光子计数CT在头颈血管成像中的应用进展OA
Advances in the application of photon-counting CT in head and neck vascular imaging
头颈动脉CT血管成像是目前诊断脑血管疾病的首选无创性检查.光子计数CT(PCCT)相比传统CT具有更高的空间分辨率、能谱分辨力及多物质分离能力,且辐射剂量更低,已在头颈血管成像领域展现良好的应用前景.本文简要阐述PCCT 成像原理与核心技术优势,以及目前基于PCCT的头颈 CTA 扫描、重建参数优化方案;并就PCCT 在头颈微小血管成像、头颈动脉高危斑块识别、颅内动脉瘤术前与术后评估、头颈血管支架术后随访等方面的临床应用进展进行综述.
Head and neck CT angiography(CTA)is currently the first-line non-invasive imaging modality for diagnosing cerebrovascular diseases.Compared with conventional CT,photon-counting CT(PCCT)provides higher spatial and spectral resolution,enhanced multi-material decomposition capability,and a lower radiation dose,showing promising potential for head and neck vascular imaging.This review briefly describes the imaging principles and core technical advantages of PCCT,summarizes current strategies for optimizing acquisition and reconstruction parameters for PCCT-based head and neck CTA,and reviews advances in its clinical applications for visualizing small head and neck vessels,identifying high-risk plaques in the head and neck arteries,assessing intracranial aneurysms before and after treatment,and performing follow-up after head and neck vascular stent placement.
濮雄鹰;罗松
南京医科大学附属老年医院放射科,南京 210024南京医科大学附属老年医院放射科,南京 210024
医药卫生
光子计数CT头颈血管成像光谱成像体层摄影术,X线计算机
Photon-counting computed tomographyHead and neck vascular imagingSpectral imagingTomography,X-ray computed
《国际医学放射学杂志》 2026 (5)
540-545,6
江苏省卫生健康委科研重点项目(BJ2404)
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