赵水喜,郑静晨,曹京旭,王迎选,宁健,杨书明,赵卫东,布洁,穆晓峰.早期放射性肝脏损伤的CT表现[J].中国医学影像技术,2005,21(4):608~610
早期放射性肝脏损伤的CT表现
CT appearance of early radiation-induced hepatic injury
投稿时间:2005-01-02  修订日期:2005-01-27
DOI:
中文关键词:  放射疗法  辐射损伤  体层摄影术,X线计算机
英文关键词:Radiotherapy  Radiation injuries  Tomography, X-ray computed
基金项目:
作者单位E-mail
赵水喜 武警总医院肿瘤科,北京 100039  
郑静晨 武警总医院肿瘤科,北京 100039 zhengjingchen@sina.com 
曹京旭 武警总医院肿瘤科,北京 100039  
王迎选 武警总医院肿瘤科,北京 100039  
宁健 武警总医院肿瘤科,北京 100039  
杨书明 武警总医院肿瘤科,北京 100039  
赵卫东 武警总医院肿瘤科,北京 100039  
布洁 武警总医院肿瘤科,北京 100039  
穆晓峰 武警总医院肿瘤科,北京 100039  
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中文摘要:
      目的 提高对早期放射性肝损伤CT影像的认识。方法 回顾7例三维适形放疗腹部肿瘤患者的完整影像资料,观察患者放疗前、后肝脏CT影像改变。结果 放疗后CT平扫复查,5例患者受照肝脏显示为界限清晰的低密度改变,2例合并脂肪肝改变患者照射区显示为界限清晰的高密度改变。增强CT检查中,正常肝脏与肝硬化肝脏放射性损伤的动态表现不同。结论 放射性肝损伤CT影像改变与肝脏原发疾病相关。
英文摘要:
      Objective To recognize CT appearance of the early irradiation-induced hepatic injury. Methods Seven patients with abdominal neoplasms were treated with conformal radiotherapy. CT findings of hepatic images were observed. Results Low attenuation areas of liver on noncontrast CT were observed in 5 patients after delivered conformal radiotherapy. In 2 patients with fatty infiltration of the liver, CT showed relative increased density in the treatment portal. The dynamic enhanced pattern of irradiation-induced hepatic disease was different in normal liver from cirrhosis liver. Conclusion CT appearance of irradiation-induced hepatic injury is related to primary liver disease.
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