平扫单源双能CT成像对鉴别肾上腺高密度腺瘤与嗜铬细胞瘤的鉴别价值.pdf

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1、CONTENTSTableofcontents:I.Thesis…………………………………………………………………………..……11.Abstract……………………………………………………………………..………11.1.Objective………………………………………………………………..……….11.2.Materialandmethods………………………………………………..…………..11.3.Results……………………………………...…………...………………...….....21.4.Conclusion…………………………………………………………

2、…..………..31.5.Keywords……………………………………………..………………………...32.Chineseabstract…………………………………………...…………..……………43.Introduction……………………………………………….………………………..64.Materialandmethods………………………………………….…………………...94.1.Patients……………………………………………………….…….……………94.2.Imaging…………………………………………………………….……………94.3.Image

3、analysis……………………………………………………….….……….104.4.Statisticalanalysis………………………………………………...….…….……105.Results………………………………………………...…………….……….……...115.1.CharacteristicsofEnrolledPatients…………………………….………....…….115.2.Inter-observerConsistency…………………………...……………….………...155.3.CTvaluesatthemonochromatici

4、mages(40to140keV)…………….…….…..155.4.Spectralcurve………………………………….…………………….…………..175.5.Effective-Znumber…………………………………….…………….………….185.6.Fat(water)concentration………………………………….…………………….185.7.Blood(water)concentration………………………………….………………....186.Discussion…………………………………….…………………………………….217.Conclu

5、sion……………………………………….…………………………………238.Reference………………………………………….……………………………......24II.Literaturereview…………………………………………………….……………..281.Prevalenceofadrenalincidentaloma………………………………………….……281.1Bilateralmasses……………………………………………….………………281.2Evaluationformalignancy…………………………………………….………291.3Size

6、………………………………….……………………………………...…292.Imagingphenotypeforadrenalincidentaloma……….………………………..….302.1Computedtomography(CT)scan……………….………………………...….302.2Magneticresonanceimaging(MRI)…………………………………………..312.3Otherimagingmodalities……………………………………………………...312.4Imagingcharacteristics………………………...……

7、………………………...322.5Fine-needleaspiration(FNA)biopsy………………………………………….333.Evaluationforhormonalsecretion………………………………………………….343.1.SubclinicalCushing'ssyndrome…………………………...……………………353.1.1.ClinicalmanifestationsofsubclinicalCushing'ssyndrome…….……..……..363.1.2.DiagnosisofsubclinicalCu