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간전이의 발견에 있어 나선식 CT와 조영제의 급숙 정맥주입법을 이용한 문맥기 역동적 스캔의 유용성
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  • 간전이의 발견에 있어 나선식 CT와 조영제의 급숙 정맥주입법을 이용한 문맥기 역동적 스캔의 유용성
저자명
정연신
간행물명
대한방사선의학회지
권/호정보
1996년|35권 1호|pp.87-92 (6 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 usefulness of dynamic spiral computed tomography(CT) during the portal phase with a higher IV injection rate of contrast material in detecting hepatic metastases. Materials and Methods : We reviewed two-phase dynamic spiral CT in 44 patients with hepatic metastases of pathologically proven primary malignancy. One hundred and fifty ml. of non-ionic contrast material was administered with a power injector at a rate of 5ml/sec., and two-phase images at 55-80 sec.(portal phase) and 2-5 min.(equilibrium phase) were obtained after the start of bolus injection. Two phase images were compared for detectability of hepatic metastases according to size, number and enhancement pattern. Results : In cases of metastases less than 1cm, 113 lesions(100%) that showed clearly defined hypodense lesions were detected in the portal phase of dynamic CT. However, the equilibrium phase images showed hypodense lesions in 58 cases(51%) and isodense lesions in 55cases(49%). In cases of metastases 1-2cm in size, the portal phase images detected 70 hypodense lesions(92%) and six hyperdense lesions(8%). In the equilibrium phase, however, the lesions were hypodense in 54 cases(71%), hyperdense in four(5%), and isodense in 18(24%). In cases of metastases larger than 2 cm, portal phase images showed 29hypodense lesions(97%) and one hyperdense lesion(3%). In the equilibrium phase, however, the lesions were hypodense in 25 cases(83%), hyperdense in two(7%), and mixed in three(10%). As compared with the portal phase, most metastatic lesions were detected as poorly defined hypodense or isodense lesions in the equilibrium phase and decrease in size due to peripheral enhancement. Conclusion : Dynamic spiral CT during the portal phase with a higher IV injection rate(5 ml/sec) of contrast material is a useful method for detecting hepatic metastases, especially small lesions less than 1cm.