Kim J H, Park S H, Hong H S, Auh Y H
Department of Radiology, Soonchunhyang University Hospital, 657 Hannam-Dong, Youngsan-Ku, Seoul 140-743, Korea.
Abdom Imaging. 2005 Sep-Oct;30(5):509-17. doi: 10.1007/s00261-004-0282-4.
The rapid dissemination of multidetector-row computed tomographic (CT) technology will make faster and more accurate gastric imagining available. Two-dimensional multiplanar reconstruction and CT gastrography including virtual gastroscopy and transparency rendering using volume rendering are types of interactive two- and three-dimensional medical imaging tools. It provides multiplanar cross-sectional imaging, gastroscopic viewing, and upper gastrointestinal series imaging in the same data acquisition. Two-dimensional multiplanar reconstruction provides accurate staging of gastric cancer and extraluminal information such as lymphadenopathy and distant metastasis. Virtual gastroscopy detects subtle mucosal changes and differentiates them from submucosal lesions in the same way as gastroscopy. Transparency rendering provides global orientation of the focal findings in the stomach in the same way as upper gastrointestinal series findings and provides useful information for preoperative mapping. Thus, CT gastrography is a promising method for evaluating gastric lesion despite its limitations.
多排螺旋计算机断层扫描(CT)技术的迅速普及将使更快、更准确的胃部成像成为可能。二维多平面重建和CT胃造影,包括虚拟胃镜检查和使用容积再现的透明渲染,是交互式二维和三维医学成像工具的类型。它在同一数据采集中提供多平面断层成像、胃镜观察和上消化道造影成像。二维多平面重建可对胃癌进行准确分期,并提供诸如淋巴结病和远处转移等腔外信息。虚拟胃镜检查能检测细微的黏膜变化,并以与胃镜检查相同的方式将其与黏膜下病变区分开来。透明渲染以上消化道造影检查结果相同的方式提供胃部病灶的整体定位,并为术前定位提供有用信息。因此,尽管CT胃造影有其局限性,但它仍是一种很有前景的评估胃部病变的方法。