ABSTRACT
Objective To explore the value of ultra-large pitch Turbo Flash scan mode in the diagnosis of tracheal foreign body in infants.Methods The imaging data of 60 infants with foreign body in trachea confirmed by bronchus endoscopy were analyzed retrospectively. The 60 infants were equally divided into 2 groups according to the scanning time.For group A,the routine scan with the mode of CARE Dose 4D/CARE kV and pitch as 1.9 was performed.For group B,the scan with ultra-large pitch Turbo Flash model was performed.The scanning time,volume CT dose index (CTDIvol)and dose length product (DLP)of each patient were recorded in both groups and statistically analyzed.Results The scanning time,DLP and CTDIvol of group A and group B were statistically significant.CTDIvol and DLP of group B were significantly lower than those of group A (P＜0.05).The diagnostic accuracy of group A and B were 100%(30/30),respectively (P＞0.05).The foreign body display of group A and B were 100% (30/30),respectively (P＞0.05).Conclusion Ultra-large pitch Turbo Flash can be used to detect tracheal foreign body in infants.It can significantly reduce radiation dose,shorten examination time and obtain satisfactory image quality.
ABSTRACT
Objective To investigate the feasibility of chest examination using ultra-large pitch Turbo Flash in Force CT in preschool children without sedative.Methods A total of 90 preschool children evaluated as nervous or frightened were equally divided into 3 groups according to the scanning time.For group A,the routine scan with the mode of CARE Dose 4D/CARE kV was performed,and the sedative was used.For group B,the scan with ultra-large pitch Turbo Flash model and pitch as 3.0 was performed,and the sedative was used.For group C,the same scan mode as group B was performed but without sedative.The scanning time,radiation dose,image quality and the diagnostic efficiency were compared among 3 groups.Results There were no significant differences of the CT values of the aorta root,spinal posterior muscles and subcutaneous fat,the noise of the aorta root,SNR and CNR among 3 groups (all P＞0.05).Moreover,no significant differences of the subjective score of image quality in pulmonary window and mediastinum window images were found among 3 groups (both P＞0.05).The scanning time and radiation dose indexes (CT dose index volume [CTDIvo1],doselength product [DLP],effective dose [ED]) of group A were significantly higher than those of group B and group C (all P ＜0.05),while there were no significant differences between group B and group C (all P＞0.05).There were no significant differences between the CT diagnosis and clinical diagnosis results in all 3 groups (all P＞0.05).Conclusion It can shorten the scanning time and decrease the radiation dose by using the mode of ultra-large pitch Turbo Flash.And the satisfactory image quality can be obtained without sedative for nervous or frightened preschool children.