With the development of medical and health care and the advancement of high-end technologies such as computers and artificial intelligence, great changes have taken place in medical imaging technology. On the one hand...With the development of medical and health care and the advancement of high-end technologies such as computers and artificial intelligence, great changes have taken place in medical imaging technology. On the one hand, medical imaging technology plays a more and more important role in clinical work and becomes an indispensable and important means in clinical practice. On the other hand, it also poses new challenges to the implementation of medical imaging technology. Although the development of undergraduate education has been promoted in China, the clinical experience, especially the experience in imaging technology, is relatively lacking, and the clinical teaching is relatively lack of a unified and specific plan. The purpose of this paper is to analyze the relevant teaching contents of CT and MRI in medical imaging technology, so as to provide necessary reference in the future practice and teaching process.展开更多
Objective: to explore the accuracy and sensitivity of bone malformation in C T diagnosis group. Methods: from March 2019 to June 2020, 72 patients suspected of osteonecrosis were selected and treated in our hospital. ...Objective: to explore the accuracy and sensitivity of bone malformation in C T diagnosis group. Methods: from March 2019 to June 2020, 72 patients suspected of osteonecrosis were selected and treated in our hospital. All patients underwent C-T examination, X-ray examination and magnetic resonance diagnosis. Statistical analysis was made on the bone state of femoral head defect diagnosed by C-T scan, X-ray and magnetic resonance, as well as the accuracy of C-T scan, X-ray and magnetic resonance diagnosis, and the sensitivity and specificity of femoral defect. Results: according to the final clinical diagnosis, out of 72 patients suspected of osteonecrosis, a total of 1 patient was diagnosed as osteoporosis. A total of 65 patients with femoral diseases, the positive rate of femoral necrosis was higher than that of CT scan and X-ray, while the positive rate of femoral necrosis was higher than that of X-ray, with statistical significance (P < 0.05). The accuracy, sensitivity and specificity of magnetic resonance diagnosis of femoral defect were higher than those of t-scan and x-ray scan, and the accuracy and sensitivity of CT scan were higher than those of x-ray, the difference was statistically significant (P < 0.05). Compared with X-ray films (P > 0.05), the features found by computed tomography of femoral necrosis have no statistical significance Conclusion: magnetic resonance diagnosis has higher value in clinical diagnosis of patients with femoral head necrosis than CT scan and X-ray films.展开更多
Objective： The aim of our study was to compare the value of computed tomography （CT） and 99mTc-methylene- diphosphonate （MDP） SPECT （single photon emission computed tomography）/CT fusion imaging in determining ...Objective： The aim of our study was to compare the value of computed tomography （CT） and 99mTc-methylene- diphosphonate （MDP） SPECT （single photon emission computed tomography）/CT fusion imaging in determining the extent of mandibular invasion by malignant tumor of the oral cavity. Methods： This study had local ethical committee approval, and all patients gave written informed consent. Fifty-three patients were revealed mandibular invasion by malignant tumor of the oral cavity underwent CT and SPECT/CT. The patients were divided into two groups： group A （invasion-periphery-type） and group B （invasion-center- type）. Two radiologists assessed the CT images and two nuclear medicine physicians separately assessed the $PECT/CT images in consensus and without knowledge of the results of other imaging tests. The extent of bone involvement suggested with an imaging modality was compared with pathological findings in the surgical specimen. Results： With pathological findings as the standard of reference, Group A： The extent of mandibular invasion by malignant tumor under- went SPECT/CT was 1.02 _＋ 0.20 cm larger than that underwent pathological findings. And the extent of mandibular invasion underwent CT was 1.42 ＋ 0.35 cm smaller than that underwent pathological examination. There were significant difference among the three methods （P 〈 0.01）. Group B： The extent of mandibular invasion by malignant tumor underwent SPECT/CT was 1.3 ＋ 0.39 cm larger than that underwent pathological examination. The extent of mandibular invasion underwent CT was 2.55 ＋ 1.44 cm smaller than that underwent pathological findings. There were significant difference among the three methods （P 〈 0.01）. The extent of mandibular invasion underwent SPECT/CT was the extent which surgeon must excise to get clear margins. Conclusion： SPECT/CT fusion imaging has significant clinical value in determining the extent of mandibular inva- sion by malignant tumor of oral cavity.展开更多
Objective: To explore the significance of dual-energy CT non-linear fusion technique in improving the quality of CTA image of renal cancer. Methods: The CTA images of 100 patients who had been confirmed by pathology a...Objective: To explore the significance of dual-energy CT non-linear fusion technique in improving the quality of CTA image of renal cancer. Methods: The CTA images of 100 patients who had been confirmed by pathology as renal cancer were collected and were randomly divided into experimental group and control group with 50 cases respectively. The two groups of patients were treated with iodine concentration of 300 mg/ml and 350 mg/ml non-ionic contrast agent, with a dosage of 1.5 ml/kg and an injection rate of 4 ml/s. The contrast agent intelligently tracking method was adopted bolus. The control group used the conventional CTA scanning, with a reference tube voltage/tube current of 100 kv/ref150 mas. The experimental group adopted the double energy scanning, with ball tube A and ball tube B. The reference tube voltage/tube current was 100 kv/ref250 mas and sn150 kv/ref125 mas respectively. The images of the experimental group were non-linear fused to obtain the Mono+ 55 kev single-energy images. The CT value, SNR contrast ratio of the abdominal aorta, renal artery and tumor tissue of the experimental group images and the 100 KV images and the Mono+ 55 kev images of the control group were compared. The objective evaluation and subjective evaluation of the image quality of the three groups of images was performed. Results: The results showed that the 100 kV images of the experimental group were statistically different from those of the control group (P05) in CT value, SNR and CNR (P 0.05). And there was no statistically significant difference between the non-linear fusion single-energy Mono+ 55 kev images and the control group images in CT value, SNR and CNR (P > 0.05). The subjective evaluation of image quality showed that there was no significant difference between Mono+ 55 kev images and control group images, and the quality of Mono+ 55 kev images was higher than that of experimental group 100 kV images. Conclusion: The dual-energy CT non-linear fusion technique can improve the quality of CTA image in patients with renal cancer, and it is possible to obtain high quality CTA images with low iodine concentration contrast agent.展开更多
This paper introduces the characteristics of Computed Tomography （CT） technology and reviews its history, current situation, representative achievements, and use of using CT technology on frozen soil study, includin...This paper introduces the characteristics of Computed Tomography （CT） technology and reviews its history, current situation, representative achievements, and use of using CT technology on frozen soil study, including auxiliary equipment specially de- signed for frozen soil studies. CT numbers are used to analyze frozen soil internal structure change, defining and exploring dam- age evolution, and use of CT images on observing soil mesostructure. Finally, this paper presents existing problems confronted by using CT in frozen soil studies, possible solutions and challenges, among which, we introduce high quality CT image processing for frozen soils, and relations between CT number change and each component change on frozen soil samples within the region of interest. It is shown that present CT technology is one of the most ideal and effective technology to study frozen soil mesostructure using non-desmactive testing. CT technology will play a key role in the study and development in the field of frozen soil by means of auxiliary equipment and the digital imaging processing.展开更多
Objective： The aim of the study was to evaluate the clinical value of ^99mTc-methylene diphosphonic acid （MDP） SPECT/CT fusion imaging and CT scanning in diagnosis of infiltrated mandible by gingival carcinoma. Met...Objective： The aim of the study was to evaluate the clinical value of ^99mTc-methylene diphosphonic acid （MDP） SPECT/CT fusion imaging and CT scanning in diagnosis of infiltrated mandible by gingival carcinoma. Methods： 18 cases of gingival carcinoma were processed infiltrated mandible by ^99mTc-MDP SPECT/CT fusion image and CT, and their scanning results compared with pathology findings. Results： Eleven of 13 cases with well-differentiated squamous cell carcinoma showed positive images, one of 11 cases was false positive images by pathology findings, and 10 cases were exhibited infiltrated mandibles; 5 cases with moderately differentiated and poorly differentiated squamous call carcinoma showed positive images, pathology showed carcinoma call had infiltrated cavum ossis of mandible. Five of 18 cases were positive images by CT. Conclusion： ^99mTc-MDP SPECT/CT fusion imaging is a useful method in diagnosis of infiltrated mandible by gingival carcinoma.展开更多
Lymphoscintigraphy readily provides confirmation of chylothorax but not detailed localization of the leakage site. A 77-year-old woman developed traumatic chylothorax and underwent lymphoscintigraphy with radiolabeled...Lymphoscintigraphy readily provides confirmation of chylothorax but not detailed localization of the leakage site. A 77-year-old woman developed traumatic chylothorax and underwent lymphoscintigraphy with radiolabeled albumin to identify the site of lymph leakage. Dynamic imaging demonstrated appearance of focal activity presumably in the upper mediastinum, followed by spread to the left hemithorax. Subsequently, SPECT/CT showed that the leakage site was located in the left side of the upper mediastinum, and this location was confirmed during video-assisted thoracoscopic surgery. Dynamic imaging demonstrated the site of first appearance of abnormal activity, and SPECT/CT enabled detailed localization of the abnormal activity with anatomic correlation. The combination of dynamic imaging with SPECT/CT appears to be recommendable for lymphoscintigraphic assessment of chylothorax.展开更多
Objective: to analyze the application value of SPECT/CT fusion imaging technology in differential diagnosis of benign and malignant spinal lesions. Methods: all the subjects were diagnosed with SPECT/CT fusion imaging...Objective: to analyze the application value of SPECT/CT fusion imaging technology in differential diagnosis of benign and malignant spinal lesions. Methods: all the subjects were diagnosed with SPECT/CT fusion imaging technology, and then all the subjects were diagnosed with CT-guided percutaneous spinal biopsy. 42 cases of benign lesions were confirmed and 18 cases of malignant lesions, accounting for 70.00% and 30.00% respectively. Taking CT-guided biopsy as the gold standard, the detection rates of benign and malignant spinal lesions by SPECT/CT fusion imaging were statistically compared. Results: there was no significant difference between differential diagnosis accuracy and gold standard in SPECT/CT fusion imaging technique (P > 0.05). Conclusion: it has high differential diagnosis accuracy, can effectively identify patients' diseases, and is worthy of clinical application.展开更多
Currently,18F-FDG coincidence SPECT(Co-SPECT)/CT scan still serves as an important tool for diagnosis,staging,and evaluation of cancer treatment in developing countries.We implemented full physical corrections(FPC) to...Currently,18F-FDG coincidence SPECT(Co-SPECT)/CT scan still serves as an important tool for diagnosis,staging,and evaluation of cancer treatment in developing countries.We implemented full physical corrections(FPC) to Co-SPECT(quantitative Co-SPECT) to improve the image resolution and contrast along with the capability for image quantitation.FPC included attenuation,scatter,resolution recovery,and noise reduction.A standard NEMA phantom filled with 10:1 F-18 activity concentration ratio in spheres and background was utilized to evaluate image performance.Subsequently,15 patients with histologically confirmed thoracic carcinomas were included to undergo a 18 F-FDG Co-SPECT/CT scan followed by a 18 F-FDG PET/CT scan.Functional parameters as SUVmax,SUVmean,SULpeak,and MTV from both quantitative Co-SPECT and PET were analyzed.Image resolution of Co-SPECT for NEMA phantom was improved to reveal the smallest sphere from a diameter of 28 mm to 22 mm(17 mm for PET).The image contrast was enhanced from 1.7 to 6.32(6.69 for PET) with slightly degraded uniformity in background(3.1% vs.6.7%)(5.6% for PET).Patients’ SUVmax,SUVmean,SULpeak,and MTV measured from quantitative Co-SPECT were overall highly correlated with those from PET(r=0.82-0.88).Adjustment of the threshold of SUVmax and SUV to determine SUVmean and MTV did not further change the correlations with PET(r=0.81-0.88).Adding full physical corrections to Co-SPECT images can significantly improve image resolution and contrast to reveal smaller tumor lesions along with the capability to quantify functional parameters like PET/CT.展开更多
文摘With the development of medical and health care and the advancement of high-end technologies such as computers and artificial intelligence, great changes have taken place in medical imaging technology. On the one hand, medical imaging technology plays a more and more important role in clinical work and becomes an indispensable and important means in clinical practice. On the other hand, it also poses new challenges to the implementation of medical imaging technology. Although the development of undergraduate education has been promoted in China, the clinical experience, especially the experience in imaging technology, is relatively lacking, and the clinical teaching is relatively lack of a unified and specific plan. The purpose of this paper is to analyze the relevant teaching contents of CT and MRI in medical imaging technology, so as to provide necessary reference in the future practice and teaching process.
文摘Objective: to explore the accuracy and sensitivity of bone malformation in C T diagnosis group. Methods: from March 2019 to June 2020, 72 patients suspected of osteonecrosis were selected and treated in our hospital. All patients underwent C-T examination, X-ray examination and magnetic resonance diagnosis. Statistical analysis was made on the bone state of femoral head defect diagnosed by C-T scan, X-ray and magnetic resonance, as well as the accuracy of C-T scan, X-ray and magnetic resonance diagnosis, and the sensitivity and specificity of femoral defect. Results: according to the final clinical diagnosis, out of 72 patients suspected of osteonecrosis, a total of 1 patient was diagnosed as osteoporosis. A total of 65 patients with femoral diseases, the positive rate of femoral necrosis was higher than that of CT scan and X-ray, while the positive rate of femoral necrosis was higher than that of X-ray, with statistical significance (P < 0.05). The accuracy, sensitivity and specificity of magnetic resonance diagnosis of femoral defect were higher than those of t-scan and x-ray scan, and the accuracy and sensitivity of CT scan were higher than those of x-ray, the difference was statistically significant (P < 0.05). Compared with X-ray films (P > 0.05), the features found by computed tomography of femoral necrosis have no statistical significance Conclusion: magnetic resonance diagnosis has higher value in clinical diagnosis of patients with femoral head necrosis than CT scan and X-ray films.
文摘Objective： The aim of our study was to compare the value of computed tomography （CT） and 99mTc-methylene- diphosphonate （MDP） SPECT （single photon emission computed tomography）/CT fusion imaging in determining the extent of mandibular invasion by malignant tumor of the oral cavity. Methods： This study had local ethical committee approval, and all patients gave written informed consent. Fifty-three patients were revealed mandibular invasion by malignant tumor of the oral cavity underwent CT and SPECT/CT. The patients were divided into two groups： group A （invasion-periphery-type） and group B （invasion-center- type）. Two radiologists assessed the CT images and two nuclear medicine physicians separately assessed the $PECT/CT images in consensus and without knowledge of the results of other imaging tests. The extent of bone involvement suggested with an imaging modality was compared with pathological findings in the surgical specimen. Results： With pathological findings as the standard of reference, Group A： The extent of mandibular invasion by malignant tumor under- went SPECT/CT was 1.02 _＋ 0.20 cm larger than that underwent pathological findings. And the extent of mandibular invasion underwent CT was 1.42 ＋ 0.35 cm smaller than that underwent pathological examination. There were significant difference among the three methods （P 〈 0.01）. Group B： The extent of mandibular invasion by malignant tumor underwent SPECT/CT was 1.3 ＋ 0.39 cm larger than that underwent pathological examination. The extent of mandibular invasion underwent CT was 2.55 ＋ 1.44 cm smaller than that underwent pathological findings. There were significant difference among the three methods （P 〈 0.01）. The extent of mandibular invasion underwent SPECT/CT was the extent which surgeon must excise to get clear margins. Conclusion： SPECT/CT fusion imaging has significant clinical value in determining the extent of mandibular inva- sion by malignant tumor of oral cavity.
文摘Objective: To explore the significance of dual-energy CT non-linear fusion technique in improving the quality of CTA image of renal cancer. Methods: The CTA images of 100 patients who had been confirmed by pathology as renal cancer were collected and were randomly divided into experimental group and control group with 50 cases respectively. The two groups of patients were treated with iodine concentration of 300 mg/ml and 350 mg/ml non-ionic contrast agent, with a dosage of 1.5 ml/kg and an injection rate of 4 ml/s. The contrast agent intelligently tracking method was adopted bolus. The control group used the conventional CTA scanning, with a reference tube voltage/tube current of 100 kv/ref150 mas. The experimental group adopted the double energy scanning, with ball tube A and ball tube B. The reference tube voltage/tube current was 100 kv/ref250 mas and sn150 kv/ref125 mas respectively. The images of the experimental group were non-linear fused to obtain the Mono+ 55 kev single-energy images. The CT value, SNR contrast ratio of the abdominal aorta, renal artery and tumor tissue of the experimental group images and the 100 KV images and the Mono+ 55 kev images of the control group were compared. The objective evaluation and subjective evaluation of the image quality of the three groups of images was performed. Results: The results showed that the 100 kV images of the experimental group were statistically different from those of the control group (P05) in CT value, SNR and CNR (P 0.05). And there was no statistically significant difference between the non-linear fusion single-energy Mono+ 55 kev images and the control group images in CT value, SNR and CNR (P > 0.05). The subjective evaluation of image quality showed that there was no significant difference between Mono+ 55 kev images and control group images, and the quality of Mono+ 55 kev images was higher than that of experimental group 100 kV images. Conclusion: The dual-energy CT non-linear fusion technique can improve the quality of CTA image in patients with renal cancer, and it is possible to obtain high quality CTA images with low iodine concentration contrast agent.
基金financially supported by the National Natural Science Foundation of China(Nos.4102300340971046+3 种基金41201181)the Foundation of State Key Laboratory of Frozen Soil Engineering(No.Y252J81001)the Youth Foundation of Cold and Arid Regions Environmental Engineering Research InstituteChinese Academy of Sciences(No.51Y251B91)
文摘This paper introduces the characteristics of Computed Tomography （CT） technology and reviews its history, current situation, representative achievements, and use of using CT technology on frozen soil study, including auxiliary equipment specially de- signed for frozen soil studies. CT numbers are used to analyze frozen soil internal structure change, defining and exploring dam- age evolution, and use of CT images on observing soil mesostructure. Finally, this paper presents existing problems confronted by using CT in frozen soil studies, possible solutions and challenges, among which, we introduce high quality CT image processing for frozen soils, and relations between CT number change and each component change on frozen soil samples within the region of interest. It is shown that present CT technology is one of the most ideal and effective technology to study frozen soil mesostructure using non-desmactive testing. CT technology will play a key role in the study and development in the field of frozen soil by means of auxiliary equipment and the digital imaging processing.
文摘Objective： The aim of the study was to evaluate the clinical value of ^99mTc-methylene diphosphonic acid （MDP） SPECT/CT fusion imaging and CT scanning in diagnosis of infiltrated mandible by gingival carcinoma. Methods： 18 cases of gingival carcinoma were processed infiltrated mandible by ^99mTc-MDP SPECT/CT fusion image and CT, and their scanning results compared with pathology findings. Results： Eleven of 13 cases with well-differentiated squamous cell carcinoma showed positive images, one of 11 cases was false positive images by pathology findings, and 10 cases were exhibited infiltrated mandibles; 5 cases with moderately differentiated and poorly differentiated squamous call carcinoma showed positive images, pathology showed carcinoma call had infiltrated cavum ossis of mandible. Five of 18 cases were positive images by CT. Conclusion： ^99mTc-MDP SPECT/CT fusion imaging is a useful method in diagnosis of infiltrated mandible by gingival carcinoma.
文摘Lymphoscintigraphy readily provides confirmation of chylothorax but not detailed localization of the leakage site. A 77-year-old woman developed traumatic chylothorax and underwent lymphoscintigraphy with radiolabeled albumin to identify the site of lymph leakage. Dynamic imaging demonstrated appearance of focal activity presumably in the upper mediastinum, followed by spread to the left hemithorax. Subsequently, SPECT/CT showed that the leakage site was located in the left side of the upper mediastinum, and this location was confirmed during video-assisted thoracoscopic surgery. Dynamic imaging demonstrated the site of first appearance of abnormal activity, and SPECT/CT enabled detailed localization of the abnormal activity with anatomic correlation. The combination of dynamic imaging with SPECT/CT appears to be recommendable for lymphoscintigraphic assessment of chylothorax.
文摘Objective: to analyze the application value of SPECT/CT fusion imaging technology in differential diagnosis of benign and malignant spinal lesions. Methods: all the subjects were diagnosed with SPECT/CT fusion imaging technology, and then all the subjects were diagnosed with CT-guided percutaneous spinal biopsy. 42 cases of benign lesions were confirmed and 18 cases of malignant lesions, accounting for 70.00% and 30.00% respectively. Taking CT-guided biopsy as the gold standard, the detection rates of benign and malignant spinal lesions by SPECT/CT fusion imaging were statistically compared. Results: there was no significant difference between differential diagnosis accuracy and gold standard in SPECT/CT fusion imaging technique (P > 0.05). Conclusion: it has high differential diagnosis accuracy, can effectively identify patients' diseases, and is worthy of clinical application.
基金supported by the internal research grant from China-Japan Friendship Hospital,Beijing,China(Grant No.2016-1QN-9)。
文摘Currently,18F-FDG coincidence SPECT(Co-SPECT)/CT scan still serves as an important tool for diagnosis,staging,and evaluation of cancer treatment in developing countries.We implemented full physical corrections(FPC) to Co-SPECT(quantitative Co-SPECT) to improve the image resolution and contrast along with the capability for image quantitation.FPC included attenuation,scatter,resolution recovery,and noise reduction.A standard NEMA phantom filled with 10:1 F-18 activity concentration ratio in spheres and background was utilized to evaluate image performance.Subsequently,15 patients with histologically confirmed thoracic carcinomas were included to undergo a 18 F-FDG Co-SPECT/CT scan followed by a 18 F-FDG PET/CT scan.Functional parameters as SUVmax,SUVmean,SULpeak,and MTV from both quantitative Co-SPECT and PET were analyzed.Image resolution of Co-SPECT for NEMA phantom was improved to reveal the smallest sphere from a diameter of 28 mm to 22 mm(17 mm for PET).The image contrast was enhanced from 1.7 to 6.32(6.69 for PET) with slightly degraded uniformity in background(3.1% vs.6.7%)(5.6% for PET).Patients’ SUVmax,SUVmean,SULpeak,and MTV measured from quantitative Co-SPECT were overall highly correlated with those from PET(r=0.82-0.88).Adjustment of the threshold of SUVmax and SUV to determine SUVmean and MTV did not further change the correlations with PET(r=0.81-0.88).Adding full physical corrections to Co-SPECT images can significantly improve image resolution and contrast to reveal smaller tumor lesions along with the capability to quantify functional parameters like PET/CT.
