放射性肝损伤的病理及影像学表现研究现状 |
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引用本文: | 姜鹏,王义善,徐元强,于洪升.放射性肝损伤的病理及影像学表现研究现状[J].中华肿瘤防治杂志,2004,11(12):1332-1334. |
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作者姓名: | 姜鹏 王义善 徐元强 于洪升 |
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作者单位: | 1. 解放军第107中心医院济南军区肿瘤诊疗中心,山东,烟台,264002 2. 龙口人民医院CT室,山东,龙口,265700 3. 青岛大学医学院附属医院肿瘤中心,山东,青岛,266000 |
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摘 要: | 就肝脏肿瘤放射治疗后肝组织的病理及影像变化予以综述。病理表现以肝静脉阻塞为特征 ,具体分为 4期。影像方面 :核素扫描为示踪剂稀疏 ,B超为低回声 ,CT、MRI表现多样 ,可呈无变化、低密度 (信号 )以及强化表现 ,延迟期强化为其特征 ,这一点有助于与肝癌进行鉴别
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关 键 词: | 肝脏肿瘤/放射疗法 放射性肝损伤/诊断 肝肿瘤/并发症 综述文献 |
文章编号: | 1009-4571(2004)12-1332-03 |
修稿时间: | 2003年4月24日 |
Pathological and imaging appearance of radiation induced liver injury |
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Abstract: | In this paper,pathological and imaging appearance of post radiated liver parenchyma are reviewed.Pathological change is characterized by veno-occlusion,which includes acute radiation hepatitis phase,hepatic fibrosis prophase,hepatic fibrosis phase and hepatocirrhosis phase.The regions of radiation injury are hypoechoic relative to the reminder of the liver on ultrasound B scans,decreased tracer localization on hepatic scintigraphy,and on CT scan and MR imaging,various patterns appear,which include no-change,low attenuation (signal),and enhancement,but it is characteristic of enhancement in prolonged stage,in which,radiation hepatic injury differs from hepatocelullar carcinoma. |
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Keywords: | liver neoplasms/radiation therapy radiation induced liver injury/diagnosis liver neoplasms/complication review literature |
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