{"id":3506,"date":"2020-07-05T11:48:53","date_gmt":"2020-07-05T16:48:53","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=3506"},"modified":"2020-07-06T08:39:12","modified_gmt":"2020-07-06T13:39:12","slug":"gastrointestinal","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/zh-hans\/gastrointestinal\/","title":{"rendered":"\u80c3\u80a0\u9053\u6210\u50cf\u7684\u65b0\u52a8\u6001\u662f\u4ec0\u4e48\uff1f"},"content":{"rendered":"<p>&nbsp;<\/p>\n<h3><span style=\"color: #800080;\"><strong><u>\u7279\u5b9a<\/u><\/strong><strong><u>\u68c0\u67e5<\/u><\/strong><strong><u>\u7684\u8bca\u65ad\u4ef7\u503c<\/u><\/strong><\/span><\/h3>\n<p><strong>\u00a0<\/strong><\/p>\n<p><span style=\"color: #3366ff;\"><strong>\u8d85\u58f0\u548c<\/strong><strong>CT<\/strong><strong>\u5728\u6025\u8bca\u79d1\u6210\u4eba\u53f3\u4e0a\u8179\u75db\u68c0\u67e5\u4e2d\u7684\u4f5c\u7528\uff1a\u56de\u987e\u6027<\/strong><strong>\u5206\u6790<\/strong><strong>2800<\/strong><strong>\u591a<\/strong><strong>\u75c5\u4f8b<\/strong><strong><br \/>\n<\/strong><\/span>Hiatt KD, Ou JJ, Childs DD. Role of Ultrasound and CT in the Workup of Right Upper Quadrant Pain in Adults in the Emergency Department: A Retrospective Review of More Than 2800 Cases. Am J Roentgenol [Internet]. 2020 Jun 1 [cited 2020 Jun 20];214(6):1305\u201310.\u6765\u81ea\uff1a<\/p>\n<p><a href=\"https:\/\/www.ajronline.org\/doi\/10.2214\/AJR.19.22188\">https:\/\/www.ajronline.org\/doi\/10.2214\/AJR.19.22188<\/a><\/p>\n<p><strong>\u5173\u952e\u8bcd\uff1a<\/strong>\u6025\u6027\u80c6\u56ca\u708e\uff0c\u53f3\u4e0a\u8179\u75bc\u75db\uff0c\u8d85\u58f0\uff0cCT\uff0c\u5076\u7136\u53d1\u73b0<\/p>\n<p>\u53f3\u4e0a\u8179\u75bc\u75db\u7684\u513f\u79d1\u60a3\u8005\u884c\u8d85\u58f0\u8fdb\u4e00\u6b65\u68c0\u67e5\u3002\u4f46\u662f\uff0c\u5f53\u6210\u5e74\u60a3\u8005\u56e0\u53f3\u4e0a\u8179\u75db\u53bb\u6025\u8bca\u79d1\u5c31\u8bca\u65f6\uff0c\u6000\u7591\u6025\u6027\u80c6\u56ca\u708e\u53ef\u4ee5\u901a\u8fc7US\u6216CT\u68c0\u67e5\u5904\u7406\u3002Hiatt\u7b49\u56de\u987e\u4e86\u8fc7\u53bb5\u5e74\u6709\u8fd9\u6837\u4e34\u5e8a\u8868\u73b0\u76842859\u4f8b\u6210\u4eba\u60a3\u8005\u7684\u76f8\u5173\u5f71\u50cf\u5b66\u68c0\u67e5\uff1b\u5176\u4e2d18\uff05\u7b26\u5408\u80c6\u56ca\u708e\u7684\u8bca\u65ad\u3002US\uff08\u654f\u611f\u602761\uff05\uff0c\u7279\u5f02\u602791\uff05\uff09\u548cCT\uff08\u654f\u611f\u602755\uff05\uff0c\u7279\u5f02\u602792\uff05\uff09\u4e4b\u95f4\u65e0\u660e\u663e\u7684\u7edf\u8ba1\u5b66\u5dee\u5f02\u3002\u4f46\u662f\uff0cCT\u663e\u793a322\u4f8b\u4e2d\u6709103\u4f8b\uff0832\uff05\uff09\u6025\u6027\u975e\u80c6\u56ca\u7684\u5f02\u5e38\uff0c\u800cUS\u4ec5\u53ef\u68c0\u6d4b\u5230238\u4f8b\u4e2d\u76841\u4f8b\uff080.4\uff05\uff09CT\u9057\u6f0f\u7684\u6025\u6027\u975e\u80c6\u56ca\u7684\u5f02\u5e38\u3002Hiatt\u7b49\u603b\u7ed3\uff0c\u5728\u8bca\u65ad\u6210\u4eba\u60a3\u8005\u80c6\u56ca\u708e\u65b9\u9762CT\u4e0d\u900a\u4e8eUS\uff0c\u5e76\u4e14\u5177\u6709\u53d1\u73b0\u6025\u6027\u975e\u80c6\u56ca\u75c5\u53d8\u7684\u4f18\u52bf\u3002<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u8179\u90e8\u548c\u76c6\u8154\u4e2d\u826f\u6076\u6027\u9499\u5316\u7684\u8bca\u65ad\u65b9\u6cd5<\/strong><\/span><\/h5>\n<p>Zulfiqar M, Shetty A, Tsai R, Gagnon MH, Balfe DM, Mellnick VM. Diagnostic approach to benign and malignant calcifications in the abdomen and pelvis. Radiographics [Internet]. 2020 May 1 [cited 2020 Jun 21];40(3):731\u201353. \u6765\u81ea\uff1a<\/p>\n<p><a href=\"https:\/\/pubs.rsna.org\/doi\/abs\/10.1148\/rg.2020190152\">https:\/\/pubs.rsna.org\/doi\/abs\/10.1148\/rg.2020190152<\/a><\/p>\n<p>\u5173\u952e\u8bcd\uff1a\u9499\u5316\uff0c\u653e\u5c04\u6210\u50cf\uff0c\u8bca\u65ad\u65b9\u6cd5<\/p>\n<p>Zulfiqar\u7b49\uff0c\u5176\u4e2dDr.Vincent Mellnick\u662f\u6211\u4eec\u81ea\u5df1\u7684\u8d44\u6df1\u7f16\u8f91\u4e4b\u4e00\uff0c\u5728RadioGraphics\u6587\u7ae0\u4e2d\u4ecb\u7ecd\u4e86\u5404\u79cd\u8179\u90e8\u76c6\u8154\u9499\u5316\u75c5\u53d8\u7684\u5f71\u50cf\u5b66\u7279\u5f81\u4ee5\u53ca\u5bf9\u8fd9\u4e9b\u9499\u5316\u7684\u8bca\u65ad\u65b9\u6cd5\u3002\u8fd9\u4e9b\u9499\u5316\u75c5\u53d8\u53ef\u4ee5\u662f\u826f\u6027\uff0c\u6f5c\u5728\u6076\u6027\u6216\u6076\u6027\u3002 Zulfiqar\u7b49\u4ecb\u7ecd\u4e86\u5982\u4f55\u6839\u636e\u4e34\u5e8a\u4fe1\u606f\uff08\u5373\u6700\u8fd1\u7684\u6cbb\u7597\u65b9\u6cd5\uff09\uff0c\u4f4d\u7f6e\uff08\u80a0\u7cfb\u819c\uff0c\u8179\u819c\uff0c\u8179\u819c\u540e\uff0c\u5668\u5b98\uff0c\u8840\u7ba1\u548c\u808c\u8089\u9aa8\u9abc\uff09\u548c\u5f62\u6001\uff08\u5706\u5f62\uff0c\u66f2\u7ebf\u72b6\uff0c\u7247\u72b6\uff09\u8bca\u65ad\u8fd9\u4e9b\u9499\u5316\u3002<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u5728<\/strong><strong><sup>18<\/sup><\/strong><strong>F-FDG PET\/CT<\/strong><strong>\u4e0a\u68c0\u6d4b\u5230\u8d25\u8840\u68ad\u72b6\u82bd\u80de\u6746\u83cc\u773c\u5185\u708e\u76f8\u5173\u6027\u7ed3\u80a0\u817a\u764c<\/strong><\/span><\/h5>\n<p>Plouznikoff N, Artigas C, Woff E, Ene D, Flamen P. Colon Adenocarcinoma Associated With Clostridium Septicum Endophthalmitis Detected on 18F-FDG PET\/CT. Clin Nucl Med [Internet]. 2020 Jun 1 [cited 2020 Jun 21];45(6):459\u201360. \u6765\u81ea\uff1a<\/p>\n<p><a href=\"http:\/\/journals.lww.com\/10.1097\/RLU.0000000000003025\">http:\/\/journals.lww.com\/10.1097\/RLU.0000000000003025<\/a><\/p>\n<p><strong>\u5173\u952e\u8bcd\uff1a<\/strong>PET\uff0c\u8d25\u8840\u68ad\u72b6\u82bd\u80de\u6746\u83cc\uff0c\u76f8\u5173\u6027\uff0c\u7ed3\u80a0\u764c<\/p>\n<p>Plouznikoff\u7b49\u5c55\u793a\u4e86\u4e00\u4f8b\u60a3\u8005\u51fa\u73b0\u5185\u6e90\u6027\u773c\u5185\u708e\u540e\uff0c\u5728PET\/CT\u4e0a\u53d1\u73b0\u9690\u533f\u6027\u76f2\u80a0\u817a\u764c\u7684\u75c5\u4f8b\u3002\u8d25\u8840\u68ad\u72b6\u82bd\u80de\u6746\u83cc\u5f15\u8d77\u7684\u5185\u6e90\u6027\u773c\u5185\u708e\u662f\u4e00\u79cd\u7f55\u89c1\u7684\u773c\u90e8\u611f\u67d3\uff0c\u4f46\u4e0e\u80c3\u80a0\u9053\u548c\u8840\u6db2\u7cfb\u7edf\u6076\u6027\u80bf\u7624\u9ad8\u5ea6\u76f8\u5173\uff08\u8d25\u8840\u68ad\u72b6\u82bd\u80de\u6746\u83cc\u7684\u5176\u4ed6\u611f\u67d3\uff0c\u4f8b\u5982\u4e3b\u52a8\u8109\u708e\u4e5f\u88ab\u8ba4\u4e3a\u4e0e\u7ed3\u80a0\u764c\u6709\u5173\uff09\u3002Plouznikoff\u7b49\u5efa\u8bae\u5728\u6240\u6709\u5185\u6e90\u6027\u773c\u5185\u708e\u60a3\u8005\u4e2d\u5747\u5e94\u8003\u8651PET\/CT\u68c0\u67e5\u4ee5\u6392\u9664\u9690\u533f\u6027\u6076\u6027\u80bf\u7624\u3002<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u7f29\u5c0f\u89c6\u91ce\u7684\u6269\u6563\u52a0\u6743\u6210\u50cf\u4e0a\u76f4\u80a0\u764c\u7684\u7ec4\u7ec7\u5b66\u7279\u5f81\uff1a\u4e0d\u540c\u7684\u5174\u8da3\u533a\u5b9a\u4f4d\u65b9\u6848\u5bf9\u8868\u89c2\u6269\u6563\u7cfb\u6570\u6d4b\u91cf\u7684\u5f71\u54cd<\/strong><\/span><\/h5>\n<p>Yang P, Xu C, Hu X, Shen Y, Hu D, Kamel I, et al. Reduced Field-of-View Diffusion-Weighted Imaging in Histological Characterization of Rectal Cancer: Impact of Different Region-of-Interest Positioning Protocols on Apparent Diffusion Coefficient Measurements. Eur J Radiol. 2020 Jun 1;127:109028. \u6765\u81ea\uff1a <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0720048X20302175\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0720048X20302175<\/a><\/p>\n<p><strong>\u5173\u952e\u8bcd\uff1a<\/strong>\u76f4\u80a0\u764c\uff0cMRI\uff0cROI\u65b9\u6cd5\uff0c\u8bca\u65ad\u4ef7\u503c<\/p>\n<p>\u672f\u524d\u76f4\u80a0\u764cMRI\u7684\u611f\u5174\u8da3\u533a\u57df\uff08ROI\uff09\u65b9\u6cd5\u53ef\u65e0\u521b\u5730\u8fdb\u884c\u76f4\u80a0\u764c\u7684\u7ec4\u7ec7\u5b66\u7279\u5f81\u63cf\u8ff0\u3002\u8fd9\u662f\u901a\u8fc7\u5728MRI\u7684\u6269\u6563\u7cfb\u6570\uff08ADC\uff09\u56fe\u4e0a\u4f7f\u7528\u7f29\u5c0f\u89c6\u91ce\uff08rDWI\uff09\u6280\u672f\u5b8c\u6210\u7684\u3002\u6839\u636eYang\u7b49\u7684\u89c2\u70b9\uff0c\u8fc4\u4eca\u4e3a\u6b62\uff0c\u5c1a\u65e0\u7814\u7a76\u62a5\u9053\u4e0d\u540c\u7684\u611f\u5174\u8da3\u533a\u57df\uff08ROI\uff09\u65b9\u6cd5\u5bf9\u76f4\u80a0\u764c\u7684\u6700\u7ec8\u7ec4\u7ec7\u5b66\u7279\u5f81\u63cf\u8ff0\u7684\u53d8\u91cf\u7684\u5f71\u54cd\u3002\u4ed6\u4eec\u5bf949\u4f8b\u60a3\u8005\u7684\u56db\u79cdROI\u65b9\u6cd5\uff08\u5168\u80bf\u7624\u4f53\u79ef[WTV]\uff0c\u5355\u5c42\u56fe\u50cf[SS]\uff0c\u57fa\u4e8e\u89c2\u5bdf\u8005\u62bd\u6837\u76843\u5c42\u56fe\u50cf[TSOB]\u548c\u57fa\u4e8e\u9884\u5148\u5b9a\u4e49\u62bd\u6837\u76843\u5c42\u56fe\u50cf[TSPD]\uff09\u8fdb\u884c\u4e86\u6bd4\u8f83\u3002\u4ed6\u4eec\u8fd8\u6536\u96c6\u4e86\u6bcf\u4e2aROI\u65b9\u6848\u4e0bADC\u6d4b\u91cf\u6240\u82b1\u8d39\u7684\u76f8\u5e94\u65f6\u95f4\u3002\u7ed3\u679c\u8868\u660e\uff0cWTV\u7684ROI\u65b9\u6cd5\u5bf9\u8bc4\u4f30\u9ad8\u5206\u5316\u80bf\u7624\uff0cT2\u671f\u80bf\u7624\u548cN0\u72b6\u6001\u5177\u6709\u6700\u4f73\u7684\u8bca\u65ad\u4ef7\u503c\u3002\u4f46\u662f\uff0cWTV\u9700\u8981\u6700\u957f\u7684\u6d4b\u91cf\u65f6\u95f4\uff0866 s\uff09\uff0c\u800cSS\u65b9\u6cd5\u7684\u6d4b\u91cf\u5219\u65f6\u95f4\u6700\u77ed\uff0813 s\uff09\u3002 Yang\u7b49\u603b\u7ed3\uff0c\u5c3d\u7ba1WTV\u7684\u6d4b\u91cf\u65f6\u95f4\u6700\u957f\uff0c\u4f46\u4f7f\u7528\u57fa\u4e8erDWI\u7684WTV\u65b9\u6cd5\u6d4b\u91cfADC\u5bf9\u76f4\u80a0\u764c\u7684\u7ec4\u7ec7\u5b66\u7279\u5f81\u5177\u6709\u6700\u4f73\u7684\u8bca\u65ad\u4ef7\u503c\u3002<\/p>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: #800080;\"><strong><u>\u8179\u90e8\u7279\u5b9a\u533a\u57df\u6210\u50cf<\/u><\/strong><\/span><\/h3>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Morison<\/strong><strong>\u9690\u7a9d\uff1a\u901a\u8fc7\u65ad\u5c42\u6210\u50cf\u5bf9\u75c5\u7406\u5b66\u548c\u75be\u75c5\u6269\u6563\u8fdb\u884c\u89e3\u5256\u5b66\u56de\u987e\u548c\u8bc4\u4f30<\/strong><\/span><\/h5>\n<p>Nassar S, Menias CO, Nada A, Blair KJ, Shaaban AM, Mellnick VM, et al. Morison\u2019s pouch: anatomical review and evaluation of pathologies and disease spread on cross-sectional imaging. Abdom Radiol [Internet]. 2020 Jun 11 [cited 2020 Jun 20];1\u201312. \u6765\u81ea\uff1a<\/p>\n<p><a href=\"http:\/\/link.springer.com\/10.1007\/s00261-020-02597-1\">http:\/\/link.springer.com\/10.1007\/s00261-020-02597-1<\/a><\/p>\n<p><strong>\u5173\u952e\u8bcd\uff1a<\/strong>\u89e3\u5256\u5b66\uff0c\u8179\u819c\uff0cMorison\u9690\u7a9d<\/p>\n<p>Nassar\u7b49\uff0c\u5305\u62ec\u6211\u4eec\u7684\u8d44\u6df1\u7f16\u8f91Dr.Mellnick\u548cDr.Elsayes\uff0c\u5728\u672c\u6587\u4e2d\u63cf\u8ff0\u4e86\u8179\u819c\u590d\u6742\u7684\u89e3\u5256\u7ed3\u6784\u3002\u4ed6\u4eec\u4e3b\u8981\u56de\u987eMorison\u9690\u7a9d\u7684\u89e3\u5256\u7ed3\u6784\u4ee5\u53ca\u76f8\u5173\u75be\u75c5\u7684\u53d1\u751f\u548c\u53d1\u5c55\uff0c\u76ee\u7684\u662f\u4e3a\u653e\u5c04\u79d1\u533b\u751f\u63d0\u4f9b\u8bca\u65ad\u8fd9\u4e9b\u75be\u75c5\u6240\u5fc5\u9700\u7684\u5de5\u5177\u3002<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u80c3\u75c5\u7406\u72b6\u6001\u7684\u591a\u79cd\u68c0\u67e5\u5f71\u50cf\uff1a\u653e\u5c04\u79d1\u533b\u751f\u5165\u95e8<\/strong><\/span><\/h5>\n<p>Anderson AC, Millet JD, Manganaro MS, Wasnik AP. Multimodality imaging of gastric pathologic conditions: A primer for radiologists [Internet]. Vol. 40, Radiographics. Radiological Society of North America Inc.; 2020 [cited 2020 Jun 21]. p. 707\u20138. \u6765\u81ea\uff1a<\/p>\n<p><a href=\"https:\/\/pubs.rsna.org\/doi\/abs\/10.1148\/rg.2020190065\">https:\/\/pubs.rsna.org\/doi\/abs\/10.1148\/rg.2020190065<\/a><\/p>\n<p><strong>\u5173\u952e\u8bcd\uff1a<\/strong>\u653e\u5c04\u5f71\u50cf\u5b66\uff0c\u80c3\uff0c\u8bca\u65ad\u65b9\u6cd5<\/p>\n<p>\u5728\u653e\u5c04\u5f71\u50cf\u5b66\u7684\u8fd9\u7bc7\u7efc\u8ff0\u4e2d\uff0c Anderson\u7b49\u5c55\u793a\u4e86\u591a\u79cd\u672f\u524d\u80c3\u75c5\u7406\u72b6\u6001\u7684\u5f71\u50cf\u5b66\u7279\u5f81\uff0c\u5305\u62ec\u80bf\u7624\uff0c\u611f\u67d3\uff0c\u708e\u6027\u548c\u6025\u6027\u75be\u75c5\u3002\u503c\u5f97\u6ce8\u610f\u7684\u662f\uff0c\u672c\u6587\u662f\u653e\u5c04\u5f71\u50cf\u5b66\u7684\u201c\u57fa\u7840\u77e5\u8bc6\u201d\u4e13\u680f\u7684\u4e00\u90e8\u5206\u3002<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u8179\u58c1\u80bf\u5757\u3001\u80bf\u5757\u6837\u75c5\u53d8\u548c\u5f25\u6f2b\u6027\u75c5\u53d8\u7684\u5f71\u50cf<\/strong><\/span><\/h5>\n<p>Ballard DH, Mazaheri P, Oppenheimer DC, Lubner MG, Menias CO, Pickhardt PJ, et al. Imaging of abdominal wall masses, masslike lesions, and diffuse processes. Radiographics [Internet]. 2020 May 1 [cited 2020 Jun 21];40(3):684\u2013706. \u6765\u81ea\uff1a<\/p>\n<p><a href=\"https:\/\/pubs.rsna.org\/doi\/abs\/10.1148\/rg.2020190170\">https:\/\/pubs.rsna.org\/doi\/abs\/10.1148\/rg.2020190170<\/a><\/p>\n<p><strong>\u5173\u952e\u8bcd\uff1a<\/strong>\u8179\u58c1\u80bf\u5757\uff0c\u8bca\u65ad\u65b9\u6cd5\uff0c\u653e\u5c04\u5f71\u50cf\u5b66<\/p>\n<p>Ballard\u7b49\uff0c\u5305\u62ec\u6211\u4eec\u7684\u8d44\u6df1\u7f16\u8f91Dr.Mellnick\u548cDr.Lubner\uff0c\u5728RadioGraphics\u7684\u8fd9\u7bc7\u6587\u7ae0\u4e2d\u63cf\u8ff0\u4e86\u5076\u7136\u5728\u65ad\u5c42\u56fe\u50cf\u4e0a\u53d1\u73b0\u7684\u5404\u79cd\u8179\u58c1\u80bf\u5757\u3002\u4ed6\u4eec\u8fd8\u63d0\u51fa\u4e86\u4e00\u79cd\u8bca\u65ad\u65b9\u6cd5\u4ee5\u5e2e\u52a9\u9274\u522b\u4e0d\u540c\u7c7b\u578b\u7684\u80bf\u5757\u3002\u6b64\u8bca\u65ad\u65b9\u6cd5\u7684\u6700\u9ad8\u6c34\u5e73\u5305\u62ec\u9274\u522b\u80bf\u5757\u662f\u759d\u8fd8\u662f\u8102\u80aa\uff08\u8102\u80aa\u7624\uff09\uff0c\u56ca\u6027\uff08\u8113\u80bf\uff0c\u79ef\u6db2\uff0c\u8840\u80bf\uff09\u6216\u5b9e\u6027\uff08\u786c\u7ea4\u7ef4\u7624\uff0c\u8089\u7624\uff0c\u5b50\u5bab\u5185\u819c\u80bf\u7624\u548c\u8f6c\u79fb\u7624\uff09\uff0c\u5bf9\u5f25\u6f2b\u6027\u75be\u75c5\u4e5f\u6709\u5355\u72ec\u7684\u8bca\u65ad\u65b9\u6cd5\u3002<\/p>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: #800080;\"><strong>\u7b97\u6cd5\u548c\u673a\u5668\u5b66\u4e60\u5728\u8179\u76c6\u8154\u6210\u50cf\u4e2d\u7684\u5e94\u7528<\/strong><\/span><\/h3>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u964d\u4f4e\u653e\u5c04\u5242\u91cf\u548c\u5bf9\u6bd4\u5242\u5242\u91cf\u7684\u53cc\u80fd<\/strong><strong>CT<\/strong><strong>\u5728\u513f\u7ae5\u548c\u5e74\u8f7b\u4eba\u4e2d\u7684\u5e94\u7528<\/strong><\/span><\/h5>\n<p>Tabari A, Gee MS, Singh R, Lim R, Nimkin K, Primak A, et al. Reducing Radiation Dose and Contrast Medium Volume With Application of Dual-Energy CT in Children and Young Adults. Am J Roentgenol [Internet]. 2020 Jun 1 [cited 2020 Jun 20];214(6):1199\u2013205. \u6765\u81ea\uff1a <a href=\"https:\/\/www.ajronline.org\/doi\/10.2214\/AJR.19.22231\">https:\/\/www.ajronline.org\/doi\/10.2214\/AJR.19.22231<\/a><\/p>\n<p><strong>\u5173\u952e\u8bcd\uff1a<\/strong>CT\uff0c\u8f90\u5c04\u5242\u91cf\uff0c\u56fe\u50cf\u8d28\u91cf<\/p>\n<p>\u8fd9\u9879\u56de\u987e\u6027\u7814\u7a76\u663e\u793a\u5728\u76f8\u540c\u626b\u63cf\u4eea\u4e0a(Somatom Flash or Force, Siemens Healthineers)\uff0c\u4e0e\u5355\u80fdCT\uff08SECT\uff09\u76f8\u6bd4\uff0c\u53cc\u6e90\u53cc\u80fdCT\uff08DS-DECT\uff09\u53ef\u660e\u663e\u51cf\u5c11\u8f90\u5c04\u5242\u91cf\u548c\u5bf9\u6bd4\u5242\u5242\u91cf\u3002Tabari\u7b49\u7814\u7a76\u4e8685\u4f8b\u8fdb\u884c\u4e86\u5bf9\u6bd4\u589e\u5f3aDS-DECT\uff08\u7ba1\u7535\u6d41\u5b9e\u65f6\u8c03\u5236\u6280\u672f\uff09\u7684\u513f\u7ae5\u548c\u5e74\u8f7b\u60a3\u8005\u548c\u4e0e\u4e4b\u5339\u914d\u768466\u4f8b\u8fdb\u884cSECT\uff08\u7ba1\u7535\u6d41\u5b9e\u65f6\u8c03\u5236\u6280\u672f\u548c\u7ba1\u7535\u6d41\u5b9e\u65f6\u8c03\u5236kV\uff09\u7684\u60a3\u8005\uff08\u5305\u542b\u591a\u79cd\u4eba\u53e3\u7edf\u8ba1\u5b66\u6807\u51c6\uff09\u3002\u7ed3\u679c\u663e\u793a\uff0c\u80f8\u90e8DS-DECT\u7684\u4f53\u578b\u7279\u5f02\u6027\u626b\u63cf\u5242\u91cf\u8bc4\u4f30\uff08SSDE\uff09\uff08\u4ece6.1 mGy\uff09\u660e\u663e\u964d\u4f4e\u52304.0 mGy\uff0c\u800c\u5728\u8179\u76c6\u8154\uff08\u4ece8.3 mGy\uff09\u660e\u663e\u964d\u4f4e\u52305.0 mGy\u3002DS-DECT\u7684\u5bf9\u6bd4\u5242\u5242\u91cf\u6bd4SECT\u4f4e19-22\uff05\u3002\u56fe\u50cf\u8d28\u91cf\u5728\u6240\u6709DECT\u68c0\u67e5\u4e2d\u90fd\u662f\u53ef\u884c\u7684\u3002<\/p>\n<p><strong>\u00a0<\/strong><strong>\u00a0<\/strong><\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u56de\u987e\u6027\u5e94\u7528\u5408\u9002\u9608\u503c\u7684\u5355\u80fd\u7b97\u6cd5\u51cf\u4f4e\u8179\u76c6\u8154\u4e2d\u91d1\u5c5e\u79fb\u690d\u7269\u7684\u4f2a\u5f71<\/strong><\/span><\/h5>\n<p>Dommaraju S, Nakhaei M, Zhang D, Camacho A, Boos J, Appel E, et al. Single-Energy Retrospective Metal Artifact Reduction Using Adaptive Thresholding for Metal Implants in the Abdomen and Pelvis. J Comput Assist Tomogr [Internet]. 2020 May 1 [cited 2020 Jun 20];44(3):443\u20139. \u6765\u81ea\uff1a<\/p>\n<p><a href=\"http:\/\/journals.lww.com\/10.1097\/RCT.0000000000001013\">http:\/\/journals.lww.com\/10.1097\/RCT.0000000000001013<\/a><\/p>\n<p><strong>\u5173\u952e\u8bcd\uff1a<\/strong>\u91d1\u5c5e\u4f2a\u5f71\uff0cCT\uff0c\u56fe\u50cf\u8d28\u91cf<\/p>\n<p>Dommaraju\u7b49\u572815\u4e2a\u6708\u5185\u5bf990\u4f8b\u5728\u8179\u76c6\u8154CT(Canon Medical, Aquilion ONE and PRIME)\u53d1\u73b0\u5404\u79cd\u91d1\u5c5e\u7684\u60a3\u8005\u8fdb\u884c\u4e86\u4e00\u9879\u524d\u77bb\u6027\u7814\u7a76\u3002\u56de\u987e\u6027\u5730\uff0c\u4ed6\u4eec\u5e94\u7528\u5355\u80fd\u53bb\u91d1\u5c5e\u4f2a\u5f71\uff08SEMAR\uff09\u7b97\u6cd5\uff0c\u5e76\u5bf9\u4f7f\u7528\u6216\u4e0d\u4f7f\u7528SEMAR\u65f6\u9760\u8fd1\u548c\u8fdc\u79bb\u8fd9\u4e9b\u91d1\u5c5e\u7684\u5bc6\u5ea6\u8fdb\u884c\u4e86\u6bd4\u8f83\u3002\u8ba1\u7b97\u4f7f\u7528\u6216\u4e0d\u4f7f\u7528SEMAR\u65f6\u7684\u5bc6\u5ea6\u6807\u51c6\u5dee\uff08SD\uff09\u4ee5\u53cd\u6620\u5ba2\u89c2\u4f2a\u5f71\u7684\u4e25\u91cd\u6027\u3002\u53e6\u5916\uff0c\u8bad\u7ec3\u4e86\u4e24\u540d\u89c2\u5bdf\u8005\u4ee5\u4e94\u70b9\u91cf\u8868\u4e3b\u89c2\u8bc4\u4f30\u4f2a\u5f71\u7684\u4e25\u91cd\u6027\u3002\u7ed3\u679c\u8868\u660e\uff0c\u5728\u9760\u8fd1\u9ad8\u5bc6\u5ea6\u91d1\u5c5e\u690d\u5165\u7269\u7684\u533a\u57df\u5ba2\u89c2\u4f2a\u5f71\u4e25\u91cd\u7a0b\u5ea6\u660e\u663e\u964d\u4f4e\uff08\u4f7f\u7528SEMAR\u540e\uff0c\u5bc6\u5ea6SD\u4ece204 HU\u964d\u4f4e\u81f366 HU\uff09\uff0c\u800c\u5728\u9760\u8fd1\u4f4e\u5bc6\u5ea6\u91d1\u5c5e\u690d\u5165\u7269\u7684\u533a\u57df\uff0c\u5ba2\u89c2\u4f2a\u5f71\u4e25\u91cd\u5ea6\u4e5f\u964d\u4f4e\u4e86\uff08\u4f7f\u7528SEMAR\u540e\uff0c\u5bc6\u5ea6SD\u4ece86 HU\u964d\u4f4e\u4e3a49 HU\uff09\u3002 \u4f7f\u7528SEMAR\u540e\uff0c\u6240\u6709\u8fdc\u79bb\u6240\u6709\u91d1\u5c5e\u690d\u5165\u7269\u7684\u533a\u57df\u4f2a\u5f71\u4e25\u91cd\u7a0b\u5ea6\u5ba2\u89c2\u4e0a\u76f8\u4f3c\uff0c\u7136\u800c\uff0c\u4e3b\u89c2\u4e0a\uff0c\u5728\u9760\u8fd1\u548c\u8fdc\u79bb\u9ad8\u5bc6\u5ea6\u548c\u4f4e\u5bc6\u5ea6\u91d1\u5c5e\u690d\u5165\u7269\u7684\u4f2a\u5f71\u4e25\u91cd\u6027\u5747\u964d\u4f4e\u3002Dommaraju\u7b49\u603b\u7ed3\uff0c\u56de\u987e\u6027\u5e94\u7528SEMAR\u7b97\u6cd5\u53ef\u4ee5\u964d\u4f4e\u4f4e\u5bc6\u5ea6\u548c\u9ad8\u5bc6\u5ea6\u91d1\u5c5e\u7684\u4e3b\u5ba2\u89c2\u4f2a\u5f71\u7684\u4e25\u91cd\u6027\u3002<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u7ed3\u7f14\u7ec4\u7ec7\u95f4\u9694\u7684\u5168\u81ea\u52a8\u5206\u5272\u7684<\/strong><strong>CT<\/strong><strong>\u5bf9\u8eab\u4f53\u7ed3\u6784\u7684\u5206\u6790\uff1a\u4e00\u79cd\u6df1\u5ea6\u5b66\u4e60\u65b9\u6cd5<\/strong><\/span><\/h5>\n<p>Nowak S, Faron A, Luetkens JA, Gei\u00dfler HL, Praktiknjo M, Block W, et al. Fully Automated Segmentation of Connective Tissue Compartments for CT-Based Body Composition Analysis. Invest Radiol [Internet]. 2020 Jun 1 [cited 2020 Jun 21];55(6):357\u201366. \u6765\u81ea\uff1a<a href=\"http:\/\/journals.lww.com\/10.1097\/RLI.0000000000000647\">http:\/\/journals.lww.com\/10.1097\/RLI.0000000000000647<\/a><\/p>\n<p><strong>\u5173\u952e\u8bcd\uff1a<\/strong>CT\uff0c\u6df1\u5ea6\u5b66\u4e60\uff0c\u5206\u5272<\/p>\n<p>Nowak\u7b49\u8bd5\u56fe\u4f7f\u7528\u5f00\u6e90\u4ee3\u7801\u5377\u79ef\u795e\u7ecf\u7f51\u7edc\uff08CNN\uff09DeepMedic\uff0c\u5bf91143\u4f8b\u60a3\u8005\u7684\u56de\u987e\u6027CT\u68c0\u67e5\u5f00\u53d1\u51fa\u9488\u5bf9\u7ed3\u7f14\u7ec4\u7ec7\u95f4\u9694\u7684\u5168\u81ea\u52a8\u4e14\u7cbe\u786e\u7684\u5206\u5272\u65b9\u6cd5\u3002\u4ed6\u4eec\u6307\u51fa\uff0c\u8be5\u65b9\u6cd5\u53ef\u7528\u4e8e\u63d0\u4f9b\u6709\u5173\u6076\u6027\u80bf\u7624\u60a3\u8005\u8eab\u4f53\u7ed3\u6784\u7684\u4fe1\u606f\uff0c\u4f8b\u5982\u6076\u75c5\u8d28\u7684\u7a0b\u5ea6\u3002\u7531\u4e8e\u8eab\u4f53\u95f4\u9694\u7684\u68c0\u6d4b\uff0c\u5c24\u5176\u662f\u76ae\u4e0b\u8102\u80aa\u548c\u5185\u810f\u8102\u80aa\u7684\u68c0\u6d4b\u4f1a\u53d7\u5168\u8eab\u6c34\u80bf\u7684\u5f71\u54cd\uff0c\u56e0\u6b64\uff0cNowak\u7b49\u9009\u62e9\u4e86\u884c\u7ecf\u5bfc\u7ba1\u4e3b\u52a8\u8109\u74e3\u819c\u7f6e\u6362\u672f\u7684\u60a3\u8005\u548c\u809d\u786c\u5316\u60a3\u8005\u4ee5\u786e\u4fdd\u53ef\u9760\u7684\u6a21\u578b\u3002\u6570\u636e\u5206\u4e3a\u8bad\u7ec3\u7ec4\uff0870\uff05\uff09\uff0c\u9a8c\u8bc1\u7ec4\uff0815\uff05\uff09\u548c\u6d4b\u8bd5\u6570\u636e\uff0815\uff05\uff09\u3002\u57fa\u4e8e\u534a\u624b\u52a8\u9608\u503c\u7684\u5206\u5272\u6280\u672f\u7528\u4e8e\u56fe\u50cf\u5b9e\u51b5\u6807\u8bb0\u3002\u8be5\u7b97\u6cd5\u5728100\u4f8b\u968f\u673a\u9009\u62e9\u7684\u60a3\u8005\u7684\u5e38\u89c4CT\u68c0\u67e5\u548c50\u4f8b\u672c\u673aCT\u68c0\u67e5\u4e0a\u8fdb\u884c\u4e86\u8fdb\u4e00\u6b65\u6d4b\u8bd5\u3002\u8fdb\u884c\u4e86\u76ae\u4e0b\u8102\u80aa\u7ec4\u7ec7\uff08SAT\uff09\uff0c\u5185\u810f\u8102\u80aa\u7ec4\u7ec7\uff08VAT\uff09\uff0c\u9aa8\u9abc\u808c\uff08SM\uff09\u95f4\u9694\u7684\u5206\u5272\u3002\u7ed3\u679c\u663e\u793a\u5e38\u89c4CT\u8bca\u65ad\u60a3\u8005\u548c\u672c\u673aCT\u626b\u63cf\u5747\u5177\u6709\u6781\u597d\u7684\u9002\u7528\u6027\u3002 Nowak\u7b49\u603b\u7ed3\uff0c\u5f00\u6e90CNN DeepMedic\u53ef\u4ee5\u8fdb\u884c\u5168\u81ea\u52a8\u7684\u4eba\u4f53\u7ed3\u6784\u5224\u522b\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"&nbsp; 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