MSCT双期扫描对胃肠道间质瘤的诊断价值评价.pdfVIP

1036 放射学实践 2006 年 10 月第 21 卷第 10 期 Radiol Practice,Oct 2006 , Vo121.No.10 ·腹部影像学· MSCT 双期扫描对胃肠道间质瘤的诊断价值评价 由于.涛，潘爱珍 E擒要】 目的:分析胃肠道间质瘾的多层螺旋 CT(MSCTH正象，探讨 MSCT 的诊断价值. 方法:回顾性分析 25 例胃 炀道间质瘤 (GIST)的双期 MSCT征象.结果:发生于胃 12 例，小肠 7 例，给麟 6 例。良性 9 例(胃 7 例、小炀 2 例) .潜在 恶性 6 倒〈胃 1 例、小肠 4 例，结肠 1 例) ，恶性 10 例〈胃 4 例、小肠 1 倒、结肠 5 例).大部分边界清晰、圆形或类圆形，肿块 密度均匀或内几小片状低密度灶.动脉期明显强化.静脉J切强化元减退，大部分良性病灶强化均匀，恶性病灶密度不均 匀、强化不均.本组患者 CT 定位诊断符合率为 88% (22/25). 结论 :MSCT 双期扫描能够反映肿瘾强化特点，可准确显 示 GIST 的发生~位、大小、形态及其与邻近器官的关单，对鉴别肿痛良恶性有爱美参考价位。 E关键词】 胃肠问质瘤 g 体层极影术，X 线计算机， ~)钢扫描 E中图分类号】 R814.42; R735.2; R735.3 (文赋标识码】 A [文章编号] 1000-0313(2006)10-1036-03 Dla伊陆tic Value or Two-phase MSCf In Gastralntestlnal StromaJ Tumor CHEN Tao.PAN Ai-zhen. Deparlmenl of Radiolo- gy, the Firsl Hospital of Foshan. Guangdong 528000.P. R. China [Abstract] Objective, To investigale the diagnostic value of multislice spiral CT in gastrointestinal slromal t umors (GISTs). Methods, Retrospectively analyze bOlh of Ihe plain and twcrphase dynamic enhanced CT features in 25 cases which were proved by pathology. ResnllS, 12 GISTs oríginaled from stomach. 7 GISTs from small bowel and 6 locsled in colon. O( which,9 cases were benign.6 cases were potentiaJ malignanl and 10 cases were malignant. Most tumors were round or oval in shape. Homogeneous density was seen in benign tumors and heterogeneous density in malignant tumors. There was en- hancement during arterial phase and venous phase in benign and malignant tumors. Accuracy rates of CT diagnosis for loca- tion and pathologic features of GISTs were 88% (22/ 25) and 72% (18/25) respectively. Conclusion: Twcrphase spiral CT examinalion can demonstrate important (eatures of GISTs and precisely display the location. shape and site of GISTs. It is useful in differentiating the benign and malignant tumors. [Key words] Gastrointestinal stromal tumor, Tomography.X-ray computed, Two-phase dynamic enhanced 胃肠道间质瘤 (gastrointestinal stromal tumor , GIST)是消化道较少见的间叶部性肿瘤，由不成熟的 梭形细胞或上皮细胞的异常增殖形成，由于光镜下无 法区分