原发性肺癌的支气管动脉CT血管造影分析 .docVIP

原发性肺癌供血动脉的CT血管 李琦1 ，吴景全1 ，罗天友1 ，吕发金1 ，欧阳羽1，李信友1，黄兴涛2，刘历1 （重庆医科大学附属第一医院放射科1，重庆垫江人民医院放射科2，重庆 400016） 摘要 ：64层螺旋CT血管 angiography，CTA）研究原发性肺癌供血动脉的影像学特征及其临床价值。方法 对例行胸部增强扫描至少1支清晰显示的病例，包括周围型肺癌例，中央型肺癌3例及正常对照2例，采用容积显示volume rendering，VR）、多平面重建（multi-planar reformat，MPR）及最大密度投影（maximum intensity projection，MIP）等后处理技术进行三维重建，分析肺癌供血动脉的影像学特征。结果 43例肺癌单支供血型22例（）例表现为供血BA主干扩张曲14例表现为供血BA主干及分支均扩张，走向或至病灶内；多支供血型例（），表现为2支或多支BA供血病灶，相互交通吻合形成血管网；多种动脉供血型例（），表现为和肺外体循环动脉向同一病灶供血。三维影像特征，。 关键词肺癌支气管动脉CT血管造影in patients with Primary Lung Cancer using 64-slice spiral CT Angiography LI Qi1, WU Jing-quan1, LUO Tian-you1, LV Fa-jin1, OU Yang-yu1, LI Xing-you1, HUANG Xing-tao2, LIU Li1 (1Department of Radiology, the First Affiliated Hospital of Chongqing Medical University; 2Department of Radiology, the Peoples hospital of Dianjiang; Chongqing 400016, China) [作者简介] 李琦（1981－），女，重庆人，汉族，在读硕士，主要从事医学影像学研究，发表论文3篇，手机E-mail:zhuoshui@. [通讯作者] 吴景全，主任医师，硕士生导师，Tel：023 [作者单位] 重庆医科大学附属第一医院放射科，400016 Abstract: Objective To investigate the three-dimensional imaging characters of the feeding arteries in patients with primary lung cancer and the clinical value using 64-slice spiral CT angiography (CTA). Methods The scan data of 63 patients who received enhanced chest 64-slice spiral CT scan with at least one bronchial artery clearly displayed were processed at the workstation. Among the 63 cases, there were 11 cases of peripheral lung cancer, 32 cases of central lung cancer and 20 cases without any chest lesion confirmed by CT as normal control group. The spatial imaging characters of the arteries supplying to lesion were observed and analyzied using multi-planar reformat (MPR), maximum intensity projection (MIP) and volume rendering (VR). Results All 43 cases with lung cancer were supplied by the bronchial arteries and 8 cases of them were supplied by the bronchial arteries and other arteries of systemic circulation. Three-dimensional imaging characters of these feeding br