Kohno A, Yoshikawa W, Yunoki M
Department of Radiology, Seibo International Catholic Hospital.
Nihon Rinsho. 1996 May;54(5):1249-54.
Although CT is one of major diagnostic imaging methods, the role of CT in the detection and diagnosis of early carcinomas depends on the organ and character of the tumors. Because difference in attenuation between lung parenchyma and carcinomas is large, contrast enhanced CT is not effective to diagnose early lung carcinoma. However, difference in attenuation between parenchyma and tumor is small and change of the contour of the organ is not seen in many cases of small carcinomas in the liver, pancreas and kidneys, therefore helical (spiral) CT with contrast enhancement has markedly improved the diagnostic capability of small carcinomas in these organs. In the biliary tract, bladder, uterus and prostate small carcinomas can not be detected even on enhanced helical CT.
虽然CT是主要的诊断成像方法之一,但CT在早期癌的检测和诊断中的作用取决于肿瘤的器官和特征。由于肺实质与癌之间的衰减差异很大,增强CT对早期肺癌的诊断效果不佳。然而,在肝脏、胰腺和肾脏的许多小癌病例中,实质与肿瘤之间的衰减差异很小,且器官轮廓在很多情况下没有变化,因此,增强螺旋CT显著提高了这些器官小癌的诊断能力。在胆道、膀胱、子宫和前列腺,即使是增强螺旋CT也无法检测出小癌。