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计算机断层扫描的尸检相关性:6000例CT扫描经验

Autopsy correlations of computerized tomography: experience with 6,000 CT scans.

作者信息

Jacobs L, Kinkel W R, Heffner R R

出版信息

Neurology. 1976 Dec;26(12):1111-8. doi: 10.1212/wnl.26.12.1111.

DOI:10.1212/wnl.26.12.1111
PMID:186726
Abstract

Seventy-nine autopsy correlations of CT scans showed (1) excellent correlations in normal brains, but the size of the lateral ventricles consistently larger during life than after death; (2) a distinctive pattern differentiating obstructive from nonobstructive hydrocephalus; (3) infarctions appearing as areas of decreased densities of parenchyma in vascular distributions; (4) distinctive high density appearances of hemorrhages that differentiated them from infarctions and, in general, all other pathologic processes; (5) supratentorial, intraventricular, and posterior fossa tumors appearing as masses that displaced, distorted, collapsed, and enlarged normal spaces and structures such as ventricles and pineal gland; (6) 11 false-negative CT scans in some cases of brain stem infarction, brain stem hemorrhage, and small metastasis; and (7) an overall accuracy of 86.2 percent of CT scanning in correctly identifying pathology of the brain.

摘要

79例CT扫描与尸检的对照研究显示:(1) 在正常脑内两者相关性极佳,但生前侧脑室的大小始终大于死后;(2) 存在一种区分梗阻性脑积水与非梗阻性脑积水的独特模式;(3) 梗死灶在血管分布区域表现为脑实质密度减低区;(4) 出血灶呈现出独特的高密度表现,使其有别于梗死灶以及一般的所有其他病理过程;(5) 幕上、脑室内及后颅窝肿瘤表现为肿块,这些肿块使脑室和松果体等正常间隙和结构发生移位、变形、塌陷及扩大;(6) 在一些脑干梗死、脑干出血及小转移瘤病例中出现11例假阴性CT扫描结果;(7) CT扫描在正确识别脑部病变方面的总体准确率为86.2%。

相似文献

1
Autopsy correlations of computerized tomography: experience with 6,000 CT scans.计算机断层扫描的尸检相关性:6000例CT扫描经验
Neurology. 1976 Dec;26(12):1111-8. doi: 10.1212/wnl.26.12.1111.
2
Computed tomography of the brain.
Curr Probl Diagn Radiol. 1976 Jul-Aug;6(4):1-60. doi: 10.1016/s0363-0188(76)80005-9.
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Computerized axial tomography: clinicopathologic correlation.计算机断层扫描:临床病理相关性
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Craniocerebral computed tomography in the neonate.
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Computed tomography: evaluation of the posterior third ventricle.计算机断层扫描:第三脑室后部的评估
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[Computerized tomography in pediatrics (author's transl)].
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Sequential CT scanning after neonatal intracerebral hemorrhage.新生儿脑出血后的序贯CT扫描
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[Computer tomography of the brain in neurology].[神经病学中的脑部计算机断层扫描]
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Imaging recommendations for acute stroke and transient ischemic attack patients: A joint statement by the American Society of Neuroradiology, the American College of Radiology, and the Society of NeuroInterventional Surgery.急性卒中和短暂性脑缺血发作患者影像学推荐:美国神经放射学会、美国放射学院和神经介入外科学会的联合声明。
AJNR Am J Neuroradiol. 2013 Nov-Dec;34(11):E117-27. doi: 10.3174/ajnr.A3690. Epub 2013 Aug 1.
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Imaging and treatment of patients with acute stroke: an evidence-based review.
急性中风患者的影像学检查与治疗:一项基于证据的综述。
AJNR Am J Neuroradiol. 2014 Jun;35(6):1045-51. doi: 10.3174/ajnr.A3518. Epub 2013 Apr 18.
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Traumatic brainstem hemorrhage presenting with hemiparesis.表现为偏瘫的创伤性脑干出血。
J Korean Neurosurg Soc. 2009 Mar;45(3):176-8. doi: 10.3340/jkns.2009.45.3.176. Epub 2009 Mar 31.
5
Computed tomography findings in senile dementia and normal aging.老年痴呆症与正常衰老的计算机断层扫描结果
J Neurol Neurosurg Psychiatry. 1982 Jan;45(1):50-4. doi: 10.1136/jnnp.45.1.50.
6
Morphological verifications in computerized axial tomography of the brain.
Neurosci Behav Physiol. 1985 Jan-Feb;15(1):33-8. doi: 10.1007/BF01186446.
7
Spontaneous intraventricular haemorrhage.
J Neurol. 1987 May;234(4):233-6. doi: 10.1007/BF00618255.
8
Assessing the autopsy.评估尸检情况。
Am J Pathol. 1987 Aug;128(2):362-79.
9
Correlation of neuropathologic findings, computerized tomographic and high-resolution ultrasound scans of canine avian sarcoma virus-induced brain tumors.犬禽肉瘤病毒诱导的脑肿瘤的神经病理学发现、计算机断层扫描和高分辨率超声扫描的相关性
J Neurooncol. 1987;4(3):243-68. doi: 10.1007/BF00150616.
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Malignant glioma: its initial presentation as intracranial haemorrhage.恶性胶质瘤:最初表现为颅内出血。
Acta Neurochir (Wien). 1979;46(1-2):77-84. doi: 10.1007/BF01407682.