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Quantitative computed tomography-based approaches for noninvasive diagnosis of portal hypertension in patients with cirrhosis
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作者 Riccardo Sartoris Valerie Vilgrain 《Portal Hypertension & Cirrhosis》 2023年第2期92-97,共6页
Noninvasive diagnosis of portal hypertension in patients with cirrhosis can be achieved using different methods,including laboratory tests and imaging.The Baveno VII consensus suggested that liver stiffness measuremen... Noninvasive diagnosis of portal hypertension in patients with cirrhosis can be achieved using different methods,including laboratory tests and imaging.The Baveno VII consensus suggested that liver stiffness measurements and platelet counts were sufficient for assessing the presence of clinically significant portal hypertension.However,computed tomography(CT)is frequently performed in patients with cirrhosis,and numerous studies have established the possibility of an opportunistic noninvasive diagnosis of portal hypertension using CT.These studies have utilized radiomics,volumetric changes in the liver and spleen,quantitative assessment of liver surface nodularity,and more advanced techniques based on computational fluid dynamics.This review summarizes the main original studies related to the quantitative CT-based noninvasive diagnosis of portal hypertension. 展开更多
关键词 CIRRHOSIS computed tomography liver stiffness measurement noninvasive diagnose portal hypertension
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门静脉高压患者多层螺旋CT在体测量研究 被引量:8
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作者 靳勇 吴志远 +3 位作者 吴云林 朱晖 瞿晴 陈克敏 《临床放射学杂志》 CSCD 北大核心 2008年第11期1506-1510,共5页
目的通过多层螺旋CT门静脉血管成像,探讨门静脉高压患者门静脉系统管径、肝脾体积、肝实质强化与病因及肝功能之间的关系。资料与方法采用16排多层螺旋CT对126例临床和实验室指标提示门静脉高压患者和47例非门静脉高压者进行门静脉CTA,... 目的通过多层螺旋CT门静脉血管成像,探讨门静脉高压患者门静脉系统管径、肝脾体积、肝实质强化与病因及肝功能之间的关系。资料与方法采用16排多层螺旋CT对126例临床和实验室指标提示门静脉高压患者和47例非门静脉高压者进行门静脉CTA,并进行胃左静脉、门静脉、脾静脉、肠系膜上静脉内径测量,肝脏、脾体积测量及门静脉期肝实质和门静脉主干CT值的测量,并用SPSS 11.0统计软件包对获得数据进行分析。结果门静脉高压患者与正常对照组相比,门静脉内径分别为(13.73±3.36)mm和(13.61±1.90)mm,脾静脉内径分别为(10.30±3.28)mm和(9.23±1.39)mm,肠系膜上静脉内径分别为(10.83±2.03)mm和(10.46±1.32)mm,胃左静脉宽度分别为(5.10±3.49)mm和(1.48±1.59)mm,肝脏体积分别为(1189.46±305.36)cm3和(1322.40±283.81)cm3,脾体积分别为(809.37±471.14)cm3和(255.53±110.35)cm3。两组间对比有统计学意义(P<0.05)。结论多层螺旋CT门静脉血管成像在显示门静脉高压患者相关血管形态、肝脾体积及肝实质强化等多方面能提供有价值的信息,可为临床治疗方案的选择和疗效的观察评估提供影像学依据。 展开更多
关键词 体层摄影术 X线计算机 测量 在体 门静脉高压
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