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objective to analyze the ct appearance of thyroid carcinoma and the differential diagnosis of various thyroid disease.methods 83 cases of thyroid carcinoma and 119 cases of various benign disease with surgical and pathologically proved were analyzed retrospectively.results the ct findings of 83 cases of thyroid carcinoma include:ill defined nodules boundary (n=62),irregular necrosis(n=59),cystic(n=23),"peninsula" enhancing tubercles around the tumour(n=25),"mastoid" tubercles around the tumour(n=11),calcification(n=55) including large scale(n=27) and local(n=28),trachea invasion(n=15),neck or supraclavicular lymph node metastasis(n=27),the accurate of ct to differentia benignancy from malignancy on thyroid disease was 93.6%(189/202).conclusions "peninsula" enhancing tubercles was the characteristic sing of thyroid carcinoma,"mastoid" enhancing tubercles or large scale calcification was the affirmative sign,the ct signs was vary useful to differentiating thyroid disease.

摘 要]目的:分析甲状腺癌的ct表现及鉴别诊断要点。方法:回顾性分析经手术病理证实的83例甲状腺癌和119例甲状腺良性病变的ct表现,归纳总结不同病变的ct特征。结果:83例甲状腺癌中:边界不清62例,不规则坏死59例,囊性变23例,出现"半岛状"强化结节25例,"乳头状"强化结节11例,钙化55例(其中弥漫性钙化27例、局灶钙化28例),侵犯气管15例,颈部或锁骨上淋巴结肿大27例,ct对甲状腺病变的良恶性鉴别诊断符合率93.6%(189/202)。结论:"半岛状"强化结节是甲状腺癌的特征性表现,"乳头状"强化结节及弥漫性钙化可做为甲状腺癌的肯定性征象,掌握各种甲状腺病变的ct表现特点,对病变的定性诊断及鉴别诊断具有重要意义。

The presence of early CT signs has been reported to be a predictive sign of hemorrhagic complications after reperfusion therapies[4, 5, 13 18]. Our study has also demonstrated that the rate of symptomatic hemorrhagic complications showed a tendency to increase as the grade of early CT signs increased, although a statically significant difference was not proved. A grade III CT sign may be a predictive sign for hemorrhagic complications after reperfusion therapy. In contrast, the presence of a grade I CT sign may not contraindicate reperfusion therapy.

本研究也显示:尽管彼此间均无统计学显著差异,但血管内再通治疗后症状性出血并发症的发生率,在深部大脑中动脉分布区未出现早期CT征象的患者、出现I级早期CT征象(细微低密度区局限于岛叶,基底节区正常)的患者、出现II级早期CT征象(部分壳核后外侧区出现低密度)的患者、出现III级早期CT征象(整个豆状核区均出现低密度)的患者中,呈逐渐增加的趋势。

objective to evaluate early signs of avascular necrosis of femoral head in adult by ct and to guide clinical treatment.methods the cases with suspicious diagnose of anfh were scaned in the both hip joints by x ray and ct to find the early signs of anfh with ct.results early signs of anfh using ct showed that, in 38 femoral heads 31 cases, there were radiate star shape of high density osteosclerosis of the trabeculae in 13 femoral head.twenty five femoral heads showed osteosclerosis and trabeculae structure disappearing and vague,incoordinately low ostedensity area and cyst change.there were fracture under the cartilage and light subsid in 5 cases.the cases in stage ⅰwere given decompression, while the pationtsresul in stageⅱand stageⅲ were given decompression and ostetransplant.conclusion ct results show that the sign of the high osteodensity and low osteodensity and cyst change can disply early anfh.

摘 要]目的:探讨成人股骨头缺血性坏死的早期ct征象并指导临床治疗。方法:对临床疑诊anfh的全部病例均行x线平片及ct检查,分析anfh的早期ct征象。结果:早期anfh的ct表现:31例38个股骨头,其中13个股骨头骨小梁呈放射状高密度的"星状征",骨小梁境界清楚、锐利,属ⅰ期;25个股骨头表现为骨硬化,骨小梁结构消失、模糊不清,骨密度减低及囊性改变,属ⅱ期;并有5个股骨头在ⅱ期影像学改变基础上出现软骨下骨折及轻微塌陷,属ⅲ期。治疗结果:ⅰ期行钻孔髓内减压术,ⅱ、ⅲ期行钻孔减压植骨术。

Methods Ninety NSCLC patients underwent curative surgical resection after integrated 18F-FDG PET/CT and chest breath-hold spiral CT examination. Two experienced radiologists blindedly staged all primary tumors in consensus by CT and PET/CT images.

90例经手术病理证实的NSCLC患者均于原发肿瘤切除术前行18F-FDG PET/CT和胸部屏气螺旋CT扫描,由两名有PET/CT诊断经验的影像医师采用双盲法分别根据屏气CT和PET/CT图像对肿瘤行T分期。

Results:Fractures in body,angle and ascending branch of mandible could be showed fine by all these imaging methods. 3D-CT was better than 2D-CT and conventional X-ray plain film in diagnosis of fractures in condyle and coronoid process. Conventional X-ray plain film was poor in diagnosis of the maxillary fractures.2D-CT and 3D-CT were similar in diagnosis of the maxillary fractures.3D-CT showed the jaws fractures directly and stereoscopicly.

结果:对于下颌骨体部、角部和升支骨折,三种影像学都能很好的显示,对于髁状突和喙突骨折,三维CT检查优于常规X线和二维CT;常规X线显示上颌骨骨折较差,而二维CT和三维CT显示的准确性比较接近。

Results High dense renal cyst is usually homogeneous hypoechogenicity on sonograms and homogeneous high/iso attenuation on CT images and color doppler is helpful in diagnosing.Atypical angiomyolipoma usually shows homogeneous high attenuation on unenhanced CT images,homogeneous enhancement on enhanced CT and homogeneous isoechogenicity on sonograms.The CT features of Xanthogranulomatous pyelonephritisinclude multiple,rounded,low density areas with enhancing rings arranged in a hydronephrotic pattern known as bear paw sign.Acute focal bacterial nephritisshows wedge lesion and stripe sign on delayed enhanced CT images.

结果 高密度肾囊肿常表现为B超均匀低回声,CT均质或高密度灶,彩色多普勒超声有助诊断;不典型肾血管肌脂瘤常表现为B超均匀回声,CT平扫均质高密度且均匀强化;黄色肉芽肿性肾盂肾炎的特征是CT示群集的类圆形的低密度区以及环形增强带形成&熊掌征&;急性局限性细菌性肾炎的CT延时增强扫描以及动态观察显示楔形病灶以及条纹征,并随治疗逐渐消退。

40 cases of imitated adult patients with ankylosing spondylitis underwent routine intersect CT scan and high-resolution lamellar multislice spiral CT scan. The CT images and ranking of sacroiliitis were analyzed respectively, following the CT-guided piqure biopsy on cacroiliac joint. CT result was contrasted with pathology result.

对40例临床拟诊成人型强直性脊柱炎的患者进行常规横断CT扫描及多层螺旋CT薄层高分辨率扫描,分别对骶髂关节炎的CT表现及分级进行分析,并在CT引导下对该组病人进行骶髂关节穿刺活检,将CT结果分别与病理结果相对比。

Results: In 2007, we provided 602 SPET/CT services in myocardial perfusion scan for attenuation correction and 202 SPET/CT services in other scans for image fusion. Among 64 regional bone SPET/CT services, we noted 2 (3.13%) significant motion artifacts and 2 (3.13%) streak artifacts induced by beam hardening effect while among 25 Ga-67 local SPET/CT services. According to the features including low tube currents and slow rotating speed of this SPET/CT, some problems such as the patient safety, longer scan time, alignment mismatch and radiation protection would be analyzed and discussed.

结果:2007年804例SPET/CT造影中,602例心肌血流灌注断层摄影进行衰减校正,共202例病例进行影像融合,其中鎝-99m-MDP局部SPET/CT发生「影像上明显可见的移动假影」的比例为3.13%(2/64),镓-67局部SPET/CT发生移动假影的比钊则为24%(6/25),因射束硬化效应所造成的条状假影有产生干扰融合影像判读的情形,其他问题包括SPET/CT之CT低管球电压及低转速之机器特性、受检者的安全、较长的造影时间、对位错误及辐射防护筝。

Finally: CT diagnoses the acute appendicitis: 55 examples acute purulent appendicitis CT correctly diagnoses 51 examples. 8 examples appendices gangrene partner perforates the CT inspection to have exceptionally. 19 examples pure appendicitis CT inspection discovered 10 examples appendices increase thickly, the CT diagnosis rate is 52.6%.

结果:CT诊断急性阑尾炎:55例急性化脓性阑尾炎CT正确诊断51例。8例阑尾坏疽伴穿孔CT检查均有异常。19例单纯性阑尾炎CT检查发现10例阑尾增粗,CT的诊断率为52.6%。

objective to evaluate early signs of avascular necrosis of femoral head in adult by ct and to guide clinical treatment.methods the cases with suspicious diagnose of anfh were scaned in the both hip joints by x ray and ct to find the early signs of anfh with ct.results early signs of anfh using ct showed that, in 38 femoral heads 31 cases, there were radiate star shape of high density osteosclerosis of the trabeculae in 13 femoral head.twenty five femoral heads showed osteosclerosis and trabeculae structure disappearing and vague,incoordinately low ostedensity area and cyst change.there were fracture under the cartilage and light subsid in 5 cases.the cases in stage ⅰwere given decompression, while the pationtsresul in stageⅱand stageⅲ were given decompression and ostetransplant.conclusion ct results show that the sign of the high osteodensity and low osteodensity and cyst change can disply early anfh.

摘 要]目的:探讨成人股骨头缺血性坏死的早期ct征象并指导临床治疗。方法:对临床疑诊anfh的全部病例均行x线平片及ct检查,分析anfh的早期ct征象。结果:早期anfh的ct表现:31例38个股骨头,其中13个股骨头骨小梁呈放射状高密度的&星状征&,骨小梁境界清楚、锐利,属ⅰ期;25个股骨头表现为骨硬化,骨小梁结构消失、模糊不清,骨密度减低及囊性改变,属ⅱ期;并有5个股骨头在ⅱ期影像学改变基础上出现软骨下骨折及轻微塌陷,属ⅲ期。治疗结果:ⅰ期行钻孔髓内减压术,ⅱ、ⅲ期行钻孔减压植骨术。

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