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三期螺旋CT扫描对肝转移瘤的诊断价值
引用本文:王廷昱,陈奋,陈旭,陈晶,陈大和.三期螺旋CT扫描对肝转移瘤的诊断价值[J].医学影像学杂志,2004,14(10):818-820.
作者姓名:王廷昱  陈奋  陈旭  陈晶  陈大和
作者单位:海南省海口市人民医院CT、MRI室,海南,海口,570208
摘    要:目的:分析肝转移瘤三期螺旋CT扫描的影像表现,并评价其诊断价值。方法:回顾性分析63例患者365个肝转移瘤病灶的三期螺旋CT扫描图像。统计各期病灶的检出数,观察病灶增强方式。结果:肝转移瘤在动脉期、门脉期和平衡期的检出数分别为86%、95%和88%。强化方式呈多样性,以边缘环形强化、内部低密度强化为主要特征,门脉期病灶显示更清楚,更易发现病灶。结论:三期螺旋CT扫描可提高肝转移瘤的检出率,有利于肝转移瘤特征的显示,可反映病灶的血供,有利于诊断和鉴别诊断。

关 键 词:肝转移瘤  病灶  螺旋CT扫描  诊断价值  门脉  检出  动脉期  多样性  低密度  发现
文章编号:1006-9011(2004)10-0818-03
修稿时间:2003年9月29日

Application of spiral CT three-phase scanning in liver metastasis
WANG Ting-yu,CHEN Fen,CHEN Xu,et al..Application of spiral CT three-phase scanning in liver metastasis[J].Journal of Medical Imaging,2004,14(10):818-820.
Authors:WANG Ting-yu  CHEN Fen  CHEN Xu  
Institution:WANG Ting-yu,CHEN Fen,CHEN Xu,et al.Department of Rad iology,Haikou City People's Hospital,Haikou 570208,China
Abstract:Objective:To evaluate the manif estations of liver metastasis by spiral CT with three-phase scanning.Methods:The three-phase scanning of spiral CT was performed in 63 patients with 365 lesions of liver metastasis.The number of the detected lesions was calculated on each phase and the pattern of enhancement observed.Results:The detectability of liver metastasis i n the arterial-phase(AP),portal-phase (PP),and delayed-phase (DP) were 86%,95 % and 88% respectively.The enhancement patterns were variable and characterized mainly of circle enhancing with internal low density.The lesion was demonstraed more clearly and easily detected in portal-phase.Conclusion:The three-phase scanning of spiral CT can improve the detection of liver metastasis,which is helpful for the charac terization of liver metastasis as well as the visualization of blood supply to t he lesion,very helpful for differential diagnosis.
Keywords:Liver  Metastasis  Tomography  X-r aycomputed
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