在CT泌尿镜中,是否需要分泌阶段来识别上道泌尿道瘤? 一项为期10年的基于人口的研究
Warda Limaye1, Andrew Fenwick1, Ross Mason2
1Department of Diagnostic Radiology, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Victoria General Building, 3rd floor, 1276 South Park Street, Halifax, NS, B3H 2Y9, Canada.
Abdominal radiology (New York)
|May 17, 2024
概括
大多数上道泌尿道癌 (UTUC) 在没有CT尿图 (CTU) 的分泌阶段的情况下是可见的. 简化CTU协议可以减少UTUC诊断中的潜在可避免的辐射暴露.
科学领域:
- 放射学 放射学是一门学科.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
背景情况:
- 上道泌尿道癌 (UTUC) 是一种罕见的恶性瘤.
- CT泌尿图 (CTU) 是UTUC诊断的关键成像方式.
- CTU的分泌阶段有助于辐射剂量.
研究的目的:
- 确定可以在没有CTU的分泌阶段的情况下检测到的UTUC的比例.
- 通过省略分泌阶段来量化潜在的辐射剂量减少.
主要方法:
- 对2008-2017年间诊断的UTUC病例的回顾性审查.
- 评估US,非泌尿学CT,MRI和CTU用于初级和二级发现.
- 从排泄阶段计算潜在可避免的辐射剂量.
主要成果:
- 几乎所有工业联合会 (97.1%) 显示了对CTU的主要或次要发现.
- 很大一部分 (74.9%) 显然是填充缺陷.
- 排泄阶段在评估的CTU中占总辐射剂量的44.0%.
结论:
- 在排泄阶段之前,UTUC在很大程度上可以使用成像检测结果来检测.
- 在CTU中省略分泌阶段可能会显著减少辐射暴露.
- 精简的CTU协议被支持用于UTUC评估.
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