ISSN 1004-4140
CN 11-3017/P
王永胜, 王晨思, 陆浩宇, 田香宝, 庄奇新. 个性化造影剂注射方案在提升肺动脉CTA生物应用安全性的价值研究[J]. CT理论与应用研究, 2021, 30(6): 777-783. DOI: 10.15953/j.1004-4140.2021.30.06.14
引用本文: 王永胜, 王晨思, 陆浩宇, 田香宝, 庄奇新. 个性化造影剂注射方案在提升肺动脉CTA生物应用安全性的价值研究[J]. CT理论与应用研究, 2021, 30(6): 777-783. DOI: 10.15953/j.1004-4140.2021.30.06.14
WANG Yongsheng, WANG Chensi, LU Haoyu, TIAN Xiangbao, ZHUANG Qixin. Study on the Value of Individualized Contrast Agent Injection Scheme in Improving the Biosafety of Pulmonary Artery CTA[J]. CT Theory and Applications, 2021, 30(6): 777-783. DOI: 10.15953/j.1004-4140.2021.30.06.14
Citation: WANG Yongsheng, WANG Chensi, LU Haoyu, TIAN Xiangbao, ZHUANG Qixin. Study on the Value of Individualized Contrast Agent Injection Scheme in Improving the Biosafety of Pulmonary Artery CTA[J]. CT Theory and Applications, 2021, 30(6): 777-783. DOI: 10.15953/j.1004-4140.2021.30.06.14

个性化造影剂注射方案在提升肺动脉CTA生物应用安全性的价值研究

Study on the Value of Individualized Contrast Agent Injection Scheme in Improving the Biosafety of Pulmonary Artery CTA

  • 摘要: 目的:研究个性化造影剂注射方案在提升肺动脉CTA生物应用安全性的价值。资料与方法:前瞻性纳入亭林医院2018年1月至2020年6月临床怀疑肺动脉栓塞的患者50例作为研究对象,将患者分配到A组和B组。A组为常规组,注射方案为:20 mL生理盐水+50 mL造影剂+30 mL生理盐水,注射速率均为4.5 mL/s。B组为个性化组,注射方案为:20 mL生理盐水+(造影剂注射剂量=体重×0.6 mL)+30 mL生理盐水,造影剂注射速率=造影剂注射剂量/10 s;生理盐水注射速率均为4.5 mL/s。采用独立样本的t检验,比较两组间的年龄、身高、体重、造影剂注射剂量和注射速率、肺动脉主干及左右肺动脉内的CT值、图像质量主观评分等数据。采用Kappa检验评价两名医师间对所得图像质量主观评价的一致性。结果:两组间年龄、身高、体重差异无统计学意义;两组间的造影剂注射剂量和速率差异有统计学意义;两组间肺动脉主干及左右肺动脉内的CT值、图像质量主观评分无统计学意义;Kappa检验评价两名医师图像质量主观评分一致性高度一致,Kappa=0.80。结论:在保证肺动脉CTA图像质量的前提下,给体重≤ 75 kg的患者采用个性化注射方案,可以有效减少造影剂注射剂量,减缓注射速率,从而降低造影剂给患者带来的潜在生物应用安全性风险。

     

    Abstract: Objective: To study the value of individualized contrast medium injection scheme in improving the biosafety of pulmonary artery CTA. Materials and methods: 50 patients clinically suspected of pulmonary embolism from January 2018 to June 2020 were randomly assigned into groups A and B. Group A was the routinely group, the injection scheme was 20mL of normal saline, 50 mL of contrast agent and 30 mL of saline, with the injection rate of 4.5 mL/s. Group B was the individualized group, and the injection scheme was 20 mL of normal saline, (contrast medium dosage=weight×0.6 mL) and 30 mL of normal saline, the injection rate of contrast medium=dosage of contrast agent/10 s while the injection rate of physiological saline was 4.5 mL/s. We adopted t-test of independent samples to compare the data of age, height, weight, dosage and rate of contrast agent injection, CT value of main pulmonary artery and left and right pulmonary arteries and subjective evaluation of image quality between the two groups. Kappa test was used to evaluate the consistency of subjective evaluation of the image quality between the two doctors. Results: There was no statistical significance in the difference of age, height and weight between the two groups; the difference between the two groups in the dosage and rate of contrast mediumt injection was statistically significant; there was no statistical significance in CT value of main pulmonary artery and left and right pulmonary arteries and subjective evaluation of image quality between the two groups; Kappa test indicated that the two doctors held high consistency in subjective evaluation of image quality, with Kappa=0.80. Conclusion: On the premise of ensuring the quality of CTA images of pulmonary artery, personalized injection scheme can effectively reduce the dosage of contrast medium and slow down the injection rate for patients with weight less than 75 kg, thus reduces the potential risk of biological safety for patients.

     

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