Effect of Reasonable Sedation on Image Quality before PET/CT Examination in Children with Epilepsy

Yike TANG; Rencai LU; Yunhai JI; Bo SHE; Yanping QING

doi:10.12259/j.issn.2095-610X.S20221124

Volume 43 Issue 11

Nov. 2022

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Article Navigation > Journal of Kunming Medical University > 2022 > 43(11): 178-184

Yike TANG, Rencai LU, Yunhai JI, Bo SHE, Yanping QING. Effect of Reasonable Sedation on Image Quality before PET/CT Examination in Children with Epilepsy[J]. Journal of Kunming Medical University, 2022, 43(11): 178-184. doi: 10.12259/j.issn.2095-610X.S20221124

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Yike TANG, Rencai LU, Yunhai JI, Bo SHE, Yanping QING. Effect of Reasonable Sedation on Image Quality before PET/CT Examination in Children with Epilepsy[J]. Journal of Kunming Medical University, 2022, 43(11): 178-184. doi: 10.12259/j.issn.2095-610X.S20221124

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Effect of Reasonable Sedation on Image Quality before PET/CT Examination in Children with Epilepsy

doi: 10.12259/j.issn.2095-610X.S20221124

1.
PET/CT Center
2.
Dept. of Proctology，First People’s Hospital of Yunnan Province，Kunming Yunnan 650032，China

Received Date: 2022-07-18
Available Online: 2022-10-28
Publish Date: 2022-11-14

Abstract

Abstract

Objective To explore the effects of natural sleep and drug sedation on the degree of cooperation and image quality in children with epilepsy, and to guide nurses to master the advantages and disadvantages of the two methods. Methods A total of 72 children with epilepsy （45 males and 27 females, aged from 1 to 12 years old） in the PET/CT Center of the First People’s Hospital of Yunnan Province from May 2020 to January 2022 were enrolled retrospectively. all children were sedated by natural sleep and drug the sedation before examination. After resting for 1 hour, the anesthesiologist and nurse scored the cooperation degree （PSSS score 0-5） and performed PET/CT scan. After scanning, the image fusion was performed by the post-processing workstation, and the image offset distance was calculated automatically by the workstation. Two imaging doctors evaluated the overall image quality, lesion saliency and image background noise （Likert score 1-5）. T-test and rank sum test was used to analyze the differences between the two sedation methods; the natural sleep method was set to 0 and the drug sedation method was set to 1 for Pearson correlation analysis, and the correlation between the two sedation methods and other scores and indexes was observed. Results There was only significant difference in blood glucose between the two groups （P < 0.05）, but there was no significant difference in age, sex, body weight, body length and injection dose between the two groups （P > 0.05）. There were significant differences in PSSS score distribution, image offset distance and overall image quality Likert score distribution between the two groups （P < 0.05）, but there was no significant difference in lesion significance and image background noise Likert score distribution between the two groups. Correlation analysis showed that the overall Likert score of PET/CT image quality of children with drug sedation was higher （P < 0.05, r＞0） and the image offset distance was small （P < 0.05, r < 0）. Conclusions The quality of PET/CT images of children with drug sedation is better than that of natural sleep. Nurses need to master the advantages and disadvantages of the two methods in order to cooperate with guardians to flexibly prepare before PET/CT examination of epilepsy.
- Sedation,
- Natural sleep,
- Drug sedation,
- Positron emission tomography,
- Pediatric,
- Epilepsy

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