使用三维计算机断层扫描绘图的胃关突变形态的定量评估:与手术内静脉扫描进行比较
Yoshimi Fujii1, Masato Tanikake1, Yurie Nishimura1
1Department of Diagnostic Radiology, Fujisawa City Hospital, Fujisawa, JPN.
Cureus
|October 17, 2025
概括
三维计算机断层扫描 (3DCT) 肖像图准确地评估了气球封闭逆向静脉横向消灭 (BRTO) 的胃道分流解剖学. 这种成像技术有助于规划和风险分层为胃的患者.
科学领域:
- 干预性放射学 干预性放射学
- 血管成像 血管成像
- 肝病学 肝病学是一种肝病学.
背景情况:
- 胃静脉是一种门高血压的严重并发症,可能导致危及生命的出血.
- 气球封闭逆向透静脉消灭 (BRTO) 是一种胃变节的内血管治疗方法,通常通过胃道分流 (GRS) 进入.
研究的目的:
- 在评估GRS解剖学中评估3D计算机断层扫描 (3DCT) 图像和手术内静脉扫描之间的一致性.
- 确定3DCT图像在BRTO程序中的程序前规划中的实用性.
主要方法:
- 在2017年至2024年期间接受BRTO的19名患者的回顾性分析.
- 术前3DCT图像和术后静脉图对狭窄直径,普通干径,狭窄率,距离左静脉的距离和脊椎水平进行比较.
- 统计分析包括配对的t测试,布兰德-阿尔特曼分析和相关性分析.
主要成果:
- 在3DCT影像和静脉影像之间,血管直径,狭窄率或距离左静脉的距离没有显著差异.
- 在脊椎狭窄的水平上注意到了显著的差异,在3DCT图像上看起来更尾部 (p = 0.0022).
- 布兰德-阿尔特曼地块显示出良好的一致性,所有评估参数均有中度至强度的相关性.
结论:
- 3DCT图像显示出高一致性与静脉图用于评估GRS解剖学.
- 这种成像模式可靠地识别了BRTO至关重要的关键解剖特征.
- 3DCT图像是程序前评估的宝贵工具,支持BRTO的风险分层和个性化治疗计划.
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