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多层螺旋CT对胰腺癌的术前分期及可切除性评价
引用本文:张红梅,周纯武.多层螺旋CT对胰腺癌的术前分期及可切除性评价[J].国外医学(肿瘤学分册),2006(9).
作者姓名:张红梅  周纯武
作者单位:中国医学科学院协和医科大学肿瘤医院影像诊断科,中国医学科学院协和医科大学肿瘤医院影像诊断科
摘    要:仅有约20%的胰腺癌患者在就诊时尚有手术切除的机会。多层螺旋CT对于胰腺癌术前不可切除的阳性预测值较高,而可以切除的阴性预测值相对较低,主要是因为未发现小的肝脏或腹膜转移以及未发现主要血管受侵。注射对比剂后增强扫描的胰腺期及肝脏期对于术前分期及可切除性评价至关重要。

关 键 词:体层摄影术  X线计算机  胰腺肿瘤  评价研究

Preoperative stage and tumor resectability assessment of pancreatic cancer with multi- slice helical CT
ZHANG Hong-mei.Preoperative stage and tumor resectability assessment of pancreatic cancer with multi- slice helical CT[J].Foreign Medical Sciences (Cancer Section),2006(9).
Authors:ZHANG Hong-mei
Institution:ZHANG Hong-mei Department of Diagnostic Radiology,Cancer Hospital,Chinese Academy of Medical Science,Beijing Union Medical College,Beijing,100021,China
Abstract:Only about 20% patients with pancreatic cancer are considered surgically resectable at the time of diagnosis. Multi-slice helical CT has an excellent positive predictive value in determining tumor unresectability, but has a relatively low negative predictive value in determining tumor resectability due to undetection of liver and peritoneal metastases and major vascular involvement. It is essential of pancreatic parenchymal phase and hepatic phase of contrast-enhanced CT for assessing tumor stage and resectability before surgery.
Keywords:Tomography  X- ray computed  Pancreatic neoplasm  Evaluation studies
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