膀胱癌T分期%3aCT和MR应用与探讨.pdfVIP

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膀胱癌T分期%3aCT和MR应用与探讨.pdf

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腹部与盆腔 walllayersinvivo,correspondingtohistologicalthreeorfourstructure.Onthebasisofthisstudy, thereisapromisingmethodtoevaluatetheintestinalwallchangesofthegastrointestinaldisease, andtheresultswouldhavegreatpotentialvalueinthefuture. [Key words] mesenteric ischemia; magnetic resonance imaging; arterial subtraction angiographytechnique;smallintestine; The clinical research of spectral CT imaging i quantitatively evaluating histodifferentiatio ofpancreaticcancer （湖北李琼等）李琼冯琴胡瑶李琼胡道予李震华中科技大学医学院附属同济医院放射科 OBJECTIVE: To explore the value of gemstone spectral imaging (GSI) in quantitatively evaluatinghistodifferentiationofpancreaticcancer. METHODS:Totally 49 patients suffered from pancreatic cancer underwent enhanced dual phase MDCT(Discovery CT750 HD, GE Healthcare) on GSI mode and were analyzed retrospectively.Through the software of GSI Viewer ,the iodine concentration, the effective-Z numberand CTvalue of ROIontumor were measured,.Subcutaneousfat and abdominal aorta wereasbackgroundrespectively.Allthedatawereanalyzedbystatisticalmethod. RESULTS: Pathology results confirmed 8 cases of pancreatic adenocarcinoma, 21 cases of moderately differentiated adenocarcinoma, and 20 cases of poorly differentiated adenocarcinoma. The standardized CT values of adenocarcinoma , moderately differentiated adenocarcinoma and poorly differentiated Adenocarcinoma gradually increased (0.15 ± 0.04HU, 0.08 ± 0.13HU, 0.15 ± 0.05HU) (0.38 ± 0.22HU, 0.26 ± 0.01HU, 0.51 ± 0.11HU)inarterialandportalvenousphaserespectively,thereweresignificantdifferenceamong them(each P0.05). Butthere were no significant difference among them in delay phase (P 0.05 ) .The value of standardized iodine concentration, and effective atomic number were statistically significant differences in all phases (P 0.05). The value of best CNR in monochromaticCT imageinthe arterialand portalvenous phasewere (63 ±