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Diagnostic Value of T-Staging of Gastric Carcinoma with Triphase Incremental Helical CT
郭华,高剑波,张焱,杨学华,李荫太
GUO Hua,GAO Jianbo,ZHAN GYan,et al(Department of Radiology,the First Teaching Hospital of Zhengzhou University,Zhengzhou 450052,China)
Abstract
Objective:To evaluate the enhancing characteristics of the normal gastric wall and gastric carcinoma with triphase incremental helical CT,and the diagnostic value of T-staging of gastric carcinoma.
Methods:Triphase incremental helical CT of the stomach with water-filling method was performed in 101 patients with gastric carcinoma.
Results:Ninety-nine patients were approved by postoperative pathology,the accuracy of T-staging was 81.8%. The accuracy of T-staging of multilayered structure of the normal gastric wall was marked higher than that of monolayer structure in arterial portal venous-phase. T-stage of 7 patient was wrong in the arterial-portal venous-phase but was corrected in the equilibrium-phase.
Conclusion:Triphase incremental helical CT improved the accuracy of T-staging of gastric carcinoma.
Key words:Stomach neoplasm;Staging;Helical CT
本研究旨在评价低张水充盈螺旋CT三期增强扫描正常胃壁及肿瘤的强化特点,及对胃癌T分期的诊断价值。
材料与方法
收集1997年2月至2000年4月胃低张水充盈螺旋CT三期增强扫描101例,其中早期胃癌5例,进展期胃癌96例,所有病例均经手术病理证实。男69例,女32例,年龄35~80岁,平均60岁。 |