| 王震寰,黄瑜,秦登友.胸内淋巴结美国胸科协会分区的断层影像解剖学研究 及对肺癌分期的意义[J].中国医学影像技术,2001,17(11):1058~1061 |
| 胸内淋巴结美国胸科协会分区的断层影像解剖学研究 及对肺癌分期的意义 |
| Sectional and Imaging Anatomic Classification of Intrathoracic Lymph Nodes Based on American Thoracic Society Nodal Staging System for Lung Cancer |
| 投稿时间：2001-06-20 |
| DOI： |
| 中文关键词: 胸内淋巴结 断层解剖 体层摄影术,X线计算机 肺 癌分期 |
| 英文关键词:Intrathoracic lymph node Sectional anatomy Tomography, X-ray computed Lung Cancer staging |
| 基金项目:本课题受安徽省跨世纪学术与技术带头人科研基金(2000129)、安徽省教育委员会自然科学基金资助(95JL0104)。 |
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| 中文摘要: |
| 目的 研究一种能被放射医师和临床医师共同接受的基于断层影像的ATS胸内淋巴结分区法,以使肺癌的CT和MRI分期简便、实用。方法 依据美国胸科协会(ATS)淋巴结分区图,在5具尸体上观察胸内淋巴结分布,采用4套胸部横断层标本与50例胸部CT图像对照进行横断面上的淋巴结分区。结果 用解剖学分区法对ATS分区图进行了对比、评价。在采用影像解剖标志划分的5个胸部区段中,ATS分区图中各区淋巴结易于在横断层影像上识别、划分。对比分析了该断层影像分区法与肺癌分期(AJCC,1997)的关系及临床应用要点。结论 这种基于ATS分区图的断层影像解剖分区法将使CT和MRI对肺癌的分期更简明、实用,易于推广。 |
| 英文摘要: |
| Objective To create an imaging-based classification for intrathoracic lymph nodes would make the staging of lung cancer easier on sectional imaging and be accepted by radiologists and clinicians. Methods According to American Thoracic Society(ATS) nodal classification, the intrathoracic lymph nodes were observed on five cadavers and classified on CT scan correlated with cross-sectional specimens of thorax. Results ATS nodal classification was compared and evaluated with anatomic classification, and easily translated to cross-sectional imaging if thorax was divided into five segments according to anatomic landmarks on cross-sectional imagings. The relations of this imaging-based classification to the staging system of lung cancer(AJCC, 1997) were discussed for clinical application,and some suggestions based on sectional and imaging anatomy were put forward for how to use this classification for lung cancer staging. Conclusion This classification based on sectional and imaging anatomy would make ATS nodal classification more useful and easier for lung cancer staging on CT scan and MR imaging. |
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