• 1.四川大學(xué)華西醫(yī)院放射科（成都610041）;;
  • 2.四川省第四人民醫(yī)院CT室（成都610072）;;
  • 通迅作者： 宋彬;

目的  探討肝細(xì)胞癌門靜脈癌栓所致門靜脈海綿樣變性(cavernous transformation of the portal vein, CTPV)側(cè)支血管的多排螺旋CT血管成像顯示技術(shù)。
方法  18例肝細(xì)胞癌門靜脈癌栓所致CTPV患者，注入造影劑后行門脈期增強掃描，采用薄層圖像重建后再行二維和三維血管成像,包括最大強度投影法（MIP）、表面遮蓋法（SSD）及容積再現(xiàn)技術(shù)（VRT）。
結(jié)果  MIP法血管成像能準(zhǔn)確顯示門靜脈癌栓和CTPV側(cè)支血管的情況，包括門靜脈膽支（膽囊靜脈、膽管周圍靜脈叢）和胃支(胃左、右靜脈)等，而VRT效果較差，SSD效果最差。
結(jié)論  采用MIP法重建的多排螺旋CT門靜脈血管成像是顯示門靜脈癌栓和CTPV側(cè)支血管的較好方法。

引用本文： 印隆林,宋彬,陳衛(wèi)霞,徐雋. 多排螺旋CT血管成像技術(shù)對門靜脈海綿樣變性側(cè)支血管的顯示. 中國普外基礎(chǔ)與臨床雜志, 2004, 11(6): 547-550. doi: 復(fù)制

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2. 宋彬,陳衛(wèi)霞，徐雋，等.肝細(xì)胞癌門靜脈癌栓致門靜脈海綿樣變性側(cè)支循環(huán)的螺旋CT研究 [Ｊ]. 臨床放射學(xué)雜志, 2002; 21(10)∶785.
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5. ErtlWagner B, Hoffmann RT, Bruning R, et al. CTangiographic evaluation of intracranial aneurysmsa review of the literature and first experiences with 4 and 16slice multi detector CT scanners [Ｊ]. Radiologe, 2002; 42(11)∶892.
6. Binaghi S, Maeder P, Uske A, et al. Threedimensional computed tomography angiography and magnetic resonance angiography of carotid bifurcation stenosis [Ｊ]. Eur Neurol, 2001; 46(1)∶25.
7. Squillaci E, Fanucci E, Sciuto F, et al. Vascular involvement in pancreatic neoplasm: a comparison between spiral CT and DSA [Ｊ]. Dig Dis Sci, 2003; 48(3)∶449.
8. Bendib K, Poirier C, Croisille P, et al. Characterization of arterial stenosis using 3D imaging. Comparison of 3 imaging techniques (MRI, spiral CT and 3D DSA) and 4 display methods (MIP, SR, MPVR, VA) by using physical phantoms [Ｊ]. J Radiol, 1999; 80(11)∶1561.
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11. Nakayama Y, Imuta M, Funama Y, et al. CT portography by multidetector helical CT: comparison of three rendering models [Ｊ]. Radiat Med, 2002; 20(6)∶273.
12. Byun JH, Kim TK, Lee SS, et al. Evaluation of the hepatic artery in potential donors for living donor liver transplantation by computed tomography angiography using multidetectorrow computed tomography: comparison of volume rendering and maximum intensity projection techniques [Ｊ]. J Comput Assist Tomogr, 2003; 27(2)∶125.
13. 李曉兵，田建民，王培軍，等. 多層螺旋CT肝臟雙期血管成像及臨床應(yīng)用 [Ｊ]. 臨床放射學(xué)雜志, 2003; 22(2)∶118.
14. Yamamoto K, Tsuda T, Mochizuki T,et al. Intravenous threedimensional CT portography using multidetector row CT in patients with hepatic cirrhosis: evaluation of scan timing and image quality [Ｊ]. Radiat Med, 2002; 20(2)∶83.
  1. 1. Marn CS, Francis IR. CT of portal venous occlusion [Ｊ]. AJR Am J Roentgenol， 1992; 159(4)∶717.
  2. 2. 宋彬,陳衛(wèi)霞，徐雋，等.肝細(xì)胞癌門靜脈癌栓致門靜脈海綿樣變性側(cè)支循環(huán)的螺旋CT研究 [Ｊ]. 臨床放射學(xué)雜志, 2002; 21(10)∶785.
  3. 3. 李民利，金征宇. 多層螺旋CT血管成像技術(shù)臨床應(yīng)用進展 [Ｊ]. 國外醫(yī)學(xué)臨床放射學(xué)分冊， 2003； 26（4）∶255.
  4. 4. Fuchs TO, Kachelriess M, Kalender WA. System performance of multislice spiral computed tomography [Ｊ]. IEEE Eng Med Biol Mag， 2000; 19(5)∶63.
  5. 5. ErtlWagner B, Hoffmann RT, Bruning R, et al. CTangiographic evaluation of intracranial aneurysmsa review of the literature and first experiences with 4 and 16slice multi detector CT scanners [Ｊ]. Radiologe, 2002; 42(11)∶892.
  6. 6. Binaghi S, Maeder P, Uske A, et al. Threedimensional computed tomography angiography and magnetic resonance angiography of carotid bifurcation stenosis [Ｊ]. Eur Neurol, 2001; 46(1)∶25.
  7. 7. Squillaci E, Fanucci E, Sciuto F, et al. Vascular involvement in pancreatic neoplasm: a comparison between spiral CT and DSA [Ｊ]. Dig Dis Sci, 2003; 48(3)∶449.
  8. 8. Bendib K, Poirier C, Croisille P, et al. Characterization of arterial stenosis using 3D imaging. Comparison of 3 imaging techniques (MRI, spiral CT and 3D DSA) and 4 display methods (MIP, SR, MPVR, VA) by using physical phantoms [Ｊ]. J Radiol, 1999; 80(11)∶1561.
  9. 9. 陳熾賢，高元桂主編.中華影像醫(yī)學(xué)總論卷 [M]. 北京： 人民衛(wèi)生出版社， 2002∶46~48.
  10. 10. Heoung KK, Yong YF, Choi FH, et al. Threedimensional multidetector row CT portal venography in the evaluation of portosystemic collateral vessels in liver cirrhosis [Ｊ]. Radio Graphics, 2002; 22∶1053.
  11. 11. Nakayama Y, Imuta M, Funama Y, et al. CT portography by multidetector helical CT: comparison of three rendering models [Ｊ]. Radiat Med, 2002; 20(6)∶273.
  12. 12. Byun JH, Kim TK, Lee SS, et al. Evaluation of the hepatic artery in potential donors for living donor liver transplantation by computed tomography angiography using multidetectorrow computed tomography: comparison of volume rendering and maximum intensity projection techniques [Ｊ]. J Comput Assist Tomogr, 2003; 27(2)∶125.
  13. 13. 李曉兵，田建民，王培軍，等. 多層螺旋CT肝臟雙期血管成像及臨床應(yīng)用 [Ｊ]. 臨床放射學(xué)雜志, 2003; 22(2)∶118.
  14. 14. Yamamoto K, Tsuda T, Mochizuki T,et al. Intravenous threedimensional CT portography using multidetector row CT in patients with hepatic cirrhosis: evaluation of scan timing and image quality [Ｊ]. Radiat Med, 2002; 20(2)∶83.