16层螺旋CT对肝动脉门静脉血管三维成像的应用研究.docVIP

16排螺旋CT对肝动脉、门静脉血管三维成像的应用研究 卓水清, 吕衍春*，吴沛宏，刘立志，陈勇新，王琰 【摘要】目的：探讨16排螺旋CT三维重建技术于肝动脉和肝门静脉血管成像的应用价值，比较三种三维重建方法的特点。方法：100例肝癌患者，行16排螺旋CT肝双期增强扫描后，分别用SSD、VRT及MIP三种方法作三维重建，比较三种三维图像对肝动脉和肝静脉血管成像的应用价值。结果：SSD、MIP及VRT均可清楚显示肝动脉及门静脉4级以上分支，对于5级以下分支，MIP和VRT明显优于SSD；对于血管立体结构的显示，SSD和VRT无显著差异，而两者优于MIP。结论：三种肝双期血管三维成像技术（SSD、MIP及VRT）成像方法各具优势，是快捷、有效而无创伤的显示肝脏动、静脉及与周围组织关系的检查方法。 【关键词】：体层摄影术，X线计算机，后处理技术，肝动脉，门静脉 Comparison of 3 Typs of 3D Reconstruction in 16 Multidetector CT of Liver Arterial and Portal Venous Phase Liver Imaging ZHUO shui-qing,LIU li-zhi,LV yan-chun,et al.(Cancer Center,Sun Yat-sen University ,Gangzhou,China,510060) [ABSTRACT] OBJECTIVE： To evaluate the role of 3D reconstruction in hepatic artery and portal vein imaging by using 16 Multidetector CT. METHODS: From March to June 2005, 100 patients with hepatic cellular cancer underwent helical CT of the liver.Hepatic artery and portal vein images obtained by using 3D reconstructed techniques of SSD、VRT and MIP were compared. RESULTS: The hepatic artery and portal vein trees of level I to IV could be displayed clearly on hepatic artery and portal vein images reconstructed by using techniques of SSD、VRT and MIP. The 3D hepatic artery and portal vein images by MIP and VRT were clearer than those by SSD in displaying the vascular trees beyond level V. The 3D hepatic artery and portal vein images by SSD and VRT were clearer than those by MIP in displaying the relationship between vascular and surrounding structures. CONCLUSION: Multidetector CT 3D hepatic artery and portal vein images can display the vascular trees and the relationship between vascular and surrounding structures clearly. [KEY WORDS] Tomography;X-ray computer;Post-processing;Liver artery;Portal vein 随着多排螺旋CT（muliti-slice computed tomography,MSCT）的问世,以其扫描速度及图像质量的优势而被广泛应用，其强大的图像后处理功能也越来越受关注。本文旨在通过近期100例肝脏患者行MSCT扫描及各种三维重建，以研究其对肝动脉、门静脉系统的显示特点及其临床应用价值。 1 资料与方法 1.1 一般资料 2005年3～6月，100例临床申请行肝脏扫描的各类患者被纳入本研究，其中男72例，女28例，年龄2l～75(平均52)岁。 1.2 机器设备 16排螺旋CT扫描机（飞利浦BrillianceTMCT扫描系统