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中华神经创伤外科电子杂志

中华神经创伤外科电子杂志 ›› 2020, Vol. 06 ›› Issue (01) : 23 -26. doi: 10.3877/cma.j.issn.2095-9141.2020.01.006

所属专题： 文献；

临床研究

和平方舟号医院船16排移动CT头部扫描报告
李学周1, 蔡金辉1,†(), 王振方2, 高飞2, 张志强3, 李飞3, 代秋声2, 徐如祥3   
  1. 1. 316000　舟山，海军"和平方舟"号医院船医疗中心
    2. 215123　苏州，江苏摩科特医疗科技有限公司
    3. 100700　北京，解放军总医院第七医学中心原附属八一脑科医院
  • 收稿日期:2019-11-10 出版日期:2020-02-15
  • 通信作者: 蔡金辉
  • 基金资助:
    全军十二五军事医学重点课题(BWS12J010); 国家自然基金青年科学基金(81100971)

Head scanning with the 16-row mobile CT on the Navy Hospital Ship Peace Ark

Xuezhou Li1, Jinhui Cai1,†(), Zhenfang Wang2, Fei Gao2, Zhiqiang Zhang3, Fei Li3, Qiusheng Dai2, Ruxiang Xu3   

  1. 1. Navy Hospital Ship Peace Ark, Zhoushan 316000, China
    2. Jiangsu Mocoto Medical Technology Co. Ltd., Suzhou 215123, China
    3. Affilited Bayi Brain Hospital, the Seventh Medical Center of Chinese PLA General Hospital, Beijing 100700, China
  • Received:2019-11-10 Published:2020-02-15
  • Corresponding author: Jinhui Cai
  • About author:
    Corresponding author: Cai Jinhui, Email:
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引用本文：

李学周, 蔡金辉, 王振方, 高飞, 张志强, 李飞, 代秋声, 徐如祥. 和平方舟号医院船16排移动CT头部扫描报告[J]. 中华神经创伤外科电子杂志, 2020, 06(01): 23-26.

Xuezhou Li, Jinhui Cai, Zhenfang Wang, Fei Gao, Zhiqiang Zhang, Fei Li, Qiusheng Dai, Ruxiang Xu. Head scanning with the 16-row mobile CT on the Navy Hospital Ship Peace Ark[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2020, 06(01): 23-26.

目的

检测16排移动CT在和平方舟号医院船上对健康志愿者进行头部轴位平扫的成像质量、电磁干扰影响以及无线信息传输的稳定性。

方法

随机选择96例健康志愿者，分为航行组和停泊组。航行组58例，在医院船正常航行状态下进行头部轴位平扫；停泊组38例，在医院船航行结束返回码头停泊状态进行头部轴位平扫成像。比较2组头部轴向扫描的成像质量、电磁干扰影响，以及无线信息传输的稳定性。

结果

16排移动CT与医院船上大功率仪器之间相互无电磁干扰，影像信息传输系统性能稳定。在医院船航行和停泊状态下骨窗位成像质量稳定，显示颅骨、眼眶、鼻蝶窦等骨性结构良好；头窗位成像质量良好，显示眼球及视神经、脑干、脑皮质及沟回等软组织结构清晰。2组受检者在颅底扫描时，一部分层面发生线条状运动伪影，航行组发生运动伪影的比率（15.52%）高于停泊组（5.26%），但2组间差异无统计学意义（P=0.191），对临床诊断无明显影响。

结论

16排移动CT装配在医院船上进行头部平扫，成像质量优良、性能可靠、使用便捷，移动CT与医院船之间无电磁干扰，无线信息传输稳定性好。

关键词: 16排移动CT, 头部扫描成像, 和平方舟号医院船, 电磁干扰
Objective

To test the image quality, electromagnetic interference and the stability and safety of wireless information transmission on head axial scanning of healthy volunteers by 16-row mobile CT on the Hospital Ship Peace Ark.

Methods

A total of 96 cases of healthy volunteers were randomly divided into navigation group and berthing group. In the navigation group, 58 cases were scanned in the axial position of the head under the normal navigation condition of the hospital ship, while in the berthing group, 38 cases were scanned in the axial position of the head after the hospital ship returned to the berthing condition of the wharf. The image quality, electromagnetic interference and the stability of wireless information transmission in both groups were compared.

Results

There was no electromagnetic interference between the 16-row mobile CT and the high-power instruments on the Hospital Ship Peace Ark, and the performance of the image information transmission system was stable. In the condition of sailing and berthing groups of the Navy Hospital Ship Peace Ark, the imaging quality of the bone window was good with the 16-row mobile CT scanning, showing good bone structure of skull, orbit, nasosphenoid sinus and so on. The imaging quality of cephalic windows was good with the 16-row mobile CT scanning, showing clear structures of soft tissues such as eyeball and optic nerve, brain stem, cerebral cortex, sulcus and so on. Although the subjects in 2 groups had a few of linear motion artifacts at the skull base, it showed the incidence rates in the sailing group with 15.52% and the berthing group with 5.26%, there was no significant difference between the two groups (P=0.191), which has no significant effect on clinical diagnosis.

Conclusion

The 16-row mobile CT was installed on the Hospital Ship Peace Ark for head scanning. The 16-row mobile CT was of good imaging quality, reliable performance and convenient to use in this trial. There was no electromagnetic interference between the 16-row mobile CT and the Hospital Ship Peace Ark, and the wireless information transmission worked stably in the trial.

Key words: 16-row mobile CT, Head scan imaging, Navy Hospital Ship Peace Ark, Electromagnetic interference
图1 2组研究对象头部轴位骨窗成像（显示颅底骨、眼眶、鼻蝶窦）
图2 2组研究对象头部轴位平扫成像（显示眼球、视神经、脑干、脑皮质、脑沟回及脑室结构）
图3 航行组头部轴位平扫成像颅底部分层面出现运动伪影
[1]
张强,吴素芳,张志强,等.移动式床旁CT的初步临床应用[J].中华神经医学杂志, 2011, 10(2): 197-199.
[2]
张志强,张强,吴素芳,等.移动式床旁CT-CereTom在神经外科重症监护病房中的应用[J].中国煤炭工业医学杂志, 2013, 16(11): 1790-1793.
[3]
张志强,张强,徐如祥.移动式床边CT在导航引导下微创治疗幕上高血压脑出血中的应用价值探讨[J].中华神经医学杂志, 2014, 13(8): 836-838.
[4]
张志强,张强,吴素芳,等.移动式床旁CT-CereTom在手术室中的应用[J].中国煤炭工业医学杂志, 2013, 16(5): 763-765.
[5]
中国神经科学学会神经损伤与修复分会,卫健委脑卒中防治工程委员会专家委员会.移动CT床旁头部检查技术专家共识2019[J].中华神经创伤外科电子杂志, 2019, 5(2): 68-72.
[6]
中国神经科学学会神经损伤与修复分会,卫健委脑卒中防治工程委员会专家委员会,中国卒中学会急救医学分会. "移动卒中单元"中国专家共识2019[J].中华神经创伤外科电子杂志, 2019, 5(1): 5-10.
[7]
王正国,张良.创伤性脑损伤[J].中华急诊医学杂志, 2015, 24(5): 465-466.
[8]
顾建文,杨涛,屈延,等.颅脑火器伤的急救处置和治疗[J].实用医院临床杂志, 2009, 6(4): 30-32.
[9]
冯华,李飞,张礼均.高原颅脑损伤伤情特点及救治[J].中华创伤杂志, 2008, 24(7): 499-501.
[10]
李学周,蔡金辉. CT和DR等大型医疗设备在医院船上的使用和维护[J].中华航海医学与高气压医学杂志, 2011, 18(z1):封3-封4.
[11]
蔡金辉,顾小飞,郭红霞. "和谐使命-2011"任务中医院船医疗中心保障能力存在的问题及对策[J].海军医学杂志, 2013, 34(1): 12-13.
[12]
任爱军,黄敏华,斯海臣.执行海外医疗任务期间CT室检查533例病例分析[J].中国急救复苏与灾害医学杂志, 2012, 7(2): 140-142, 159.
[13]
张静,李学周,葛合全,等.医院船执行"和谐使命2013"任务中DR及CT检查病例分析[J].中国急救复苏与灾害医学杂志, 2014, 9(4): 368-370.
[14]
丽静,邵立新,赵国礼,等. "和谐使命-2015"任务期间CT检查情况分析[J].解放军医学杂志, 2017, 42(10): 930-932.
[15]
张志强,郭俊英,代秋声,等.救护车载移动CT头部扫描在移动医疗中的应用[J].中华神经创伤外科电子杂志, 2018, 4(1): 5-8.
[1] 张志强, 李飞, 王振方, 丁柏匀, 代秋声, 徐如祥. 16排移动CT脑血管造影的初步结果报告[J]. 中华神经创伤外科电子杂志, 2018, 04(05): 260-263.
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