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CT灌注成像对评估原发性骨肿瘤血流灌注的意义
引用本文:周志平,施鑫,靳激扬. CT灌注成像对评估原发性骨肿瘤血流灌注的意义[J]. 医学研究生学报, 2010, 23(3): 271-274
作者姓名:周志平  施鑫  靳激扬
作者单位:1. 南方医科大学南京临床医学院(南京军区南京总医院)骨科,南京,210002
2. 东南大学附属中大医院放射科,南京,210009
基金项目:全军医学科研十五计划杰出人才基金(04J002)
摘    要:目的应用64排螺旋CT灌注成像(CTperfusion imaging,CTPI)可以得到体内动态的定量血流参数,但用于骨肿瘤的研究报道很少。文中通过应用CTPI来评价各种原发性骨肿瘤的血流灌注,并进一步探讨各灌注参数的应用价值。方法47例经病理诊断证实为原发性骨肿瘤的患者,治疗前行CTPI检查,获得肿瘤的时间-密度曲线(time-density curve,TDC)和血流量(blood flow,BF)、血容量(blood volume,BV)、达峰时间(time to peak,TTP)、表面通透性(permeability surface,PS)等灌注参数。其中28例为骨肉瘤,11例为软骨肉瘤,8例为骨巨细胞瘤。对3组间灌注参数基础值数据用one-way ANO-VA检验进行统计学分析。结果3组的TDC明显不同,且3组间BF、BV、TTP和PS值的差异均有统计学意义(P均<0.05)。骨肉瘤组与骨巨细胞瘤组的BF、BV及PS值显著高于软骨肉瘤组(P均<0.05),而TTP值显著低于软骨肉瘤组(P均<0.05)。骨肉瘤组的BF、BV及TTP值与骨巨细胞瘤组无显著差异(P>0.05),但PS值显著低于骨巨细...

关 键 词:体层摄影  X线计算机  灌注  肿瘤    

CT perfusion imaging for primary bone tumor
ZHOU Zhi-ping,SHI Xin,JIN Ji-yang. CT perfusion imaging for primary bone tumor[J]. Bulletin of Medical Postgraduate, 2010, 23(3): 271-274
Authors:ZHOU Zhi-ping  SHI Xin  JIN Ji-yang
Affiliation:Department of Orthopedic Surgery;Nanjing School of Clinical Medicine / Nanjing General Hospital of Nanjing Military Command;PLA;Nanjing 210002;Jiangsu;China;Department of Radiology;Zhongda Hospital Affiliated to Southeast University;Nanjing 210009;China
Abstract:Objective CT perfusion imaging(CTPI) is a clinical technique that can be used to obtain quantitative measurements of various hemodynamic parameters,but its application to bone tumors has been studied insufficiently.The aim of this study was to investigate the use of CTPI in the evaluation of tumor perfusion in patients with bone tumors.Methods We performed CTPI for 47 patients with primary bone tumor underwent to obtain the time-density curve(TDC) and perfusion parameters including blood flow(BF),blood volu...
Keywords:Tomography  X-ray computer  Perfusion  Tumor  Bone  
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