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Efficacy of CT in diagnosis of cerebellopontine angle region.

机译:CT在小脑桥脑角区诊断中的作用。

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Background: Computer tomograph (CT)is commonly used as a first step in diagnosing tumoursin cerebellopontine angle region.The aim of the work was to evaluate worth of this method in visualisation of temporal bone and posterior cave structures.Material/Methods: The analysis comprises of 46 cerebellopontine angle tumours and temporal bone structure CT examinations performed during 10 years period (between 1987 and 1996).In 25 examinations (matrix of 256x256),by a standard,layer and displacement of the table were 8 mm thick,in 4 cases 4 mm,and in 1 case 2 mm 21 examinations (matrix of 512x512)were conducted with conventional layer of 10 mm thick,in 7 cases -5 mm,in 5 cases -3 mm and in 2 cases -2 mm for visualisation of posterior cave structures.Results: Visualisation and measuring of internal auditory canal and intracanalicular part of acoustic neurinoma was possible in 30-40%of examinations conducted with 10-8 mm layer,in 71-80% with 5-3 mm layer and in 100%of examinations with 2 mm layer.These parameters were possible to diagnose in 73%of the examinations carried out with the bone window independently on the thickness of the layer.Conclusions: Very important by diagnostic of CPA tumours is performing CT examinations with 2-4 mm layers thickness,bone window program and before and after contrast administration.Correctly performed CT examination is highly essential,especially in visualization of bone structures.
机译:背景:计算机断层扫描(CT)通常是诊断小脑桥脑角区域肿瘤的第一步,其目的是评估这种方法在颞骨和后洞结构可视化中的价值。材料/方法:分析包括在10年期间(1987年至1996年)对46例小脑桥脑角肿瘤和颞骨结构进行了CT检查。按标准,在25次检查(矩阵为256x256)中,台板的厚度和位移为8 mm,4例4毫米,在1例2毫米的情况下,对10毫米厚的常规层进行21次检查(矩阵为512x512),其中7例-5毫米,5例-3毫米,2例-2毫米,以显示后路结果:在10-8 mm层的检查中,有30-40%的检查,在5-3 mm层的检查中有71-80%的检查以及100%的检查,可以对可视神经内瘤的内耳道和小管内部分进行可视化和测量。放置2毫米的检查er。这些参数有可能在73%的骨窗检查中独立于层的厚度进行诊断。结论:对于CPA肿瘤的诊断非常重要的是,以2-4 mm层的厚度,骨进行CT检查窗口程序以及对比管理之前和之后。正确执行CT检查非常重要,尤其是在骨骼结构可视化方面。

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