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胃癌患者放射性肝损伤的CT表现
引用本文:沈亚琪,胡道予,王秋霞,李震,郑楠楠,裴贻刚,陈亮,. 胃癌患者放射性肝损伤的CT表现[J]. 放射学实践, 2010, 25(2): 178-181
作者姓名:沈亚琪  胡道予  王秋霞  李震  郑楠楠  裴贻刚  陈亮  
作者单位:华中科技大学附属同济医院放射科,武汉,430030
摘    要:目的:分析胃癌患者放射性肝损伤的CT表现。方法:回顾分析52例行三雏适形放射的胃癌患者随访CT平扫和动态增强资料。结果:52例患者18例CT上观察到肝放射性反应,其中8例在第2次复查时受累区域较前缩小,且在门脉期由第1次随访时低密度转变成等密度,其CT增强方式发生改变,3例在第3次随访时完全恢复。结论:放射性肝损伤增强CT表现为放疗结束后1个月后出现,平扫及增强各期为低密度不增强表现,2个月开始出现门脉期或延迟增强表现且受影响区域减小,无肝基础病放射性肝损伤在随访9~11个月时可完全恢复。

关 键 词:放射疗法  适形  体层摄影术  X线计算机  胃肿瘤

CT Features of Radiation-induced Liver Injury in Patients with Gastric Cancer
SHEN Ya-qi,HU Dao-yu,WANG Qiu-xia,et al.. CT Features of Radiation-induced Liver Injury in Patients with Gastric Cancer[J]. Radiologic Practice, 2010, 25(2): 178-181
Authors:SHEN Ya-qi  HU Dao-yu  WANG Qiu-xia  et al.
Affiliation:SHEN Ya-qi,HU Dao-yu,WANG Qiu-xia,et al.Department of Radiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science , Technology,Wuhan 430030
Abstract:Objective:To analyze the computed tomography (CT) findings of radiation-induced liver injury in patients with gastric cancer.Methods:A retrospective review of the CT data was conducted in 52 patients treated with three-dimensional conformal radiotherapy (3D CRT) for gastric cancer.All patients received nonenhanced CT scan and tri-phasic contrast-enhanced CT scan.Results:Eighteen of 52 patients were found to have a focal radiation reaction in the liver.The enhanced partern of liver caused changes in eight pa...
Keywords:Radiotherapy  conformal  Tomograph  X-ray computed  Stomach neoplasms  
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