AIM： To retrospectively analyze the imaging features of solid-pseudopapillary tumors （SPTs） of the pancreas on multi-detector row computed tomography （MDCT） and define the imaging findings suggestive of malignant...AIM： To retrospectively analyze the imaging features of solid-pseudopapillary tumors （SPTs） of the pancreas on multi-detector row computed tomography （MDCT） and define the imaging findings suggestive of malignant potential. METHODS： A total of 24 consecutive cases with surgically and pathologically confirmed SPTs of the pancreas underwent preoperative abdominal MDCT studies in our hospital. All axial CT images, CT angiographic images, and coronally and sagittally reformed images were obtained. The images were retrospectively reviewed at interactive picture archiving and communication system workstations. RESULTS： Of the 24 cases of SPTs, 11 cases （45.8%） occurred in the pancreatic head and seven （29.1%） in the tail. Eighteen were pathologically diagnosed as benign and six as malignant. MDCT diagnosis of SPTs was well correlated with the surgical and pathological results （Kappa = 0.6, P 〈 0.05）. The size of SPTs ranged from 3 to 15 cm （mean, 5.8 cm）. When the size of the tumor was greater than 6 cm （including 6 cm）, the possibilities of vascular （8 vs 1） and capsular invasion （9 vs 0） increased significantly （P 〈 0.05）.Two pathologically benign cases with vascular invasion and disrupted capsule on MDCT presented with local recurrence and hepatic metastases during follow-up about 1 year after the resection of the primary tumors. CONCLUSION： Vascular and capsular invasion with superimposed spread into the adjacent pancreatic parenchyrna and nearby structures in SPTs of the pancreas can be accurately revealed by MDCT preoperatively. These imaging findings are predictive of the malignant potential associated with the aggressive behavior of the tumor, even in the pathologically benign cases.展开更多
目的分析远程影像与图像存档与通信系统(Pictures Archiving and Communication Systems,PACS)在放射科数字化管理中的应用效果。方法选取2021年1—12月京山市人民医院放射科工作的45名工作人员,纳入常规组,接受常规管理;选取2022年1—1...目的分析远程影像与图像存档与通信系统(Pictures Archiving and Communication Systems,PACS)在放射科数字化管理中的应用效果。方法选取2021年1—12月京山市人民医院放射科工作的45名工作人员,纳入常规组,接受常规管理;选取2022年1—12月京山市人民医院放射科工作的45名工作人员,纳入探究组,接受以远程影像与PACS系统为基础的放射科数字化管理。比较两组工作人员的工作流程时间以及工作质量评分。结果探究组登记核验、图像申请单匹配、书写审核报告、报告送达时间等工作流程时间短于常规组,差异有统计学意义(P均<0.05)。探究组操作熟练性、报告准确性、工作效率、信息完整性等工作质量评分高于常规组,差异有统计学意义(P均<0.05)。结论远程影像与PACS系统在放射科数字化管理中的应用能够显著优化工作流程,提高工作效率和工作质量,对于提升放射科服务质量和患者安全性具有积极意义。展开更多
基金Supported by Shanghai Leading Academic Discipline Project (S30203)
文摘AIM： To retrospectively analyze the imaging features of solid-pseudopapillary tumors （SPTs） of the pancreas on multi-detector row computed tomography （MDCT） and define the imaging findings suggestive of malignant potential. METHODS： A total of 24 consecutive cases with surgically and pathologically confirmed SPTs of the pancreas underwent preoperative abdominal MDCT studies in our hospital. All axial CT images, CT angiographic images, and coronally and sagittally reformed images were obtained. The images were retrospectively reviewed at interactive picture archiving and communication system workstations. RESULTS： Of the 24 cases of SPTs, 11 cases （45.8%） occurred in the pancreatic head and seven （29.1%） in the tail. Eighteen were pathologically diagnosed as benign and six as malignant. MDCT diagnosis of SPTs was well correlated with the surgical and pathological results （Kappa = 0.6, P 〈 0.05）. The size of SPTs ranged from 3 to 15 cm （mean, 5.8 cm）. When the size of the tumor was greater than 6 cm （including 6 cm）, the possibilities of vascular （8 vs 1） and capsular invasion （9 vs 0） increased significantly （P 〈 0.05）.Two pathologically benign cases with vascular invasion and disrupted capsule on MDCT presented with local recurrence and hepatic metastases during follow-up about 1 year after the resection of the primary tumors. CONCLUSION： Vascular and capsular invasion with superimposed spread into the adjacent pancreatic parenchyrna and nearby structures in SPTs of the pancreas can be accurately revealed by MDCT preoperatively. These imaging findings are predictive of the malignant potential associated with the aggressive behavior of the tumor, even in the pathologically benign cases.
文摘目的分析远程影像与图像存档与通信系统(Pictures Archiving and Communication Systems,PACS)在放射科数字化管理中的应用效果。方法选取2021年1—12月京山市人民医院放射科工作的45名工作人员,纳入常规组,接受常规管理;选取2022年1—12月京山市人民医院放射科工作的45名工作人员,纳入探究组,接受以远程影像与PACS系统为基础的放射科数字化管理。比较两组工作人员的工作流程时间以及工作质量评分。结果探究组登记核验、图像申请单匹配、书写审核报告、报告送达时间等工作流程时间短于常规组,差异有统计学意义(P均<0.05)。探究组操作熟练性、报告准确性、工作效率、信息完整性等工作质量评分高于常规组,差异有统计学意义(P均<0.05)。结论远程影像与PACS系统在放射科数字化管理中的应用能够显著优化工作流程,提高工作效率和工作质量,对于提升放射科服务质量和患者安全性具有积极意义。
