龚必焱,季倩,沈文,祁吉.MSCT半自动法肝体积测量在活体肝移植中的价值[J].中国医学影像技术,2011,27(2):326~329
MSCT半自动法肝体积测量在活体肝移植中的价值
Value of semi-automated measurement of liver volume in living donor liver transplantation
投稿时间:2010-10-01  修订日期:2010-11-04
DOI:
中文关键词:  半自动法  肝脏移植  肝脏体积
英文关键词:Semi-automated measurement  Liver transplantation  Liver volume
基金项目:
作者单位E-mail
龚必焱 天津医科大学一中心临床学院放射科,天津 300192  
季倩 天津市第一中心医院放射科,天津 300192  
沈文 天津市第一中心医院放射科,天津 300192 shenwen66happy@163.com 
祁吉 天津市第一中心医院放射科,天津 300192  
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中文摘要:
      目的 探讨多层螺旋CT(MSCT)半自动法测量右半肝体积准确性及在活体肝移植(LDLT)中的应用价值。方法 对50例供体术前行MSCT四期增强扫描,用半自动法(IQQA-liver肝脏诊断辅助分析系统)于门静脉期测量右半肝体积与术中水测法所测体积进行相关分析及student's t检验。结果 半自动法和术中水测法所测肝体积分别为(770.36±151.19)cm3和(669.84±144.77)cm3;半自动法与术中水测法所测肝体积呈正相关(r=0.86,P<0.05);半自动法所测肝体积与术中水测法所测肝体积差值为101.36 cm3(95%可信区间为79.06~123.66 cm3)。结论 半自动法测量LDLT右半肝体积有较高准确性和可重复性,具有可靠的临床应用价值。
英文摘要:
      Objective To evaluate the accuracy of multi-detector spiral CT (MSCT) semi-automated volumetric measurement of right lobes and its value in living donor liver transplantation (LDLT). Methods Fifty donors underwent 4 phases MSCT. Pre-operative liver volumes of IQQA-liver semi-automated measurement (Vauto) in portal vein phase were compared with intra-operative measurement (Voper) by means of water displacement. Correlation co-efficient and student's t tests were used for statistical analysis. Results Pre-operative and intra-operative measurements of grafts resulted in a mean volume of (770.36±151.19)cm3 and (669.84±144.77)cm3, respectively. Corresponding pre- and intra-operative data correlated significantly with each other. There was positive correlation between liver volume measured according to Vauto and Voper (r=0.86, P<0.05). The mean difference between Vauto and Voper was 101.36 cm3, and 95% confidence interval was 79.06—123.66 cm3. Conclusion Semi-automated method can accurately and reliably measure the liver volume of right lobes.
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