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전이성 간암의 검출에서 나선식 CT:동맥기, 문맥기, 지연기의 상대적 가치
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  • 전이성 간암의 검출에서 나선식 CT:동맥기, 문맥기, 지연기의 상대적 가치
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대한방사선의학회지
권/호정보
1995년|33권 2호|pp.265-271 (7 pages)
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대한영상의학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Purpose : To evaluate the relative value of arterial, portal venous and delayed phase images of spiral CT in he detection of metastatic tumor of the liver. Materials and Methods: Forty-three metastatic tumors in twelve patients were underwent tri-phasic spiral CT examination with injection of 120 ml ionic contrast material (36 g of iodine) at the rate of 3 ml/sec. Arterial, portal venous and delayed phase CT images were obtained 35, 65, and 360seconds after the start of contrast injection, respectively. Results : Arterial phase images detected 35(81%),portal venous phase images 43(100%), and delayed phase images 34(79%) lesions, respectively(p<0.05). All masses larger than 2cm(n=23) were detected in all three phases, whereas 60%, 100%, 55% of the masses smaller than2cm(n=20) were detected in arterial, portal venous and delayed phase CT, respectively. The best contrast between masses and the hepatic parenchyma was in portal venous phase followed by arterial and delayed phase(p<0.01). In two hypervascular masses, the contrast was better in arterial phase. Conclusion : Portal venous phase of spiral CT is optimal in the detection of metastatic tumor of the liver. Arterial phase may be helpful for the detection of hypervascular metastasis. Delayed phase should be used restrictively.