The experimental study on dual-energy imaging for the diagnosis of acute pulmonary embolism using dual-source CT / 中华放射学杂志

Objective To evaluate the feasibility and value of dual-energy perfusion imaging (DEPI) of dual-source CT(DSCT) in the diagnosis of acute experimental pulmonary embolism. Methods Acute pulmonary embolism ( PE ) model was made in 8 New Zealand rabbits, and non-enhanced and enhanced DSCT scans were performed before and after embelization. Postprocessing of image data was made on the workstation, and CT pulmonary angiography ( CTPA ), DEal and fusion images were obtained. The location and number of the emboli were recorded. The rabbits were killed immediately after DSCT scan, the location and number of the lung lobes with pulmonary emboli were evaluated pathologically. Based on the pathological results, the sensitivity, specificity, positive predictive value ( PPV), and negative predictive value (NPV) of CTA, DEal and fusion images for the diagnosis of PE were calculated. Weighted Kappa values were calculated to evaluate the consistency between CTPA and DEal. Results PE model was made successfully in 7 rabbits. Six rabbits with 30 lobes were evaluated with one exception because of the catheter affecting the quality of lung peffusian image. PE was found pathologically in 18 lobar arteries. On DEPI, the region with PE showed low peffusion area comparing with the normal parenchyma and CTPA showed the filling defect within corresponding pulmonary artery or interruption of the artery. The sensitivity, specificity, PPVand NPV of CTPA were 66. 7% (12/18), 100.0% (12/12), 100.0% (12/12) and 66. 7% (12/18), respectively. The Kappa value was 0. 651 indicating moderate correlation with pathology. The sensitivity, specificity, aPv, and NPV of DEal were 88. 9% ( 16/18), 91.7% ( 11/12, 94. 1% (16/17) and 84. 6% ( 11/13 ), respectively. The Kappa value was 0. 795 indicating excellent correlation with pathology. Conclusion Dual-energy lung perfusion imaging of DSCT can display the blood distribution of rabbit's lung and has a high sensitivity for the diagnosis of acute pulmonary embolism.

Analysis of Design for Modern Large-scale Machine Room in Digital Substraction Angiography / 医疗卫生装备

In order to make design in DSA machine room more scientific,reasonable and reduce repeated work,and guarantee the normal run after the installation of the machines,some specific machine design experience and summarized lessons are explained on how to design scientific and reasonable DSA machine room. Based on the DSA machine room design,actual condition and summarized experience,scientific and reasonable design project for the DSA machine room are provided. Scientific DSA machine room design is an important guarantee to prolong machine life and improve equipment use efficiency.

Image quality control of Philips C2000 Digital Subtract Angiography machine / 医疗卫生装备

Because of the bad definition of images in using DSA machine,the X-ray detector was used to check the DSA output dose so as to solve the image quality problems. Through checking the output dose,the problem were found in time and solved thoroughly,therefore it is very important to take image quality control at intervals.

Digital improvement of Philips Bucky DiagnostTS X-ray machine / 医疗卫生装备

The technique of Youtong company is adopted to improve Philips X-ray machine digitally.X-ray digital plane detector,control box and DR image workstation are added to the improved system,which make radiography more convenient and provide high quality image for clinical diagnosis.

Management and Maintenance of Digital Subtraction Angiography Machine / 医疗卫生装备

DSA machine is very important for patient examination and therapy in medical imaging department. The management and maintenance of machine have direct impact on clinic diagnosis and treatment quality. Scientific management and maintenance for DSA machine are proposed to bring machine into full use, and the clinical need is explained in detail along with machine troubleshooting and maintenance, etc. It emphasizes the importance of relative machine aspects, especially of medical engineer's comprehensive ability. Those improve medical quality and machine life, and also improve financial and social benefit.

Discussion on the Kodak 8100 Laser Imager Maintenance / 医疗卫生装备

The maintenance of Kodak 8100 laser imager is discussed through special maintenance cases.Good work environment and corresponding ancillary equipment is necessary for machine operation.Strengthening of machine and the action of first-line engineer improves the quality of medical equipment with good promotion and assistance.The equipment should be strengthened,the effect of hospital engineer should be exerted in machine maintenance,and these should promote the quality of medical treatment facility.