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期刊信息
创刊日期:1990年
主管单位:中国人民共和国卫生部
主办单位:中国医学影像技术研究会
中国医科大学
承办单位:中国医科大学附属盛京医院
辽宁省医学影像学会
编辑出版:《中国临床医学影像杂志》
编辑部
刊 期:月刊
2013 Vol. 24, No. 11
Published: 2013-11-20
论著
761
The application value of low dose CT scanning technology in CTA of head and neck
LI Fei-fei;JIN Biao;ZOU Ming;ZHANG Hai-bing;LI Jun;WANG Yong-jie
DOI:
Objective: To discuss the value of clinical application of low dose CT angiography(CTA) (low voltage) in head and neck. Methods: Fifty-five adults(BMI<22.9 kg/m2) underwent 64-row head and neck CTA examinations. They were randomly divided into two groups that is those using conventional dose(120 kV, 175 mA) and those using low dose(80 kV, 175 mA) scanning protocols, respectively. InSpace, Neuro DSA, 3D image software were used for postprocessing. Image quality and diagnostic value of the two groups were assessed, the chi-square test was used for statistical comparison of the two groups. The radiation dose of the two groups were also recorded. Results: The results showed that the quality of routine dose image is slightly higher than that of low dose group, but with no statistical significance(P>0.05). In the low dose group, the image particles were slightly rough, but did not affect diagnosis, there was no statistical significance(P>0.05). The BMI of the two groups showed no statistical significance(P>0.05). Radiation dose received by low dose group was lower than that of conventional dose group significantly with CTDlvol and DLP decreased 71.22% and 72.03%, respectively. In each of the two groups, there was 1 case which image quality was poor, respectively, was due to technical factors through investigation, was included as the research category. Conclusion: Low dose CTA scanning technique can be applied for head and neck vascular lesions including plaque screening, vascular stenotic degree evaluation before and after stent implantation. Meanwhile, it can greatly reduce the radiation dosage received by the patients.
2013 Vol. 24 (11): 761-764 [
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674
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765
Correlation between the anatomical location of lung cancer and changes of the bronchial artery
CAO Zhi-jian;LIU Yu-feng;XU Mao-sheng;DING Guo-miao;WANG Shi-wei
DOI:
Objective: Using spiral CT angiography(CTA) for assessing the changes of bronchial artery(BA) in central and peripheral lung cancer, the difference in BA changes with tumor size and location. Methods: The study was approved by the institutional research board. Fifty patients with pathologically confirmed lung cancer(25 cases in each of the central and peripheral lung cancer), were divided into nodular group(tumor diameter ≤30 mm) and mass group(tumor diameter >30 mm); 30 normal individuals were included. Pre- and post-enhanced chest CT scan were performed in all of the cases. CTA was processed from the data of arterial phase CT scan after contrast material was injected. Post-processing included multiple plane reconstruction(MPR), maximum intensity projection(MIP), and volume rendering technique(VRT). The origins, morphological features of the BA and its relationship with the tumor were carefully observed. Results: All of the 30 cases of normal control group showed BA, 50 arteries on the right side(average 1.7/case), 53 arteries on the left side(average 1.8/case). In 50 cases of lung cancer, 90 arteries were showed(an average of 1.8/case). The average diameter of BA was 1.4 mm in the control group. The average diameter of BA was 1.8 mm in the 12 central lung cancer(nodule group), 13 cases the average diameter was 2.9 mm in the mass group, total average diameter was 2.6 mm. The average diameter of BA was 1.5 mm in the 9 peripheral lung cancer nodule group. The average diameter was 2.0 mm in the 16 cases of the mass group, total average diameter was 1.8 mm. BA of peripheral lung nodule group compared with normal control group, there was no significant difference(P>0.05). There was significant difference in internal diameter of BA in mass group of peripheral lung cancer and central of the nodule group when compared with normal control group(P<0.001). The diameter of BA was significantly increased in the central lung cancer than that in the peripheral lung cancer(P<0.01). Conclusions: Spiral CT can effectively show the BA, BA changes have certain relevance with the tumor size and location.
2013 Vol. 24 (11): 765-767 [
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606
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768
Application of 256-slice CT in the analysis of congenital heart disease withpulmonary atresia and ventricular septal defect
YAN Li-qun;HOU Ya-ping;LIU Yong;WANG Guo-shi;GENG Zuo-jun;SONG Peng
DOI:
Objective: To explore diagnostic value of the spiral CT in the diagnosis of congenital heart disease with pulmonary atresia. Methods: Sixteen patients with pulmonary atresia associated with ventricular septal defect were enrolled in this study. All of them had X-ray plain film, 256-slice spiral CT and echocardiography. And all the imaging data were analyzed retrospectively. Results: All patients obtained correct diagnosis by spiral CT, and many associated malformations were also found. All patients in this study group complicated with ventricular septal defect, 15 of them with overriding aorta, twelve cases were found to have obvious major aorto-pulmonary collateral arteries and five patients associated with right aortic arch and descendding aorta, 4 patients had patent ductus arteriosus. Three patients were found to have developmental abnormalities of brachiocephalic artery, 7 cases had varying developmental abnormalities of main pulmonary artery. Only one case appeared to have atrial septal defect. In 5 cases Mcgoon index was >1.2, 4 patients’ Nakata index >150 mm2/m2. Conclusion: Application of multislice CT has a high diagnostic accuracy rate for congenital heart disease with pulmonary atresia and ventricular septal defect, particularly in the diagnosis of aorto-pulmonary collateral arteries.
2013 Vol. 24 (11): 768-771 [
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568
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772
Value of strain ratio in the tiny solid breast masses
SHEN Xi-lin;LONG Chun-yan;LU Li-ping;MO Chun-sheng;WANG Kun;CAO Xiu-huai;LIU Wen-hui
DOI:
Objective: To evaluate the diagnostic value of strain ratio(SR) in the differential diagnosis of benign and malignant minimal solid breast masses(the largest diameter ≤10 mm) masses. Methods: By analyzing 184 breast lesions in real-time ultrasound elastography images. Calculated the mean SR of each lesion with the surrounding tissues, pathological result was used as the diagnostic standard, receiver operating characteristic(ROC) curve was used for statistical analysis to determine the optimal diagnostic threshold fo benign and malignant breast lesions. Results: The average SR of benign lesions was significantly lower than that of malignant ones (1.81±0.334) vs (2.92±0.753). According to the ROC curve, the area under the ROC curve was 0.891, the area of the standard error was 0.023 and area of the 95% confidence inteval(0.846~0.935), not including 0.5, P=0.000. There was significant difference. The best cut-off point for SR was 2.165. Its corresponding sensitivity(Se), specificity(Sp) was 81.4% and 77.2% respectively. The Youden index(YI) was 0.586. The Se and Sp was maximum (1.586) and the missed diagnosis and misdiagnosis rate was minimal(0.414). Conclusions: SR analysis is useful for the diagnosis of benign and malignant tiny solid breast masses.
2013 Vol. 24 (11): 772-776 [
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587
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777
Percutaneous drainage in the treatment of acute cholecystitis underthe guidance of ultrasound combined with fluoroscopy
ZHOU Da-xin;CHANG Zhi-hui;MA Yu-jia;ZHAO Jian;LIU Zhao-yu
DOI:
Objective: To evaluate the safety and efficacy in the treatment of percutaneous gall bladder drainage(PTGD) for acute cholecystitis under the guidance of ultrasound combined with fluoroscopy. Methods: From 2009 through 2013, 118 cases of acute cholecystitis who were contraindicated to have cholecystectomy at the time of admission and were treated with PTGD under the guidance of ultrasound combined with X-ray fluoroscopy. Among these patients, 66 cases were acute calculous cholecystitis, 52 cases had non-calculous cholecystitis. The preoperative and postoperative clinical symptoms, laboratory tests, radiologic examinations were evaluated and compared. Results: The insertion of the disposable drainage catheter was succeeded in 116 cases at the first technical trial and in 2 patients it was succeeded by the second trial. Among the 66 cases of acute calculous cholecystitis cases, 45 cases(68.2%) were completely recovered had cholecystectomy thereafter, 12 asymtomatic cases(18.18%) who could not tolerate surgery and were given long-term catheterization, drainage catheter detached in 4 cases(6.0%), 5 cases(7.6%) died. While in the 52 cases of non-cauculous cholecystitis, after drainage for 3~4 weeks, cholangiography showed that 44 cases(84.6%) had no obstruction, after extubation were perfectly cured. Catheter detached in 5 cases(9.6%), 2 cases(3.8%) had long-term catheterization, 1 case(1.9%) died. Conclusions: PTGD under the guidance of ultrasound and fluoroscopy in the treatment of acute cholecystitis is simple, safe and effective. Prognosis in patients with non-calculous cholecystitis after percutaneous drainage was superior than that in patients with calculous cholecystitis.
2013 Vol. 24 (11): 777-779 [
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728
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780
Diagnostic value of contrast enhanced US for cystic renal masses: a Meta analysis
WU Lei;ZHA Yun-fei;CHEN Wen;GONG Xiao-hong
DOI:
Objective: To assess the diagnostic value of contrast enhanced ultrasound technology in the diagnosis of cystic renal masses by Meta-analysis. Methods: Contrast enhanced ultrasound and cystic renal masses were selected as the keywords. Searching the Cochrane library, PubMed, Embase, CNKI and the WANFANG DATA, the original data were abstracted and performed heterogeneity test with the Meta-Disc software. The weighted sensitivity, specificity, positive likelihood ratio and negative likelihood ratio were calculated, as well as the summary receiver operating characteristic(SROC) curve. Further estimated the diagnostic value of contrast enhanced ultrasound in the research of cystic renal masses by calculating the area under the curve. The quality of evidence in researches were evaluated by QUADAS items. Result: A total of 7 studies including four Chinese papers and three English articles were adopted for Meta-analysis. According to the random effects model, the weighted sensitivity, specificity, positive likelihood ratio, negative likelihood ratio,diagnostic odds ratio were 0.92, 0.84, 4.54, 0.09, 69.9, respectively; and the area under the curve was 0.952. Conclusion: Contrast enhanced ultrasound technology has a good diagnostic and clinical value in the study of cystic renal masses.
2013 Vol. 24 (11): 780-783 [
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601
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784
The correlation research between the renal blood flow PSV, EDV monitored by CDFI and AKI after CPB
LI Ming-xing;LIU Hui;FU Yong;CHEN Xiao-mei;YU Feng-xu;DENG Ming-bin;LI Xin
DOI:
Objective: In this study, to explore the relationship between the renal blood flow peak systolic velocity(PSV), end diastolic velocity(EDV), detected by CDFI, and the acute kidney injury(AKI) caused by cardiopulmonary bypass(CPB). Methods: Fourteen cases with heart disease were accepted. The main renal artery and renal segmental artery PSV, EDV of all cases were monitored by CDFI at preoperative and postoperative 1 h, 2 h, 4 h, 8 h, 16 h, 24 h. The renal blood urea nitrogen(Urea), uric acid(UA), creatinine(Crea), were detected at the same time. All data were performed for statistical analysis. Results: The main renal artery and renal segmental artery PSV was higher at 1 h postoperative time point than that at the preoperative and 4 h, 16 h, 24 h postoperative time points. The renal aorta EDV was higher at the postoperative 2 h than that at the preoperative and postoperative 4 h, 8 h, 16 h, 24 h. The renal segmental artery EDV was lower at the postoperative 4 h than that at postoperative 1 h. The renal blood flow EDV was negatively correlated with the renal function parameters: Urea, UA, Crea. Conclusion: The main renal artery, renal segmental artery EDV and the Urea, UA, Crea had negative correlation after CPB. The EDV may be used as an evaluation index to assess AKI after CPB.
2013 Vol. 24 (11): 784-787 [
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774
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788
The manifestation and diagnostic value of MDCT for mucinous cystadenoma of appendix
GONG Li-hui;WANG Chun;CHEN Zhong-da;ZHOU Jian-jun;MA Zhou-peng
DOI:
Objective: To explore the manifestations of MDCT in mucinous cystadenoma of appendix and correlated with pathology, and evaluate the value of MDCT in the diagnosis and differential diagnosis. Methods: MDCT findings and clinical data of 13 mucinous cystadenomas of appendix proved by surgery and pathology were analyzed retrospectively. Results: All 13 cases showed mass in right hypogastrium near cecum. The images of axial section and MPR showed the tumors were oval or tubular in accordance with the path of appendix. Most tumors showed clear boundary and the mean diameter was 4.2 cm. The cystic wall of most tumors were thin, smooth and symmetrical, the mean thickness was 0.3 cm, the inner wall of most tumors were smooth, in 9 cases calcification can be seen in the cystic wall. The density of inner composition of tumors were symmetrical and the mean CT value was 25.7 HU, slim septae can be seen in 9 cases. On DCE-CT, most tumors showed mild continuous enhancement. Local ascites near tumor can be seen in 2 cases, local omentum major packed around in 1 case and enlarged lymph nodes occured in 1 case. Conclusion: MDCT has important value in the diagnosis and identification for mucinous cystadenoma of appendix.
2013 Vol. 24 (11): 788-791 [
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593
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792
Application value of two-dimensional and three-dimensional ultrasound in prenatal diagnosis of hemivertebrae
WANG Wei;ZHANG Hai-chun;WANG Jun
DOI:
Objective: To investigate the clinical value of two-dimensional and three-dimensional ultrasound in prenatal diagnosis of hemivertebrae. Methods: To analyze two-dimensional and three-dimensional ultrasonography imaging features in hemivertebrae. Results: Two-dimensional ultrasound has many characteristics of hemivertebrae. Three-dimensional ultrasound can be used to visualize the degree of scoliosis. Accurate positioning of the vertebrae, is important for performing two-dimensional ultrasound technique. Among the 12 fetuses, 5 fetuses had single vertebral deformity, 7 fetuses had multiple vertebral deformities, 6 cases occurred in the thoracic spine, 3 cases in the lumbar spine, 1 case in the sacral segment, 1 case in the cervical and thoracic, 1 case in the thoracic and lumbar. Besides the vertebral defect, 8 fetuses had additional anomalies, of which 4 fetuses had cardiac malformations, 2 fetuses had urinary tract abnormalities, 2 fetuses had abnormal limb development, 2 fetuses had central nervous system malformations, 2 fetuses had oligohydramnios. Conclusion: We found that hemivertebrae has typical ultrasonic features, ultrasound had significant clinical value.
2013 Vol. 24 (11): 792-794 [
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638
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795
The value of color Doppler flow imaging in upper extremity venous thrombosis after PICC
CHEN Ke-wen;LI Ming-xing
DOI:
Objective: To explore the value of color Doppler ultrasound (CDUS) in the thrombolytic therapy for the patient with upper extremity venous thrombosis after peripherally inserted central venous catheter(PICC). Method: Follow-up observation and analysis of 12 patients who underwent PICC due to upper extremity venous thrombosis and received thrombolytic therapy later under CDUS monitoring. Results: In all the 12 patients, 8 patients were male, 4 were female. Seven cases of catheter located in the right upper extremity, 5 cases in the left upper extremity, 4 cases due to gastrointestinal cancer, 3 cases of lung cancer and breast cancer respectively, 2 cases of abdominal malignancies. All the patients with breast cancer were female. In 11 patients the upper extremity venous thrombosis disappeared after thrombolytic therapy. One patient developed extensive upper limb venous thrombosis, and had been suspected clinically to have pulmonary thromboembolism, but excluded later. CDUS can observe the size, shape, scope of the venous thrombosis, also can monitor the situation of flow recanalization, and show the position and the state of the catheter clearly during the whole process of thrombolytic therapy. It would help clinicians to assess the effect of thrombolytic therapy and so as to guide the treatment plan in an large extent. Conclusions: CDUS can accurately observe the location, scope, status of the patients with upper venous thrombosis after PICC and monitor the therapeutic treatment during the whole process. CDFI plays an important role in the assessment of thrombolytic effect for the patients with upper venous thrombosis after PICC and to guide treatment plan.
2013 Vol. 24 (11): 795-797 [
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541
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798
Effect of fisting activity at different frequencies on hemodynamics of the vein with PICC insertion
MEI Si-juan;YU Juan;YANG Li-hua
DOI:
Objective: To study the effect of fisting activities at different frequencies on hemodynamics of the vein with peripherally inserted central catheter(PICC) and compared with that of the vein in patients with supine resting state. Methods: PICCs were randomly inserted in 10 adult volunteers. Variations of the inner diameter of the vein, cross-sectional area, mean velocity of blood flow, blood flow volume of the vein with PICC were evaluated by using color Doppler ultrasound for 3 minutes with four different frequencies including 40 times/min; 30 times/min; 20 times/min and 10 times/min. Results: Compare to the vein in supine resting state, all of the four fisting activities with different frequencies enlarge the inner diameter and cross-sectional area of the vein(P<0.05). The fisting activity with the frequency of 30 times/min significantly increase the mean blood flow velocity(P<0.05). The blood volume during fisting activities with frequency of 30 times/min and 20 times/min was higher than that of the other two frequency activities(P<0.05), and the effect was most obvious during the 30 times/min. Conclusion: The frequency of 30 times/min fisting activity produces the best hemodynamic effect, espicially for the best mean blood flow velocity and blood flow volume, it can be used as a way to prevent upper extremity vein thrombosis related to PICC insertion.
2013 Vol. 24 (11): 798-800 [
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662
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801
Correlation between bone metabolism by radionuclide bone imaging and bone mineral density
LOU Jing-jing;ZHANG Yi-fan;LIU Jiang;DONG Ke
DOI:
Objective: To study the correlation between bone metabolism through radionuclide bone imaging and bone mineral density(BMD) by bone density scanning to provide valuable information about the status of osteoporosis. Methods: Eighteen patients, 5 male and 13 female, age ranged from 50 to 88 years old with an average of 65 years old were included in this study. All of the patients underwent a bone density scanning(GE Lunar DXA) for bone density estimation, SPECT whole-body bone scan(GE Infinia Hawkeye, 4) were performed. The region of interest(ROI) was separately put at 1st~4th lumbar vertebrae and femoral neck for radioactivity absorption examination and also BMD measurement. The ROI ratio was the detected part ROI value divided by the respective ipsilateral middle femur shaft ROI value. Correlation analysis between bone metabolism and bone density were carried out. Results: The ROI ratio of L1~L4 bone radionuclide scintigraphy and BMD had significant correlation. The ROI ratio of the normal group and osteoporotic group also had significant correlation with that of the BMD. The ROI ratio of the femoral neck had no significant correlation with that of the BMD. The changes of ROI ratio of L1~L4 had the same trend as that of the BMD of the respective region. Conclusion: The ROI ratio of the lumbar vertebrae through radionuclide bone sctintigraphy has significant correlation with that of BMD, therefore can be used as estimation of BMD.
2013 Vol. 24 (11): 801-804 [
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618
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综述
805
Progress of iterative reconstruction technique in low dose CT application
LIU Qin;HOU Yang;GUO Qi-yong
DOI:
2013 Vol. 24 (11): 805-807 [
Abstract
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585
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286
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短篇论著
808
CT diagnosis of intracranial lipomas: report of 18 cases
LAO Chang-di;YUAN Jian-peng;XIE Ming-wei
DOI:
2013 Vol. 24 (11): 808-809 [
Abstract
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623
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222
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810
Diagnostic value of 64 slice spiral CT of carotid body tumor
XU Yan-dong
DOI:
2013 Vol. 24 (11): 810-812 [
Abstract
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591
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197
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812
The clinical value of 18F-FDG PET/CT imaging in the diagnosis of breast cancer with regional lymph node metastases
DAI Wen-jing;ZHANG Wei;XIN Jun;WANG Hui-ying;HAN Lu
DOI:
2013 Vol. 24 (11): 812-814 [
Abstract
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586
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189
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815
Diagnostic value of MRI combined with contrast enhanced MSCT inpreoperative T staging of rectal carcinoma
YU Qiu-jie;SHANG Nai-jian;ZHANG Hong-xia;TANG Na
DOI:
2013 Vol. 24 (11): 815-817 [
Abstract
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711
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350
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818
Clinical value of quantitative three-dimensional power Doppler ultrasound monitoringnormal late pregnancy placental blood flow
WANG Yong-mei;CAO Li;ZHA Wen;LV Kang-tai
DOI:
2013 Vol. 24 (11): 818-820 [
Abstract
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646
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231
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820
Study the difference of two-dimensional and three-dimensional ultrasound in diagnosing ovarian tumors
GUO Lin-na;HUANG Fan
DOI:
2013 Vol. 24 (11): 820-822 [
Abstract
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611
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244
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823
The usefulness of sonographic appearance of the fetal anus in the diagnosis of imperforate anus
CHAI Yi-qing;LIU Jie;ZHANG Lei
DOI:
2013 Vol. 24 (11): 823-825 [
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734
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200
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825
CT and MRI diagnosis of pilonidal sinus
LI Gang;WANG Qing-yun;QIN Da-xian;CHEN Xie-hui;QIAN Hui-rong;CHEN Ke;ZHU Yu-xiang
DOI:
2013 Vol. 24 (11): 825-826 [
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1232
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189
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病例报告
827
Atypical teratoid/rhabdoid tumor in the right side of lateral ventricle: report of one case
ZHAO Rui;JIANG Wei-guo;MA Yue
DOI:
2013 Vol. 24 (11): 827-828 [
Abstract
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667
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184
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828
Parachute mitral valve and aortic valve malformation diagnosed by ultrasound: report of one case
WU Cun-gang;LI Yu-hong;XING Shuang
DOI:
2013 Vol. 24 (11): 828-828 [
Abstract
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597
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184
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829
Spiral CT angiography in the diagnosis of congenital heart disease with multiple airway stenosis: report of one case
ZHU Peng;LIN Zhi;SHU Tao;LV Shao-mao;WANG Yong
DOI:
2013 Vol. 24 (11): 829-830 [
Abstract
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564
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222
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830
Primary peritoneal carcinoma of endometrioid: report of one case
LI Zhen-hui;GAO De-pei
DOI:
2013 Vol. 24 (11): 830-831 [
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640
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228
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832
Portal venous gas: report of one case
XU Su-zhen
DOI:
2013 Vol. 24 (11): 832-832 [
Abstract
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645
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264
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833
Misdiagnosis of pelvic accessory spleen with pedicle torsion: report of one case
ZHANG Li-rong;REN Fang-yuan;NIU Juan-qin;HAN Yue-dong
DOI:
2013 Vol. 24 (11): 833-833 [
Abstract
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517
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204
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834
Preoperative CT diagnosis of the spermatic cord lipoma: report of one case
ZHANG Yi-jun;TANG Zhi-quan
DOI:
2013 Vol. 24 (11): 834-834 [
Abstract
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693
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317
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835
Caudal regression syndrome: report of one case and literature review
XIANG Ke;ZHU Yuan-yi;FAN Cheng-lin;ZHANG Yi;CHEN Wen-jing
DOI:
2013 Vol. 24 (11): 835-836 [
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563
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