MSCT VR与MIP诊断成人茎突综合征的临床价值.pdfVIP

放射学实践2008年1月第23卷第 1期 Radiol Practice，Jan 2008，Vol 23，No．1 · 头颈部影像学 · MSCT VR与MIP诊断成人茎突综合征的临床价值 彭俊红，袁德华，王仁法 【摘要】 目的：探讨 MSCT容积再现(VR)、最大密度投影(MIP)技术在成人茎突测量中的应用及对茎突综合征 (SPS)诊断的价值。方法：回顾性分析52例 57侧临床诊断为SPS患者的 MSCT及 VR、MIP重组资料，并测量茎突的长 度及方位角。结果：茎突长度大于3 cm者41侧(71．9 )，茎突向内偏斜角25。者26侧(45．6 )，向前偏斜角25。者2 侧(3．5 )，分节型茎突31侧(54．4 )。结论：茎突过长、方位角异常和茎突发育呈分节型是诊断 SPS的重要依据。 MscT VR及MIP重组可为诊断SPS提供重要依据。 【关键词】 茎突综合征；图像处理，计算机辅助；体层摄影术，x线计算机 【中图分类号】R681．5；R814．42 【文献标识码】A 【文章编号】1000—0313(2008)01—0023—03 Value of Styloid Process Measurement Using Multi-slice CT with VR and MIP Techniques in the Diagnosis of adult Styloid Process Syndrome PENG Jun—hong，YUAN De-hua，WANG Ren-fa．Department of Radiology，the Puai Hospital of Wu— han，Wuhan 430033，P．R．China [Abstract] Objective：To evaluate the value of styloid process measurement using multi—slice spiral computed tomo— graphy(MSCT)with volume rendering(VR)and maximum intensity projection(MIP)reconstruction techniques in the di— agnosis of adult styloid process syndrome(SPS)．Methods：MSCT with VR and MIP techniques were used in 52 adult pa— tients(57 sides)with clinically suspected SPS，the length and deviated angle of styloid process based on VR and MIP were measured．Results：In these 57 sides of styloid process，41 sides(71．9 )showed the length longer than 3cm，the oblique an— gle of styloid process was deviated internally more than 25。in 26 sides(45．6 )：deviated anteriorly more than 25。in 2 sides(3．5 )．There were 31 sides(54．4 )showing segmented styloid process．Conclusion：Over-length，segmentation and abnormal deviation of the oblique angle of styloid process are important criteria in the diagnosis of adult SPS，helpful infor— mation could be provided by MSCT with VR and MIP reconstruction techniques． [Key words] Styloid process syndrome；Image processing，computer-assisted；Tomography，X—ray co