scholarly journals Multi-Slice Spiral Computed Tomography Image Features under Hybrid Iterative Reconstruction Algorithm in Staging Diagnosis of Bladder Cancer

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Lan Zang

Objective. This study was aimed to explore the accuracy of multi-slice spiral computed tomography (CT) scan in preoperative staging diagnosis of bladder cancer based on hybrid iterative reconstruction algorithm, so as to provide a more reasonable supporting basis for guiding clinical work in the future. Methods. Retrospectively, 120 patients admitted to hospital from July 2019 to April 2021, who were confirmed to be with urothelial carcinoma of the bladder by pathological examination after surgical treatment, were selected. CT images before processing were set as the control group and those after processing were set as the observation group according to whether they were processed by the hybrid iterative algorithm. Postoperative pathological examination was utilized as the standard for analysis. The accuracy and consistency of the two methods were compared. Results. The accuracy of the results of each stage of the observation group (T1 stage: 91.09%, T2 stage: 89.66%, T3 stage: 88.89%, and T4 stage: 88.89%) and consistency (T1 stage: 0.66, T2 stage: 0.69, T3 stage: 0.71, and T4 stage: 0.82) were higher than those of the control group (accuracy: T1—57.01%, T2—48.28%, T3—44.44%, and T4—44.44%). The consistency was as follows: T1—0.32, T2—0.24, T3—0.37, and T4—0.43, and the comparison was statistically significant ( P  < 0.05). Conclusion. The adoption value of the image features based on the hybrid iterative reconstruction algorithm in the diagnosis of bladder cancer staging was higher than that of the conventional multi-slice spiral CT, indicating that the hybrid iterative reconstruction algorithm had a good adoption prospect in clinical examination.

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Yan Cui ◽  
Yang Sun ◽  
Meng Xia ◽  
Dan Yao ◽  
Jun Lei

This research was aimed to study CT image features based on the backprojection filtering reconstruction algorithm and evaluate the effect of ropivacaine combined with dexamethasone and dexmedetomidine on assisted thoracoscopic lobectomy to provide reference for clinical diagnosis. A total of 110 patients undergoing laparoscopic resection were selected as the study subjects. Anesthesia induction and nerve block were performed with ropivacaine combined with dexamethasone and dexmedetomidine before surgery, and chest CT scan was performed. The backprojection image reconstruction algorithm was constructed and applied to patient CT images for reconstruction processing. The results showed that when the overlapping step size was 16 and the block size was 32 × 32, the running time of the algorithm was the shortest. The resolution and sharpness of reconstructed images were better than the Fourier transform analytical method and iterative reconstruction algorithm. The detection rates of lung nodules smaller than 6 mm and 6–30 mm (92.35% and 95.44%) were significantly higher than those of the Fourier transform analytical method and iterative reconstruction algorithm (90.98% and 87.53%; 88.32% and 90.87%) ( P < 0.05 ). After anesthesia induction and lobectomy with ropivacaine combined with dexamethasone and dexmedetomidine, the visual analogue scale (VAS) decreased with postoperative time. The VAS score decreased to a lower level (1.76 ± 0.54) after five days. In summary, ropivacaine combined with dexamethasone and dexmedetomidine had better sedation and analgesia effects in patients with thoracoscopic lobectomy. CT images based on backprojection reconstruction algorithm had a high recognition accuracy for lung lesions.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Jun Liu ◽  
Xiaolong Jiang

This study was to discuss the application of multislice spiral computed tomography (CT) in the staging diagnosis of bladder cancer and the effect of ceramide glycosylation. The hybrid iterative reconstruction algorithm was applied. Immunohistochemistry and western blot were used to detect the normal bladder tissues (30 cases) of GCS in group 1 (100 cases) and group 2. The scanned images of all the research objects were obtained, the images with the iterative reconstruction algorithm were reconstructed, and statistical analysis on the CT value under the algorithm was conducted. The results showed that the image quality, blood vessel sharpness, average image score, signal-to-noise ratio, and radiation dose after the spiral CT and iterative reconstruction algorithm all increased, while the noise value decreased. The optical density value of glucosylceramide synthase in group 2 patients increased by 71%, and the optical density value of group 1 increased by 29%. The optical density expression of glucosylceramide synthase in group 1 patients was significantly higher than that in the control group, and there was a statistical difference between the two ( P < 0.05 ). Among the results of multislice spiral CT for tumor staging, the lesions larger than 5 cm and in the range of 1.1–2 cm in diameter were more sensitive. In 41 patients, there were multiple lesions. A total of 142 cancer lesions were found. The diameter of the tissue ranged from 0.5 to 6.8 cm, with an average diameter of 2.03 ± 0.35 cm. The optical density of glucosylceramide synthase in the group 1 was 5526, and the optical density in group 2 was 2576. The OD expression of GCS in group 1 was greatly higher in contrast to that in group 2, and there was a statistical difference between the two groups ( P < 0.05 ). The multislice spiral CT examination under this algorithm found that the diagnosis and staging accuracy of lesions with a diameter greater than 5 cm and tumor diameters in the range of 1.1 to 2 cm was higher. The image processed by the hybrid iterative reconstruction algorithm had good effect, high definition, and accuracy.


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