超聲造影與增強螺旋CT在腎腫瘤診斷中的對照研究.pdf

1、山西醫(yī)科大學碩士學位論文超聲造影與增強螺旋CT在腎腫瘤診斷中的對照研究姓名：宋慶飛申請學位級別：碩士專業(yè)：影像醫(yī)學與核醫(yī)學指導教師：王健20100513山I!Ii醫(yī)科人學碩上學位論文AcomparisOnstudybet、7’reenimagingfeaturesofcontrastenhancedhelicalComputedTomographyandcontrast—enhancedUltrasoundindiagnosisofRe

2、naltumorsAbstractobjectiVe：’rbexplorethee11hancedcharacteristicsofrenaltumorswlthcon仃aLstenhancedultrasound(CEUS)ToaSsessmec印acityoft0detectrenaltllmorscoInparedw弛contrast—eIlllancedhelicalcomputedtomo伊aphy(CECT)Methods：

3、CEUSa11dCECTwerepe響medin52ConseCutiVepatientswithrenalmassesCEUSimagesanddi舀talcine—clipsofCEUSwereeValuatedbytwoind印elldelltreaderSblindedtoCEUSandCECTfindingsARereValuationofimageaccoFdingtosize，shape，edge，e11Velope，in

4、tenlalecho，bloodflow，enhancedmodea11dwhetherthechamct嘶sticsofliquemctionnecrosisoftherenal1esionsT11erea(1erswereaskedtoassi鰓adia印osisaccordingtoafiVe黟adescale(1，definitelyabseIlt；2，probablyabsent；3，indetenninate；4，proba

5、blypreseIlt；5，definitelypresent)52Hist010百cdia黟losisofrenaltumorwaSsu蟛callyobtainedinallpatientsReceiVeroperatingchamcteristic(ROC)cun，eanalysiswasemployedtoassesstheoVerallC0n6deIlceofdia印osisofrellaltumorwimt11reedia班o

6、sisResults：①Enhancementpa戧emsofCEUsandCECTinthem旬ori夠ofrenalcancerSshowedaLspresenceoff致waSh—inaIldf瓠twasho危hlthemali印antreIlalt咖orsa11db“印renalturn吣，T11erewasnosi嘶fic砌di腦e11cebe鉀eeIlCEUSandCECTinthedia盟osisforeIlllanced

7、si盟alinteIlsity②Itw弱sho、)l，nmattheROCcurvefordiagnosiswithcombinationofCEUSandCECTwasclosertotheidealdis嘶minalion6mctionthanthosewimCEUSaIldCECTaloneTheareaunderROCcurVefordiagnosiswimcombinationofCEUSandCECT(0905)waslar

8、gerthanthatwithCEUS(O887)orCECT(O874)Conclusions：CEUSandCECTshowedconsistentresultsindemonstratingeIlllallcenlentp齜enlsa11de1111a11cedsi弘alintensityofmali鱸鋤trellaltllmorsCEUSaIldCECTmayalsobeofvalueineValuatinga11ddif融饑t