16层螺旋CT胃癌术前TNM分期-放射学实践.PDF

20048 19 8 Radiol Practice, Aug 2004, Vol 19, No. 8 599 ## 16 CT TNM 李震, 胡道予, 肖明, 张进华, 宋金梅 = > :评价 16 层螺旋CT 双期增强扫描在胃癌TNM 分期中的诊 价值: 29 例胃癌患者, 术前采用 16 层螺旋CT 平扫和动脉期静脉期双期增强扫描, 随后薄层重建, 采用容积再现法(VR) 多平面容积重建法(MPVR)表面遮 盖显示(SSD)和仿真内镜( CTVG) 技术重建, 结合原始图像TNM 分期,与术后病理对照, 评价CT 在胃癌TNM 分期中的诊 价值:29例胃癌患者T 分期:T 期敏感度为50%, 特异度50%;T 期敏感度87. 5%, 特异度70%;T 期敏感度 85. 1 2 3 7%,特异度80%;T 期敏感度100%,特异度83. 3% N 分期:N 期敏感度为71.4%, 特异度71. 4%;N 期敏感度80%, 特 4 0 1 异度66.7%;N ~ N 期敏感度为83.3%,特异度66.7% M 期敏感度和特异度均为100% : 16 层螺旋CT 双期增强 2 3 1 扫描结合重建技术能够较好地进行TNM 分期,有效地指导手术方案的选择 = > 胃肿瘤; 体层摄影术, 线计算机; 肿瘤分期 = > R814.42; R735.2 = > A => 1000-0313( 2004)08-0599-04 16-slices spiral-CTfor preoperative TNM staging of gastric carcinoma LI Zhen,HU Dao-yu, IAO Ming, et al.Department of Rad-i ology,Tongji Hospital,TongjiMedical College,Huazhong University of Science and Technology,Wuhan 430030,P.R.China = Abstract> Objective:To evaluate the diagnostic value of 16-slices spiral computedtomography double-phase scans in the stomach cancer TNM staging. Methods:Twenty-nine gastric carcinoma patients were scanned on 16-slices spira-l CT including plain scans and dual phase enhancedscans respectively.The source imageswere reconstructed into thin slices andthree-dimensional images using the technique ofvolume rendering ( VR) , multiplanar volume reconstruction ( MPVR) , shaded surface display ( SSD) and CT virtual gastroscopy (CTVG) .Combining the sources images, TNM stagings were assessed. Operative findings and pathological diagnosis were correlated