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肾上腺计算机断层扫描检查的适应证(作者译)

[Indications for the computer tomographic investigation of the suprarenal gland (author's transl)].

作者信息

Hübener K H, Grehn S, Schulze K

出版信息

Rofo. 1980 Jan;132(1):37-44. doi: 10.1055/s-2008-1056520.

Abstract

The introduction of the third and fourth generation of CT scanners (scan times of 1 to 20 seconds) has brought about a change in the choice of methods for investigating suspected suprarenal disease. The excellent spacial resolution of CT scans permits accurate evaluation of minor changes in the gland. As a result, it is often possible to avoid invasive diagnostic procedures. The typical pathological findings, which can be seen on computer tomograms, are demonstrated and discussed, beginning with the most important abnormalities of the suprarenals. The value of contrast enhancement in various conditions was investigated. Computer tomography is now the most important means of diagnosing suspected suprarenal gland disease, both with regard to specificity and accuracy. Ultrasound is useful as a survey method, whereas angiography is being displaced as a result.

摘要

第三代和第四代CT扫描仪(扫描时间为1至20秒)的引入,改变了对疑似肾上腺疾病的检查方法选择。CT扫描出色的空间分辨率能够准确评估肾上腺的微小变化。因此,常常可以避免进行侵入性诊断程序。从肾上腺最重要的异常情况开始,展示并讨论了在计算机断层扫描上可见的典型病理表现。研究了不同情况下对比增强的价值。就特异性和准确性而言,计算机断层扫描现在是诊断疑似肾上腺疾病的最重要手段。超声作为一种筛查方法很有用,而血管造影术因此正在被取代。

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