| MSCT及MRI对肝门胆管癌可切除性评价的对照研究 |
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| 引用本文： | 陈文娟,李澄,王礼同,杜芳,杜先懋,何玲,焦志云.MSCT及MRI对肝门胆管癌可切除性评价的对照研究[J].临床放射学杂志,2010,29(4). |
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| 作者姓名： | 陈文娟 李澄 王礼同 杜芳 杜先懋 何玲 焦志云 |
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| 作者单位： | 扬州大学第二临床医学院、扬州市第一人民医院影像科,225001 |
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| 基金项目： | 扬州市社会发展项目资助(编号:YZ2006060) |
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| 摘 要： | 目的探讨多层螺旋CT(MSCT)及MRI对肝门胆管癌(hepatic hilum cholangiocarcinoma,HHC)的分型诊断与可切除性评价的价值。资料与方法搜集经手术病理证实且术前MSCT及MRI均定性诊断为HHC的患者25例,对MSCT轴位图像、多平面重组(MPR)、曲面重组(CPR)及MRI轴位、冠状位图像、磁共振胰胆管成像(MRCP)进行分析,分别评价肿瘤病灶的Bismuth-Corlette分型,并与术中结果进行对照分析。采用配对计数资料的卡方检验比较MSCT及MRI对HHC分型及可切除性评价的情况。结果25例中,Ⅰ型、Ⅱ型、Ⅲa型、Ⅲb型和Ⅳ型分别为2、4、3、9和7例;12例行根治性切除术,其中Ⅰ型、Ⅱ型、Ⅲa型、Ⅲb型和Ⅳ型分别为2、3、1、5和1例。MSCT评价肿瘤病灶的Bismuth-Corlette分型诊断准确性达84%(21/25),MRI诊断准确性达88%(22/25),两种方法的分型结果对照,差异无统计学意义(χ2=0.00,P>0.05)。MSCT及MRI对肿瘤术前可切除性评价与术中评价一致率均为80%(20/25),两种方法对照结果差异无统计学意义(χ2=0.50,...
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| 关 键 词： | 胆管癌 肝门部 体层摄影术 X线计算机 磁共振成像 可切除性 |
The Evaluation of MSCT and MRI in Resectability of Hilar Cholangiocarcinoma |
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| CHEN Wenjuan,LI Cheng,WANG Litong,et al..The Evaluation of MSCT and MRI in Resectability of Hilar Cholangiocarcinoma[J].Journal of Clinical Radiology,2010,29(4). |
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| Authors: | CHEN Wenjuan LI Cheng WANG Litong |
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| Institution: | CHEN Wenjuan,LI Cheng,WANG Litong,et al.Department of Radiology,Second Clinical Medical College of Yangzhou University,Yangzhou No.1 People's Hospital,Yangzhou,Jiangsu Province 225001,P.R.China |
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| Abstract: | Objective To investigate the value of MSCT and MR imaging in evaluating the resectability of hilar cholangiocarcinoma.Materials and Methods 25 patients with surgery and histopathology proved hilar cholangiocarcinoma underwent preoperative MSCT and MRI examinations. The axial images,reformatted MPR and CPR images of MSCT as well as the axial images,coronal images and the MRCP images from MRI were reviewed for Bismuth-Corlette classification of hilar cholangiocarcinoma. MSCT and MRI results were compared with... |
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| Keywords: | Cholangiocarcinoma Hilar Tomography X-ray computed Magnetic resonance imaging Resectability |
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