论著-头颈部
体视学法在颅内血肿体积测量的应用*
作者:盛 波1 陈 松2 吕发金1 肖智博1 吕富荣1
所属单位:1.重庆医科大学附属第一医院放射 科 (重庆 400016) 2.重庆医科大学附属第一医院神经 外科 (重庆 400016)
PDF摘要
目的 介绍改进后的体视学法测 量颅内血肿体积,并验证其准确性。方法 在92例颅内出血的CT图像上,同时运用体 视法、CT定量法测量颅内血肿体积,以CT 定量法的结果为标准验证体视法的准确 性。结果 按血肿体积大小分为5组,各组 CT定量法、体视学法所测得体积采用配对 样本的t检验分析P值皆大于0.05,即CT定 量法、体视学法所测血肿体积无统计学差 异。结论 体视学法测量颅内血肿准确可 靠,在CT工作站对颅内血肿病例行胶片打 印排版时,在图像上加上合适的网格,可 方便临床医生快速运用体视法准确测量颅 内血肿体积。
Objective The volume of intracranial hematoma was measured by the improved stereology, and its accuracy was verified. Methods In the CT images of 92 cases of intracranial hemorrhage, the volume of intracranial hematoma was measured by stereology and CT quantitative method, and the accuracy of the stereology was verified by CT quantitative method. Results It was divided into 5 groups with hematoma volume. Results of the P value was more than 0.05 in all groups intracranial hemorrhage that T test analysis of the CT quantitative method was paired samples by the method of stereology, it can be found that they were no statistical difference in the volume of hematoma between the CT quantitative method and the stereology. Conclusions It is accurate measuring the volume of intracranial hematoma by stereology. When the CT film is be prepared for printing at the CT workstation, using image fusion of CT image and scalegrid can be convenient for radiologists and clinicians to use the stereology for the volume of intracranial hematoma
【关键词】颅内血肿 体视学 体积 CT
【中图分类号】R61;R814.42
【文献标识码】A
【DOI】 10.3969/j.issn.1672- 5131.2016.01.002
前言
颅内血肿、脑出血的出血量与患者临床表现[1,2]相关,同时出血量 决定是否外科手术[1-4],也影响患者预后,所以快速、准确测量出血量 对临床非常重要。颅内血肿体积测量方法众多[5,6],测量结果较准确的 方法是体视法、CT定量、CT容积测量法[5,7]。CT定量、CT容积测量虽能 精确测量血肿体积,并不受血肿形态影响[3,5,6],但测量费时、需要工 作站上完成[5,6]限制了其使用。而体视法运用时需制作测量格,由于胶 片图像放大比例缺乏统一标准,使得测量格不能通用,所以该方法运 用也受到一定限制。本文将介绍一个新的方法使用体视学法,并验证 其准确性,该方法去除人工制作测量格步骤,可让医生快速使用体视 法测量血肿容积。
中国CT和MRI杂志
第14卷, 第 1 期
2016年01月
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