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MRI增强三期扫描在肺癌非手术治疗疗效评价中的初步研究
引用本文:李慎江,朱峰. MRI增强三期扫描在肺癌非手术治疗疗效评价中的初步研究[J]. 医疗卫生装备, 2011, 32(2): 62-63,111
作者姓名:李慎江  朱峰
作者单位:解放军88医院放射科,山东泰安,271000
摘    要:目的:初步探讨MRI增强三期扫描在评价周围型肺癌非手术治疗疗效中的作用。方法:对32例周围型肺癌患者行MRI增强三期扫描,分别在25、120、180 s行胸部扫描,记录肺癌增强前后各时相的信号值并计算强化净增值、最大强化率,与文献结果进行对照,记录120、180 s时肺癌的强化模式。结果:治疗后周围型肺癌平扫信号值、增强后120 s及180 s的信号值分别是(478±108)、(926±209)、(1 050±252)。强化净增殖(571±225)、最大强化率(119±49)明显低于文献报道的未经治疗的肺癌强化净增殖(655)(t=2.178,P=0.005〈0.05)及最大强化率(150)(t=4.196,P=0.001〈0.05)。32例中6例在180 s时表现为均匀强化,6例中4例在120 s时表现为不均匀强化,1例表现为均匀强化,1例表现为周边强化。结论:治疗后肺癌有逐渐强化的趋势;MRI增强三期扫描能够反映肺癌的血流动力学信息,是评价肺癌非手术治疗疗效的有效方法。

关 键 词:肺癌  磁共振成像  图像增强  疗效评价

Preliminary Assessing of No-surgical Treatment Response in Bronchogenic Carcinoma with Three-phase Contrast Material-enhanced Magnetic Resonance Imaging
LI Shen-jiang,ZHU Feng. Preliminary Assessing of No-surgical Treatment Response in Bronchogenic Carcinoma with Three-phase Contrast Material-enhanced Magnetic Resonance Imaging[J]. Chinese Medical Equipment Journal, 2011, 32(2): 62-63,111
Authors:LI Shen-jiang  ZHU Feng
Affiliation:LI Shen-jiang,ZHU Feng(Radiology Department,No.88 Hospital of PLA,Tai'an,Shandong Province 271000,China)
Abstract:Objective To evaluate the efficacy of three-phase contrast material-enhanced magnetic resonance imaging(MRI) in assessing no-surgical treatment response in peripheral bronchogenic carcinoma preliminarily.Methods 22 Patients with bronchogenic carcinoma after no-surgical treatment underwent three-phase contrast material-enhanced magnetic resonance imaging.Three scans were obtained at 25,120 and 180 seconds respectively after nonionic contrast material was administrated via the antecubital vein at a rate of 2m...
Keywords:bronchogenic carcinoma  magnetic resonance imaging  image enhancement  evaluation of curative effect  
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