中国伤残医学Issue(10)：30-31,2.
多排螺旋CT增强扫描对比剂浓度对小肝癌检出率的影响
Detection of Small Hepatocellular Carcinoma with Multi- detector Row CT：Effect of Iodine Concentration of Contrast Material
田洪梓1
作者信息
- 1. 山东烟台解放军107中心医院影像中心，山东 烟台 264000
- 折叠
摘要
Abstract
Objective:To evaluate the effect of iodine concentration of contrast material on detection of small hepatocellular carcinoma (SHCC) with multi-detector row CT by using arterial phase and portal venous phase enhanced scanning.Methods:Ninety-five patients with HCC were examined by hepatic plain CT and contrast-enhanced CT including arterial phase (AP) and hepatic parenchymal phase (HPP) scanning prospectively. Patients were randomized into two groups to receive Iopamidol 370 mg I/ml (48 patients) (1.5 ml/kg body weight) and 300 mg I/ml (47 patients) (1.85 ml/kg body weight) respectively with a fixed injection duration of 30 seconds. The images were interpreted by radiologists and the CT results were compared with the pathological results. The detection sensitivity for small tumors (≤3 cm) and iodine concentration groups were calculated and analyzed.Results:A total of 259 lesions were detected with 101 ≤3 cm in size. For AP, the sensitivity of Iopamidol 370 mg I/ml group was significantly higher than Iopamidol 300 mg I/ml. For HPP, there were no significant differences between groups. Conclusions:High iodine concentration contrast material could improve the detection of SHCC for AP.关键词
多排螺旋CT/对比剂/小肝癌Key words
Multi-detector row CT (MDCT)/Contrast material/Small hepatocellular carcinoma (SHCC)分类
医药卫生引用本文复制引用
田洪梓..多排螺旋CT增强扫描对比剂浓度对小肝癌检出率的影响[J].中国伤残医学,2012,(10):30-31,2.
