摘要
合并门静脉癌栓的原发性肝癌患者容易加剧肝功能的恶化导致肝内及远处的转移,对其治疗是难点,而且该类患者往往预后较差。门静脉癌栓的临床发生率高,主要治疗方式包括外科手术治疗、介入治疗及内科治疗。在有关门静脉癌栓的诸多问题中,明确其血供来源,对于外科、介入及影像学有着重要意义。随着影像学的进步,利用CT灌注成像及能谱成像的多参数特点,有希望定量评估分析癌栓的动静脉血流来源及比例,从而指导有效的治疗方式的展开。该文对肝细胞肝癌并门静脉癌栓的CT灌注成像及治疗方法做一概述,旨在为改善晚期肝癌合并门静脉癌栓患者预后提供理论依据。
Intrahepatic and distant metastasis may easily occur generated by the deterioration of liver function in primary liver cancer patients with portal vein tumor thrombus who has poor prognosis.The clinical incidence of portal vein cancer thrombus is high.Nowadays,the popular treatments include surgical treatment,interventional treatment and medical treatment.It is important to clarify the blood supply in the treatment of portal vein tumor thrombus.With the progress of imaging,the proportion of arterial and venous blood flow of tumor thrombus blood supply can be quantitatively evaluated by using the multi-parameter characteristics of CT perfusion imaging and energy spectrum imaging,so as to guide the development of effective treatment methods.
作者
潘春涵
沈文荣
乔伟
李康
张秀明
PAN Chunhan;SHEN Wenrong;QIAO Wei;LI Kang;ZHANG Xiuming(Imaging Center,Jiangsu Cancer Hospital/Jiangsu Institute of Cancer Research/The Affiliated Cancer Hospital of Nanjing Medical University,Nanjing 210009,China)
出处
《中国肿瘤外科杂志》
CAS
2022年第5期504-508,共5页
Chinese Journal of Surgical Oncology
基金
江苏省医学会伦琴影像科研专项资金项目(SYH-3201150-0008(2021003)。
关键词
肝细胞肝癌
门脉癌栓
CT灌注成像
Hepatocellular carcinoma
Portal vein tumor thrombus
CT perfusion imaging
