My ch p SPECT

My ch p SPECT (Single Photon Emission Computed Tomography) l m t trong nh ng thi t b ch n on hnh nh hi n i nh t hi n nay. 1. T ng quan My ch p SPECT (Single Photon Emission Computed Tomography) l m t trong nh ng thi t b ch n on hnh nh hi n i nh t hi n nay. V nguyn l t o nh, SPECT cng gi ng nh CT, ch khc ch v i CT th chm photon c chi u t bn ngoi, xuyn qua c th v c ghi nh n detector pha i di n ngu n tia X. Cn v i SPECT, th chm b c x photon c pht ra t bn trong c th do phn r phng x c a (u ng,tim,.) vo c th tr c (ni c n ch p nh). Chm b c x pht ra c ghi nh n ng th i b i h detector bao quanh b nh nhn cho ta thng tin v ch c nng c quan mu n thm khm . nh SPECT cho ta th y c thng tin ch c nng c a cc c quan (functional image). V d , l ng mu lu chuy n qua m t vng no nhi u hay t i u ny r t khc v i CT. Nh v y n cho ta bi t i u g ang x y ra trong c th . Ngoi cc ng d ng ch n on hnh nh thng th ng, my SPECT cn c vai tr c bi t trong x tr ung th. V i nh SPECT, bc s v k thu t vin d dng tm th y nh ng t n thng, bi n i b t th ng r t nh trong c th ng i b nh. Do nh SPECT cho php on, pht hi n s m b nh ung th. My SPECT c th cho ta ch p: ton thn (Whole body), tnh (Static), ng (Dynamic), 3 Pha, nh ton th ho c c t l p (Tomo) 2. Tnh nng c i ms d ng

SPECT l k thu t ch n on hnh nh b ng y h c h t nhn, cho php hi n th hnh nh trong khng gian 3 chi u ch c nng cc b ph n, chuy n ho t bo v cc thng s ch c nng khc trong c th thng qua vi c s d ng m t l ng nh cc ch t phng x khc nhau. nh SPECT l nh 3 chi u r nt, c bi t l hnh nh c a cc m, tuy n gip v xng. Phng php ny gip pht hi n cc thay i v b nh h c c p phn t tr c khi hnh thnh nn s thay i trong c u trc gi i ph u c th nhn th y c trn hnh nh CT. i n hnh nh cc ch c nng: Ch n on v vnh v.v cc b nh tim m ch nh d t t, r i lo n huy t ng h c, b nh c a m ch

SPECT, s d ng cc ng v phng x c trng nh I131 Octreotide hay MIBG nh v cc kh i u c tnh khng i n hnh (cc kh i u th n kinh n i ti t). SPECT l cng c r t h u d ng cho cc bc s trong vi c l y m u sinh thi t, ph u thu t c t b v x tr sau ph u thu t cc kh i u ny. Ch n on cc b nh trong no: v i hnh nh SPECT ch p no, bc s d dng ch n on tr ng thi v cc t n thng x y ra trong no b nh nhn. V i cc b nh khc: my SPECT c ch c nng ch n on, xt nghi m cc lo i b nh t m sot, ch n on ung th xng, tuy n ti n li t, b u c v b u gic c, thm d ch c nng c a cc t ng nh tuy n gip, gan, th n v no v.v v i chnh xc cao ch n on cc kh i u v m t s b nh l ch c nng khc nh x hnh t i mu c tim, x hnh hng ro mu no (ch n on b nh tm th n ho c t n thng no), x hnh gan, x hnh xng, x hnh tuy n gip, x hnh th n, x hnh ph i..

3. Tnh nng - k thu t my SPECT c a Siemens u thu HD c nh y cao, ho t l ng hnh nh tuy t h o ng nh ngu n nng l ng c l p, m b o ch t

Flash 3D, k thu t ti t o tng tc SPECT tin ti n nh t cho php t i u ha th i gian qut v ch t l ng hnh nh. Chu trnh x l theo yu c u c a ng i s su t thm khm. Hi n nay Siemens c my SPECT hai ho t trong qu trnh thm khm: My SPECT hai u d d ng gip tng hi u qu khai thc v hi u

u d v SPECT m t

u d, t o ra s

l a ch n linh

T i a ha ch t l ng hnh nh trong ch p ton thn ng th i tng nng su t thm khm trong m i ki u ch p: My hai u d c th bi n i cho c u hnh u d cc gc 180o,90o v 76o, t o ra cc ng d ng thm khm t i u trong ch p t ng qut tim m ch,u b u v th n kinh, tim m ch v.v Thu n ti n trong vi c ch p b nh nhn trn cng v trn xe ln, k c trong t th ng: Hai u thu c nh 180o t i a ha tnh nng ch p ton thn v ch p SPECT b ng cc u thu c t v tr i di n nhau, t o nn m t h th ng l t ng cho ng d ng i u tr u b u. Gantry m cho php ti p c n d dng v i c hai u thu. My SPECT m t u thu: v i kh nng ti p c n h t s c d dng v i b nh nhn th ng ti t ki m chi ph ny l gantry m a nng, kh i, t ng nh d u c th trong ch p SPECT v ch p p ln c u hnh hai u thu. c thi t k r t ti n d ng v t i u. H th ng i mi trong qu trnh thm khm. H th ng ng khc nhau cho php k thu t vin v n hnh nhau cho ch t l ng nh t t nh t on v i u tr b nh ang c cc b nh ng cng ngh . Hi n t i, n c ta c kho ng i cc b nh vi n hng u v chuyn ngnh N ng.

Linh ho t trong ch p t ng qut trn cng v xe ln. c trng c a h nng ch nh nghing u thu u/cu ton thn, cng nh d dng nng c

Ngoi ra, my SPECT c a Siemens cn gi ng t o cho bnh nhn c m gic tho Collimator, Detector v i nhi u m c nng l nhi u l a ch n khi s d ng cc ng v khc

Cc cng ngh k thu t ng d ng cho ch n vi n, cc trung tm n c ta ti p nh n v ng d 15 my SPECT ang c s d ng r t hi u qu t ny nh: BV Ch R y, BV 108, BV B ch Mai, BV