山东大学耳鼻喉眼学报 ›› 2011, Vol. 25 ›› Issue (3): 25-27.

• 论文 • 上一篇    下一篇

多层螺旋CT后处理技术对下咽癌评估的价值

曹汉海1,丁海霞2,彭洪娟3   

  1. 1.日照市人民医院耳鼻喉科, 山东 日照  276800; 2.日照市岚山区高兴医院药剂科, 山东 日照  276811;3.山东省医学影像研究所CT室, 济南 250021
  • 收稿日期:2011-03-27 修回日期:2011-05-27 出版日期:2011-06-16 发布日期:2011-06-16
  • 作者简介:曹汉海(1972- ),男,主治医师,主要从事耳鼻咽喉临床研究。 Email:chhrz@163.com

CAO Han-hai1, DING Hai-xia2, PENG Hong-juan3   

  1. 1. Department of otolaryngological, People′s Hospital of Rizhao, Rizhao 276800, Shandong, China;
    2. Department of Pharmacy, Rizhao Gaoxing Hospital, Rizhao 276811, Shandong,  China;
    3. CT Room, Shandong Medical Imaging Research Institute, Jinan 250021, China
  • Received:2011-03-27 Revised:2011-05-27 Online:2011-06-16 Published:2011-06-16

摘要:

目的      探讨多层螺旋CT后处理技术对下咽癌诊断及周围组织侵犯的评估价值。方法      回顾性分析23例经病理证实的下咽癌CT横轴位图像及其多平面重建(MPR)和透明化容积重组技术(VRT)重建图像的病历资料,对下咽癌的浸润范围进行评估。结果      23例轴位图像下咽部均可见异常软组织影,其中8例可见喉软骨破坏,13例可见颈部淋巴结转移,MPR和透明化VRT重建显示17例梨状窝扭曲、变窄甚至消失。结论       CT轴位图像结合MPR和透明化VRT重建图像能更加准确、直观地显示下咽癌的浸润范围,更准确的评估下咽癌。

 

关键词: 下咽癌;图像后处理,计算机辅助;体层摄影术,X线计算机

Abstract:

Objective     To evaluate the clinical application of MDCT after-treatment technology in the evaluation of hypopharyngeal carcinoma and its invasibility. Methods      Twenty-three patients with hypopharyngeal carcinoma confirmed by pathology underwent CT scans. Images of axial, multiplaner reconstruction (MPR) and transparent 3D volume rendering technique (VRT) of all patients were retrospectively analyzed. Results     Of 23 cases, there was abnormal soft tissue shown in axial images, including 8 cases of visible laryngeal cartilage destruction and 13 cases of visible cervical lymph node metastases. Also, MPR and transparent VRT reconstruction demonstrated 17 cases of distorted, narrowed, or even an absent piriform sinus. Conclusion     CT axial images combining MPR and transparent VRT reconstruction can accurately and directly  show infiltrations of hypopharyngeal carcinoma .

Key words: Hypopharyngeal carcinoma; Image postprocessing, computer assisted; Tomography, X-ray computed

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