刁夏尧,吴少旭,孔坚秋.CT在肾错构瘤与肾细胞癌鉴别诊断中的应用及进展[J].中国肿瘤,2020,29(6):452-457.
CT在肾错构瘤与肾细胞癌鉴别诊断中的应用及进展
Progress in Differential Diagnosis Between Renal Angiomyo-lipoma and Renal Cell Carcinoma Based on CT Scan
中文关键词  修订日期:2020-04-03
DOI:10.11735/j.issn.1004-0242.2020.06.A009
中文关键词:  肾错构瘤  肾细胞癌  电子计算机断层扫描技术  鉴别诊断  影像组学  机器学习
英文关键词:renal angiomyolipoma  renal cell carcinoma  computed tomography  differential diagnosis  radiomics  machine learning
基金项目:国家自然科学基金(81825016)
作者单位
刁夏尧 中山大学孙逸仙纪念医院 
吴少旭 中山大学孙逸仙纪念医院 
孔坚秋 中山大学孙逸仙纪念医院 
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中文摘要:
      摘 要:肾错构瘤(renal angiomyolipoma)与肾细胞癌(renal cell carcinoma)均为常见的肾脏肿瘤,但其治疗方案及预后却差异较大。电子计算机断层扫描技术(computed tomography,CT)作为肾脏肿瘤常用的术前诊断手段,在鉴别诊断这两种肿瘤时却常存在影像特征重叠而导致误诊。本文综述了两种肾脏肿瘤的一般CT检查表现,并介绍一种新的肾错构瘤影像学分型,并探讨根据该新分型鉴别两种肿瘤的相关影像特征,最后总结了目前基于CT影像的高通量定量技术在鉴别两种肿瘤中的应用及进展,以期为鉴别肾错构瘤与肾细胞癌提供新的思路。
英文摘要:
      Abstract:Renal angiomyolipoma and renal cell carcinoma are common kidney tumors,but have different treatment strategy and prognosis. Computed tomography(CT),as a common preoperative diagnostic method for kidney tumors,often shows overlapping of imaging features between these two tumors;which may lead to misdiagnosis. In this article,we demonstrate the common CT imaging features between renal angiomyolipoma and renal cell carcinoma;introduce a new radiologic classification for renal angiomyolipoma and discuss the imaging features to distinguish the two tumors with the new classification. The article also reviews the progress of a novel high-throughput quantitative technique based on CT imaging,which can improve the differential diagnosis between renal angiomyolipoma and renal cell carcinoma.
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