泌尿器科からみたCTの評価と展望 (第30回泌尿器科中部連合地方会) -- (泌尿器科領域におけるCTスキャンの応用(シンポジウム))

概要

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Urological malignant diseases, 46 cases of bladder carcinoma, 13 cases of renal carcinoma and others 3 cases were examined by computed tomography (CT). Preoperative clinical stage determined by CT was compared with stage by angiography, operative findings and pathological stage. In renal carcinoma, correct staging by CT was 76.9% but 84.6% by angiography. The lesions of vena cava or renal vein could be manifested more clearly than CT. So the route of contrast material should be devised. In bladder carcinoma, olive oil was used as contrast material, preoperative staging by CT was correct in 90.6% but 56.6% by angiography. The clinical stage of bladder carcinoma could be determined by only CT. On the other hand CT taken by bolus injection could descript clearly renal cortex. Peak CT number of renal cortex and GFR were significantly correlated. Bolus injection CT would be used not only as functional but as morphological examination.
泌尿器科紀要刊行会の論文