[1]孔铭新,于曰俊,马飞飞,等.锥形束CT双期扫描在肝恶性肿瘤介入治疗中的应用[J].介入放射学杂志,2019,28(01):38-41.
 KONG Mingxin,YU Yuejun,MA Feifei,et al.The application of dual- phase cone- beam CT scanning in interventional treatment for malignant hepatic tumors[J].journal interventional radiology,2019,28(01):38-41.
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锥形束CT双期扫描在肝恶性肿瘤介入治疗中的应用()

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

卷:
28
期数:
2019年01期
页码:
38-41
栏目:
肿瘤介入
出版日期:
2019-01-25

文章信息/Info

Title:
The application of dual- phase cone- beam CT scanning in interventional treatment for malignant hepatic tumors
作者:
孔铭新 于曰俊 马飞飞 张海彬 唐世伟
Author(s):
KONG Mingxin YU Yuejun MA Feifei ZHANG Haibin TANG Shiwei
Department of Interventional Radiology, Weifang Municipal People’s Hospital, Weifang, Shandong Province 261041, China
关键词:
【关键词】 TACE 锥形束CT 双期扫描
文献标志码:
A
摘要:
【摘要】 目的 通过TACE术中应用锥形束CT(cone beam CT,CBCT)双期扫描与常规DSA、多层螺旋CT(MSCT)扫描的比较,探讨CBCT双期扫描在肝恶性肿瘤介入治疗中的应用价值。方法 选取80例肝脏肿瘤患者,术前行MSCT,术中行常规DSA造影、CBCT双期扫描和栓塞后单期扫描,并应用DSA的计算机重建软件进行CBCT扫描后的重建,然后分析患者发现肿瘤个数等指标的差异。结果 80例患者中MSCT共发现肿瘤122个,常规DSA影像共发现肿瘤113个,CBCT双期扫描动脉期发现肿瘤121个,静脉期发现肿瘤123个,栓塞后单期扫描(碘化油CT)可以分辨的肿瘤126个。CBCT双期扫描中动脉期和静脉期与MSCT相比差异均有统计学意义,MSCT发现小病灶相对较少,而动脉期的3D血管重建,可了解更多的肿瘤供血动脉的走行。结论 CBCT双期扫描与MSCT、常规DSA造影相比虽有其局限性,但作为TACE手术术中补充检查,对手术中发现小病灶、超选肿瘤供血血管和评价栓塞程度上起到良好的辅助作用,有利于手术的顺利进行和疗效的提高,值得临床推广应用。

参考文献/References:

[1] 姜庆寰, 尉可道, 王建超, 等. 锥形束 CT(CBCT)在医学实践中应用的进展[J]. 中国辐射卫生, 2017, 26: 316- 321.
[2] 程大文, 高 玲, 沈广澍, 等. C 臂 CT 在经皮椎体成形术治疗骨质疏松性椎体压缩骨折中的临床应用[J]. 介入放射学杂志, 2014, 23: 1005- 1009.
[3] 高 嵩, 朱 旭, 张宏志, 等. 经皮椎体后凸成形术治疗椎体转移瘤中 C 臂 CT 的临床应用[J]. 介入放射学杂志, 2014, 23: 167- 171.
[4] 李晓群, 张 勇, 黄大钡, 等. C臂CT在15例肺部小病灶射频消融术中的应用[J]. 介入放射学杂志, 2013, 22: 67- 70.
[5] 徐培元, 林师帅, 焦德超, 等. C臂CT在经皮肾镜取石术中的应用[J]. 介入放射学杂志, 2015, 24: 76- 79.
[6] 郑 琳, 郭晨阳, 黎海亮, 等. C臂CT在经皮经肝胆道引流术治疗梗阻性黄疸中的应用[J]. 介入放射学杂志, 2013, 22: 1007- 1010.
[7] 姚雪松, 闫 冬, 刘德忠, 等. C臂CT 扫描用于TACE 治疗肝细胞癌[J]. 中国影像介入与治疗学, 2014, 11: 573- 576.
[8] Yu MH, Kim JH, Yoon JH, et al. Role of C- arm CT for transcatheter arterial chemoembolization of hepatocellular carcinoma: diagnostic performance and predictive value for therapeutic response compared with gadoxetic acid- enhanced MRI[J]. AJR Am J Roentgenol, 2013, 201: 675- 683.
[9] Miyayama S, Yamashiro M, Hashimoto MA, et al. Identification of small hepatocellular carcinoma and tumor- feeding branches with cone- beam CT guidance technology during transcatheter arterial chemoembolization[J]. J Vasc Interv Radiol, 2013, 24: 501- 508.
[10] 于 颖, 赵 沐, 刘 影, 等. 在肝癌介入治疗中联合应用Syngo Dyan CT、 Inspace 3D重建技术与DSA的价值[J]. 中国介入影像与治疗学, 2012, 9: 824- 827.
[11] Wang XD, Yarmohammadi H, Cao G, et al. Dual phase cone- beam computed tomography in detecting <3 cm hepatocellular carcinomas during transarterial chemoembolization[J]. J Cancer Res Ther, 2017, 13: 38- 43.
[12] Iwazawa J, Ohue S, Hashimoto N, et al. Survival after C- arm CT- assisted chemoembolization of unresectable hepatocellular carcinoma[J]. Eur J Radiol, 2012, 81: 3985- 3992.
[13] Miyayama S, Yamashiro M, Okuda M, et al. Detection of corona enhancement of hypervascular hepatocellular carcinoma by C- arm dual- phase cone- beam CT during hepatic arteriography[J]. Cardiovasc Intervent Radiol, 2011, 34: 81- 86.
[14] Monsky WL, Kim I, Loh S, et al. Semiautomated segmnentation for volumetric an alysis of intratumoral ethiodol uptake and subsequent tumor necrosis after chemoembolization[J]. AJR Am J Roentgenol, 2010, 195: 1220- 1230.
[15] 施振静, 虞希祥, 郝伟远, 等. C臂CT在肝癌TACE术中评估碘油沉积的应用价值[J]. 介入放射学杂志, 2013, 22: 301- 304.
[16] Chen R, Geschwind JF, Wang Z, et al. Quantitative assessment of lipiodol deposition after chemoembolization: comparison between cone- beam CT and multidetector CT[J]. J Vasc Interv Radiol , 2013, 24: 1837- 1844.
[17] Wang ZJ, Lin MD, Lesage D, et al. Three- dimensional evaluation of lipiodol retention in hcc after chemoembolization: a quantitative comparison between CBCT and MDCT[J]. Acad Radiol, 2014, 21: 393- 399.
[18] Loffroy R, Lin M, Rao P, et al. comparing the detectability of hepatocellular carcinoma by C- arm dual- phase cone- beam computed tomography during hepatic arteriography with conven tional contrast- enhanced magnetic resonance imaging[J]. Cardiovasc Intervent Radiol, 2012, 35: 97- 104.

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备注/Memo

备注/Memo:
(收稿日期:2018-06-01)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2019-01-21