CT血管造影在肾上腺恶性肿瘤介入治疗中的应用价值  

Evaluation of CT Angiography in the Interventional Treatment of Malignant Adrenal Tumors

作　　者：唐晓军[1] 谭仲俊 蔡义兵 蒋菊花 刘佳鹏[1] 唐智中[1] 

机构地区：[1]丹阳市人民医院放射科,212300

出　　处：《实用癌症杂志》2007年第6期656-658,共3页The Practical Journal of Cancer

摘　　要：目的探讨多层螺旋CT血管造影(MSCTA)及三维重建对肾上腺肿瘤介入治疗的指导价值。方法对5例肾上腺皮质癌患者,在介入治疗前后分别行MSCTA检查,并应用最大密度投影(MIP)、容积再现技术(VRT)对肿瘤血管进行三维重建。结果5例患者共进行MSCTA检查及三维重建7次,共发现肿瘤血管及侧支血管21支。MSCTA在显示肿瘤血管及其解剖关系方面优于数字减影血管造影(DSA)。结论MSCTA检查及三维重建,能全面、清晰地显示肾上腺肿瘤的供血血管的起源、数量,对制定手术方案具有重要指导意义。Objective To evaluate the usefulness of the MSCTA with 3D reconstruction to adrenal tumors in interventional treatment. Methods MSCTA were performed in 5 patients with malignant adrenal tumors before and after interventional treatment. 3D reconstruction were taken for blood vessels with technique of MIP（ maximum intensity projection） and VRT（ volume rendering technique）. Results 7 times of MSCTA and 3D reconstruction were performed in 5 patients. 21 feeding arteries and collateral branches were discovered. The display of tumor feeding vessels and its anatomy relation with MSCTA were better than that of DSA. Conclusion 3D-MSCTA for adrenal tumors not only can show the numbers and origins of tumor feeding vessels clearly but also provide guidance for planning the treatment.

关 键 词：肾上腺肿瘤 血管造影术 多层螺旋CT 三维重建 

分 类 号：R736.6[医药卫生—肿瘤]