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64层螺旋CT肺容积和肺密度指标与肺通气功能的相关性研究
  • ISSN号:1672-3511
  • 期刊名称:《西部医学》
  • 时间:0
  • 分类:R814.42[医药卫生—影像医学与核医学;医药卫生—放射医学;医药卫生—临床医学]
  • 作者机构:[1]武汉市江夏区第一人民医院放射科,湖北武汉430200, [2]深圳市宝安区人民医院放射科,广东深圳518000
  • 相关基金:深圳市宝安区科技计划项目(2012137)
中文摘要:

目的 分析64层螺旋CT (MSCT)图像,评价肺容积(LV)和肺密度指标与肺功能的(PFT)相关性.方法 选择46名吸烟者为研究对象,均于吸气和呼气时进行肺功能(PFT)检测试验,并接受胸部CT扫描.应用开源软件自动测量吸气和呼气的肺容积(LV)和肺密度(MLD),计算LV的呼气/吸气(E/I)比.结果 CT指标中,呼气MLD与肺通气功能密切相关(P<0.05),而且MLD E/I比值与肺通气功能指标也显著相关(P<0.05).吸气肺容积与肺通气功能不存在显著相关性;但呼气肺容积与肺通气功能显著相关(P<0.05);此外,肺容积的E/I比值与肺通气功能指标表现出显著的相关性(P<0.05).LV和MLD之间的相关性均较高(P<0.05),呼气肺容积与呼气肺密度的相关系数(R=-0.725),吸气肺容积与吸气肺密度的相关系数(R=-0.463).结论 螺旋CT中MLD测量值,特别是在呼气相的MLD与LV的测量值存在相关性.LV的E/I比值与MLD的E/I比值高度关联,两者均可以预测肺通气功能,适用于慢性阻塞性肺病的检查.

英文摘要:

Objective To analyze 64 slice spiral CT (MSCT) image and evaluate the corrrlation of lung volume (LV), pulmonary density and pulmonary function (PFT). Methods 46 smokers were chosen as the research object. The lung function was tested during inspiration and expiration (PFT) test. All underwent chest CT scan. The inspiratory and expiratory lung volume, lung density (MLD) and the LV breath / suction (E / I) ratio were measured, Results The CT index and expiratory MLD were closely related with the pulmonary ventilation function(P〈0.05), and MLD E/I ratio and pulmonary function indexes were also significantly associated (P〈0.05). Inspiratory lung volume and lung ventilation function had no exist significant correlation, but the expiratory lung volume and lung ventilation function significantly related. In addition, the ratio of E/I and pulmonary function indices of lung volume showed significant correlation(P〈 0.05). The correlation between LV and MLD were higher(P〈0.05), the correlation coefficient of expiratory lung vol- ume and expiratory lung density (R=-0. 725), the correlation coefficient inspiratory lung volume and inspiratory lung density (R=-0. 463) ; Conclusion MLD measurements in spiral CT, especially in the expiratory phase of MLD, are as sociated with LV measurements value. LV E/I ratio and MLD E/I ratio are highly correlated, both of them can predict pulmonary ventilation function, which can be used in chronic obstructive puhnonary disease examination.

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期刊信息
  • 《西部医学》
  • 中国科技核心期刊
  • 主管单位:四川省卫生和计划生育委员会
  • 主办单位:川北医学院第二临床医学院.南充市中心医院
  • 主编:彭海涛
  • 地址:成都市浆洗街8号国嘉南苑10F-6号
  • 邮编:610041
  • 邮箱:xibu@chinajournal.net.cn
  • 电话:028-85570072 85588403
  • 国际标准刊号:ISSN:1672-3511
  • 国内统一刊号:ISSN:51-1654/R
  • 邮发代号:62-243
  • 获奖情况:
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  • 被引量:26154