宫颈癌患者盆腔静脉CT成像的优化及应用研究

朱洪磊,王显龙,何援利,彭冬先,王燕钰

中国临床解剖学杂志 ›› 2015, Vol. 33 ›› Issue (4) : 421-425.

中国临床解剖学杂志 ›› 2015, Vol. 33 ›› Issue (4) : 421-425. DOI: 10.13418/j.issn.1001-165x.2015.04.010
断层影像解剖

宫颈癌患者盆腔静脉CT成像的优化及应用研究

  • 朱洪磊1, 王显龙2, 何援利1, 彭冬先1, 王燕钰2
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Application study on the best vein scanning time of pelvic CT in patients with cervical cancer

  • ZHU Hong-lei1, WANG Xian-long2, HE Yuan-li1, PENG Dong-xian1, WANG Yan-yu2
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摘要

目的 探索宫颈癌患者盆腔脏器亚毫米CT静脉成像的最佳时间,为CT诊断及三维重建提供实践基础。  方法 将45名不同期别宫颈癌患者随机分为3组,每组15人,自注射造影剂起分别延时70s(A组)、90s(B组)、120s(C组)进行扫描。所得图像由两位放射科医师分别在诊断工作站进行观察,并对图像质量进行评级和评分。对评级评分数据进行统计学分析。  结果 各组宫颈癌患者静脉期扫描图像评价中B组总体评分最高,增强扫描后经统计学分析,三组延迟增强扫描效果均有统计学差异,B组图像整体增强效果最佳。  结论 自注射造影剂起延时90s行静脉期扫描,可获得图像质量最好的扫描数据,从而有利于宫颈癌的诊断及为三维重建提供实践基础。

Abstract

Objective To obtain the best vein scanning time of pelvic organs, and high-quality images to provide data for 3D reconstitution.    Method    Determination of best venous phased scanning time of pelvic CT: 45patients were divided randomly into three groups, 15 in each group, based on different delay time after injection of contrast media, 70s (group A), 90s (group B), 120s (group C). Images were evaluated and graded by two experienced radiologists. SPSS13.0 software was used to process the data.   Results   In group B, total score was the highest. Statistic analysis of enhanced scanning data revealed that there were significant difference in image quality among the three groups after enhanced scanning and image quality in group B showed best effect of enhancement.  Conclusion  Delayed time of 90s after injection of contrast media is the best time of venous phased scanning, which provide the best image data for diagnosis of cervical cancer and 3D reconstitution.

关键词

  / 宫颈癌 / 多层螺旋CT / 增强扫描 / 扫描时相

Key words

Uterine cervix cancer / CT / Enhancement scanning / Scanning phase

引用本文

导出引用
朱洪磊,王显龙,何援利,彭冬先,王燕钰. 宫颈癌患者盆腔静脉CT成像的优化及应用研究[J]. 中国临床解剖学杂志. 2015, 33(4): 421-425 https://doi.org/10.13418/j.issn.1001-165x.2015.04.010
Application study on the best vein scanning time of pelvic CT in patients with cervical cancer[J]. Chinese Journal of Clinical Anatomy. 2015, 33(4): 421-425 https://doi.org/10.13418/j.issn.1001-165x.2015.04.010

参考文献

[1]  肖静,吴玉芬.多层螺旋 CT 判断宫颈癌宫旁侵犯的价值[J].肿瘤基础与临床,2013,26(1):48-50.
[2] Bondar L, Velema L, Mens JW, et al. Repeat CT-scan assessment of lymph node motion in locally advanced cervical cancer patients[J].Strahlenther Onkol, 2014,190(12):1104-1110.
[3] Viswanathan AN, Erickson B, Gaffney DK.et al. Comparison and consensus guidelines for delineation of clinical target volume for CT- and MR-based brachytherapy in locally advanced cervical cancer[J].Int J Radiat Oncol Biol Phys, 2014,90(2):320-328.
[4]  邓永绍.多排螺旋 CT肝脏增强多期扫描技术的探讨[J].中国医药指南, 2014,12(13):36-37.
[5]  熊然,张潇,李涛,等.胫骨近端后侧数字化三维形态学测量及临床意义[J].中国临床解剖学杂志,2014, 32(3):284-287.
[6]  杨勇,王磊,王福川,等.耻骨上支骨折髓内螺钉进钉通道的数字解剖学研究[J].中国临床解剖学杂志,2013, 31(4):397-401.
[7] Balleyguier C, Sala E, Da Cunha T, et al. Stagin of uterine cervical cancer with MRI: guidelines of the European Society of  Urogenital Radiology [J].Eur Radiol, 2011, 21(5):1102-1110.
[8]  欧阳振波,余艳红,刘萍,等.宫颈癌子宫动脉血管网模型的构建及其三维可视化研究 [J].中国临床解剖学杂志,2009,27(6):668-671.
[9]  朱洪磊,何援利,王雪峰等.三维可视化技术在宫颈癌诊治中的应用初探[J].实用医学杂志,2012,28(13):2234-2237.
[10]朱洪磊.何援利.王显龙, 等.基于亚毫米CT的三维可视化技术在宫颈癌诊治中的应用[J].南方医科大学学报,2012,32(7):1037-1041.

基金

广东省科技计划项目(2012B031800154)


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