Kujambula kwa radiological ndikofunikira kuti zithandizire zambiri zachipatala ndikuthandizira akatswiri a urologist kukhazikitsa kasamalidwe koyenera kwa odwala. Pakati pa mitundu yosiyanasiyana yojambula, computed tomography (CT) pakali pano imadziwika kuti ndiyo muyeso wowunikira matenda a urological chifukwa cha kupezeka kwake, nthawi yojambula mwachangu, komanso kuunika kwathunthu. Makamaka, CT urography.
MBIRI
M'mbuyomu, intravenous urography (IVU), yomwe imatchedwanso "excretory urography" ndi / kapena "intravenous pyelography," makamaka ankagwiritsidwa ntchito poyesa njira ya mkodzo. Njirayi imaphatikizapo kujambula kwa radiograph yoyamba yotsatiridwa ndi jakisoni wa mtsempha wamankhwala osungunuka m'madzi (1.5 ml/kg kulemera kwa thupi). Pambuyo pake, zithunzi zingapo zimapezedwa panthawi inayake. Zolepheretsa zazikulu za njirayi ndikuwunika kwamitundu iwiri komanso kuwunika kosowa kwa anatomy yoyandikana nayo.
Pambuyo poyambitsa computed tomography, IVU yakhala ikugwiritsidwa ntchito kwambiri.
Komabe, m’zaka za m’ma 1990 mokha, ndi kuyambitsidwa kwa umisiri wa helical, nthaŵi za scan zinali zofulumira kwambiri kotero kuti mbali zazikulu za thupi, monga pamimba, zikhoza kuŵerengedwa m’masekondi. Kubwera kwaukadaulo wamitundu yambiri m'zaka za m'ma 2000, kusintha kwa malo kudasinthidwa, kulola kuzindikirika kwa urothelium yapamtunda wamkodzo ndi chikhodzodzo, ndipo CT-Urography (CTU) idakhazikitsidwa.
Masiku ano, CTU imagwiritsidwa ntchito kwambiri poyesa matenda a urological.
Kuyambira masiku oyambirira a CT, zadziwika kuti ma X-ray amphamvu zosiyanasiyana amatha kusiyanitsa zida za manambala a atomiki osiyanasiyana. Sizinafike mpaka 2006 kuti mfundoyi idagwiritsidwa ntchito bwino pophunzira minofu yaumunthu, potsirizira pake kumayambitsa kukhazikitsidwa kwa dongosolo loyamba la mphamvu ziwiri za CT (DECT) muzochita zachipatala za tsiku ndi tsiku. DECT yawonetsa nthawi yomweyo kuyenerera kwake pakuwunika momwe matenda a mkodzo akuyendera, kuyambira pakuwonongeka kwa zinthu zamkodzo mpaka kutulutsa ayodini m'matenda amkodzo.
phindu
Ma protocol achikhalidwe a CT nthawi zambiri amakhala ndi zithunzi zofananira ndi multiphase postcontrast. Makanema amakono a CT amapereka ma data a volumetric omwe amatha kumangidwanso mundege zingapo komanso ndi makulidwe a magawo osiyanasiyana, motero amasunga chithunzi chabwino kwambiri. CT urography (CTU) imadaliranso mfundo ya polyphasic, yoyang'ana pa gawo la "excretion" pambuyo poti wosiyanitsa alowa mu chikhodzodzo ndi chikhodzodzo, makamaka kupanga IV urogram yokhala ndi kusiyana kwakukulu kwa minofu.
LIMIT
Ngakhale kuti computed tomography yowonjezereka ndiyo njira yowonetsera chithunzi choyambirira cha mkodzo, zofooka zachibadwa ziyenera kuthetsedwa. Kuwonekera kwa radiation ndi nephrotoxicity yosiyanitsa zimawonedwa ngati zovuta zazikulu. Kuchepetsa mlingo wa radiation ndikofunikira kwambiri, makamaka kwa odwala achichepere.
Choyamba, njira zina zopangira zithunzi monga ultrasound ndi MRI ziyenera kuganiziridwa nthawi zonse. Ngati matekinolojewa sangathe kupereka zomwe akufunsidwa, ziyenera kuchitidwa pa CT protocol.
Kuwunika kwa CT kopitilira muyeso kumatsutsana ndi odwala omwe ali ndi ma radiocontrast agents komanso odwala omwe ali ndi vuto laimpso. Kuti muchepetse nephropathy, odwala omwe ali ndi glomerular filtration rate (GFR) yochepera 30 ml / min sayenera kupatsidwa njira zowonetsera popanda kuwunika mosamala kuopsa kwake ndi mapindu ake, ndipo ayenera kugwiritsidwa ntchito mosamala kwa odwala omwe ali ndi GFR yamitundu yosiyanasiyana. 30 mpaka 60 ml / min kwa odwala.
TSOGOLO
M'nthawi yatsopano yamankhwala olondola, kuthekera kofotokozera kuchuluka kwa zithunzi kuchokera kuzithunzithunzi za radiology ndizovuta zamakono komanso zamtsogolo. Njirayi, yomwe imadziwika kuti ma radiomics, idapangidwa koyamba ndi Lambin mu 2012 ndipo imachokera ku lingaliro lakuti zithunzi zachipatala zimakhala ndi zinthu zambiri zomwe zingasonyeze zomwe zimayambitsa matenda a minofu. Kugwiritsa ntchito zoyesererazi kumatha kupititsa patsogolo zisankho zachipatala ndikupeza malo makamaka mu oncology, kulola, mwachitsanzo, kuwunika momwe khansara ilili komanso kulimbikitsa njira zamankhwala. Pazaka zingapo zapitazi, kafukufuku wambiri wachitika pakugwiritsa ntchito njirayi, ngakhale pakuwunika kwa urothelial carcinoma, koma izi zikadali zofunikira pakufufuza.
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LnkMed ndiwopereka zinthu ndi ntchito za radiology yamakampani azachipatala. Ma syringe apakati othamanga kwambiri amapangidwa ndikupangidwa ndi kampani yathu, kuphatikizaCT injector imodzi,CT double mutu jekeseni,MRI jekesenindiangiography kusiyanitsa media injector, zagulitsidwa ku pafupifupi mayunitsi 300 kunyumba ndi kunja, ndipo apambana chitamando cha makasitomala. Panthawi imodzimodziyo, LnkMed imaperekanso singano ndi machubu monga zinthu zomwe zimagwiritsidwa ntchito pazinthu zotsatirazi: Medrad, Guerbet, Nemoto, ndi zina zotero, komanso zolumikizira zabwino, zowunikira za ferromagnetic ndi mankhwala ena azachipatala. LnkMed wakhala akukhulupirira kuti khalidwe ndilo maziko a chitukuko, ndipo lakhala likugwira ntchito mwakhama kuti lipatse makasitomala zinthu ndi ntchito zapamwamba. Ngati mukuyang'ana zinthu zamaganizidwe azachipatala, talandiridwa kuti mukambirane kapena kukambirana nafe.
Nthawi yotumiza: Mar-20-2024
