中国医学装备Issue(5)：87-89,3.DOI:10.3969/J.ISSN.1672-8270.2014.05.033
右膈下动脉64层螺旋CT三维重建在肝癌介入治疗中的应用
The application of right inferior phrenic artery reconstruction by using 64-slice 3D-MDCT in interventional treatment of hepatocellular carcinoma
刘长春 1董景辉 1安维民 1宿贝贝 1高原智 1李勇武 1马威1
作者信息
- 1. 解放军第302医院医学影像中心 北京 100039
- 折叠
摘要
Abstract
Objective:To analysis the anatomy and variations of the right inferior phrenic artery (RIPA) in 3D-MDCT reconstruction and discuss the application in interventional treatment of HCC. Methods:The origin and distribution of RIPAs in 935 cases(628 cases of hepatic cirrhosis, 255 cases of HCC, 52 cases of normal people) were analyzed retrospectively by using volume rendering (VR), multiplanar reconstruction (MPR) and maximum intensity projection (MIP) to summarize the applications before and after transcatheter arterial chemoembolization (TACE). Results: The RIPA origin was detected in all cases (sensitivity 100%). The RIPA and LPIA have the common trunk in 163 cases, and arise separately in other 772 cases. RIPAs originated from the aorta (39.3%), celiac trunk (34.2%), right renal artery or accessory renal artery (21.0%), left gastric artery (2.9%), superior mesenteric artery (1.1%) and hepatic artery (1.5%). Thirty-two of 255 cases demonstrate the supplement of HCC. Conclusion: 3D-MDCT reconstruction can be used to recognize the origin and distribution of RIPA and judge the extrahepatic collateral vessels by interventional radiologists before TACE.关键词
右膈下动脉/肝细胞癌/多排螺旋CT/化疗栓塞Key words
Right inferior phrenic artery/Hepatocellular carcinoma/Multidetector computed tomography/Chemoembolization分类
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刘长春,董景辉,安维民,宿贝贝,高原智,李勇武,马威..右膈下动脉64层螺旋CT三维重建在肝癌介入治疗中的应用[J].中国医学装备,2014,(5):87-89,3.
