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《寶石能譜ct在管血供腎癌與乏脂肪腎血管平滑肌脂肪瘤鑒別診斷中的應(yīng)用》由會(huì)員上傳分享,免費(fèi)在線閱讀,更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。
1、摘要效原子序數(shù)、能譜衰減曲線及其斜率有助于乏血供腎癌與乏脂肪腎血管平滑肌脂肪瘤的鑒別。3.能譜成像為乏血供腎癌與乏脂肪腎血管平滑肌脂肪瘤的鑒別診斷提供了一種新的思路和方法,具有較高的臨床應(yīng)用價(jià)值。關(guān)鍵詞:腎細(xì)胞癌;血管平滑肌脂肪瘤:能譜成像;鑒別診斷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