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CT灌注成像鉴别颈部淋巴结反应性增生、淋巴结结核与淋巴结转移癌

徐胜生 彭冈力 胡志华 石军 孙向前

重庆医学2012,Vol.41Issue(20):2052-2054,3.
重庆医学2012,Vol.41Issue(20):2052-2054,3.DOI:10.3969/j.issn.1671-8348.2012.20.019

CT灌注成像鉴别颈部淋巴结反应性增生、淋巴结结核与淋巴结转移癌

CT perfusion in differential diagnosis of cervical lymph node reactive hyperplasia, tuberculosis and metastatic carcinoma

徐胜生 1彭冈力 1胡志华 1石军 1孙向前1

作者信息

  • 1. 重庆医科大学附属第一医院放射科,400016
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摘要

Abstract

Objective To explore the value of CT perfusion(CTP) in differentiating cervical lymph nodes (CLN)reactive hyper-plasia,tuberculosis and metastatic carcinoma. Methods CTP was performed in 51 patients with CLN lesions,including reactive hy-perplasia 8 cases,tuberculosis 13 cases and metastasis 30cases. The data of time-density curve(TDC)and perfusion parameters were analyzed. Results The shapes and features of time-density curve(TDC) of these three type lesions were different. The average of blood flow(BF) and blood volume(BV) of lymph nodes metastases were significantly higher than those of lymph nodes tuberculosis and reactive hyperplasia. The average of blood flow(BF) and blood volume(BV) of lymph nodes reactive hyperplasia were significantly higher those of lymph nodes tuberculosis(P<0. 05). The average of mean transit time(MTT) and permeability surface(PS) among three type CLN were not significantly different(P>0. 05). Conclusion TDC and CT perfusion parameters BF and BV were useful in differentiating cervical lymph nodes CLN)reactive hyperplasia,tuberculosis and metastatic carcinoma.

关键词

淋巴结/体层摄影/X-线计算机/灌注成像

Key words

lymph nodes/tomography/X-ray computer/perfusion imaging

引用本文复制引用

徐胜生,彭冈力,胡志华,石军,孙向前..CT灌注成像鉴别颈部淋巴结反应性增生、淋巴结结核与淋巴结转移癌[J].重庆医学,2012,41(20):2052-2054,3.

重庆医学

OA北大核心CSCDCSTPCD

1671-8348

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