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早期放射性肝脏损伤的CT表现
引用本文:赵水喜,郑静晨,曹京旭,王迎选,宁健,杨书明,赵卫东,布洁,穆晓峰. 早期放射性肝脏损伤的CT表现[J]. 中国医学影像技术, 2005, 21(4): 608-610
作者姓名:赵水喜  郑静晨  曹京旭  王迎选  宁健  杨书明  赵卫东  布洁  穆晓峰
作者单位:武警总医院肿瘤科,北京,100039
摘    要:目的提高对早期放射性肝损伤CT影像的认识.方法回顾7例三维适形放疗腹部肿瘤患者的完整影像资料,观察患者放疗前、后肝脏CT影像改变.结果放疗后CT平扫复查,5例患者受照肝脏显示为界限清晰的低密度改变,2例合并脂肪肝改变患者照射区显示为界限清晰的高密度改变.增强CT检查中,正常肝脏与肝硬化肝脏放射性损伤的动态表现不同.结论放射性肝损伤CT影像改变与肝脏原发疾病相关.

关 键 词:放射疗法  辐射损伤  体层摄影术,X线计算机
文章编号:1003-3289(2005)04-0608-03
收稿时间:2005-01-02
修稿时间:2005-01-02

CT appearance of early radiation-induced hepatic injury
ZHAO Shui-xi,ZHENG Jing-chen,CAO Jing-xu,WANG Ying-xuan,NING Jian,YANG Shu-ming,ZHAO Wei-dong,BU Jie and MU Xiao-feng. CT appearance of early radiation-induced hepatic injury[J]. Chinese Journal of Medical Imaging Technology, 2005, 21(4): 608-610
Authors:ZHAO Shui-xi  ZHENG Jing-chen  CAO Jing-xu  WANG Ying-xuan  NING Jian  YANG Shu-ming  ZHAO Wei-dong  BU Jie  MU Xiao-feng
Affiliation:Department of Oncology, the General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China;Department of Oncology, the General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China;Department of Oncology, the General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China;Department of Oncology, the General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China;Department of Oncology, the General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China;Department of Oncology, the General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China;Department of Oncology, the General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China;Department of Oncology, the General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China;Department of Oncology, the General Hospital of Chinese People's Armed Police Forces, Beijing 100039, China
Abstract:Objective To recognize CT appearance of the early irradiation-induced hepatic injury. Methods Seven patients with abdominal neoplasms were treated with conformal radiotherapy. CT findings of hepatic images were observed. Results Low attenuation areas of liver on noncontrast CT were observed in 5 patients after delivered conformal radiotherapy. In 2 patients with fatty infiltration of the liver, CT showed relative increased density in the treatment portal. The dynamic enhanced pattern of irradiation-induced hepatic disease was different in normal liver from cirrhosis liver. Conclusion CT appearance of irradiation-induced hepatic injury is related to primary liver disease.
Keywords:Radiotherapy  Radiation injuries  Tomography   X-ray computed
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