256层螺旋CT分步组合后处理技术评价右膈下动脉价值初探

宫凤玲;杨冬生;于 鹏;张惠英;陈伟彬;李 盖

中国临床医学影像杂志 ›› 2011, Vol. 22 ›› Issue (5) : 321-323.

中国临床医学影像杂志 ›› 2011, Vol. 22 ›› Issue (5) : 321-323.
论著

256层螺旋CT分步组合后处理技术评价右膈下动脉价值初探

  • 宫凤玲,杨冬生,于 鹏,张惠英,陈伟彬,李 盖
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The evaluation of the value of combination and step postprocessed forthe right inferior phrenic artery with 256-slice spiral CT

  • GONG Feng-ling, YANG Dong-sheng, YU Peng, ZHANG Hui-ying, CHEN Wei-bin, LI Gai
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摘要

目的:评价256层螺旋CT分步组合后处理技术在右膈下动脉(RIPA)成像中的价值。方法:对98例患者行腹部双期增强扫描,其中肝细胞癌12例,分别用A组:多平面重组(MPR)+最大密度投影(MIP);B组:MPR+容积再现(VR);C组:MPR+曲面重组(CPR) 3种不同后处理组合方式观察RIPA。结果:98例患者的RIPA均能显示,A组对于RIPA起源及大体解剖的显示高于B组和C组,具有显著统计学差异(P<0.01)。结论:MPR+MIP分步组合后处理技术能很好的显示RIPA,可以作为经导管肝动脉化疗栓塞(TACE)术前准确评估其参与肝细胞癌肝外供血首选的无创性检查手段。

Abstract

Objective: To evaluate the value of combined different postprocessing techniques using 256 slice spiral CT for the visualization of right inferior phrenic artery(RIPA). Methods: Double-phase contrast enhanced scan was performed in 98 patients including 12 cases of HCC to observe RIPA using three different postprocessing combination techniques. The cases were divided into three groups: Group A(MPR+MIP), Group B(MPR+VR), and Group C(MPR+CPR). Results: The ability of showing the origin and distribution of RIPA in Group A was higher than those in Group B and Group C. Conclusion: MPR+MIP postprocessing techniques can display distribution of RIPA clearly, which can be used as a first choice and accurate noninvasive examination method to evaluate the extrahepatic blood supply in preoperative TACE of HCC.

关键词

肝肿瘤 / 腹腔动脉 / 体层摄影术 / 螺旋计算机

Key words

Liver neoplasms / Celiac artery / Tomography / spiral computed

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宫凤玲;杨冬生;于 鹏;张惠英;陈伟彬;李 盖. 256层螺旋CT分步组合后处理技术评价右膈下动脉价值初探[J]. 中国临床医学影像杂志. 2011, 22(5): 321-323
GONG Feng-ling;YANG Dong-sheng;YU Peng;ZHANG Hui-ying;CHEN Wei-bin;LI Gai. The evaluation of the value of combination and step postprocessed forthe right inferior phrenic artery with 256-slice spiral CT[J]. Journal of China Clinic Medical Imaging. 2011, 22(5): 321-323
中图分类号: R735.7    R814.42   

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