Division of Radiology, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, 14186, Stockholm, Sweden; Department of Abdominal Radiology, Karolinska University Hospital, 14186, Stockholm, Sweden.
Division of Radiology, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, 14186, Stockholm, Sweden; Department of Abdominal Radiology, Karolinska University Hospital, 14186, Stockholm, Sweden.
Eur J Radiol. 2017 Dec;97:101-109. doi: 10.1016/j.ejrad.2017.10.026. Epub 2017 Oct 27.
Multi-detector computed tomography is today the workhorse in the evaluation of the vast majority of patients with known or suspected liver disease. Reasons for that include widespread availability, robustness and repeatability of the technique, time-efficient image acquisitions of large body volumes, high temporal and spatial resolution as well as multiple post-processing capabilities. However, as the technique employs ionizing radiation and intravenous iodine-based contrast media, the associated potential risks have to be taken into account. In this review article, liver protocols in clinical practice are discussed with emphasis on optimisation strategies. Furthermore, recent developments such as perfusion CT and dual-energy CT and their applications are presented.
多排螺旋 CT 目前是绝大多数已知或疑似肝脏疾病患者的主要检查手段。其原因包括:技术的广泛适用性、稳健性和可重复性、对大体积身体部位进行高效省时的图像采集、较高的时间和空间分辨率以及多种后处理功能。然而,由于该技术采用电离辐射和静脉内碘基造影剂,因此必须考虑到相关的潜在风险。在这篇综述文章中,我们讨论了临床实践中的肝脏方案,重点介绍了优化策略。此外,还介绍了灌注 CT 和双能 CT 等新技术及其应用。