Multi CT angiography diagnosis of Budd-Chiari syndrome.doc

 PAGE \* MERGEFORMAT 10 Multi CT angiography diagnosis of Budd-Chiari syndrome [Keywords:] spiral computed tomography angiography Budd-Chiari syndrome Budd-Chiari Syndrome (Budd-Chiari syndrome, BCS is the hepatic veins and (or opening paragraph above the inferior vena cava obstruction caused by abdominal pain, liver dysfunction, ascites and lower extremity edema and portal hypertension and other diseases. The main pathological changes in the liver or after the liver and inferior vena cava (or hepatic vein or segmental membranous stenosis or occlusion and the consequent hepatic vein and inferior vena cava reflux barrier system [1]. The disease is not uncommon in China, Shandong high incidence province, the current intervention is the preferred method of treatment to fully understand the hepatic vein and inferior vena cava and the critical situation of collateral circulation [2], this study is to investigate the multi-slice spiral CT angiography in its application value. 1 Materials and Methods 1.1 General data collection in October 2005 -2007 in Shandong Province in August, Institute of Medical Imaging by CT angiography in patients diagnosed as 20 cases of BCS, including 12 males and 8 females, mean age 36 years. All cases were confirmed by digital subtraction angiography confirmed interventional therapy or surgical treatment. 1.2 scanning technology scanning equipment for the Siemens 64-slice spiral CT machine. Check before 0.5 h in patients with oral negative contrast agent 800 ~ 1 000 mL, and train patients breath-hold, the choice of non-ionic contrast medium (35 ~ 37 gI / 100 mL, from the peripheral intravenous injection, contrast agent dose of 80 ~ 100 mL, injection rate of 2 ~ 4 mL / s, compared to the same injection rate would then be added saline 50 mL. delay time in the arterial phase using artificial intelligence trigger (trigger threshold Set in 100 Hu scan delay of arterial phase scan after 15 ~ 20 s of scanning the portal vein, porta