王金红, 闵鹏秋, 王培军, 刘荣波, 赵小虎, 毛新清, 高小龙. 动态CT扫描检测及定性肾细胞癌优化时间窗的研究[J]. 中国肿瘤临床, 2005, 32(14): 817-820.
引用本文: 王金红, 闵鹏秋, 王培军, 刘荣波, 赵小虎, 毛新清, 高小龙. 动态CT扫描检测及定性肾细胞癌优化时间窗的研究[J]. 中国肿瘤临床, 2005, 32(14): 817-820.
Wang Jin-hong, Min Peng-qiu, Wang Pei-jun, . Optimization of Temporary Window for Detection and Characterization of Renal Cell Carcinomas With Dynamic-CT Scanning[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(14): 817-820.
Citation: Wang Jin-hong, Min Peng-qiu, Wang Pei-jun, . Optimization of Temporary Window for Detection and Characterization of Renal Cell Carcinomas With Dynamic-CT Scanning[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2005, 32(14): 817-820.

动态CT扫描检测及定性肾细胞癌优化时间窗的研究

Optimization of Temporary Window for Detection and Characterization of Renal Cell Carcinomas With Dynamic-CT Scanning

  • 摘要: 目的:探讨肾细胞癌螺旋CT动态扫描检测及定性肿瘤的优化时间窗。方法:24例病理证实的肾细胞癌经平扫选定病灶靶平面后静脉注射造影剂,延迟14~17秒开始作靶平面增强同层动态扫描,扫描间隔4.9秒,共扫描17~24帧。随后行包括全肾的肾实质期扫描及靶平面单层延迟扫描(排泄期)。在统一标准下明确肾脏各期开始的层面及延迟时间以及肿瘤征象显示最早和最佳层面及延迟时间。明确肿瘤、肾皮质、肾髓质及腹主动脉的峰值及峰值到达时间,并计算每一例肿瘤与肾皮质、肾髓质CT值最大差值。并按肿瘤实质时间-密度曲线的升段斜率的大小分为3型。结果:肾细胞癌CT征象显示最佳时间为70.2秒,最早显示征象时间为23.9秒。肾细胞癌峰值到达时间及峰值分别为54秒及80.4hu。肿瘤与肾实质最大密度差值时间分布于曲线末102秒,占100%。结论:对肾细胞癌患者作病灶靶层面同层动态扫描(扫描时间为24、38、70秒、100秒)加全肾螺旋扫描,或根据需要在同层面加作一层延迟扫描(延迟时间视不同目的而定)可获得比较丰富和全面的检测及定性的诊断信息。

     

    Abstract: Objective: To investigate the time period when the CT findings of Renal Cell Carcinoma (RCC) are optimally demonstrated. Methods: A total of 24 individuals proved by pathology had undergone dynamic spiral- CT (S- CT) scan. Dynamic scanning started at 14-17 seconds, with a scan interval of 4.9 seconds. Images were assessed in two ways: peer review and measurement of data. In addition, based on the slope of the contrast media uptake curve, T- DC types were ranked from the smallest to the biggest of slope as type A, B and C. Results: 1)The peer review for the CT images found that cortical phase (CP), nephrographic phase (NP) and excretory phase was at 22.4, 84.3, 114.9 seconds.The time when the CT features of RCC were optimally demonstrated was at 70.2 seconds. The earliest time for RCC CT features was measured at 23.9 seconds. 2)Image data analysis: (1) CP, NP and EP started at 17.3, 91.2 and 109.4seconds, respectively. (2) The time that the density (or CT value) of the tumor mass reached the peak enhancement was at 54 seconds for RCC. The time of the maximal difference of densities between tumor and renal parenchyma was at 102 seconds. Conclusions: The optimization of temporary window for detecting and characterizing RCC is recommended: a dynamic CT scan is to be programmed at scan delay time of 24, 38, 70, 100 seconds, followed by a complete renal S- CT scan.

     

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