Feasibility of ultra-large pitch Turbo Flash scan mode in chest scan in preschool children without sedatives
	    		
		   		
		   			
		   		
	    	
    	 
    	10.13929/j.1003-3289.201610125
   		
        
        	
        		- VernacularTitle:超大螺距Turbo Flash扫描模式在学龄前儿童胸部检查中不用镇静剂的可行性
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Xianchun ZENG
			        		
			        		;
		        		
		        		
		        		
			        		Jing CHEN
			        		
			        		;
		        		
		        		
		        		
			        		Yuquan WANG
			        		
			        		;
		        		
		        		
		        		
			        		Changjie LIU
			        		
			        		;
		        		
		        		
		        		
			        		Tao WANG
			        		
			        		;
		        		
		        		
		        		
			        		Rongpin WANG
			        		
			        		
		        		
		        		
		        		
		        		
		        		
			        		
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Large pitch;
			        		
			        		
			        		
				        		Preschool children;
			        		
			        		
			        		
				        		Sedatives;
			        		
			        		
			        		
				        		Chest scan;
			        		
			        		
			        		
				        		Radiation doage
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Medical Imaging Technology
	            		
	            		 2017;33(8):1221-1225
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective To investigate the feasibility of chest examination using ultra-large pitch Turbo Flash in Force CT in preschool children without sedative.Methods A total of 90 preschool children evaluated as nervous or frightened were equally divided into 3 groups according to the scanning time.For group A,the routine scan with the mode of CARE Dose 4D/CARE kV was performed,and the sedative was used.For group B,the scan with ultra-large pitch Turbo Flash model and pitch as 3.0 was performed,and the sedative was used.For group C,the same scan mode as group B was performed but without sedative.The scanning time,radiation dose,image quality and the diagnostic efficiency were compared among 3 groups.Results There were no significant differences of the CT values of the aorta root,spinal posterior muscles and subcutaneous fat,the noise of the aorta root,SNR and CNR among 3 groups (all P>0.05).Moreover,no significant differences of the subjective score of image quality in pulmonary window and mediastinum window images were found among 3 groups (both P>0.05).The scanning time and radiation dose indexes (CT dose index volume [CTDIvo1],doselength product [DLP],effective dose [ED]) of group A were significantly higher than those of group B and group C (all P <0.05),while there were no significant differences between group B and group C (all P>0.05).There were no significant differences between the CT diagnosis and clinical diagnosis results in all 3 groups (all P>0.05).Conclusion It can shorten the scanning time and decrease the radiation dose by using the mode of ultra-large pitch Turbo Flash.And the satisfactory image quality can be obtained without sedative for nervous or frightened preschool children.