C臂CT评估TACE治疗肝细胞癌疗效的研究  

Therapeutic effect of C-arm CT in assessing TACE therapy for hepatocellular carcinoma

作　　者：姚雪松[1] 闫东[1] 曾辉英[1] 刘德忠[1] 李槐[1] 

机构地区：[1]北京协和医学院中国医学科学院肿瘤医院影像诊断科,北京100021

出　　处：《胃肠病学和肝病学杂志》2013年第3期260-263,共4页Chinese Journal of Gastroenterology and Hepatology

摘　　要：目的探讨C臂CT评估TACE治疗肝细胞癌疗效的价值。方法 40例肝细胞癌患者于2012年9月-2012年11月在我院接受TACE治疗时行C臂CT扫描。C臂CT扫描图像经过后处理,观察TACE治疗后病灶碘油沉积、残存肿瘤、供血动脉栓塞等情况,评估TACE治疗的疗效。结果 40例患者C臂CT扫描共发现62个肝癌病灶,57个病灶(91.9%)经TACE治疗后C臂CT扫描后处理图像均能够清晰显示碘油沉积、残存肿瘤、供血动脉栓塞情况,TACE治疗疗效评估全面、满意。3例患者屏气配合不佳,导致5个病灶图像质量差,疗效评价不满意。结论 C臂CT可以在TACE治疗肝细胞癌后即时评估疗效,其图像后处理技术能够很好地满足病灶碘油沉积、残存肿瘤、供血动脉栓塞等征象的评价,TACE疗效的评估准确、全面,临床应用前景广泛。Objective To explore the value of C-arm CT in assessing the therapeutic effect of TACE for hepatocellu- lar carcinoma. Methods 40 patients with HCC underwent C-arm CT scan and TACE in our hospital from Sep. 2012 to Nov. 2012. The C-arm CT post-processing images were used to assess the efficacy of TACE, included the display of io- dized oil deposition, residual tumor and tumor feeding arteries embolization. Results C-arm CT scans found a total of 62 HCC lesions in 40 patients. Iodized oil deposition, residual tumor and tumor feeding arteries embolization were clearly displayed in 57 lesions （91.9%）. The TACE efficacy assessment was comprehensive and satisfactory. The image quali- ty of 5 lesions was very poor because of breath-hold poor, so that therapy efficacy assessment of 3 patients was not satis- fied. Conclusion C-arm CT could immediately assess the efficacy of TACE treatment of hepatocellular carcinoma. Its image post-processing technology could well meet lesions characteristic evaluation, such as lipiodol deposition, residual tumor and feeding artery embolization. The TACE efficacy assessment is accurate and comprehensive. Therefore, C-arm CT has a wide range of clinical applications.

关 键 词：C臂CT 肝细胞癌 经动脉化疗栓塞术 疗效 

分 类 号：R735.7[医药卫生—肿瘤]