E-Flow成像对鼻咽癌颈转移淋巴结放疗疗效评估.pdfVIP

中南大学学报(医学版} 2010 ,35(6) http://xb界·勾四.酣 566 J c，酬 80，国h Univ (Med S码 Radiotherapy eflicacy of E-Flow imaging on cervicallymph nodes metastasized from nasopharyngeal carcinoma UU Haifengl , XIAO Jidong2 (1. Dφartment 0/R adúJlogy , Xia唔ya Hosp血l ， Central South University, C缸，穆sha4]∞08; 2. Department 0/ Ultrasound, Third Xia略知 Hωp白1 ， Central South Uni阳Sity ， C，缸F喀Sha 4]∞13 ， Chína) Abstract: Objective To explore the effect of E- Flow imaging on the radiotherapy of cervical lymph nodes metastasized from nasopharyngeal carcinoma. Methods A total of 52 nasopharyngeal carci- noma patients with 94 invasion nec主 lymph nodes were treated with conventional radiotherapy. Lymph node size. hemodynamic parameters , and blood supply were detected by E-Flow imaging and two-dimen- sional ultrasound before and af也r th号 radiotherapy. 白le relationship between those examinations and ra- diotherapy effect was analyzed. Results of the 94 metastatic cervical lymph nodes from nasopharyngeal carcinoma before the radiotherapy. 40 disappeared , 52 reduced. and 2 maintained the original size a企er the radiotherapy. Blood flow in all residuallymph nodes decreased or disappearaed. Artery flow spec副主m ín thεlymph node w;踊 changed from the high-speed high impedance to Iow-s严ed Iow resistance. 白le size of cervical lymph node and blood flow before the radiotherapy were associated with clinical efficacy (P 0.05). Conclusion E- Flow imaging plays an important role in assessing the efficacy of radiation thera- py by changing the blood supply of cervical lymph node and its size before and a企er the