Correlation of Image Quality and Angiographic Parameters in Two Groups of Angiocatheter by Hepatocellular Carcinoma DSA
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摘要: 目的：针对两种不同类型造影导管（美国COOK公司RH导管及日本TERUMO公司RH导管），造影参数的选择探讨原发性肝癌的图像质量。方法：选取广州中医药第一附属医院2018年6月至2019年1月行肝动脉化疗栓塞术患者共40例，男23例，女17例，年龄最大75岁，最小30岁，平均56.3岁，均为原发性肝癌，其中20例采用美国COOK公司RH导管，20例采用日本TERUMO公司RH导管。在同一参数设置、机器设备以及图像后处理软件下，分析两组患者腹腔干动脉及肠系膜上动脉实际造影压力，以及对图像质量评判。结果：在40例患者的340幅造影图像中，图像质量良好36例（COOK组16例，TERUMO组20例）；图像质量欠佳4例，均来自COOK组。所得数据以SPSS25.0软件处理分析并作t检验，在腹腔干动脉造影，COOK组实际压力平均值为107.6psi，TERUMO组为93.1psi，差异有统计学意义（P<0.05）；在肠系膜上动脉造影，COOK组实际压力平均值为101.4psi，TERUMO组为88.9psi，差异有统计学意义（P<0.05）。结论：选择造影参数时应根据不同的造影导管选择合适的压力。若使用TERUMO RH导管，选择较小的压力即可得到良好的图像质量。Abstract: Objective: To discuss the image quality of HCC based on the angiographic parameters of two types of angiocatheter, i.e. COOK MEDICAL RH angiocatheter and TERUMO MEDICAL RH angiocatheter. Methods: 40 cases (23 males, 17 females) of TACE in the First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine from June 2018 to January 2019 were selected. Patients ranged from 30 to 75 years with an average age of 56.3 and were all diagnosed with HCC. The actual imaging pressure of celiac trunk and superior mesenteric artery angiography in two groups of patients was analyzed and the image quality was evaluated under the same parameter settings, machinery and image post processing software with 20 cases using COOK MEDICAL RH angiocatheter (the COOK group) and 20 cases using TERUMO MEDICAL RH angiocatheter (the TERUMO group). Results: Among 340 angiography images of 40 cases, 36 cases showed good image quality with 16 from the COOK group and 20 from the TERUMO group, 4 cases showed poor image quality with all from the COOK group. The data was processed and analyzed with SPSS 25.0 software. The mean value of actual pressure of celiac trunk angiography was 107.6 PSI in the COOK group and 93.1 PSI in the TERUMO group, the difference was statistically significant (P<0.05), while that of the superior mesenteric artery angiography was 101.4 PSI in the COOK group and 88.9 PSI in the TERUMO group, the difference was statistically significant (P<0.05). Conclusion: Appropriate pressure should be chosen according to different angiocatheters in the selection of angiographic parameters. Lower pressure is advised in the case of TERUMO MEDICAL RH angiocatheter for good image quality.
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Keywords:
- HCC /
- DSA /
- angiographic parameters /
- RH angiocatheter /
- image quality
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期刊类型引用(1)
1. 周新华. 旋转数字减影血管造影三维重建在肝癌介入治疗中的临床应用价值. 医疗装备. 2022(03): 114-116 . 
百度学术
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