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[周围型肺腺癌与肺鳞癌:64排螺旋CT首过灌注成像评估]

[Peripheral lung adenocarcinoma versus squamous cell carcinoma: evaluation with first-pass perfusion imaging using 64-detector row CT].

作者信息

Li Yuan, Yang Zhigang, Chen Tianwu, Yu Jianqun, Deng Yuping, Li Zhenlin

机构信息

Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, China.

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2009 Apr;26(2):298-302.

Abstract

The aim of this study was to elucidate the characteristics of time attenuation curve and CT perfusion parameters for pulmonary adenocarcinomas and squamous cell carcinomas. 58 cases of pulmonary adenocarcinomas and 27 cases of squamous cell carcinomas underwent first pass CT perfusion imaging with 64-row MDCT. Data were analyzed using commercial software to generate time attenuation curve (TAC) and CT perfusion parameters, including perfusion, peak enhanced (PE), time to peak (TTP), and blood volume (BV). For TAC, there were 36.2% of type I and 63.8% of type II in adenocarcinomas, while there were 22.2% of type I and 77.8% of type II in squamous cell carcinomas. There was not significant difference (P>0.05). Perfusion, PE, TTP and BV of adenocarcinomas were 63.2 +/- 45.4 ml x min(-1) x ml(-1), 60.2 +/- 46.6 Hu, 34.8 +/- 10.2 s and 34.3 +/- 23.6 ml x 100 g(-1), respectively, while 54.3 +/- 50.2 ml x min(-1) x ml(-1), 48.5 +/- 34.9 Hu, 36.1 +/- 11.2 s and 27.6 +/- 21.7 ml x 100 g(-1), for squamous cell carcinoma, respectively. No significant differences were found between groups (P>0.05). No significant differences in TAC and CT perfusion parameters were found between adenocarcinomas and squamous cell carcinomas.

摘要

本研究旨在阐明肺腺癌和肺鳞癌的时间衰减曲线特征及CT灌注参数。58例肺腺癌和27例肺鳞癌患者接受了64排MDCT的首过CT灌注成像。使用商业软件分析数据以生成时间衰减曲线(TAC)和CT灌注参数,包括灌注、峰值强化(PE)、达峰时间(TTP)和血容量(BV)。对于TAC,腺癌中I型占36.2%,II型占63.8%,而肺鳞癌中I型占22.2%,II型占77.8%。差异无统计学意义(P>0.05)。腺癌的灌注、PE、TTP和BV分别为63.2±45.4 ml·min-1·ml-1、60.2±46.6 Hu、34.8±10.2 s和34.3±23.6 ml·100 g-1,而肺鳞癌分别为54.3±50.2 ml·min-1·ml-1、48.5±34.9 Hu、36.1±11.2 s和27.6±21.7 ml·100 g-1。组间差异无统计学意义(P>0.05)。肺腺癌和肺鳞癌在TAC和CT灌注参数方面未发现显著差异。

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