放射治疗相关肝损伤的CT影像及其影响因素

CT appearance and risk factors of hepatic injury related to radiotherapy

  • 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.

     

/

返回文章
返回