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Results In 7 cases of odontoid process fracture, X-ray demonstrated 4 cases and CT demonstrated 5 cases, whereas the spiral CT reconstruction diagnosed 7 cases, which could display the displacement of fracture clearly. The X-ray and CT showed asymmetric space between left and right gaps of atlantoaxial joint in 6 cases, while spiral CT reconstruction showed normal and excluded the possibility of atlantoaxial dislocation. There was one case of lateral atlantoaxial joint dislocation, which was demonstrated by the spiral CT reconstruction clearly but not by the X-ray and CT scan. There were 3 cases of atlantoaxial congenital deformity (1 case of absence of both posterior arch of atlas and odontoid process and 2 cases of maldevelopment of the odontoid process), which were displayed clearly by spiral CT reconstruction, but misdiagnosed as odontoid process fracture and atlantoaxial subluxation by X-ray and CT scan.
结果 7例齿状突骨折中,X线显示4例,CT显示5例,CT重建确诊7例,且清楚显示骨折移位情况;6例X线、CT显示寰枢椎左右间隙不对称,通过CT重建排除寰枢关节半脱位;寰枢外侧关节脱位1例,CT重建可清楚显示,而X线片和CT平扫均未能显示;寰枢椎畸形3例,分别为齿状突、后弓缺如1例,齿状突发育不良2例,CT重建均能清楚显示,而X线、CT均误诊为齿状突骨折、寰枢椎半脱位。
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Second: Comparetive study of ordinary X-ray film, CT and 3D-CT in the jaws fractures. Ordinary X-ray film, CT and 3D-CT was performed in 61 cases of jaws fractures. The diagnosis of these three imaging methods was compared with each other and with the operation findings. The result shows that the fractures in body and angle part of mandibal could be shown excellently by all these imaging methods. 3D- CT is the best method in showing the mandibular fractures. Ordinary X- ray film is poor, and the accuracy of CT and 3D-CT is similar in showing the macxillary fractures.
二。颌骨骨折的常规X线、CT和三维CT对比研究:通过对61例不同类型的上、下颌骨骨折常规X线、CT和三维CT显示情况的对比分析,同时与手术结果相对照,结果表明对下颌骨体部和角部的骨折三种影像学检查均显示准确;对下颌骨髁状突骨折的显示三维CT优于CT和常规X线;对上颌骨骨折的显示常规X线显示较差,CT和三维CT显示准确率相似。
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Objective To analyze the CT and MRI manifestations of oral carcinoma,and to evaluate the value of imaging technologies in the diagnosis of oral carcinoma,thus to explore the most reasonable imaging method Methods 46 cases with oral carcinoma,proved by surgery and pathology (2 lip tumors,8 carcinomas of the gingival ridge,5 carcinomas of the buccal mucosa,24 tongue carcinomas,5 carcinomas of the floor of the mouth,2 tumors of the hard palate),were analysed retrospectively32 cases were examined with CT and 14 cases with MRIImaging presentations were compared with surgery and pathology Results Of the 46 cases with oral carcinoma,22 were ulcerative lesion of infiltrative growth,24 were masslike lesion of extruded trowthOf the 32 cases examined with CT scan,27 were detected,5 were missed,the 4 missed cases were confirmed to be superficial ulcers by surgery and pathologyOf the 10 cases with bone destruction examined with CT scan,8 were manifested,2 were missedAnd of the 14 cases with MRI scan,all 14 were detected Conclusion CT and MRI scan are valuable for diagnosis of oral carcinomasThey can manifest the morphology and size of primary tumor,contiguous structures,bone invasion and cervical lymph node metastasisMRI is the optimal imaging method for superficial ulcerative lesion of infiltratibe growth
中华硕博网核心提示:徐锋,罗德红,唐威,欧阳汉,周纯武关键词:口腔肿瘤目的分析口腔癌的CT及MRI表现,评价影像检查在口腔癌诊断中的应用价值,探徐锋,罗德红,唐威,欧阳汉,周纯武目的分析口腔癌的CT及MRI表现,评价影像检查在口腔癌诊断中的应用价值,探索合理的影像学检查方法。方法回顾性分析经手术及病理证实的口腔癌46例(唇癌2例,牙龈癌8例,颊黏膜癌5例,舌癌24例,口底癌5例,硬腭癌2例),其中32例行CT扫描,14例行MRI扫描,将影像表现与手术所见及病理结果进行对照分析。结果46例口腔癌中,呈浸润性生长的溃疡型病变22例,外生性生长的肿物型病变24例。CT扫描32例,明确显示病变27例,遗漏病变5例,其中4例为表浅溃疡型病变。CT扫描病例中,10例有骨质侵犯,CT扫描准确评价8例,遗漏2例。MRI扫描14例,均准确评价肿瘤及其与四周结构的关系。结论 CT、MRI对口腔癌原发肿瘤的形态、大小、四周结构侵犯、颈部淋巴结转移的评价有重要价值。对于较小及呈浸润性生长的表浅溃疡型肿瘤,CT扫描尤其是CT平扫难以准确显示,应首选MRI。
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look when I get there!I'm flying blind without a contrast ct here:没有对比ct,我简直是在盲飞 帮我看着点
We're looking for the bleed--|我们在找出血... | look when I get there!I'm flying blind without a contrast ct here.|没有对比ct,我简直是在盲飞 帮我看着点 | And with a p value of less than 0.001,|当P不到0....
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a CAT Scan Machine?|CT:扫描机
Paul went and bought himself a CAT Scan Machine.|保罗买了台CT扫描机 | a CAT Scan Machine?|CT扫描机? | Like a hospital CAT Scan Machine?|医院里那种CT扫描机?
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CT guided stereotaxis CT:导向立体定位
CT guided fine needle aspiration biopsy CT导向细针抽吸活组织检查 | CT guided stereotaxis CT导向立体定位 | CT intervention CT介入