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时间:2020-05-04
《CT灌注成像评价经导管动脉化疗栓塞术治疗原发性肝癌的疗效-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、中国介入影像与治疗学2013年第10卷第12期ChinJIntervImagingTher,2013,Vol10,No12EvaluationoftherapeuticeffectoftranscatheterarterialchemoembolizationforprimaryhepaticcarcinomawithCTperfusionimagingQIUGuo—qin,XULi—zhen,CHENYu—qiang,LJUChang—hua(CancerCenter,ChenggongHospital
2、Al;tliatedtoXiamenUniversity,the174thHospitaloftheChinesePeople'sLiberationArmy,Xiamen361003,China)[Abstract]0bjectiveToexplorethevalueofcTperfusionimaging(CTPI)using320一rOWcTscannerinevaluationonthetherapeuticeffectofTACEforprimarylivercancer(PHC).Method
3、sTotally91patientswithadvancedPHCunder—wentCTPIbeforeandafterTACE.ComparedwiththeresultofDSA,bloodperfusionchangesoftumorandnormalliverwereobserved,andthecurativeeffectofTACEwasevaluated.ResultsCTPIcorrespondedwithDSA。thediagnosticcO—incidencerateofCTP1wa
4、s100.Bloodflow(BF),bloodvolume(BV),hepaticarteria1persusion(HAP)andhepaticperfusionindex(HPI)oftumortissuedecreasedafterTACE(allP<0.05),whilenostatisticallysignificantdifferenceofmeantransittime(MTT),probabilityofsurfaceareaproduct(PS)norportalveinperfusi
5、on(PVP)oftumortissuewasfoundbeforeandafterTACE(allP>0.05).Unevenmelanomafocaliodineoildepositsandbloodperfusionwereshowedin59caseswithresidua1tumortissue,withBF,BV,HAP,HPI,PSofresidualtumortissuehigherbutMTTandPVPlowerthanthosenormalhepatictissue(allP<0.0
6、5).ConclusionCTPIusing320一rOWCTscannercancomprehensively.derectlyandquantificationallyreflectthehemodynamicchangesofPHCbeforeandafterTACE,thereforeobjectivelyandcorrectlyevaluatingtheeffectofTACE.[Keywords]Liverneoplasms;Perfusionimaging;Tomography,x—rayc
7、omputedCT灌注成像评价经导管动脉化疗栓塞术治疗原发性肝癌的疗效邱国钦,许丽贞,陈玉强,刘昌华(厦门大学附属成功医院中国人民解放军第174医院肿瘤中心,福建厦门361003)[摘要]目的探讨320排CT灌注成像(CTPI)评价TACE治疗原发性肝癌(PHC)疗效的价值。方法对91例中晚期PHC患者于TACE治疗前后行CTPI,对比DSA结果,观察TACE前后肿瘤与正常肝组织的血流灌注参数的变化,评价TACE疗效。结果CTPI诊断结果与DSA结果相符,诊断符合率为100,TACE后肿瘤组织的肝血流量(
8、BF)、肝血容量(BV)、肝动脉灌注量(HAP)、肝动脉灌注指数(HPI)均较术前降低(P均o.05);59例瘤灶碘油沉积不均,灌注图显示存在血流灌注,其残瘤组织的BF、BV、HAP、HPI、PS值均高于正常肝组织(P均
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