野生组(P<0.05);多因素Logistic分析表明EGFR突变影响因素有性别、吸烟史、NEU、LYM、MON和CRP水平(P<0.05);ROC曲线表明18 F-FDG PET/CT征象及炎症指标联合诊断EGFR突变曲线下面积(AUC)值为0.900,显著大于单独诊断(Z SUVmax、MTV、TLG、NEU、LYM、MON和CRP=2.986、7.002、7.245、7.327、6.890、6.918、5.517,P均<0.05);DCA曲线显示在高风险阈值为0.08~0.87时,SUV max、MTV、TLG、NEU、LYM、MON和CRP联合诊断伴实体/微乳头成分肺腺癌患者EGFR突变净获益率高于单独检测。结论在本单中心回顾性研究中,伴实体/微乳头成分肺腺癌EGFR突变患者18 F-FDG PET/CT征象SUV max、MTV、TLG降低,外周血炎症指标NEU、MON和CRP水平降低,LYM升高,联合诊断EGFR突变的AUC值为0.900。 展开更多
关键词 18 F-FDG pet/ct EGFR突变 炎症指标 实体/微乳头成分肺腺癌
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基于^(18)F-FDG PET/CT的Delta影像组学逻辑回归模型预测局部晚期胰腺导管腺癌患者新辅助治疗术后进展
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作者 杨凌霄 陈桥梁 +3 位作者 杜娟 李爱梅 毛谅 何健 《东南大学学报(医学版)》 2026年第1期44-50,共7页
目的:探索基于^(18)F-FDG PET/CT的Delta影像组学特征在预测局部晚期胰腺导管腺癌(LAPC)患者接受新辅助治疗(NAT)并手术切除后疾病进展(PD)中的价值。方法:回顾性选取2022年3月至2024年7月在南京鼓楼医院接受NAT并成功手术切除病灶的33... 目的:探索基于^(18)F-FDG PET/CT的Delta影像组学特征在预测局部晚期胰腺导管腺癌(LAPC)患者接受新辅助治疗(NAT)并手术切除后疾病进展(PD)中的价值。方法:回顾性选取2022年3月至2024年7月在南京鼓楼医院接受NAT并成功手术切除病灶的33例LAPC患者,收集其基线资料和术前的PET/CT影像资料及临床特征,根据是否进展分为PD组(n=13)和non-PD组(n=20),由专业核医学科医师勾画感兴趣区(ROI)并提取影像组学特征,基于筛选出的5个delta影像组学特征采用Logistic回归模型建立delta影像组学模型。结果:患者临床特征和传统PET/CT代谢参数与PD无显著相关性(P>0.05)。delta影像组学模型有较好的预测能力,AUC为0.94(95%CI:0.86~1.00),表现出较高的敏感度(76.92%)与特异度(95.00%)。决策曲线分析(DCA)显示该预测模型预测价值较高,具有一定的临床意义。结论:基于^(18)F-FDG PET/CT的Delta影像组学模型可有效预测LAPC术后疾病进展,为术后风险分层和个体化管理提供重要依据。 展开更多
关键词 胰腺导管腺癌 新辅助治疗 pet/ct Delta影像组学
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基于^(18)F-FDG PET/CT的棕色脂肪组织特征参数与冠状动脉钙化的相关性分析
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作者 杨浩 朱海涛 +3 位作者 易义德 宋廉 张龙江 曹雄锋 《江苏大学学报(医学版)》 2026年第1期24-29,共6页
目的:探讨棕色脂肪组织(brown adipose tissue,BAT)在^(18)F-FDG PET/CT图像中的特征参数与冠状动脉钙化的相关性。方法:收集2013年12月至2024年4月期间于江苏大学附属医院行^(18)F-FDG PET/CT检查的2399例患者,经1∶1倾向性评分匹配(pr... 目的:探讨棕色脂肪组织(brown adipose tissue,BAT)在^(18)F-FDG PET/CT图像中的特征参数与冠状动脉钙化的相关性。方法:收集2013年12月至2024年4月期间于江苏大学附属医院行^(18)F-FDG PET/CT检查的2399例患者,经1∶1倾向性评分匹配(propensity score matching,PSM)并根据BAT是否阳性分为BAT阳性组(n=171)和BAT阴性组(n=171)例,分析两组间一般临床资料和冠状动脉钙化发生率的差异。分析BAT阳性组患者颈部、锁骨上窝、腋窝、纵隔、脊柱旁及腹部6个解剖部位BAT图像特征参数的差异,筛选出BAT活性最高的部位(脊柱旁),进一步分析不同冠状动脉钙化累及分支数、不同冠状动脉钙化严重程度组间脊柱旁BAT图像特征参数的差异。结果:PSM后BAT阳性组冠状动脉钙化发生率和冠状动脉钙化积分显著低于阴性组。BAT阳性组6个解剖部位中脊柱旁BAT的SUVmax最高,与腹部和腋窝BAT的SUVmax差异均有统计学意义(均P<0.001);脊柱旁BAT的SUVmean与腋窝BAT的SUVmean差异有统计学意义(P<0.001),但与其他解剖部位的SUVmean差异无统计学意义(均P>0.05);脊柱旁BAT体积和表面积与腹部及腋窝BAT差异均有统计学意义(均P<0.001)。随着冠状动脉钙化累及分支数和严重程度增加,脊柱旁BAT各特征参数呈降低趋势(均P<0.01)。结论:BAT的存在与较低的冠状动脉钙化风险相关,脊柱旁BAT可能对冠状动脉钙化的发生发展存在潜在的抑制效应。 展开更多
关键词 棕色脂肪组织 ^(18)F-FDG pet/ct 冠状动脉钙化 倾向性评分匹配
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^(11)C-PIB PET/CT在阿尔茨海默病和轻度认知障碍患者中的诊断应用研究
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作者 田熙铭 鞠彦秀 +3 位作者 刘金玲 邢思雨 赵晴 李松涛 《中国实验诊断学》 2026年第1期1-6,共6页
目的分析^(11)C-PIB PET/CT在各脑区的标准摄取值比(SUVR)与简易精神状态量表(MMSE)评分的相关性,探索其在阿尔茨海默病(AD)不同疾病阶段中的应用价值。方法纳入2018年12月至2024年12月期间32例患者(AD组21例,轻度认知障碍组11例),使用3... 目的分析^(11)C-PIB PET/CT在各脑区的标准摄取值比(SUVR)与简易精神状态量表(MMSE)评分的相关性,探索其在阿尔茨海默病(AD)不同疾病阶段中的应用价值。方法纳入2018年12月至2024年12月期间32例患者(AD组21例,轻度认知障碍组11例),使用3D Slicer软件对^(11)C-PIB PET/CT图像进行处理,统计得到各脑区的SUVR值,将各脑区SUVR值进行组间比较,可以得到具有显著差异的脑区,并将这些脑区的SUVR值与MMSE量表分值进行相关性分析。结果AD组多个脑区SUVR值高于MCI组,其中左侧额上回、左侧中央后回、左侧海马旁回及周围回、左侧梭形回等多个脑区差异显著(P<0.01)。相关性分析表明,左侧额上回、左侧中央后回、左侧海马旁回及周围回、左侧梭形回脑区SUVR值与MMSE评分呈显著负相关,提示β淀粉样蛋白沉积量与认知损害程度正相关。多元线性回归显示,左侧额上回、左侧中央后回、左侧海马旁回及周围回脑区的SUVR值是MMSE评分高低的重要影响因素(P<0.05)。结论^(11)C-PIB PET/CT检测的脑区β淀粉样蛋白沉积水平与认知功能密切相关,其中左侧额上回、左侧中央后回、左侧海马旁回及周围回脑区的SUVR值,是影响患者MMSE评分高低的关键因素。 展开更多
关键词 ^(11)C-PIB pet/ct 阿尔茨海默病 轻度认知障碍 简易精神状态量表
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智能化机器人程序在PET/CT检查效率中的应用
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作者 叶小畅 徐丽君 胡永安 《全科医学临床与教育》 2026年第1期15-18,共4页
目的 探讨智能化机器人程序在核医学科PET/CT检查效率中的应用价值。方法 纳入接受PET/CT检查的患者147例,按照简单随机法分为观察组71例和对照组76例。观察组在智能化机器人程序引导下接受PET/CT检查,对照组采用常规检查模式。比较两... 目的 探讨智能化机器人程序在核医学科PET/CT检查效率中的应用价值。方法 纳入接受PET/CT检查的患者147例,按照简单随机法分为观察组71例和对照组76例。观察组在智能化机器人程序引导下接受PET/CT检查,对照组采用常规检查模式。比较两组患者的就诊满意度和检查各阶段用时。结果 观察组总满意度10分及以上占91.55%(65/71),对照组占57.89%(44/76),差异有统计学意义(χ^(2)=21.61,P<0.05)。观察组问诊室到注射窗口用时、从注射窗口至休息室用时、休息室至上机扫描用时、检查结束至取餐离开用时及过程总用时明显短于对照组,差异均有统计学意义(t分别=-7.81、-2.78、-17.00、-17.23、-16.93,P均<0.05)。结论 智能化机器人程序有助于提高PET/CT检查效率。 展开更多
关键词 pet/ct 智能化机器人程序 满意度 效率
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PET/CT放射性示踪剂在心肌梗死中的应用进展
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作者 王志鑫 张峰 +3 位作者 王文龙 曹世龙 吴玉婷 王东 《中国实验诊断学》 2026年第2期281-288,共8页
心肌梗死因其起病急骤、预后凶险,成为心血管疾病患者死亡的主要原因。该病的救治存在短暂的黄金救治“时间窗”,早期精准诊断和风险评估对改善患者预后至关重要。正电子发射断层扫描/计算机断层扫描(PET/CT)技术迅速发展,成为心肌梗死... 心肌梗死因其起病急骤、预后凶险,成为心血管疾病患者死亡的主要原因。该病的救治存在短暂的黄金救治“时间窗”,早期精准诊断和风险评估对改善患者预后至关重要。正电子发射断层扫描/计算机断层扫描(PET/CT)技术迅速发展,成为心肌梗死诊断和评估的重要影像学手段。作为一种无创、高灵敏度和高分辨率的成像技术,PET/CT能够清晰呈现心肌代谢、血流灌注及细胞活性等关键病理生理信息,在心肌存活评估和临床决策中发挥重要作用。与此同时,放射性示踪剂的研发不断取得突破,针对不同病理机制和临床需求的示踪剂选择日益丰富。基于此,本文对PET/CT在心肌梗死诊断和评估中的应用作一综述,重点探讨不同放射性示踪剂的成像特点及临床适用性,以期为临床实践提供参考。 展开更多
关键词 正电子发射断层扫描/计算机断层扫描 放射性示踪剂 心肌梗死 无创
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^(18)F-FDG PET/CT深度学习影像组学在非小细胞肺癌中的研究进展
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作者 何健平 王新华 《中国现代医生》 2026年第2期101-104,共4页
肺癌是世界范围内发病率和死亡率最高的恶性肿瘤。^(18)F-氟代脱氧葡萄糖(^(18)F-fluorode-oxyglucose,^(18)F-FDG)正电子发射计算机体层显像仪(positron emission tomography and computed tomography,PET/CT)在肺癌评估和疾病进展管... 肺癌是世界范围内发病率和死亡率最高的恶性肿瘤。^(18)F-氟代脱氧葡萄糖(^(18)F-fluorode-oxyglucose,^(18)F-FDG)正电子发射计算机体层显像仪(positron emission tomography and computed tomography,PET/CT)在肺癌评估和疾病进展管理方面发挥重要作用。传统^(18)F-FDG PET/CT主要依赖于定性分析和基本定量参数。影像组学可提供超越传统视觉评估的信息,通过提取和量化各种特征,将病灶的形态学信息转化为高维数据;而深度学习则通过构建多层神经网络模型,自动学习影像数据中的复杂信息,进一步提升诊断和预测的准确性。本文对目前^(18)F-FDG PET/CT深度学习影像组学技术在非小细胞肺癌中的研究成果进行综述,为非小细胞肺癌的诊断、治疗及预后评估提供新策略。 展开更多
关键词 ^(18)F-FDG pet/ct 非小细胞肺癌 深度学习 影像组学
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基线^(18)F-FDG PET/CT代谢参数对食管鳞癌预后的预测价值
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作者 金民山 李波良 《泰州职业技术学院学报》 2026年第1期73-76,共4页
目的探讨基线^(18)F-FDG PET/CT代谢参数在食管鳞癌预后中的预测价值。方法回顾性分析我院治疗前行^(18)F-FDG PET/CT检查的112例食管鳞癌患者资料。收集代谢参数及生存状态数据:5种代谢参数分别为原发灶最大标准化摄取值(SUVmax),肿瘤... 目的探讨基线^(18)F-FDG PET/CT代谢参数在食管鳞癌预后中的预测价值。方法回顾性分析我院治疗前行^(18)F-FDG PET/CT检查的112例食管鳞癌患者资料。收集代谢参数及生存状态数据:5种代谢参数分别为原发灶最大标准化摄取值(SUVmax),肿瘤代谢体积(MTV)(包括原发灶MTVp和全身病灶MTVt),肿瘤糖酵解值(TLG)(包括原发灶TLGp和全身病灶TLGt);生存状态数据为无进展生存期(PFS)和总生存时间(OS)。应用SPSS 22.0软件进行统计学分析:两组间比较采用独立样本t检验或MannWhithey U检验;ROC曲线评价各参数对PFS和OS的预测效能并确定最佳截止值,COX回归分析找出其独立预测因子;Kaplan-Meier生存分析确定其预后价值;P<0.05代表具有统计学意义。结果非手术患者的MTVt和TLGt是PFS的独立预测因子,MTVt是OS的独立预测因子。手术患者的TLGp是PFS和OS的独立预测因子。结论基线^(18)F-FDG PET/CT代谢参数能够较好地预测食管鳞癌患者的预后,给临床提供帮助。 展开更多
关键词 食管鳞癌 pet/ct 代谢参数 生存状态分析
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^(18)F-FDG PET/CT显像代谢参数与侵袭性B细胞淋巴瘤疗效及预后的关系
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作者 郭丽娟 张会杰 +1 位作者 孙凤霞 岳军艳 《中国CT和MRI杂志》 2026年第2期168-171,共4页
目的探究^(18)F-FDG PET/CT显像代谢参数与侵袭性B细胞淋巴瘤疗效及预后的关系。方法回顾性分析2019年1月至2023年6月我院收治的经病理学确诊的弥漫大B细胞淋巴瘤(DLBCL)100例患者病历资料。所有患者均接受常规一线化疗方案治疗,在化疗... 目的探究^(18)F-FDG PET/CT显像代谢参数与侵袭性B细胞淋巴瘤疗效及预后的关系。方法回顾性分析2019年1月至2023年6月我院收治的经病理学确诊的弥漫大B细胞淋巴瘤(DLBCL)100例患者病历资料。所有患者均接受常规一线化疗方案治疗,在化疗前均接受^(18)F-FDG PET/CT显像检查,根据随访疗效结果将患者分为有效组(n=66)与无效组(n=34),根据随访预后结果分为预后良好组(n=62)与预后不良组(n=38),分析代谢参数[标准摄取值(SUV)的最大值(SUVmax)、肿瘤代谢体积(MTV)、糖酵解总量(TLG)]与DLBCL疗效及预后的关系。结果无效组SUVmax、MTV、TLG均显著高于有效组(均P<0.05)。受试者工作特征(ROC)曲线分析显示,PET/CT显像代谢参数SUVmax、MTV、TLG单独以及联合检测对DLBCL疗效均有一定的预测效能(P<0.05),其曲线下面积(AUC)分别为0.671、0.814、0.874、0.936,其中联合诊断预测效能最高,敏感度为79.41%,特异度为92.42%。预后不良组Ann Arbor分期Ⅲ期~Ⅳ期、国际预后指数(IPI)评分3~4分占比高于预后良好组,且PET/CT显像代谢参数SUVmax、MTV、TLG均显著高于预后良好组(均P<0.05)。logisitc回归分析显示,Ann Arbor分期Ⅲ期~Ⅳ期、IPI评分3~4分、SUVmax、MTV、TLG均是DLBCL患者预后不良的独立危险因素(均P<0.05)。ROC曲线分析显示,PET/CT显像代谢参数SUVmax、MTV、TLG单独以及联合检测对DLBCL预后均有一定的预测效能(P<0.05),AUC分别为0.615、0.672、0.739、0.779,其中联合诊断预测效能最高,敏感度为94.74%,特异度为51.61%。结论^(18)F-FDG PET/CT显像代谢参数预测DLBCL患者化疗疗效及预后具有较高效能,其中SUVmax、MTV、TLG联合预测效能最高。 展开更多
关键词 ^(18)F-FDG pet/ct 代谢参数 侵袭性B细胞淋巴瘤 弥漫大B细胞淋巴瘤 疗效 预后
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^(18)F-FDG PET/CT BPL重建技术与肺癌自身抗体联合检测鉴别肺结节良恶性效能研究
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作者 詹莹莹 张亚光 +3 位作者 邢宇 左超 韩瑜 刘爱玲 《影像科学与光化学》 2026年第1期138-144,共7页
目的:探讨^(18)F-FDG PET/CT贝叶斯正则化似然(BPL)重建技术联合肺癌自身抗体检测在孤立性肺结节(SPN)良恶性中鉴别诊断效能。方法:选取2021年2月至2024年5月在我院进行治疗的129例SPN患者为研究对象,均行^(18)F-FDG PET/CT BPL重建技... 目的:探讨^(18)F-FDG PET/CT贝叶斯正则化似然(BPL)重建技术联合肺癌自身抗体检测在孤立性肺结节(SPN)良恶性中鉴别诊断效能。方法:选取2021年2月至2024年5月在我院进行治疗的129例SPN患者为研究对象,均行^(18)F-FDG PET/CT BPL重建技术及自身抗体检测,以术后病理结果为诊断金标准,探究二者联合在肺结节良恶性鉴别诊断中的应用价值。结果:恶性组SUVmax、SUVmean、SBR、SUV_(SD)、SNR值均显著高于良性组(P<0.05);恶性组血清p53、PGP9.5、SOX2、GAGE7、GBU4-5、MAGEA1、CAGE值均显著高于良性组(P<0.05);以病理结果为诊断金标准,发现联合^(18)F-FDG PET/CT BPL重建与自身抗体在SPN中诊断效能显著高于单项检测,其敏感度为89.02%,特异度为82.98%,准确率为86.82%。结论:联合应用^(18)F-FDG PET/CT BPL重建技术与肺癌自身抗体检测相较于单项检测,能够显著提高诊断的敏感度、特异度和准确率,提示两者联合应用在临床实践中的可行性和优越性,能够为SPN的良恶性鉴别诊断提供更加全面、准确的信息,从而有助于制定更加合理、有效的治疗策略,值得在临床推广。 展开更多
关键词 ^(18)F-FDG pet/ct 贝叶斯正则化似然 重建技术 肺癌 自身抗体检测 肺结节 良恶性 鉴别诊断
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块序正则化最大期望值重建算法β值对前列腺癌Al^(18)F-PSMA-11 PET/CT图像质量及半定量参数准确性的影响
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作者 彭新华 朱研佳 +3 位作者 朱湘 张利卜 王健 戴东 《中国医学装备》 2026年第1期34-39,共6页
目的:分析块序正则化最大期望值(BSREM)重建算法不同β值重建对^(18)F-氟化铝-前列腺特异性膜抗原-11(Al^(18)FPSMA-11)PET/CT图像质量参数和半定量参数的影响,经Al^(18)F-PSMA-11显像剂获取最佳图像质量和准确半定量参数的β值。方法:... 目的:分析块序正则化最大期望值(BSREM)重建算法不同β值重建对^(18)F-氟化铝-前列腺特异性膜抗原-11(Al^(18)FPSMA-11)PET/CT图像质量参数和半定量参数的影响,经Al^(18)F-PSMA-11显像剂获取最佳图像质量和准确半定量参数的β值。方法:回顾性分析2022年7月至2023年11月就诊于天津医科大学肿瘤医院,经病理诊断为前列腺癌并且在本院行Al^(18)F-PSMA-11 PET/CT检查的23例患者的56个病灶,所有图像分别选择有序子集最大化(OSEM)算法重建和BSREM算法重建。BSREM选择不同的β值:β100、β200、β300、β400、β500、β600、β700、β800、β900和β1000进行重建。视觉分析由两名医师对所有图像进行独立评分。测量两种重建方法后的图像噪声(Noise)、信噪比(SNR)、信号背景比(SBR)、最大标准化摄取值(SUV_(max))。分析β100~β1000的Noise、SNR、SBR及SUV_(max)变化,并结合视觉分析结果评价Al^(18)F-PSMA-11 PET/CT BSREM重建β值对图像质量和半定量参数的影响。结果:23例患者BSREM重建算法图像随β值上升Noise水平整体呈现下降趋势(Q=227.13,P<0.001),β100和β200时Noise水平高于OSEM重建(Z=-4.20,-2.54,P<0.05)。随β值上升所有病灶的SNR整体呈递增趋势(Q=305.33,P<0.001),β100时SNR与OSEM重建的SNR比较差异无统计学意义(P>0.05),β200~β1000时SNR高于OSEM重建,差异均有统计学意义(Z=-2.446,-3.920,-5.839,-6.089,-6.464,-6.446,-6.196,-5.562,-5.821,P<0.05)。β600~β1000相邻值间SNR比较差异均无统计学意义(P>0.05),SNR趋于平稳。所有病灶SBR随β值上升逐渐下降,β600时与OSEM重建SBR差异无统计学意义(P>0.05)。β700~β1000时SBR低于OSEM重建,差异均有统计学意义(Z=-1.098,-2.196,-3.250,-4.321,P<0.05),β700~β1000相邻值间SBR比较差异均无统计学意义(P>0.05),SBR趋于平稳。SUV_(max)随β值增加逐渐下降(Q=529.99,P<0.001),β100~β500时SUV_(max)高于OSEM重建,差异均有统计学意义(Z=-5.607,-4.714,-3.589,-2.625,-1.357,P<0.05)。β600和β700时SUV_(max)与OSEM重建比较差异无统计学意义(P>0.05)。β800~β1000时SUV_(max)低于OSEM重建(Z=-2.107,-3.188,-4.268,P<0.05)。视觉评分结果显示,BSREM重建算法β100~β300、β900和β1000图像质量低于OSEM重建,β400和β800图像质量近似于OSEM重建,β500~β700图像质量显著优于OSEM重建。结论:BSREM重建β值影响Al^(18)F-PSMA-11 PET/CT图像Noise、SNR、SBR及SUV_(max),且影响图像质量和诊断水平,而最适重建β值建议为600。 展开更多
关键词 前列腺特异性膜抗原 正电子发射型计算机体层显像(pet/ct) 块序正则化最大期望值(BSREM)重建算法 图像质量 β值
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Feasibility study of a LYSO‑SiPM‑based prototype for hybrid Compton and PET imaging
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作者 Hai‑Hao Wang Yu‑Cun Hou +4 位作者 Jian‑Lang Hua Zi‑Quan Yuan Chen‑Xi Li Run‑Ze Liao Jian‑Yong Jiang 《Nuclear Science and Techniques》 2026年第1期80-93,共14页
We present a prototype for hybrid Compton and positron emission tomography(PET)imaging aimed at enhancing data utilization and enabling concurrent imaging of multiple radiopharmaceuticals.The prototype comprises two d... We present a prototype for hybrid Compton and positron emission tomography(PET)imaging aimed at enhancing data utilization and enabling concurrent imaging of multiple radiopharmaceuticals.The prototype comprises two detectors that utilize LYSO-SiPM and were available in our laboratory.One detector consists of a 50×50 array of LYSO crystals,each measuring 0.9mm×0.9mm×10mm with 1 mm pitches,whereas the other detector comprises a 25×25 array of LYSO crystals,each measuring 1.9mm×1.9mm×10mm with 2 mm pitches.These detectors are mounted on a rotational stage,which enables them to function as either a Compton camera or a PET detector pair.The 64-channel signals from the SiPMs of each detector are processed through a capacitive multiplexing circuit to yield four position-weighted outputs.Distinct energy windows were used to discriminate Compton events from PET events.Energy resolution and energy-channel relationships were calibrated via multiple sources.The measured average energy resolutions(full widths at half maximum,FWHMs)for the detectors at 511 keV were 17.5%and 15.2%,respectively.The initial experimental results indicate an angular resolution(FWHM)of 8.6◦for the system in Compton imaging mode.A V-shaped tube injected with 18 F solution was clearly reconstructed,which further verified the imaging capabilities of the system in Compton imaging mode.The results of simulation and experimental imaging studies show that the system can detect tumors as small as 1 mm in diameter when working in PET imaging mode.Mouse bone PET imaging was successfully conducted,with the results matching well with the corresponding CT images.This technology holds great potential for advancing the development of physiological function modalities. 展开更多
关键词 Positron emission tomography(pet) Compton camera image reconstruction
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uMI780 PET/CT质量控制与日常保养措施研究
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作者 杨耀 《中国设备工程》 2026年第5期51-53,共3页
正电子发射型计算机断层显像/计算机断层扫描成像(Positron Emission Tomography/Computed Tomography,PET/CT)是目前最先进的核医学影像设备,在疾病早筛、心血管疾病诊断、肿瘤分期等方面发挥着至关重要的作用。作为高度集成化的高端... 正电子发射型计算机断层显像/计算机断层扫描成像(Positron Emission Tomography/Computed Tomography,PET/CT)是目前最先进的核医学影像设备,在疾病早筛、心血管疾病诊断、肿瘤分期等方面发挥着至关重要的作用。作为高度集成化的高端医疗仪器,其临床运行易受多种因素影响。本文解读最新政策,综合日常维养检测经验,提供PET/CT规范化质控操作及保养措施,为同档次设备的维护及在微小故障状态下的运行管理提供参考。 展开更多
关键词 pet/ct 质量检测 保养措施 检测参数
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Computer Aided Diagnosis for COVID-19 in CT Images Utilizing Transfer Learning and Attention Mechanism
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作者 FAN Xinggang LIU Jiaxian +3 位作者 LI Chao YANG Youdong GU Wenting JIANG Xinyang 《Journal of Shanghai Jiaotong university(Science)》 2025年第3期572-580,共9页
Various and intricate varieties of lung disease have made it challenging for computer aided diagnosis to appropriately segment lung lesions utilizing computed tomography(CT)images.This study integrates transfer learni... Various and intricate varieties of lung disease have made it challenging for computer aided diagnosis to appropriately segment lung lesions utilizing computed tomography(CT)images.This study integrates transfer learning with the attention mechanism to construct a deep learning model that can automatically detect new coronary pneumonia on lung CT images.In this study,using VGG16 pre-trained by ImageNet as the encoder,the decoder was established utilizing the U-Net structure.The attention module is incorporated during each concatenate procedure,permitting the model to concentrate on the critical information and identify the crucial components efficiently.The public COVID-19-CT-Seg-Benchmark dataset was utilized for experiments,and the highest scores for Dice,F1,and Accuracy were 0.9071,0.9076,and 0.9965,respectively.The generalization performance was assessed concurrently,with performance metrics including Dice,F1,and Accuracy over 0.8.The experimental findings indicate the feasibility of the segmentation network proposed in this study. 展开更多
关键词 transfer learning attention mechanism computed tomography(ct)imaging COVID-19 image segmentation
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Enhancing MSCT Image Quality and Equipment Maintenance:Daily Training Essentials for Radiographers at Mzuzu Central Hospital
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作者 Hui Zhang Yonghao Du +1 位作者 Wenli Huo Jin Shang 《Journal of Advances in Medicine Science》 2025年第1期18-23,共6页
Objective:In the Radiology Department of Mzuzu Central Hospital(MCH),daily training for radiographers now includes content on Computed Tomography(CT)image quality control and equipment maintenance to ensure the normal... Objective:In the Radiology Department of Mzuzu Central Hospital(MCH),daily training for radiographers now includes content on Computed Tomography(CT)image quality control and equipment maintenance to ensure the normal,continuous,and stable operation of the 16-slice spiral CT scanner.Methods:Through comprehensive analysis of relevant equipment,we have identified key parameters that significantly impact CT image quality.Innovative optimization strategies and solutions targeting these parameters have been developed and integrated into daily training programs.Furthermore,starting from an examination of prevalent failure modes observed in CT equipment,we delve into essential maintenance and preservation techniques that CT technologists must master to ensure optimal system performance.Results:(1)Crucial factors affecting CT image quality include artifacts,noise,partial volume effects,and surrounding gap phenomena,alongside spatial and density resolutions,CT dose,reconstruction algorithms,and human factors during the scanning process.In the daily training for radiographers,emphasis is placed on strictly implementing image quality control measures at every stage of the CT scanning process and skillfully applying advanced scanning and image processing techniques.By doing so,we can provide clinicians with accurate and reliable imaging references for diagnosis and treatment.(2)Strategies for CT equipment maintenance:①Environmental inspection of the CT room to ensure cleanliness and hygiene.②Rational and accurate operation,including calibration software proficiency.③Regular maintenance and servicing for minimizing machine downtime.④Maintenance of the CT X-ray tube.CT technicians can become proficient in equipment maintenance and upkeep techniques through training,which can significantly extend the service life of CT systems and reduce the occurrence of malfunctions.Conclusion:Through the regular implementation of rigorous CT image quality control training for radiology technicians,coupled with diligent and proactive CT equipment maintenance,we have observed profound and beneficial impacts on improving image quality.The accuracy and fidelity of radiological data ultimately leads to more accurate diagnoses and effective treatments. 展开更多
关键词 TRAINING Multi-slice spiral ct image quality control Equipment maintenance
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MA-VoxelMorph:Multi-scale attention-based VoxelMorph for nonrigid registration of thoracoabdominal CT images
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作者 Qing Huang Lei Ren +3 位作者 Tingwei Quan Minglei Yang Hongmei Yuan Kai Cao 《Journal of Innovative Optical Health Sciences》 2025年第1期135-151,共17页
This paper aims to develop a nonrigid registration method of preoperative and intraoperative thoracoabdominal CT images in computer-assisted interventional surgeries for accurate tumor localization and tissue visualiz... This paper aims to develop a nonrigid registration method of preoperative and intraoperative thoracoabdominal CT images in computer-assisted interventional surgeries for accurate tumor localization and tissue visualization enhancement.However,fine structure registration of complex thoracoabdominal organs and large deformation registration caused by respiratory motion is challenging.To deal with this problem,we propose a 3D multi-scale attention VoxelMorph(MAVoxelMorph)registration network.To alleviate the large deformation problem,a multi-scale axial attention mechanism is utilized by using a residual dilated pyramid pooling for multi-scale feature extraction,and position-aware axial attention for long-distance dependencies between pixels capture.To further improve the large deformation and fine structure registration results,a multi-scale context channel attention mechanism is employed utilizing content information via adjacent encoding layers.Our method was evaluated on four public lung datasets(DIR-Lab dataset,Creatis dataset,Learn2Reg dataset,OASIS dataset)and a local dataset.Results proved that the proposed method achieved better registration performance than current state-of-the-art methods,especially in handling the registration of large deformations and fine structures.It also proved to be fast in 3D image registration,using about 1.5 s,and faster than most methods.Qualitative and quantitative assessments proved that the proposed MA-VoxelMorph has the potential to realize precise and fast tumor localization in clinical interventional surgeries. 展开更多
关键词 Thoracoabdominal ct image registration large deformation fine structure MULTI-SCALE attention mechanism
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A generalized method of converting CT image to PET linear attenuation coefficient distribution in PET/CT imaging 被引量:2
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作者 王璐 武丽伟 +4 位作者 魏乐 高娟 孙翠丽 柴培 李道武 《Chinese Physics B》 SCIE EI CAS CSCD 2014年第2期503-511,共9页
The accuracy of attenuation correction in positron emission tomography scanners depends mainly on deriving the reliable 511-keV linear attenuation coefficient distribution in the scanned objects. In the PET/CT system,... The accuracy of attenuation correction in positron emission tomography scanners depends mainly on deriving the reliable 511-keV linear attenuation coefficient distribution in the scanned objects. In the PET/CT system, the linear attenu- ation distribution is usually obtained from the intensities of the CT image. However, the intensities of the CT image relate to the attenuation of photons in an energy range of 40 keV-140 keV. Before implementing PET attenuation correction, the intensities of CT images must be transformed into the PET 511-keV linear attenuation coefficients. However, the CT scan parameters can affect the effective energy of CT X-ray photons and thus affect the intensities of the CT image. Therefore, for PET/CT attenuation correction, it is crucial to determine the conversion curve with a given set of CT scan parameters and convert the CT image into a PET linear attenuation coefficient distribution. A generalized method is proposed for con- verting a CT image into a PET linear attenuation coefficient distribution. Instead of some parameter-dependent phantom calibration experiments, the conversion curve is calculated directly by employing the consistency conditions to yield the most consistent attenuation map with the measured PET data. The method is evaluated with phantom experiments and small animal experiments. In phantom studies, the estimated conversion curve fits the true attenuation coefficients accurately, and accurate PET attenuation maps are obtained by the estimated conversion curves and provide nearly the same correction results as the true attenuation map. In small animal studies, a more complicated attenuation distribution of the mouse is obtained successfully to remove the attenuation artifact and improve the PET image contrast efficiently. 展开更多
关键词 linear attenuation coefficient pet/ct attenuation correction consistency conditions
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RPMS-DSAUnet:A Segmentation Model for the Pancreas in Abdominal CT Images
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作者 Tiren Huang Chong Luo Xu Li 《Computers, Materials & Continua》 2025年第12期5847-5865,共19页
Automatic pancreas segmentation in CT scans is crucial for various medical applications including early disease detection,treatment planning and therapeutic evaluation.However,the pancreas’s small size,irregular morp... Automatic pancreas segmentation in CT scans is crucial for various medical applications including early disease detection,treatment planning and therapeutic evaluation.However,the pancreas’s small size,irregular morphology,and low contrast with surrounding tissues make accurate pancreas segmentation still a challenging task.To address these challenges,we propose a novel RPMS-DSAUnet for accurate automatic pancreas segmentation in abdominal CT images.First,a Residual Pyramid Squeeze Attention module enabling hierarchical multi-resolution feature extraction with dynamic feature weighting and selective feature reinforcement capabilities is integrated into the backbone network,enhancing pancreatic feature extraction and improving localization accuracy.Second,a Multi-Scale Feature Extraction module is embedded into the network to expand the receptive field while preserving feature map resolution,mitigate feature degradation caused by network depth,and maintain awareness of pancreatic anatomical structures.Third,a Dimensional Squeeze Attention module is designed to reduce interference from adjacent organs and highlight useful pancreatic features through spatial-channel interaction,thereby enhancing sensitivity to small targets.Finally,a hybrid loss function combining Dice loss and Focal loss is employed to alleviate class imbalance issues.Extensive evaluation on two public datasets(NIH and MSD)shows that the proposed RPMS-DSAUnet achieves Dice Similarity Coefficients of 85.51%and 80.91%,with corresponding Intersection over Union(IoU)scores of 74.93%and 67.94%on each dataset,respectively.Experimental results demonstrate superior performance of the proposed model over baseline methods and state-of-the-art approaches,validating its effectiveness for CT-based pancreas segmentation. 展开更多
关键词 Pancreas segmentation computed tomography(ct)images convolutional neural networks U-shaped network feature extraction
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Towards novel regularization approaches to PET image reconstruction 被引量:2
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作者 E. Karali D. Koutsouris 《Journal of Biosciences and Medicines》 2013年第2期6-9,共4页
The purpose of this study is to introduce a novel empirical iterative algorithm for medical image reconstruction, under the short name MRP-ISWLS (Median Root Prior Image Space Weighted Least Squares). Further, we asse... The purpose of this study is to introduce a novel empirical iterative algorithm for medical image reconstruction, under the short name MRP-ISWLS (Median Root Prior Image Space Weighted Least Squares). Further, we assess the performance of the new algorithm by comparing it to the simultaneous version of known MRP algorithms. All algorithms are compared in terms of cross-correlation and CNRs (Contrast-to-Noise Ratios). As it turns out, MRP-ISWLS presents higher CNRs than the known algorithms for objects of different size. Also MRP-ISWLS has better noise manipulation. 展开更多
关键词 image RECONSTRUctION POSITRON Emission Tomography (pet) Small ANIMAL imaging MEDIAN ROOT Prior (MRP)
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Quantification of the impact of TOF and PSF on PET images using the noise-matching concept: clinical and phantom study 被引量:1
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作者 M. Shekari P. Ghafarian +1 位作者 S. Ahangari M. R. Ay 《Nuclear Science and Techniques》 SCIE CAS CSCD 2017年第11期258-265,共8页
This study was to assess quantitatively the accuracy of ^(18)F-FDG PET/CT images reconstructed by TOF+PSF and TOF only, considering the noise-matching concept to minimize probable bias in evaluating algorithm performa... This study was to assess quantitatively the accuracy of ^(18)F-FDG PET/CT images reconstructed by TOF+PSF and TOF only, considering the noise-matching concept to minimize probable bias in evaluating algorithm performance caused by noise. PET images of similar noise level were considered. Measurements were made on an inhouse phantom with hot inserts of Φ10–37 mm, and oncological images of 14 patients were analyzed. The PET images were reconstructed using the OSEM, OSEM+TOF and OSEM+TOF+PSF algorithms. Optimal reconstruction parameters including iteration, subset, and FWHM of post-smoothing filter were chosen for both the phantom and patient data. In terms of quantitative accuracy, the recovery coefficient(RC) was calculated for the phantom PET images. The signal-to-noise ratio(SNR),lesion-to-background ratio(LBR), and SUV_(max)were evaluated from the phantom and clinical data. The smallest hot insert(Ф10 mm) with 2:1 activity concentration ratio could be detected in the PET image reconstructed using the TOF and TOF+PSF algorithms, but not the OSEM algorithm. The relative difference for SNR between the TOF+PSF and OSEM showed significantly higher values for smaller sizes, while SNR change was smaller for Ф22–37 mm inserts both 2:1 and 4:1 activity concentration ratio. In the clinical study, SNR gains were 1.6 ± 0.53 and 2.7 ± 0.74 for the TOF and TOF+PSF, while the relative difference of contrast was 17 ± 1.05 and 41.5 ± 1.85% for the TOF only and TOF+PSF, respectively. The impact of TOF+PSF is more significant than that of TOF reconstruction, in smaller inserts with low activity concentration ratio. In the clinical PET/CT images, the use of the TOF+PSF algorithm resulted in better SNR and contrast for lesions, and the highest SUV_(max)was also seen for images reconstructed with the TOF+PSF algorithm. 展开更多
关键词 Time of FLIGHT (TOF) Point SPREAD function(PSF) LESION DETEctABILITY pet Quantification image reconstruction SUV
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