双源双能量CT检测痛风石的初步经验.pdfVIP

中国临床医学影像杂志2011 年第 22 卷第 2 期 J Chin Clin Med Imaging, 2011 , Vo I.22, No.2 .105. 双源双能量 CT 检测痛凤石的初步经验 郑玲，周长圣，张龙江，路莉，梁泉，卢尤明 (南京军区南京总医院医学影像科，江苏南京 21仪附2) [摘要] 目的:评价双源双能量 CT(DECT)检测痛风结石的价值。材料与方法:3 例已确诊为痛风的患者以及 10 例对照者 纳入本研究，均在双源 CT 上进行丁子或足的 DECT 扫描，利用痛风结石软件进行分析，并以绿色伪彩色显示:记录是否能够显 示痛风石以及其分布情况。结果:3 例患者双足以及双手均显示多发骨内和骨外痛风石，以指(趾)间关节及其周围软组织最显 著;而 10 例对照者的双足均未显示痛风结石。结论:DECT 能以伪彩色编码的形式显示并定量研究痛风结石，有潜在的临床应 用价值。 [关键词] 痛风:体层摄影术，X 线计算机 [中图分类号] R589.7;R814.42 [文献标识码] A [文章编号] 1 ∞8-1062(2011)02-0105-03 Preliminaηexperience of dual source, d皿J ener町 CT in detection of gout ZHENG Ling, ZHOU Chang-sheng, ZHANG Long-jiang, LU Li, L1ANG Quan, LV Gωng-ming (Dep耐ment of Medícal 1m咱ng， M叫ing General Hospital of Nanji昭 Military Command, N叫， iing 21α脱， China) Abstract: Obj仅tive: To evaluate the clinical value of dual 5Ource , dual energy CT(DEC1丁 in detection of gout. Materi- aJS and Methods: Three patients with proven gout and 10 volunteer百槌 controls were included into this study. All subjects underwent r.ωt or hand dual source, DECT scans. 币le dedicated software of gout was used to analyze the pre配nce of gout and color-coded the gout 筒伊een. The pre四nce， number, and distribution of gout we陀 recorded. Results: Multiple intra- and extra-ossicular gou也 were discovered in bilateral feet and hands of three patients wi由 clinically proven gout, especially in interphalangeal joint and adjacent 50ft tissue; while no gout was found in hands and feet of 10 controls. Conclusion: DECT can show and color吨。ded gout, with potential c1inical value. Key words: Gout; Tomography, X-ray computed 痛风是因瞟岭代谢障碍致其终产物尿酸以制盐 2∞8 年 11 月 -2010 年 1 月 3 例临床确诊为痛 形式沉积在关节、软组织、软骨和肾脏而引起组织的 风的患者进行 D