[1]赵水喜,郑静晨.放射治疗相关肝损伤的CT影像及其影响因素[J].国际放射医学核医学杂志,2006,30(6):372-374.
　ZHAO Shui-xi,ZHENG Jing-chen.CT appearance and risk factors of hepatic injury related to radiotherapy[J].International Journal of Radiation Medicine and Nuclear Medicine,2006,30(6):372-374.
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
30
期数:
2006年第6期
页码:
372-374
栏目:
临床放射医学
出版日期:
1900-01-01

文章信息/Info

Title:
CT appearance and risk factors of hepatic injury related to radiotherapy
作者:
赵水喜;  郑静晨
100039 北京, 武警总医院肿瘤科
Author(s):
ZHAO Shui-xi;  ZHENG Jing-chen
Department of Oneology, The General Hospital of Chinese People’s Armed Police Forces, Beijing 100039, China
关键词:
肝脏; 肝硬化; 脂肪肝; 辐射损伤; 体层摄影术; X线计算机
Keywords:
Liver; Fatty liver; Hepatic cirrhosis; Radiation injuries; Tomography;  X-ray computed
分类号:
R814.42
摘要:
放射治疗致肝损伤的病理表现为典型的肝静脉闭塞性疾病。正常肝脏、肝硬化肝脏放射性肝损伤CT平扫显示为照射区低密度改变,而脂肪肝放射性肝损伤显示为照射区高密度改变。正常肝脏、肝硬化肝脏动态CT增强扫描表现不同。放射性肝损伤的不同表现与肝脏基础相关。放射性肝损伤的发生与照射剂量、肝脏基础、放射性肝炎的关系需进一步研究。
Abstract:
Radiation-induced liver disease is characterized structurally by veno-ocelusive disease. Low attenuation areas of liver on noncontrast CT were old,erred in the patients with normal or cirrhosis liver after delivered eonformal radiotherapy. In the patients with fatty infiltration of the liver, CT showed relative increased density in the treatment portal. Enhanced pattern of irradiation-induced hepatic disease are different between normal liver and cirrhosis liver. CT appearance of irradiation-induced hepatic injury is related to primary liver disease.

参考文献/References:

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3 Gara BS, Shawker TH, Chang R, et al. The ultrasound appearance of radiation-induced hepatic injury:correlation with computed tomography and magnetic resonance imaging. J Ultrasound Med,1988, 7(11):605-609.
4 Yamasaki SA, Mam CS, Francis IR et al. High-dose localized radiation therapy for treatment of hepatic malignant tumors:CT findings and their relation to radiation hepatitis. Am J Roentgenol,1995, 165(1):79-84.
5 Herfarth KK, Hof H, Bahner ML, et al. Assesment of focal liver reaction by muhiphasic CT after stereotactic single-dose radiotherapy of liver tumors. Int J Radiat Oncol Biol Phys, 2003, 57(2):444-451.
6 Chiou SY, Lee RC, Chi KH, et al. The triple-phase CT image appearance of post-irradiated livers. Aeta Radiol, 2001, 42(5):526-531.
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9 Liang SX, Zhu XD, Lu HJ, et al. Hypofractionated three-dimensional conformal radiation therapy for primary liver carcin-oma. Cancer, 2005, 103(10):2181-2188.

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备注/Memo

备注/Memo:
收稿日期:2006-03-28。
通讯作者:赵水喜,E-mail:zhaoshuixi@sian.com
更新日期/Last Update: 1900-01-01