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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
2019 Vol. 30, No. 8
Published: 2019-08-20
 
533 Application of quantitative analysis of video fluoroscopic swallowing study in the observation of therapeutic effect of acupuncture combined with rehabilitation training to dysphagia after stroke
WEN Ze-ying, ZHANG Hai-yu
DOI: DOI:10.12117/jccmi.2019.08.001
Objective: To investigate the application of video fluoroscopic swallowing study(VFSS) in the observation of the therapeutic effect of acupuncture combined with rehabilitation training to dysphagia after stroke. Methods: A total of 55 patients with swallowing dysfunction after stroke were randomly divided into acupuncture group and control group. The acupuncture group(n=25) was treated with acupuncture combined with rehabilitation training, and the latter(n=30) was treated with rehabilitation training only. All patients underwent VFSS before and after treatment, and the quantitative measurement was performed with two parameters: swallowing time and the opening amplitude of pharyngeal muscle. The two parameters were compared before and after treatment between two groups. Results: In terms of swallowing time: after treatment, the swallowing time of both groups was shorter than that before treatment, and the difference was statistically significant(P<0.05), especially for the acupuncture group. In terms of opening amplitude of the pharyngeal muscle: the opening amplitude of the pharyngeal muscles of both groups was increased compared with that before treatment, especially for the acupuncture group(P<0.05). Conclusion: Quantitative analysis of VFSS can be used to evaluate the efficacy of acupuncture combined with rehabilitation training to dysphagia after stroke.
2019 Vol. 30 (8): 533-536 [Abstract] ( 380 ) HTML (1 KB)  PDF  (0 KB)  ( 53 )
537 Comparison of diagnostic efficacy between ACR TI-RADS and Kwak TI-RADS in qualitative diagnosis of thyroid nodules
YAO Jian-feng, ZHANG Yu-hua, WANG Quan-jiang, CHEN Zheng-lei
DOI: DOI:10.12117/jccmi.2019.08.002
Objective: To compare the diagnostic efficacy between 2017 thyroid imaging reporting and data system of ACR(ACR TI-RADS) and 2011 thyroid imaging reporting and data system of Kwak(Kwak TI-RADS) in the diagnosis of benign or malignant thyroid nodules. Methods: The results of routine ultrasound images of 319 thyroid nodules in 305 patients were retrospectively analyzed, and these nodules were classified using ACR TI-RADS and Kwak TI-RADS methods, which were retrospectively analyzed with pathology as the reference standard. Results: In the diagnosis of benign or malignant thyroid nodules using ACR TI-RADS method, the sensitivity was 77.6%, specificity was 83.0%, accuracy was 82.1%, positive predictive value was 45.0% and negative predictive value was 95.3%. In the diagnosis of benign or malignant thyroid nodules using Kwak TI-RADS method, the sensitivity was 89.8%, specificity was 81.1%, accuracy was 82.4%, positive predictive value was 46.3% and negative predictive value was 97.8%. There was no significant difference between the two methods. Conclusion: ①There was no significant difference between ACR TI-RADS and Kwak TI-RADS in the diagnosis of benign or malignant thyroid nodules, and both of them had good diagnostic value. ②ACR TI-RADS further defined terms for the description of thyroid nodules, improved diagnostic consistency, and gave advice on thyroid nodule management.
2019 Vol. 30 (8): 537-539 [Abstract] ( 371 ) HTML (1 KB)  PDF  (0 KB)  ( 51 )
540 The diagnostic value of 3.0T MRI in HER-2 negative and HER-2 overexpression subtype of mass-like breast invasive ductal cancer
JIANG Chun-juan, WANG Zhong-juan, ZHANG Zhui-yang, QI Xiu-min
DOI: DOI:10.12117/jccmi.2019.08.003
Objective: To investigate the diagnostic value of 3.0T MRI in HER-2 negative and HER-2 overexpression subtype of mass-like breast invasive ductal cancer. Methods: Retrospective analysis of 79 women in Wuxi No.2 People’s Hospital confirmed breast invasive ductal cancer masses histopathologically was performed between August 2016 and October 2017, aged from 25 years to 73 years, all the patients received 3.0T MR scan. Preoperative diffusion weighted imaging and dynamic contrast-enhanced MR were acquired, we measured and analyzed the MRI imaging and parameters of the masses and compared the statistics. Results: All of 79 patients with breast invasive ductal cancer masses were clearly shown by MR images. There were 45 patients with HER-2 negative and 34 patients with HER-2 overexpression. There were no statistically significant difference among age, the tumor size, the signal of DWI, ADC value and the time-intensity curve between HER-2 negative and overexpression groups in 3.0T MRI. Compared with the shape, margin, the way of enhancement and of the HER-2 negative and HER-2 overexpression breast cancer, the distinction has statistically significant. The masses in HER-2 negative group tended to show as round or oval, clear margin, ring and homogeneous enhancement. The masses in HER-2 overexpression group tended to show as irregular shape, irregular or spiculate margin and inhomogeneous enhancement. Conclusions: 3.0T MRI partial features(the shape, margin, the way of enhancement) were useful for the prediction and diagnosis of HER-2 negative and HER-2 overexpression breast cancer, and to select and formulate an optimal treatment plan for patients with different types of breast cancer．
2019 Vol. 30 (8): 540-543 [Abstract] ( 326 ) HTML (1 KB)  PDF  (0 KB)  ( 58 )
544 Value of MR histogram combined with TIC in differential diagnosis of breast fibroadenoma and invasive ductal carcinoma
MENG Li-hui1, QIAN Li-xia2, GUO Xiao-yuan2
DOI: DOI:10.12117/jccmi.2019.08.004
Objective: To investigate the value of combination of MRI histogram and dynamic enhanced TIC in the differential diagnosis of breast fibroadenoma and invasive ductal carcinoma. Methods: A retrospective analysis of 15 cases of breast fibroadenoma confirmed by surgery and pathology in our hospital and 32 cases of invasive ductal carcinoma were performed. All patients underwent breast MRI and dynamic contrast-enhanced scanning. We plotted the TIC and measure the histogram parameters of the lesion, including mean, variance, skewness, kurtosis, and 10th, 50th, 90th percentiles. The differences between breast fibroadenoma and invasive ductal carcinoma parameters were compared using the χ2 test and the independent sample t test using SPSS 22.0 statistical analysis software. Results: The TIC was statistically different between the two groups(P<0.05). The kurtosis values in the histogram parameters were statistically significant(P<0.01) in the third phase of dynamic contrast-enhanced scanning. The correlation analysis found that the mean and variance values were strongly positively correlated in the first, third phases of the enhanced scan and T2 sequence(P<0.01), the kurtosis value and the skewness value were strongly negatively correlated in each sequence(P<0.01). The combined diagnosis of the two methods can improve the sensitivity and specificity of breast invasive ductal carcinoma. Conclusion: The combined diagnosis of MRI histogram and dynamic enhanced TIC curve is useful for the differential diagnosis of breast fibroadenoma and invasive ductal carcinoma.
2019 Vol. 30 (8): 544-547 [Abstract] ( 411 ) HTML (1 KB)  PDF  (0 KB)  ( 52 )
548 Diagnostic value of DWI-MRI combined with mammography in breast diseases
TANG Xiao-wen, ZHAO Yu-nian, ZHUANG Shan, YIN Na
DOI: DOI:10.12117/jccmi.2019.08.005
Objective: To investigate the diagnostic value of DWI-MRI combined with mammography in detecting and characterizing benign and malignant breast lesions, having histological findings as the reference standard. Methods: Seventy-two patients with histologically proven breast lesions were retrospectively analyzed in this study, with all patients underwent mammography, MRI routine scan(T1 contrast enhancement, STIR, T2 weighted), and DWI. The ADC values of the lesions were measured on the ADC maps. Taking histological findings as the reference standard, the diagnostic accuracy, sensitivity and specificity of MRI examinations alone and MRI combined with X-ray mammography were calculated and compared with chi-square test or Fisher exact test. According to the pathology results, the 72 lesions were divided into benign and malignant groups, and ADCs of both groups were compared using the 2-tailed student t test or Mann-Whitney U test, with ROC analysis performed. Results: Seventy-two patients included 21 benign cases and 51 malignant ones tested by histological results. The sensitivities, specificities and accurate rates of the sole MRI examination and MRI combined with digital mammography X-ray were 91.8%, 78.3%, 88.2% and 94%, 81.8%, 92.1% respectively, through the chi-square test the latter data were higher than the former ones(χ2=15.967, P<0.05). The mean ADC value(in ×10-3 mm2/s) of the benign group(1.374±0.309) was significantly higher than that of the malignant group(0.871±0.149) (t=4.903, P<0.05), and the optimal cut-off ADC of 1.243 yielded a sensitivity of 81%, a specificity of 95.5%, and total coincidence rate of 90.2%. Conclusion: The fused application of DWI-MRI sequences ADC values in combination with X-ray mammography, can effectively improve the accuracy of diagnosis on breast lesions. It could be used as a routine application without using contrast agents in the diagnosis of breast cancer before operation, so as to decrease negative biopsy rates.
2019 Vol. 30 (8): 548-552 [Abstract] ( 285 ) HTML (1 KB)  PDF  (0 KB)  ( 56 )
553 Intravoxel incoherent motion imaging in evaluating the response of breast cancers to the neoadjuvant chemotherapy
LV Guang-jie, GAO Jia-yin, XU Zhu-jin, HUA Bin, CHEN Min, JIANG Lei
DOI: DOI:10.12117/jccmi.2019.08.006
Objective: To assess the value of intravoxel incoherent motion(IVIM) in evaluating the response of breast cancers to the neoadjuvant chemotherapy(NAC). Methods: Sixty patients with 61 lesions, who underwent neoadjuvant chemotherapy and subsequent surgery, were prospectively recruited. All patients underwent MRI(including IVIM imaging) for three times: before NAC(T1), after the first course of NAC(T2) and after NAC(T3). The values of apparent diffusion coefficient(ADC), pure diffusion coefficient(D), pseudo-diffusion coefficient(D*) and perfusion fraction(f) were measured. According to Miller-Payne grading of pathology from surgery, patients were divided into good(R group) and mild response group(NR group). The t test of two independent samples and Mann-Whitney U test were used to compare the parameters at the three time points between groups and to compare the T2~T1 parameter difference(△ADC, △D*, △D, △f) between groups. The paired sample t test and Wilcoxon rank sum test were used to compare the parameters from T2 or T3 with those from T1, respectively. For parameters with statistically significant inter-group difference, ROC analysis was used. Results: There were 21 cases in the R group and 40 cases in NR group. At T2, the f value of R group was significantly lower than that of NR group(P=0.027); however, ADC and D values had no significant difference between groups. At T3, ADC and D values of R group were significantly higher than those of NR(P=0.002, 0.000, respectively); the f value of R group was significantly lower than that of NR(P=0.000). D* values showed no inter-group difference at both T2 and T3. The difference of △D, △f values between groups were statistically significant(P=0.001, 0.000, respectively), however, △ADC and △D* were not statistically different between groups. Further intra-group comparison showed that f, D and ADC value of the R group were significantly changed, no matter at T2 or T3, compared with T1; However, in NR group, only the D value at T3 significantly changed when compared with T1(P=0.010). The areas under the ROC curve of f, △f and △D value were 0.673, 0.788, 0.753, with no significant difference among them. Conclusions: IVIM may be a useful adjunctive tool in evaluating the response of tumors to NAC. The f and D, especially f, have the potential of both early prediction and end-NAC evaluation, while ADC is helpful only in end-NAC evaluation. However, D* has no value.
2019 Vol. 30 (8): 553-557 [Abstract] ( 306 ) HTML (1 KB)  PDF  (0 KB)  ( 47 )
558 Comparative analysis of ground glass nodular lung adenocarcinoma CT imaging features and pathologic classification
REN Kai-ming1, ZHAO Jun-gang1, LIN Ai-jun1, MA Quan-mei1, ZHOU Zhao-li2, LU Ji-bin1
DOI: DOI:10.12117/jccmi.2019.08.007
Objective: To study and compare the relationship between high-resolution computed tomography(HRCT) imaging signs of lung ground glass nodules(GGN) and the new pathological classification of early-stage lung adenocarcinoma in order to improve the diagnosis of GGN. Methods: The HRCT data of postperative 116 patients with pathologically confirmed pulmonary GGN were retrospectively analyzed. According to the newest pathological classification criteria for lung adenocarcinoma, they were divided into 3 groups: 41 in the infiltration group, including 16 cases of atypical adenomatous hyperplasia(AAH), 25 cases of carcinoma in situ(AIS); 33 cases of micro-invasive carcinoma(MIA) group; 42 cases of invasive adenocarcinoma(IAC) group. The GGN size, density, lobulation sign, burr sign, pleural stretch sign, vascular cluster sign, air bronchogram were evaluated for each group and statistical analysis was done. Results: The distribution of the lesion size had a significant difference among the three groups(P<0.01). The distribution of lobulation sign and burr sign had significant differences among the three groups(P<0.01). The comparison between the pleural stretch signs showed that there were significant differences between the infiltration group, the MIA group, and the IAC group(P<0.01), but there was no significant difference between the infiltration group and the MIA group(P>0.05). Compared between vascular cluster signs, MIA group and IAC group were higher than those before infiltration group, and the difference was statistically significant(P<0.01). There was no significant difference between MIA group and IAC group(P>0.05). The distribution of cavitation sign, air bronchogram and lesions density had no significant differences among the three groups. Conclusion: The lesion size, lobular sign, burr sign, pleural stretch sign, vascular cluster sign are important CT imaging features that distinguish pre-infiltrating lesion, MIA and IAC can improve the understanding of the new pathological classification of micro GGN-like lung adenocarcinoma.
2019 Vol. 30 (8): 558-561 [Abstract] ( 292 ) HTML (1 KB)  PDF  (0 KB)  ( 50 )
562 Application values of transesophageal echocardiograghy in hybrid therapy for pulmonary atresia with intact ventricular septum in young infants
ZOU Peng, SUN Shan-quan, LIU Qin, HUANG Jing-si, XU Wei-bin, LI Hong
DOI: DOI:10.12117/jccmi.2019.08.008
Objective: To explore application values of transesophageal echocardiograghy(TEE) in the hybrid therapy to balloon pulmonary valvuloplasty for young infants of pulmonary atresia with intact ventricular septum(PA/IVS). Methods: Twenty-five young infants with PA/IVS were diagnosed by transthoracic echocardiography(TTE) before operation. After general anesthesia with endotracheal intubation, all patients were inserted TEE probe to evaluate development of pulmonary valve annulus and right ventricle and instruct the surgeon to select the appropriate balloon. Pulmonary valve was punctured by needle, and then sheath and balloon were inserted with the guidance of TEE. All patients were performed by the balloon pulmonary valvuloplasty monitored by TEE, and the effect of valvuloplasty was evaluated by TEE immediately. Results: All patients were performed successfully for balloon pulmonary valvuloplasty with the guidance of TEE, and no severe complications occurred during the operation. The forward flow of pulmonary valve was unobstructed in 88.0% of the patients, and 80.0% of the patients had mild pulmonary valve insufficiency. The degree of tricuspid valve insufficiency was significantly reduced in 80.0% of the patients. The pulmonary valve blood flow velocity in the three patients was more than 3.0 m/s after surgery, who had to need right ventricle outflow tract reconstruction 10~25 months after balloon pulmonary valvuloplasty. Conclusions: TEE accurately makes preoperative evaluation for the patients with PA/IVS, real-time monitors the placement of sheath and balloon during operation, and may evaluate the effect of dilation immediately. TEE is a safe and effective guidance technique for the hybrid therapy of young infant patients with PA/IVS.
2019 Vol. 30 (8): 562-565 [Abstract] ( 409 ) HTML (1 KB)  PDF  (0 KB)  ( 46 )
566 Evaluation of left ventricular regional systolic function of patients with cardiogenic shock complicating acute myocardial infarction before and after intra-aortic balloon pump counterpulsation with speckle tracking imaging technique
YU Zheng-chun, MA Xiao-jing, XIA Juan, HU Ping
DOI: DOI:10.12117/jccmi.2019.08.009
Objective: To compare the change of left ventricular regional systolic function of patients with cardiogenic shock(CS) complicating acute myocardial infarction(AMI) before and after IABP with speckle tracking imaging technique, and to discuss the value of speckle tracking imaging(STI) in the therapy of intra-aortic balloon pump counterpulsation(IABP). Methods: Thirty-four patients with CS complicating AMI underwent IABP, STI was used to detect the systolic strain parameters of infarction: peak longitudinal, radial, circumferential strain(LSpeak, RSpeak, CSpeak) and the time to peak strain(TPSLS, TPSRS, TPSCS). A comparative analysis was done between before and after IABP. Results: After IABP, LSpeak, RSpeak, CSpeak increased in each infarct stage and TPSLS, TPSRS, TPSCS decreased(all P＜0.05). Conclusion: STI can accurately evaluate the change of left ventricular regional systolic function of patients with CS complicating AMI before and after IABP.
2019 Vol. 30 (8): 566-568 [Abstract] ( 381 ) HTML (1 KB)  PDF  (0 KB)  ( 49 )
569 Diagnostic value of multiparametric MRI using vesical imaging reporting and data system in detecting muscle-invasiveness of bladder cancer
ZHANG Tian-hui, GU Zhi-cong, YAO Chun, ZHU Wen-biao, CHENG Ya-bao, ZHANG Wen-ju, FENG Zhi-qiang, FAN Wei-xiong
DOI: DOI:10.12117/jccmi.2019.08.010
Objective: To investigate interobserver agreement and diagnosis value of multiparametric MRI(mp-MRI) using vesical imaging-reporting and data system(VI-RADS) in detecting muscle-invasiveness of bladder cancer. Methods: Retrospective analysis of 99 patients(109 tumors in total) with pathologically confirmed bladder cancer was made in this study. The tumors was classified as non-muscle invasive bladder cancer(NMIBC) with stage T1 or lower and muscle invasive bladder cancer(MIBC) with stage T2 or higher. The mp-MRI images of tumors were scored by two radiologists independently with blind method by using VI-RADS. Interobserver agreement was evaluated by using Kappa test. Receivers operating characteristic(ROC) curves were used to describe the diagnostic efficiency of two radiologists. Results: Interobserver agreement of VI-RADS was good(Kappa value=0.721, P<0.001). According to ROC analysis, VI-RADS score 4 was found to be the best cut-off levels for discriminating NMIBC from MIBC by two radiologists, with the AUC of 0.912 and 0.925, the sensitivity of 76.2% and 71.4%, the specificity of 95.5% and 95.5%, the positive predictive value of 80.0% and 79.0%, the negative predictive value of 94.4% and 93.3%, respectively． Conclusion: The VI-RADS shows good consistency and stability for evaluation bladder cancer. Futhermore, VI-RADS demonstrates a good accuracy in the detection of muscle-invasiveness of bladder cancer, and provides a high specificity and negative predictive value.
2019 Vol. 30 (8): 569-573 [Abstract] ( 275 ) HTML (1 KB)  PDF  (0 KB)  ( 53 )
574 Study on the application value of shear wave ultrasound elastography in the diagnosis of chronic nephropathy in children
GAO Feng, JIANG Su-qi
DOI: DOI:10.12117/jccmi.2019.08.011
Objective: To explore the value of ultrasound elastography in determining the degree of chronic nephropathy in children. Methods: Based on the pathological results of renal puncture biopsy, 40 patients with chronic kidney disease(CKD) and 40 normal control cases were collected. Both the ratio of male to female was 1∶1. Firstly, two-dimensional ultrasound images were collected to record the location, size, shape, echo, boundary and blood flow signal distribution of the Kidney. After the image was stabilized, the elastic imaging mode was activated, and real-time elastic imaging was performed on the right lower pole of the kidney. Young’s modulus value of the renal cortex was measured repeatedly within 5~7 cm depth and the region of interest(ROI) diameter within 5~7 mm, and the difference was compared after quantitative analysis. Results: The Young’s modulus value of renal cortex in CKD patients who were diagnosed by biopsy was (6.72±1.93) kPa, compared with the value of (3.19±0.62) kPa in control group. The difference was statistically significant(P<0.05). It indicates that the hardness of the kidney of the sick child is greater than the healthy child. Conclusion: Real-time shear wave ultrasound elastography can quantitatively detect the Young’s modulus of renal cortex in children patients with CKD and healthy children, and it is concluded that the Young’s modulus of renal cortex in children with CKD is larger than healthy children. Shear wave ultrasound elastography can help clinicians in the diagnosis and treatment of children with CKD.
2019 Vol. 30 (8): 574-577 [Abstract] ( 299 ) HTML (1 KB)  PDF  (0 KB)  ( 40 )
578 Application of non-vascular contrast-enhanced ultrasound in the sclerotherapy of cyst lesions
FANG Jian-qiang, ZHAO Wei-an, LI Qing
DOI: DOI:10.12117/jccmi.2019.08.012
Objective: To explore the value of non-vascular contrast-enhanced ultrasound in the sclerotherapy of cyst lesions. Methods: We retrospectively analyzed 176 cases of cysts punctured before, during and after operation by contrast-enhanced ultrasound. We also summarized the safety and value of contrast-enhanced ultrasound. Results: All the 176 cases of cysts successfully underwent the contrast-enhanced ultrasound after the puncture guided by ultrasound, including 170 cases of normal contrast enhancement and 6 cases of abnormal enhancement(1 case of bilioma, 2 cases of pyelogenic cyst, 1 case of oviduct chocolate cyst, 2 cases of ovarian cyst fluid leakage). All the patients had no allergy or complications such as biliary tract, ureter, oviduct injury and abdominal adhesion. Conclusion: Non-vascular contrast-enhanced ultrasound has important clinical value in the sclerotherapy of cyst lesions.
2019 Vol. 30 (8): 578-580 [Abstract] ( 459 ) HTML (1 KB)  PDF  (0 KB)  ( 36 )
581 The value of magnetic resonance texture analysis in evaluating the efficacy of neoadjuvant chemoradiotherapy for rectal cancer
SUN Li1, LI Shao-dong1, WU Xue-yuan2, GONG Shu-hui1, CHEN Wen-lin3, ZHANG Tao2, GAO Jing-jing1
DOI: DOI:10.12117/jccmi.2019.08.013
Objective: To explore the efficacy predicting value of pretreatment MRI texture analysis(TA) in patients with rectal cancer receiving neoadjuvant chemoradiotherapy(nCRT). Methods: Fifty-eight patients who received nCRT, followed by total mesorectal excision(TME) surgery for advanced rectal cancer were included. Dworak tumour regression grade(TRG) method was used to assess treatment response, patients were divided into complete response group(pCR, TRG 4) and non-pCR group(TRG 0~3). TA parameters were measured based on the AX T2 propeller sequence of MRI, including standard deviation, skewness, kurtosis, uniformity, energy, and entropy. Statistical analysis was performed on these parameters. Results: Sixteen pCR and 42 non-pCR patients were evaluated. The Wilcoxon rank sum test showed that the difference between pre-entropy and after-entropy in two groups has significant difference(P<0.05). The Mann-Whitney U test showed significant differences between pCR and non-pCR groups in standard deviation, uniformity, energy and entropy(P<0.05), and the others have no significant difference(P>0.05). For pre-standard deviation, pre-entropy, pre-energy, pre-uniformity, after-energy and after-entropy, the ROC analysis showed an area under the curve(AUC) of 0.769, 0.805, 0.807, 0.685, 0.893 and 0.899, respectively. The Spearman test showed that the response to treatment was positively correlated with energy and uniformity, and negatively correlated with standard deviation and entropy. Conclusion: The MRI TA of recal cancer has the predicting value on treatment response.
2019 Vol. 30 (8): 581-585 [Abstract] ( 315 ) HTML (1 KB)  PDF  (0 KB)  ( 39 )
586 Percutaneous recanalization for Budd-Chiari syndrome: long-term outcomes in 141 Chinese patients
WANG Qiao-zheng1, ZHANG Wei2, CHEN Xiao-wei1, XU Ke1
DOI: DOI:10.12117/jccmi.2019.08.014
Objective: To assess the long-term outcome of percutaneous recanalization in a large case series of patients with Budd-Chiari syndrome(BCS). Methods: Between July 1988 and August 2013, 161 consecutive Chinese patients with BCS were treated with percutaneous recanalization. Cumulative survival rates were assessed by Kaplan-Meier method, and independent predictors of survival were calculated with the Cox regression model. Results: Percutaneous recanalization was technically successful in 153 of the 161 patients(95%). Two patients died 16 h and 72 h respectively after operation because of disseminated intravascular coagulation(DIC) and severe hemoptysis, respectively. One hundred and forty-one out of the remaining 153 patients with BCS were successfully followed up. Patients with stent placement had a similar rate of reocclusion with those with percutaneous angioplasty(PTA) alone(P>0.1). Among 85 patients in patency group, as compared to 56 patients in reocclusion group, 6 versus 26 died: 0 versus 12 of liver failure, 0 versus 8 of variceal bleeding, and 6 versus 6 of reocclusion-unrelated diseases. Reocclusion was associated with a shorter survival(P<0.001). Out of 56 patients experiencing reocclusion, thirty received further intervention. Eight of these thirty patients had died of liver failure(n=2), neoplasm(n=4), and other fatal reocclusion-unrelated diseases(n=2). Conclusion: In patients with BCS treated with percutaneous recanalization, stent placement should be cautious for its similar reocclusion rate with PTA alone, and reocclusion has a major impact on morbidity and mortality. For patients experiencing reocclusion, revision of reocclusion is recommended for its corresponding prognosis improvement.
2019 Vol. 30 (8): 586-590 [Abstract] ( 546 ) HTML (1 KB)  PDF  (0 KB)  ( 46 )
591 Ultrasonographic analysis of symphysis pubis distance in 471 late pregnant women
ZHONG Shu-juan, GAO Xin-ru, WANG Ying-jin
DOI: DOI:10.12117/jccmi.2019.08.015
2019 Vol. 30 (8): 591-593 [Abstract] ( 257 ) HTML (1 KB)  PDF  (0 KB)  ( 59 )
593 MRI diagnosis of giant cell tumor of tendon sheath
ZHAO Hong-fei, SHAO Xiao-dong, YU Wan-jiang
DOI: DOI:10.12117/jccmi.2019.08.016
2019 Vol. 30 (8): 593-596 [Abstract] ( 322 ) HTML (1 KB)  PDF  (0 KB)  ( 43 )
596 Clinical application of ultrasound in diagnosis of dorsal interosseous nerve injury
JIA Yu-nan, WANG Jing, LUO Wen, FENG Hua, JIA Xu-zhao, CHEN Ding-zhang
DOI: DOI:10.12117/jccmi.2019.08.017
2019 Vol. 30 (8): 596-598 [Abstract] ( 207 ) HTML (1 KB)  PDF  (0 KB)  ( 50 )
599 CT features of pulmonary epithelioid hemangioendothelioma: report of one case
CAO Yuan1, CAO Xue-zhong2, LIU Yang-chun2, XIA Qing1, HE Yu-lin1
DOI: DOI:10.12117/jccmi.2019.08.018
2019 Vol. 30 (8): 599-600 [Abstract] ( 293 ) HTML (1 KB)  PDF  (0 KB)  ( 37 )
600 Diagnosis of myocardial dissection after myocardial infarction by left heart ventricular angiography: report of one case
YAN Wei, MA Xiao-jing, HE Jun, XU Juan
DOI: DOI:10.12117/jccmi.2019.08.019
2019 Vol. 30 (8): 600-602 [Abstract] ( 318 ) HTML (1 KB)  PDF  (0 KB)  ( 49 )
602 Echocardiography diagnosis of ventricular aneurysm of basal segment complicated with multiple perforations after myocardial infarction: report of one case
WANG Hong-hu, DU Jiang-chuan
DOI: DOI:10.12117/jccmi.2019.08.020
2019 Vol. 30 (8): 602-603 [Abstract] ( 276 ) HTML (1 KB)  PDF  (0 KB)  ( 42 )
603 Misdiagnosis of giant hepatic cavernous hemangioma: report of one case
GAO Xiao-ning, BIAN Jie, LUO Jia-wen
DOI: DOI:10.12117/jccmi.2019.08.021
2019 Vol. 30 (8): 603-605 [Abstract] ( 297 ) HTML (1 KB)  PDF  (0 KB)  ( 48 )
605 TIPS after thrombolytic therapy in portal vein thrombosis with cavernous transformation: report of one case
MA Kun-peng, ZHONG Hong-shan
DOI: DOI:10.12117/jccmi.2019.08.022
2019 Vol. 30 (8): 605-607 [Abstract] ( 345 ) HTML (1 KB)  PDF  (0 KB)  ( 40 )
607 Chromophobe cell renal carcinoma: report of one case
LI Xiang-yi, LIU Yan-jun
DOI: DOI:10.12117/jccmi.2019.08.023
2019 Vol. 30 (8): 607-608 [Abstract] ( 308 ) HTML (1 KB)  PDF  (0 KB)  ( 48 )
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