在肝癌介入治疗中联合应用Syngo Dyna CT、Inspace 3D重建技术与DSA的价值

目的探讨在肝癌TACE治疗中联合应用SyngoDynaCT及Inspace3D图像重建技术与DSA的价值。方法收集380例肝癌患者，其中原发性肝癌295例，转移性肝癌85例，均接受常规及旋转DSA，其中35例常规DSA示肿瘤血管重叠者接受DynaCT断层成像。结果295例原发性肝癌造影均显示为动脉供血，其中270例仅见肝固有动脉供血，25例可见其他变异动脉参与供血。35例接受DynaCT断层扫描，Inspace3D图像均可清晰显示肿瘤供血血管分支及走行。结论联合应用DynaCT断层成像及Inspace3D重建技术与DSA能够提高对肝癌小病灶及边缘性病灶的检出率，清晰显示纡曲血管与肿瘤的关系，在肝癌介入治疗中具有重要应用价值。

Combination of Syngo Dyna CT, Inspace 3D reconstruction and DSA in interventional treatment of liver carcinoma

Objective To explore the value of Syngo Dyna CT, Inspace 3D reconstruction and DSA in TACE of liver carcinoma. Methods A total of 380 patients with liver carcinoma, including 295 primary liver cancer and 85 metastatic liver cancer, underwent conventional DSA and spiral DSA. Syngo Dyna CT and Inspace 3D reconstruction were performed in 35 patients, whose conventional DSA images could not display the feeding artery of the tumor. Results DSA images of 295 primary liver cancer demonstrated the feeding artery clearly, including 270 common hepatic arteries and 25 other variation arteries. Inspace 3D reconstructed images of 35 patients demonstrated small lesions clearly. Conclusion The combined application of Syngo Dyna CT, Inspace 3D reconstruction and conventional DSA can improve the detection rate of small lesions and demonstrate tumor feeding vessels, and has important value in interventional treatment of liver carcinoma.