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위질환에서 나선식 CT를 이용한 횡단 CT 영상과 3D 입체영상의 소견 및 역할
The Findings and the Role of Axial CT Imaging and 3D Imaging of Gastric Lesion by Spiral CT

이동호    (경희대학교 의과대학 진단방사선과학교실  );
  • 초록

    Purpose : The purpose of this study is to assess the efficacy of axial CT imaging and 3D imaging by spiral CTin the detection and evaluation of gastric lesion. Materials and Methods : Seventy-seven patients withpathologically-proven gastric lesions underwent axial CT and 3D imaging by spiral CT. There were 49 cases ofadvanced gastric carcinoma(AGC), 21 of early gastric carcinoma (EGC), three of benign ulcers, three of leiomyomas, and one case of lymphoma. Spiral CT was performed with 3-mm collimation, 4.5 mm/sec table feed, and 1-1.5-mmreconstruction interval after the ingestion of gas. 3D imaging was obtained using the SSD technique, and onanalysis a grade was given(excellent, good, poor). Axial CT scan was performed with 5-mm collimation, 7mm/sectable feed, and 5-mm reconstruction interval after the ingestion of water. Results : Among 49 cases of AGC, excellent 3D images were obtained in seven patients (14.3%), good 3D images in 30(61.2%), and poor 3D images in12(24.5%). Among the 12 patients with poor images, the cancers were located at the pyloric antrum in eight cases, were AGC Borrmann type 4 in three cases, and EGC-mimicking lesion in one case. Using axial CT scan alone, Borrmann's classification based tumor morphology were accurately identified in 67.3% of cases, but using 3Dimaging, the corresponding figure was 85.7%. In 33 cases receiving surgery, good correlation between axial CT scanand pathology occurred in 72.7% of T class, and 69.7% of N class. Among 21 cases of EGC, excellent 3D images wereobtained in three patients (14.3%), good 3D images in 14 (66.7%), and poor 3D images in two (9.5%). The other twocases of EGC were not detected. By axial CT scan, no tumor was detected in four cases, and there were two doubtfulcases. 3D images of three benign ulcers were excellent in one case and good in two. 3D images of three leiomyomasand one lymphoma were excellent. Conclusion : Combined axial CT imaging and 3D imaging by spiral CT has thepotential to accurately diagnose gastric lesions other than AGC Borrmann type 4 or tumors located at the pyloricantrum.


  • 주제어

    Stomach, neoplasms .   Stomach, CT .   Computed tomography (CT), spiral .   Computed tomography (CT), three-dimesional.  

  • 참고문헌 (9)

    1. Virtual Colonoscopy:a 60-second colon examination , Vining DJ;Teigen EL;Stelts D;Vanderwerken B;Kopecky KK;Rex D , Radiology / v.197(p),pp.281,
    2. Helical(spiral) CT of the abdomen , Zeman RK;Fox SH;Silverman PM(et al.) , AJR / v.160,pp.719-725,
    3. Spiral CT & 3D imaging of stomach , 이동호 , 아산재단 서울중앙병원 1996년도 body spiral CT 연수강좌교재 / v.,pp.39-44,
    4. 위질환의 나선식 CT를 이용한 입체영상 , 이동호;고영태 , 대한방사선의학회 1996년도 춘계학술대회 초록집 / v.,pp.29,
    5. In vitro air-contrast-enhanced spiral 3D CT(virtual colonoscopy) appearance of colonic lesions. , Woodhouse CE;Friedman JL , Radiology / v.197(p),pp.500,
    6. Three-dimensional spiral CT angiography of the abdomen : initial clinical experience , Rubin GD;Dake MD;Napel SA;McDonnell CH;Jeffrey Jr RB , Radiology / v.186,pp.147-152,
    7. Virtual colonoscopy of simulated lesions of pig colin , Dachman AH;Chen SY;Lieberman J;Newmark GM;Hoffmann K;McGill J. , AJR / v.166(p),pp.83,
    8. Gastric tumors : incremental dynamic CT and 3D images with a helical scanner , Kuginuki Y;Tonami H;Okimura T;Yamamoto I , AJR / v.164(p),pp.187,
    9. FEasibility of colorectal polyp detection by 2D and 3D helical CT(CT colography) , Hara AK;Johnson CD;Reed JE(et al.) , AJR / v.166(p),pp.84,
  • 이 논문을 인용한 문헌 (1)

    1. 1997. "Spiral CT of the Gastric Adenocarcinoma" 대한방사선의학회지 = Journal of the Korean Radiological Society, 37(1): 123~128     

 저자의 다른 논문

  • 이동호 (15)

    1. 1987 "뇌동맥확장증에 대한 전산화단층촬영소견" 대한방사선의학회지 = Journal of the Korean Radiological Society 23 (1): 17~22    
    2. 1990 "경피담낭루 설치술" 대한방사선의학회지 = Journal of the Korean Radiological Society 26 (2): 121~125    
    3. 1990 "경피인공뇨관설치술" 대한방사선의학회지 = Journal of the Korean Radiological Society 26 (5): 871~875    
    4. 1992 "황색유아종성 남소" 대한방사선의학회지 = Journal of the Korean Radiological Society 28 (1): 146~148    
    5. 1992 "수입계제증후군(Afferent Loop Syndrome) 초음파검사 및 전산화단층촬영술의 역할" 대한방사선의학회지 = Journal of the Korean Radiological Society 28 (2): 215~221    
    6. 1992 "하대정맥의 막성폐쇄에 의한 Budd-Chiari 증후군 : 초음파 및 전산화단층촬영소견의 비교" 대한방사선의학회지 = Journal of the Korean Radiological Society 28 (3): 387~392    
    7. 1992 "매독성 위염 : 증례보고" 대한방사선의학회지 = Journal of the Korean Radiological Society 28 (4): 623~625    
    8. 1993 "자궁 지방평활근종 : 증례보고" 대한방사선의학회지 = Journal of the Korean Radiological Society 29 (3): 504~506    
    9. 1994 "초음파를 이용한 전립선의 경직장 자동총생검" 대한방사선의학회지 = Journal of the Korean Radiological Society 30 (1): 65~68    
    10. 1994 "전산화 단층촬영을 이용한 한국인 간경화증 환자의 미상엽-우엽비" 대한방사선의학회지 = Journal of the Korean Radiological Society 30 (6): 1063~1066    

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