Objective: To investigate the clinical value of the dual energy virtual non-contrast technique of dual-source head CT angiography (CTA) in preoperative examination of meningioma. Methods: CT images of 49 patients with pathologically confirmed meningiomas were retrospectively analyzed. Conventional non-contrast (CNC) and dual energy CTA scan were performed, and virtual non-contrast (VNC) and iodine-enhanced images were obtained with postprocessed technology. The mean CT value, signal-to-noise ratio (SNR), image quality, lesions detectability and radiation dose were compared between VNC and CNC images. The supply artery of tumor and relationship between tumor and adjacent intracranial vessel were observed on head CTA image from head bone removal using dual energy technique. Results: CT value, SNR, and image quality scores of CNC were higher than those of VNC (all P<0.05). The image quality scores of VNC were all above 3, which could meet the diagnostic requirements. There was no statistical difference in the size, shape, intratumoral calcification, necrosis and peritumoral edema of lesions between CNC and VNC images. The ability of VNC to display calcification inside meningioma was somehow limited compared with CNC. The radiation dose of dual energy CTA was 1.71 mSv (61.07%), lower than that of CNC and conventional enhancement scan. Conclusion: Dual-source CT dual energy technique can obtain VNC, iodine-enhanced and CTA images by single enhanced scan, and is excellent in preoperative examination for meningioma.
语种:
中文
第一作者:
第一作者机构:[1]CT Division, Medical Imaging Center, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China
通讯作者:
推荐引用方式(GB/T 7714):
Xie X.-J,Deng Y.-M,Zeng X.-C,等.Dual energy virtual non-contrast technique of dual-source head CT angiography in diagnosis of meningiomas[J].Chinese Journal Of Medical Imaging Technology.2012,28(10):