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肾上腺素增强肾血管造影在肾肿块病变中的应用:是否值得进行?

Epinephrine-enhanced renal angiography in renal mass lesions: is it worth performing?

作者信息

Bosniak M A, Ambos M A, Madayag M A, Lefleur R S, Casarella W J

出版信息

AJR Am J Roentgenol. 1977 Oct;129(4):647-52. doi: 10.2214/ajr.129.4.647.

DOI:10.2214/ajr.129.4.647
PMID:70991
Abstract

In our experience, properly performed epinephrine-enhanced angiography is a useful technique to improve accuracy in the angiographic diagnosis of renal masses. This pharmacologic enhancement is helpful in establishing the benignity of some lesions, clearly establishing malignancy in those questionable by routine angiography, and actually detecting malignant lesions not seen at all on unenhanced angiograms. Six examples of these situations are illustrated. The basic principles and pitfalls in the performance of the technique as well as its limitations are discussed.

摘要

根据我们的经验,正确实施的肾上腺素增强血管造影术是一种有助于提高肾肿块血管造影诊断准确性的有用技术。这种药物增强有助于确定某些病变的良性,明确常规血管造影可疑病变的恶性性质,并实际检测出未增强血管造影完全看不到的恶性病变。文中举例说明了六种此类情况。讨论了该技术实施过程中的基本原理、陷阱及其局限性。

相似文献

1
Epinephrine-enhanced renal angiography in renal mass lesions: is it worth performing?肾上腺素增强肾血管造影在肾肿块病变中的应用:是否值得进行?
AJR Am J Roentgenol. 1977 Oct;129(4):647-52. doi: 10.2214/ajr.129.4.647.
2
Epinephrine enhanced renal angiography in the diagnosis of hamartoma (angiomyolipoma): a reevaluation.肾上腺素增强肾血管造影术在错构瘤(血管平滑肌脂肪瘤)诊断中的应用:一项重新评估
Radiology. 1979 Jul;132(1):61-6. doi: 10.1148/132.1.61.
3
The value of epinephrine in renal arteriography for the investigation of renal mass lesions.肾上腺素在肾动脉造影术用于肾肿块病变检查中的价值。
J Can Assoc Radiol. 1971 Mar;22(1):86-92.
4
Simulation of renal tumor response to epinephrine by inflammatory disease.炎症性疾病对肾肿瘤肾上腺素反应的模拟
Radiology. 1967 Dec;89(6):1062-4. doi: 10.1148/89.6.1062.
5
The value of epinephrine in the diagnosis of epidermoid carcinoma of the kidney.
Am J Roentgenol Radium Ther Nucl Med. 1971 Jul;112(3):600-2. doi: 10.2214/ajr.112.3.600.
6
Misleading appearances in renal angiography.肾血管造影中的误导性表现。
Radiology. 1967 Apr;88(4):691-700. doi: 10.1148/88.4.691.
7
Critical evaluation of renal masses' angiography.
Radiol Clin (Basel). 1977;46(3):165-84.
8
[Postmortem angiographic findings in focal kidney changes].
Fortschr Geb Rontgenstr Nuklearmed. 1967 Oct;107(4):457-76.
9
[The value of epinephrine-enhanced renal arteriography in the diagnosis of small renal cell carcinomas].[肾上腺素增强肾动脉造影在小肾癌诊断中的价值]
Rinsho Hoshasen. 1985 Aug;30(8):933-6.
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Association of subcapsular hematomas with the nonfunctioning kidney.包膜下血肿与无功能肾的关联。
Radiology. 1973 Mar;106(3):537-42. doi: 10.1148/106.3.537.

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