李咏梅,罗天友,吕发金,吴景全.增强螺旋CT诊断胰岛素瘤[J].中国医学影像技术,2005,21(3):392~394
增强螺旋CT诊断胰岛素瘤
Contrast enhanced spiral CT for the detection of insulinoma
投稿时间:2004-09-08  修订日期:2004-12-21
DOI:
中文关键词:  胰岛素瘤  体层摄影术,X线计算机
英文关键词:Insulinoma  Tomography, X ray computed
基金项目:
作者单位E-mail
李咏梅 重庆医科大学附属第一医院放射科,重庆 400016 yongmeili1970@sina.com 
罗天友 重庆医科大学附属第一医院放射科,重庆 400016  
吕发金 重庆医科大学附属第一医院放射科,重庆 400016  
吴景全 重庆医科大学附属第一医院放射科,重庆 400016  
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中文摘要:
      目的探讨增强螺旋CT(SCT)扫描对胰岛素瘤的诊断。方法 回顾性收集了经手术和病理证实的17例胰岛素瘤,分析增强SCT扫描强化特点。结果 ①17例共22个胰岛素瘤作了手术切除(其中包括一例多发性胰岛素瘤),SCT探测胰岛素瘤敏感性为90.9%。②21个肿瘤动脉期均为明显或轻度强化,静脉期和延迟期8个呈等密度,其余均为稍高密度影。结论 增强SCT对探测胰岛素瘤有很高的敏感性。
英文摘要:
      Objective To evaluate contrast enhanced spiral CT in the diagnosis of insulinoma. Methods CT imagings of 17 patients of surgical and pathological proven insulinomas were reviewed, and the features of enhanced Spiral CT were analyzed. Results There were 22 insulinomas of 17 patients. The sensitivity of enhanced Spiral CT for the detection of insulinoma was 90.9%. Twenty one insulinomas were visualized in the arterial phases as hyperattenuating or mild enhancement, 8 insulinomas seen as isodense compared with the surrounding pancreatic tissue in the portal venous and delay phases. Conclusion Enhanced Spiral CT is of high sensitivity for the detection of insulinoma.
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