多层螺旋CT 灌注成像对肝癌病人肝硬化分级的研究.pdf

多层螺旋CT灌注成像对肝癌病人肝硬化分级的研究杨null琪(=DSnDnull=null130031)Knull1nullnull)CT9E/NhVbZEnullCTsZE30aasF(F15aF8aF7),i3F#CT9,CT9s#CT3s)W1bTnullCT9VTN1Sb1oMnullCTnull9nullnullnullCT9(CTperfusionimaging,CTP)14HQ,=BHW-wL(time-densitycurve,TDC),wL399,NNF29bCTPVQ3?M,yNB?,abM,CT/?Z,CTCTP/,VAU#M,#89,V?15ilbCTs)ZE?Child-Pughs)SCTP,)CTP/s)V#Nb1nullZE1null1null4null(1)#_；(2)?T；(3)_TO?bSlh30,325,o5,M-3266,(45b1null2nulls)ZEnull|hsaa)b:#(,H；,v9v,/；:(,H；,9z,M,8l,#9v,34i；:(,H,A9z,8Al,#A9v,4vbNsS,FhaasY15a87b1null3null_ZE#m)nullGELightspeedCTb_-!?#CT9Mb8:(1)；(2):4YM#4,5mm,120kV,100mAb(3)CTPby50ml14Z?,4ml/s,=HW8sbn5,50s；,2sWb2110s,2805mmm,.T_b(4)GmzBFsbm,E7v5iH1cm,=aP=#P=|3vROI|,BCTP:HW-wL(time-densitycurve,TDC)a(bloodflow,BF)a(bloodvolume,BV)a(YVHW(meantransittime,MTT)as(hepaticarterialfraction,HAF)1null4nulld9sSPSS13null0d9q9ZsbiM1s1aa3FChiki-Pughs)M1b2nullT2null1nullCTPT1(V1)V1TAU,F,BFBVvht,HAFv9t,O9FWAd9s,7S-N-KEF91TV,68Bnull2008M=DChangchunMedicalJournalVonull6nullNonull42008aFWMTTd9s,CTPFW(d9sb2null2nullCT3s)Child-Pughs)M1s(V2)SPSSs,CT3s)TC-Ps)TM1,M1r=0null866,p0null01bV1nullCTPT1#9FPBF(ml/min*100g)138null12null25null3998null47null17null1868null02null14null9528null080null05BV(ml/100g)15null98null2null5412null50null2null189null34null0null7424null120null05MTT(s)9null30null2null0710null95null1null5312null52null1null108null590null05HAF0null21null0null050null29null0null040null40null0null0827null93tnull#MSCTE9/#JnullLb,2006,21(6):691-6944#E,y,nullCT9/#5,5b,2004,23(2):130-1345#u,B,anullOFCT9Jnullb,2003,37(9):845-8496#MaterneR,VanBeersBE,SmithAM,etalnullNon-invanullsivequantificationofliverperfusionwithdynamiccomputedtomographyandadual-inputone-compartmentalmodnullelnullClinSc,i2000,99(6):5177#TsushimaY,BlomleyMJK,KusanoS,etalnullDoesthepresenceofdistantandlocalmalignancyalterparenchymalperfusioninapparentlydisease-freeareasoftheliver?DigDisSci,2001,