[1]胡俊刚,王晓东,朱 旭,等.锥体束CT三维肝动脉造影在TACE术中判断原发性肝癌肿瘤供血动脉的临床价值[J].介入放射学杂志,2015,(06):481-487.
 HU Jun- gang,WANG Xiao- dong,ZHU Xu,et al.Evaluation of cone- beam CT hepatic angiography in detecting the tumor- feeding arteries during the performance of TACE for HCC[J].journal interventional radiology,2015,(06):481-487.
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锥体束CT三维肝动脉造影在TACE术中判断原发性肝癌肿瘤供血动脉的临床价值()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年06期
页码:
481-487
栏目:
肿瘤介入
出版日期:
2015-06-25

文章信息/Info

Title:
Evaluation of cone- beam CT hepatic angiography in detecting the tumor- feeding arteries during the performance of TACE for HCC
作者:
胡俊刚 王晓东 朱 旭 曹 广 陈 辉 杨仁杰
Author(s):
HU Jun- gang WANG Xiao- dong ZHU Xu CAO Guang CHEN Hui YANG Ren- jie
Department of Interventional Radiology, Peking University Cancer Hospital & Institute, Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Beijing 100142, China
关键词:
【关键词】 CBCT肝动脉造影 DSA肝动脉造影 原发性肝癌 肝动脉化疗栓塞术
文献标志码:
A
摘要:
【摘要】 目的 准确判断肿瘤供血动脉是实现肝癌超选择性肝动脉化疗栓塞(TACE)的基础。本研究探讨原发性肝癌TACE术中,锥体束CT三维肝动脉造影(cone- beam computed tomography hepatic arteriography,CBCT- HA)对比DSA肝动脉造影(DSA- HA)在判断肿瘤供血动脉的价值。方法 23例原发性肝癌患者入组研究。术中分别进行DSA- HA、CBCT- HA、碘油- TACE(Lip- TACE)、碘油CBCT(Lip- CBCT)。2名有经验的介入科医师共同分析DSA- HA和CBCT- HA影像学资料,判断肿瘤供血动脉。卡方检验进行统计学分析。结果 75个肿瘤通过金标准确定肿瘤供血动脉。DSA- HA确认肿瘤供血动脉(阳性)40个,其中真阳性32个,假阳性8个。CBCT- HA确认肿瘤供血动脉(阳性)72个,其中真阳性68个,假阳性4个。CBCT- HA对肿瘤供血动脉判断的灵敏度为68/75(90.7%),明显高于DSA- HA(32/75,42.7%)(P<0.001);阳性预测值(68/72,94.4%),亦高于后者(32/40,80.0%)(P=0.040)。结论 CBCT- HA对肝癌肿瘤供血动脉的判断明显优于传统DSA- HA,对超选择性TACE治疗有明显的临床指导意义。

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备注/Memo

备注/Memo:
(收稿日期:2014 -11- 21)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2015-06-24