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计算机断层扫描未能显示下腔静脉的腹部部分:潜在腹部病变的一个线索。

Failure to visualise the abdominal portion of the inferior vena cava with computed tomography: a clue to underlying abdominal pathology.

作者信息

Stanley J H, Sanchez F, Vujic I, Schabel S I

出版信息

Br J Radiol. 1986 Dec;59(708):1163-6. doi: 10.1259/0007-1285-59-708-1163.

DOI:10.1259/0007-1285-59-708-1163
PMID:3801795
Abstract

Failure to visualise the intra-abdominal portion of the inferior vena cava (IVC) using contrast-enhanced computed tomography (CT) is unusual. A review of 1272 contrast-enhanced abdominal CT examinations revealed that the IVC was not visible at one or more levels in only 132 (10.4%). In 57 (43%), non-visualisation was due to pathological processes, most frequently metastatic carcinoma, causing compression or thrombosis of the IVC. In the remainder, technical factors or artefacts could explain the non-visualisation. Techniques and procedures to improve visualisation of the IVC are discussed. Failure to visualise the IVC on CT at any level unexplained by artefacts is abnormal.

摘要

使用对比增强计算机断层扫描(CT)未能显示下腔静脉(IVC)的腹内部分是不常见的。对1272例对比增强腹部CT检查的回顾显示,仅132例(10.4%)在一个或多个层面上看不到IVC。在57例(43%)中,未能显示是由于病理过程,最常见的是转移性癌,导致IVC受压或血栓形成。在其余病例中,技术因素或伪影可解释未能显示的原因。讨论了改善IVC显示的技术和程序。在CT上未能在任何层面显示IVC且无法用伪影解释是异常的。

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