甲状腺上动脉介入化疗的64层螺旋CT血管成像-第三军医大学学报.DOCVIP

64层螺旋CT血管成像对甲状腺癌供血动脉的初步研究 刘历1，吴景全1，罗天友1，欧阳羽1，吕发金1，曾勇明1，李琦1，郭轶2（1重庆医科大学附属第一医院放射科，重庆，400016；2重庆市急救医疗中心放射科，重庆，400014） 摘要： 目的 利用64层螺旋CT血管成像(CT Angiography, CTA)研究甲状腺癌供血动脉的影像学特征及其临床价值。 方法 收集101例（正常组65例及甲癌组36例）符合本研究并行64层螺旋CT血管成像检查病例的颈部原始图像，将数据在AW4.2工作站行容积再现(Volume Rendering，VR)、最大密度投影(Maximum Intensity Projection, MIP)、多平面重组(Multiplanar Reconstruction, MPR)及高级血管分析（Advanced Vessel Analyze, AVA）等多种后处理并结合原始图像综合分析甲状腺癌供血动脉特征。 结果 甲状腺癌组36例肿瘤均由甲状腺动脉（共76支腺体支或非腺体支）供血，所有供血动脉的起源、数目、内径等三维形态学特征均得到清晰显示。本研究将供血动脉来源统计为三型：仅甲状腺上动脉供血型18例（50%）；仅甲状腺下动脉供血型6例（16.67%）；甲状腺上下动脉均供血型12例（33.33%）。 结论 甲状腺癌均由甲状腺动脉供血，64层螺旋CTA能较好评价其三维影像特征。 关键词： 甲状腺癌；甲状腺动脉；CT血管成像 中图法分类号：R814.42；R322.1 文献标识码：A Preliminary research of feeding arteries in patients with thyroid cancer using 64-slice helical CT angiography Liu Li1, Wu Jing-quan1, Luo Tian-you1, Ou Yang-yu1, Lv Fa-jin1, Zeng Yong-ming1, Li Qi1, Guo Yi2.( 1Department of Radiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China; 2 Department of Radiology, Chongqing Emergency Medical Center, Chongqing 400014, China) Abstract：0bjective To investigate the three-dimensional imaging characters of the feeding arteries in patients with thyroid cancer using 64-slice helical CT angiography. Methods The scan data of 101 cases ( normal group, 65 cases and thyroid cancer 作者简介：刘历（1982-），女，四川省仁寿县人，汉族，在读硕士研究生，主要从事颈部影像学研究。电话：（023E-mail:drliuli@163.com 通讯作者：吴景全，主任医师，硕士生导师，电话：（023group, 36 cases ) that consistented with this investigation and received neck enhanced 64-slice CT were processed on AW 4.2 workstation. Spatial anatomical characters of the feeding arteries in patients with thyroid cancer were observed and analyzed using volume rendering (VR)，maximum intensity projection (MIP), multiplanar reconstruction (MPR) and advanced vessel analyze (AVA). Results All the feeding arteries of tumor in thyroid cancer group were thyroid arteries (76 rami). Three-dimensional imaging characters of t