锥形束CT成像技术在肝恶性肿瘤血管介入治疗中的应用及其研究进展  

Cone-beam CT technique:its application in endovascular interventional treatment of hepatic malignancy and its research progress

作　　者：汤铭杰 张磊[2] 王勇 朱海东[2] TANG Mingjie;ZHANG Lei;WANG Yong;ZHU Haidong(Medical College of Southeast University,Nanjing,Jiangsu Province 210009,China)

机构地区：[1]东南大学医学院,江苏南京210009 [2]东南大学附属中大医院介入与血管外科,教育部医药基础研究创新中心 [3]珠海市人民医院(暨南大学附属珠海医院)介入医学科

出　　处：《介入放射学杂志》2024年第12期1360-1366,共7页Journal of Interventional Radiology

基　　金：国家自然科学基金(82372067,82302330)。

摘　　要：血管介入治疗是局部治疗肝恶性肿瘤的常见方法,对于术中图像的获取、识别和处理等有较高要求。锥形束CT(cone-beam computed tomography,CBCT)成像是一种容积成像模式,可提供病灶及肿瘤供血动脉的额外信息,目前已逐渐用于肝恶性肿瘤介入术中并仍在不断更新和发展,被国内外多项共识、指南推荐。近年来,单期CBCT成像技术已发展成熟并广泛应用于临床,多项新的CBCT成像技术提高了CBCT成像质量、拓展了CBCT成像技术应用范围。该文介绍了单期CBCT成像技术及其临床优势、部分新开发的CBCT成像技术进展,总结了目前CBCT成像技术在肝恶性肿瘤血管介入中的综合应用及应用中暴露的不足和局限性。Endovascular interventional therapy is a common local treatment for hepatic malignancies,which requires high performance of the acquisition,recognition,and processing of intraoperative images.Cone-beam computed tomography(CBCT)is a volumetric imaging technique,it can provide additional information about the lesions and the tumor-feeding arteries.At present,CBCT has been gradually employed in interventional treatment of liver malignancy,meanwhile its technique has been constantly innovated and developed.CBCT technology has already been recommended by a number of consensus and guidelines both at home and abroad.For recent years,single-stage CBCT imaging technology has been matured and it has been widely used in clinical practice,besides,a number of novel CBCT imaging techniques improve the imaging quality of CBCT and expands the application scope of CBCT imaging technology.This paper aims to introduce the single-stage CBCT imaging technique with its clinical advantages,to illustrate some newly-developed CBCT imaging techniques,to summarize the present comprehensive utilization of CBCT imaging technology in endovascular interventional therapy of hepatic malignancy,and to discuss the shortcomings and limitations of CBCT in the clinical application.

关 键 词：肝恶性肿瘤 锥形束CT 介入放射学 

分 类 号：R735.7[医药卫生—肿瘤]