李月考,赵媛媛,时高峰,王士杰,李如迅,许茜,王琦,杨丽,王亚宁,李敏,齐晓辉,冯会.双能CT碘含量分析早期诊断兔肝VX2肿瘤射频消融治疗后残癌[J].中国医学影像技术,2014,30(10):1450~1453
双能CT碘含量分析早期诊断兔肝VX2肿瘤射频消融治疗后残癌
Dual-energy CT iodine quantification in early diagnosis of residual tumor in rabbits with transplanted hepatic VX2 carcinoma after radiofrequency ablation
投稿时间:2014-03-25  修订日期:2014-07-16
DOI:
中文关键词:  肝肿瘤  消融技术  炎症  碘含量  体层摄影术, X线计算机
英文关键词:Liver neoplasms  Ablation techniques  Inflammation  Iodine quantification  Tomography, X-ray computed
基金项目:河北省卫生厅医学科学研究重要计划课题(20090152)、河北省高校强势特色学科资金支持项目(冀教高[2005]52号)。
作者单位E-mail
李月考 河北医科大学第四医院CT室, 河北 石家庄 050011  
赵媛媛 河北医科大学第一医院精神科, 河北 石家庄 050030 zhaoyuanyuan9955@163.com 
时高峰 河北医科大学第四医院CT室, 河北 石家庄 050011  
王士杰 河北医科大学第四医院CT室, 河北 石家庄 050011  
李如迅 河北医科大学第四医院CT室, 河北 石家庄 050011  
许茜 河北医科大学第四医院CT室, 河北 石家庄 050011  
王琦 河北医科大学第四医院CT室, 河北 石家庄 050011  
杨丽 河北医科大学第四医院CT室, 河北 石家庄 050011  
王亚宁 河北医科大学第四医院CT室, 河北 石家庄 050011  
李敏 河北医科大学第四医院CT室, 河北 石家庄 050011  
齐晓辉 河北医科大学第四医院CT室, 河北 石家庄 050011  
冯会 河北医科大学第四医院CT室, 河北 石家庄 050011  
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中文摘要:
      目的 探讨双能CT碘含量分析早期诊断兔肝VX2肿瘤射频消融(RFA)治疗后残癌的价值。方法 选取健康新西兰大白兔24只,建立兔肝VX2移植瘤模型,行不完全RFA,于消融治疗后第3(A组)、7(B组)、14(C组)、21天(D组)行双能CT多期增强扫描及碘含量分析,然后处死模型兔,进行病理学检查,比较不同时间点残癌与及炎症带碘摄取值的差异。结果 RFA术后,C组动脉期、D组动脉期及静脉期残癌的碘浓度和标准碘浓度均明显高于炎症反应区碘浓度值(P均<0.05。A组、B组残癌与炎症反应区碘浓度及标准碘浓度的差异均无统计学意义(P均>0.05)。结论 双能CT碘含量分析有助于兔肝VX2肿瘤模型RFA治疗后残癌的早期诊断。
英文摘要:
      Objective To explore the value of dual-energy CT (DECT) iodine quantification in early diagnosis of residual tumor in rabbits with transplanted hepatic VX2 carcinoma after radiofrequency ablation (RFA). Methods Twenty-four New Zealand rabbits were selected to establish hepatocellular carcinoma models by implanting VX2 tumor fragments into liver. DECT iodine quantification were performed 3th (group A), 7th (group B), 14th (group C) and 21st day (group D) after incomplete RFA (each n=6). And then the pathological examination were performed to differentiate benign periablational reactive tissue from residual tumor, and the differences of iodine concentration were compared between them. Results The iodine concentration and normalized iodine concentrations (lesion-to-aorta iodine ratio) of residual tumor were significantly higher than those of benign periablational reactive tissue in group C during the arterial phase, group D during both the arterial phase and the portal venous phase (all P<0.05), but there was no significant difference in group A and group B (all P>0.05). Conclusion DECT iodine quantification is helpful for early diagnosis of residual tumor in rabbits with transplanted hepatic VX2 carcinoma after RFA.
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