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ID:32135025
大小:8.27 MB
页数:56页
时间:2019-01-31
《宝石能谱ct在管血供肾癌与乏脂肪肾血管平滑肌脂肪瘤鉴别诊断中的应用》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、摘要效原子序数、能谱衰减曲线及其斜率有助于乏血供肾癌与乏脂肪肾血管平滑肌脂肪瘤的鉴别。3.能谱成像为乏血供肾癌与乏脂肪肾血管平滑肌脂肪瘤的鉴别诊断提供了一种新的思路和方法,具有较高的临床应用价值。关键词:肾细胞癌;血管平滑肌脂肪瘤:能谱成像;鉴别诊断IIIAbstractTheApplicationofSpectralCTImagingforDifferentiatingHypovascularRenalCellCarcinomafromMinimalFatRenalAngiomyolipomaPostgraduate:LijuanJiSup
2、ervisor.ProfessorHuaGuoImagingMedicineandNuclearMedicineTheFirstAffiliatedHospitalofZhengzhouUniversityZhengzhou,Henan450052BackgroundandObjective:Intheclinicalwork,theradiologistcancorrectlyunderstandanddiagnosethetypicalclearcellRCCwithwash-outpatternonCT,butitisdifficult
3、tomakeanaccurateidentificationanddiagnosisofhypovascularrenalcellcarcinoma(RCC),suchasafewrenalclearcellcarcinoma、papillaryrenalcellcarcinomaandchromophoberenalcellcarcinoma,anditisespeciallydifficulttodifferentiatehypovascularRCCfromminimalfatrenalangiomyolipoma(RAML),ther
4、eforeitisparticularlyimportantforthecorrectpreoperativediagnosisofthattworenallesions.ThepurposeofthisstudyistoanalyseandsummarizetheCTcharacteristicsofhypovascularRCCandminimalfatRAML,andinvestigatethepreliminaryapplicationofspectralCTimagingindifferentiatinghypovascularRC
5、CfromminimalfatRAML.Materialsandmethods:TheclinicalandCTmanifestationsof40patientswith41lesionsbypathologywerereviewedretrospectively.Therewere21hypovascularRCCand20minimalfatRAML(19patients)ofthe41lesions.ThepatientswasexaminedbyplainCTIVAbstract一一一————————————————————————
6、———————————————————————一scanandtwophasesofenhancedspectralimagingofDiscoveryCT750HD.Theanalysisofcontentswere:1.Analyzedtheconventionalfeaturesofthelesions:theclinicalsymptoms;thepatients’ageandgender;location、size、boundaryandformofthelesions;densityandcalcificationonplainC
7、Tscan;thelesions’necrosisorcalcification;strengtheninguniformornot;thepatternoftheenhancement;pseudocapsuleornot;therelationshipbetweenthetumorandsurroudingtissue,allresultswerestatisticallyanalyzed.2.Analyzedthefeaturesofspectralimagingofthelesions:Alldataweretransmittedto
8、AW4.4workstation.Regionofinterest(ROI)wereplacedontherenallesionsandtheaortatoobta
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