MSCT肝癌介入手术模型的建立及其价值评价  

Establishment and value of multi-slice spiral CT model of hepatic carcinoma in interventional procedure

作　　者：曹登攀 郑祥武[2] 胡文豪[2] 杜玉清[2] 张巍[2] 董礼阳[2] 董丽卿[2] 许化致[2] 吴恩福[2] 

机构地区：[1]浙江省永康市第一人民医院放射科,浙江永康321300 [2]温州医学院附属第一医院影像科,浙江温州325000

出　　处：《中国临床医学影像杂志》2011年第9期625-630,共6页Journal of China Clinic Medical Imaging

摘　　要：目的:探讨MSCT肝癌介入手术模型在肝动脉化疗栓塞术中的价值。方法:对32例肝恶性肿瘤患者,先后行肝动脉MSCTA和DSA检查,两者间隔时间不超过1周。利用CT的容积再现技术建立MSCT肝癌介入手术模型,以肝动脉DSA图像为金标准,对比分析了肝动脉解剖类型、腹腔干或肠系膜上动脉的起源、肝恶性肿瘤的供血动脉。结果:MSCT肝癌介入手术模型与DSA在显示肝动脉的解剖类型、腹腔干或肠系膜上动脉的起源、肝恶性肿瘤的供血动脉有较好的一致性,可清晰地显示肝动脉的解剖类型、腹腔干或肠系膜上动脉的起源、肝癌的供血动脉。结论:MSCT肝癌介入手术模型能为肝动脉化疗栓塞术提供有效的指导。Objective： To explore the value of multi-slice spiral CTA imaging to interventional transcatheter arterial chemoembolization（TACE） of hepatic carcinoma.Methods： MSCTA and DSA of hepatic artery were sequentially performed in thirty-two patients with malignant tumor of liver,and the interval of these two examinations was 1~7 days.Multi-slice spiral CT model of hepatic carcinoma for interventional procedure was established with volume rendering（VR） technique of CT.According to DSA,the anatomical type of hepatic artery,the origin of the celiac artery and the superior mesenteric artery,the feeding arteries of hepatic tumor were compared with MSCTA.Results： There was good correlation between multi-slice spiral CTA imaging of hepatic carcinoma and DSA in the ability of showing the anatomical type of hepatic artery,the origin of the celiac artery and the superior mesenteric artery,the feeding arteries of hepatic tumor.Multi-slice spiral CTA of hepatic carcinoma before interventional procedure can clearly display the anatomical type of hepatic artery,the origin of the celiac artery and the superior mesenteric artery,the feeding arteries of hepatic tumor.Conclusion： Multi-slice spiral CTA imaging of hepatic carcinoma before interventional procedure can provide effective guidance for TACE of hepatic carcinoma.

关 键 词：肝肿瘤 体层摄影术 螺旋计算机 放射学 介入性 化学栓塞 治疗性 

分 类 号：R735.7[医药卫生—肿瘤] R814.42[医药卫生—临床医学]