摘要
壶腹周围癌发病率在恶性肿瘤中居第8~9位,病死率却高居肿瘤死亡的第4位。由于该区域复杂多变的解剖特点及病变的多样性,影像诊断与鉴别诊断一直是临床研究的重点和难点。目前多种成像技术已经用于对Vater壶腹及其周围组织进行研究,其中CT和MRI是侵袭性最小、应用最广泛的两种检查方法。文章拟对近年来CT和MRI在壶腹周围癌不同分类方法中的鉴别、可切除性的判断及预后相关研究的进展进行综述。
The incidence of periampullary cancer ranks the 8 th^9 th place among malignant tumors,but the fatality rate ranks the 4 th among tumor deaths. Due to the complex and varying anatomical characteristics of this area and the great diversity of lesions,imaging diagnosis and differential diagnosis have always been the focus and difficulty of clinical research. At present,a variety of imaging techniques are used to study the ampulla of Vater and its surrounding tissues,among which CT and MRI are the least invasive and the most widely used. This article reviews the recent progress in the identification of cancers using CT and MRI in the different classifications of periampullary carcinoma,the assessment of resectability,and the related prognosis.
作者
严陈晨
何健
张冰
YAN Chenchen;HE Jian;ZHANG Bing(Department of Radiology,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China)
出处
《南京医科大学学报(自然科学版)》
CAS
CSCD
北大核心
2020年第4期607-612,共6页
Journal of Nanjing Medical University(Natural Sciences)
基金
国家自然科学基金(81720108022)。