- 期刊
多切層電腦斷層於頭頸部腫瘤鑑別診斷的檢查策略
Strategies of Examination Techniques for Differential Diagnosis of Head and Neck Tumors by MDCT
摘要
隨著電腦斷層技術的進步，影像的品質日益受重視，本研究結合了TOSHIBA Aquilion one 320切MDCT以及針對頭頸部腫瘤發展出一套技術來提升腫瘤在影像上的正確診療率，利用雙頰充氣技術(The Puffed Cheek Technique)可清楚在影像上分辨出口腔內複雜解剖構造及各個黏膜，瓦沙爾氏法(Valsalva's Maneuver)可針對下咽部的腫瘤做出更清楚的腫瘤定位，E＂-發聲動作(＂E＂- Phonation)可清楚分辨真聲帶及假聲帶位置，對於聲門及聲帶的腫瘤可更容易的診斷出病兆，研究結果顯示在取樣總病人數180位患有頭頸部癌的病患，發現有顯著的提高影像的診斷價值，證實此方法在臨床上的可行性。
並列摘要
With the technical advancement of computed tomography, the quality of imaging has been a growing concern. Our study was to determine the effect of using the puffed cheek technique and Valsalva's maneuver on diagnostic accuracy of head and neck malignancy on Toshiba Aquilion one 320 MDCT, focusing on anatomic structures in the oral cavity and the hypopharynx. For the 180 patients enrolled in our study, we concluded that the maneuvers were feasible and greatly improved the diagnostic accuracy of head and neck malignancy on CT.
延伸閱讀
- 蔡銘修、陳慧炯、黃俊生（1995）。以選擇性頸部廓清術治療頭頸部類上皮癌之初步評估。中華民國耳鼻喉科醫學會雜誌，30(2)，116-123。https://doi.org/10.6286/1995.30.2.116
- Cheung, W. K., Li, Y. W., & Hsu, C. Y. (1999). 電腦斷層攝影診斷頭頸深部感染症之探討. 慈濟醫學雜誌, 11(1), 33-40. https://doi.org/10.6440/TZUCMJ.199903.0033
- 黃科庭、謝金宏、杜俊元、范揚凱、黃武達（2009）。頭頸部電腦斷層腦血管攝影減像技術之臨床應用。台灣應用輻射與同位素雜誌，5(3)，735-742。https://doi.org/10.29832/TJARI.200909.0006
- 蘇峯毅、陳東明、林家緯、陳俊光、陳瑞芬（2014）。腦部含頸椎電腦斷層掃描最優化之探討。中華放射線技術學雜誌，38(2)，69-76。https://www.airitilibrary.com/Article/Detail?DocID=16849418-201406-201406200020-201406200020-69-76
- Hsu, M. L., Lee, J. C., Liu, C. J., Chen, Y. J., Chang, Y. F., & Leu, Y. S. (2021). Analysis of De Novo and Radiation-Induced Sarcomatoid Carcinoma of Head and Neck: A Single-Center Experience. International Journal of Head and Neck Science, 5(3), 105-110. https://doi.org/10.6696/IJHNS.202109_5(3).0003