CT能谱成像对在体非单发泌尿系结石的成分与同源性分析

Abstract
Figure/Table
References (17)
Related Citation (13)

Download: PDF (0 KB) HTML (40 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To use CT energy spectrum to explore the in vivo stone composition of patients with non-single urinary stones,and to conduct homology analysis.Methods A total of 102 cases were collected from June 2018 to December 2019 who went to Foshan Sanshui District People′s Hospital for urinary system CT energy spectrum analysis and scanning of stones,and all cases were detected by infrared spectroscopy.Divide the same patient′s urinary tract stones into 7 types according to the stone location：ipsilateral kidney,opposite kidney,ipsilateral kidney ureter,opposite kidney ureter,opposite ureter,bladder,and bladder+kidney/ureter.Energy spectrum stone analysis software was used to measure average effective atomic number,peak value of effective atomic number,50 keV single energy CT value,calcium to water ratio,slope of energy spectrum attenuation curve,140 kVp mixed energy CT value,and determine the stone composition;the same patient in the same body stone composition was judged as homology,otherwise it was heterogeneity.Results A total of 204 stones were analyzed by CT energy spectrum of 102 patients,and the coincidence rate of in vivo energy spectrum and infrared spectrometer was 85.3%.The results of determining stone composition were calcium phosphate (51 stones),calcium oxalate(85 stones),struvite(25 stones),cystine(6 stones),uric acid(23 stones)and mixed(14 stones).Comparison of the average effective atomic number,peak value of effective atomic number,50 keV single energy CT value,calcium to water ratio,slope of energy spectrum attenuation curve,and 140 kVp mixed energy CT value of the five single-component stones,the differences were statistically significant(P＜0.01).Patients with homology accounted for 75.5%,mainly bladder and ipsilateral kidney ureter.The 7 types of homology from large to small are bladder,ipsilateral kidney ureter,opposite kidney,ipsilateral kidney,opposite ureter,opposite kidney ureter,bladder+kidney/ureter.Conclusion CT energy spectrum imaging can more accurately analyze the components of urinary stones in vivo.The components of non-single urinary stones in the same patient have high homology,especially the bladder and ipsilateral kidney ureter.

Key words： Energy spectrum Tomography X-ray computed Urinary stones Urinary stones composition Infrared spectrometer

Received: 19 May 2020

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	FU Xiao-bin1 HUANGZhou1▲ CUI Yun-neng2 LIN Wei-guang3 HE Jian1

Cite this article:

FU Xiao-bin1 HUANGZhou1▲ CUI Yun-neng2 LIN Wei-guang3 HE Jian1. Analysis of the composition and homology of non-single urinary stones in vivo by CT energy spectrum[J]. 中国当代医药, 2020, 27(24): 13-16.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I24/13

[1]	曾国华，朱玮.泌尿系结石的预防：我们该做些什么？[J].中华泌尿外科杂志，2017，38（9）：650-653.
[2]	吴伟宙，黄健，梁雄发，等.单中心15 269例泌尿系结石患者的结石成分分析[J].中华泌尿外科杂志，2018，39（9）：651-655.
[3]	徐勋，赵振华，石明，等.1168例泌尿系结石患者结石成分分析及其饮食预防指导[J].临床泌尿外科杂志，2014，29（8）：694-696.
[4]	Jepperson MA，Cernigliaro JG，Ibrahim el-SH，et al.In vivo comparison of radiation exposure of dual-energy CT versus low-dose CTversusstandard CTfor imagingurinary calculi[J].JEndourol，2015，29（2）：141-146.
[5]	李小虎，余永强，王万勤，等.CT能谱成像对肾结石成分分析的初步研究[J].中华放射学杂志，2011，45（12）：1216-1219.
[6]	刘月华，朱绍成，史大鹏，等.CT能谱成像术前评估食管鳞状细胞癌病理分级的临床价值[J].中华医学杂志，2017，97（43）：3406-3411.
[7]	朱正，赵心明，周纯武.宝石能谱单能量成像及自适应统计迭代重建技术在腹部低剂量CT扫描中的可行性研究[J].放射学实践，2017，32（4）：418-422.
[8]	胡微薇，赵建洪，景琐世.宝石能谱CT对泌尿系结石成分分析的相关研究进展[J].现代泌尿外科杂志，2016，21（11）：894-897.
[9]	韩文艳.CT能谱成像的基本原理与临床应用优势[J].中国医疗设备，2015，30（12）：90-91，94.
[10]	邹婷婷，张古沐阳，刘彦含，等.定量CT纹理分析鉴别体内泌尿系草酸盐与非草酸盐结石[J].放射学实践，2019，34（9）：998-1001.
[11]	陈泉桦，黎军强.双源CT双能量成像识别尿路结石成分的临床应用研究[J].中国CT和MRI杂志，2018，16（7）：133-135，139，封4.
[12]	Hidas G，Eliahou R，Duvdevani M，et al.Determination of renal stone composition with dual-energy CT：in vivo analysis and comparison with x-ray diffraction[J]Radiology，2010，257（2）：394-401.
[13]	朱家利，汪溢，李志伟，等.宝石能谱CT原子序数法与红外光谱法分析泌尿系结石成分的效果比较[J].重庆医学，2017，46（33）：4662-4663，4666.
[15]	吴清龙.泌尿系结石病因学的研究现况[J].国际泌尿系统杂志，2015，35（5）：749-753.
[16]	高逢彬，王谦，王荣江，等.浙江省泌尿系结石患者的结石成分分析（附4423例报告）[J].中华泌尿外科杂志，2019，40（8）：619-624.
[14]	Gücük A，Uyetürk U.Usefulness of hounsfield unit and density in the assessment and treatment of urinary stones[J].World JNephrol，2014，3（4）：282-286.
[17]	阿不都拉·热合曼，哈木拉提·吐送，苏比·尼加提，等.双能量CT在体外冲击波碎石术前测定结石成分中的应用进展[J].中国医疗设备，2019，34（4）：163-166，173.