資源描述：
《CT灌注成像評價經(jīng)導(dǎo)管動脈化療栓塞術(shù)治療原發(fā)性肝癌的療效-論文.pdf》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在應(yīng)用文檔-天天文庫。
1、中國介入影像與治療學(xué)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灌注成像評價經(jīng)導(dǎo)管動脈化療栓塞術(shù)治療原發(fā)性肝癌的療效邱國欽，許麗貞，陳玉強，劉昌華(廈門大學(xué)附屬成功醫(yī)院中國人民解放軍第174醫(yī)院腫瘤中心，福建廈門361003)[摘要]目的探討320排CT灌注成像(CTPI)評價TACE治療原發(fā)性肝癌(PHC)療效的價值。方法對91例中晚期PHC患者于TACE治療前后行CTPI，對比DSA結(jié)果，觀察TACE前后腫瘤與正常肝組織的血流灌注參數(shù)的變化，評價TACE療效。結(jié)果CTPI診斷結(jié)果與DSA結(jié)果相符，診斷符合率為100，TACE后腫瘤組織的肝血流量(
8、BF)、肝血容量(BV)、肝動脈灌注量(HAP)、肝動脈灌注指數(shù)(HPI)均較術(shù)前降低(P均o．05)；59例瘤灶碘油沉積不均，灌注圖顯示存在血流灌注，其殘瘤組織的BF、BV、HAP、HPI、PS值均高于正常肝組織(P均
