Zeman R K, Cronan J J, Rosenfield A T, Lynch J H, Jaffe M H, Clark L R
Department of Radiology, Georgetown University Hospital, Washington, DC 20007.
Radiology. 1988 May;167(2):393-6. doi: 10.1148/radiology.167.2.3357945.
Dynamic thin-section computed tomography (CT) was used to evaluate renal cell carcinoma in 80 patients. The lesion was correctly staged with CT in 90% of patients. With use of the dynamic technique, the ipsilateral renal vein was depicted in 99% of patients. Extension of the tumor to the renal vein or the inferior vena cava was correctly detected in 18 of 19 patients. Actual depiction of tumor thrombus was a far more accurate indicator of renal vein invasion than was the identification of isolated renal vein enlargement. Dynamic thin-section CT of the kidney should be considered the routine method for comparison studies with other newer cross-sectional techniques in the evaluation of renal cell carcinoma.
动态薄层计算机断层扫描(CT)用于评估80例肾细胞癌患者。90%的患者通过CT对病变进行了正确分期。采用动态技术,99%的患者显示出同侧肾静脉。19例患者中有18例正确检测到肿瘤延伸至肾静脉或下腔静脉。与孤立肾静脉增粗的识别相比,肿瘤血栓的实际显示是肾静脉侵犯更准确的指标。在肾细胞癌评估中,肾脏动态薄层CT应被视为与其他更新的横断面技术进行比较研究的常规方法。