首页|64排CT多期扫描及其图像后处理技术在诊断胃、小肠疾病中的应用

64排CT多期扫描及其图像后处理技术在诊断胃、小肠疾病中的应用

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目的:探讨64排螺旋CT多期扫描及图像后处理技术在胃、小肠病变中的诊断价值。方法搜集我院216例胃、小肠病变患者,进行上腹部平扫及增强扫描,图像后处理工作站对扫描数据进行三维重建。结果216例临床疑似胃、小肠疾病中胃癌65例,胃间质瘤22例,胃溃疡12例,胃底静脉曲张47例,胃息肉10例,小肠间质瘤12例,小肠淋巴瘤18例,十二指肠憩室30例,由2名副主任医师各自独立阅片,对照病理结果,回顾性总结病变的CT表现。诊断结果与纤维内窥镜和或手术所见对照分析,只有5例胃溃疡不能定其良恶性,8例十二指肠憩室漏诊,占所有病例的6%,诊断符合率为96%。结论利用64排螺旋CT的多期扫描及多种图像重建方式可全方位多角度显示胃、小肠腔内外病灶,可以发现细微病灶,并发现周围的转移情况,为临床提供更多有价值的信息。
Objective To investigate 64 row helical CT multiphase scanning and image post -processing technique in the stomach,intestinal lesions of diagnostic value.Methods 216 cases of collecting our hospital stomach,intestinal disease patients,and the abdominal plain and enhanced scanning,image post-processing worksta-tion to scan data of 3-d reconstruction.Results 216 cases of clinical suspected stomach,intestinal disease in 65 patients with gastric cancer,gastric stromal tumor 22 ca-ses,12 cases of gastric ulcer,gastric fundal varices 47 cases of gastric polyps,10 cases of small intestinal stromal tumor,12 cases of small intestinal lymphoma,eighteen cases,duodenal diverticulum 30 cases of doctor of vice director of by two independent read a slice,compared with pathology results,retrospective summary lesions CT per-formance.Diagnosis and fibre endoscope and/or surgery can see contrast analysis,only 5 cases of gastric ulcer cannot be decided its benign and malignancy,8 cases of duodenal diverticulum reduction,6%of all cases,diagnosis coincidence rate is 96%.Conclusion Using 64 row helical CT scanning period and a variety of image recon-struction mode can through all show stomach,small gut cavity inside and outside lesions,we can find small lesions,and found that the transfer of around,for clinical pro-vide more valuable information.

Stomach lesionsSmall intestinal lesionsMultiphase scanningImage processingTomographyX-ray computer

王宁、司晓静、张虎、郭兰田

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滨州医学院附属医院放射科,山东 滨州 256603

胃病变 小肠病变 多期扫描 图像处理 体层摄影术 X线计算机

2014

中国保健营养(上旬刊)
全国卫生产业企业管理协会

中国保健营养(上旬刊)

ISSN:1004-7484
年,卷(期):2014.(1)
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