I-imaging ye-radiological ibalulekile ukuze kugcwalise idatha yomtholampilo kanye nokusekela ama-urologists ekusunguleni ukuphathwa okufanele kwesiguli. Phakathi kwezindlela ezihlukene zokucabanga, i-computed tomography (CT) okwamanje ibhekwa njengendinganiso yereferensi yokuhlolwa kwezifo ze-urological ngenxa yokutholakala kwayo okubanzi, isikhathi sokuskena okusheshayo, nokuhlola okuphelele. Ikakhulukazi, i-CT urography.
UMLANDO
Esikhathini esedlule, i-intravenous urography (IVU), ebizwa nangokuthi “i-excretory urography” kanye/noma “i-intravenous pyelography,” yayisetshenziselwa ngokuyinhloko ukuhlola umgudu womchamo. Indlela yokusebenza ibandakanya i-radiograph yokuqala engenalutho elandelwa umjovo ofakwa emthanjeni we-ejenti yokuqhathanisa encibilika emanzini (1.5 ml/kg isisindo somzimba). Ngemva kwalokho, uchungechunge lwezithombe lutholwa ngezikhathi ezithile. Imikhawulo eyinhloko yale nqubo ihlanganisa ukuhlola okukabili kanye nokuhlola okungekho kwe-anatomy eseduze.
Ngemuva kokwethulwa kwe-computed tomography, i-IVU isetshenziswe kabanzi.
Kodwa-ke, ngawo-1990 kuphela, lapho kwethulwa ubuchwepheshe be-helical, izikhathi zokuskena zashesha kakhulu ukuze izindawo ezinkulu zomzimba, njengesisu, zifundwe ngemizuzwana. Ngokufika kobuchwepheshe be-multi-detector ngeminyaka yawo-2000, ukulungiswa kwendawo kwathuthukiswa, okuvumela ukuhlonzwa kwe-urothelium yomzila womchamo ophezulu kanye nesinye, futhi i-CT-Urography (CTU) yasungulwa.
Namuhla, i-CTU isetshenziswa kabanzi ekuhloleni izifo ze-urological.
Kusukela ezinsukwini zokuqala ze-CT, bekwaziwa ukuthi i-X-ray spectra yamandla ahlukene ingahlukanisa izinto zezinombolo ze-athomu ezihlukene. Kwaze kwafika ku-2006 ukuthi lesi simiso sisetshenziswe ngempumelelo ekutadisheni izicubu zomuntu, ekugcineni kwaholela ekwethulweni kohlelo lokuqala lwe-dual-energy CT (DECT) ekusebenzeni komtholampilo kwansuku zonke. I-DECT ikhombise ngokushesha ukufaneleka kwayo ekuhlolweni kwezimo ze-urinary tract pathological, kusukela ekuwohlokeni kwempahla ku-calculi yomchamo ukuya ekuthatheni kwayo i-iodine ezinkingeni zomchamo.
inzuzo
Amaphrothokholi e-CT avamile ngokuvamile ahlanganisa izithombe zangaphambi kokugqama nezigaba eziningi. Izikena zesimanje ze-CT zinikeza amasethi edatha yevolumu engakhiwa kabusha ezindizeni eziningi futhi enogqinsi olushintshashintshayo locezu, ngaleyo ndlela igcine ikhwalithi yesithombe enhle kakhulu. I-CT urography (CTU) iphinde ithembele kumgomo we-polyphasic, egxile esigabeni "sokukhipha" ngemva kokuba i-ejenti ehlukile ihlunge ohlelweni lokuqoqa kanye nesinye, ngokuyisisekelo idala i-IV urogram enokwehluka okuthuthuke kakhulu kwezicubu.
UMKHAWULO
Ngisho noma i-computed tomography ethuthukisiwe iyindinganiso eyinkomba yokuthwebula kokuqala komgudu womchamo, imikhawulo engokwemvelo kufanele kubhekwane nayo. Ukuchayeka emisebeni kanye nokuqhathanisa nephrotoxicity kubhekwa njengezinkinga ezinkulu. Ukunciphisa umthamo wemisebe kubaluleke kakhulu, ikakhulukazi ezigulini ezincane.
Okokuqala, ezinye izindlela zokucabanga ezifana ne-ultrasound ne-MRI kufanele zicatshangelwe ngaso sonke isikhathi. Uma lobu buchwepheshe bungakwazi ukuhlinzeka ngolwazi oluceliwe, kufanele kuthathwe isinyathelo ngokwephrothokholi ye-CT.
Ukuhlolwa kwe-CT okuthuthukisiwe kuvinjelwe ezigulini ezingezwani nama-radiocontrast agents kanye neziguli ezinokukhubazeka kwezinso. Ukuze kuncishiswe i-nephropathy ebangelwa umehluko, iziguli ezinezinga lokuhlunga kwe-glomerular (GFR) elingaphansi kwama-30 ml/min akufanele zinikezwe imidiya ehlukile ngaphandle kokulinganisa ngokucophelela ubungozi nezinzuzo, futhi kufanele zisetshenziswe ngokuqapha ezigulini ezine-GFR ebangeni. 30 kuya ku-60 ml/min ezigulini.
IKUSASA
Esikhathini esisha somuthi onembile, amandla okuthola idatha yobuningi evela ezithombeni ze-radiological inselele yamanje neyesikhathi esizayo. Le nqubo, eyaziwa ngokuthi ama-radiomics, yaqala ukusungulwa ngu-Lambin ngo-2012 futhi isekelwe embonweni wokuthi izithombe zomtholampilo ziqukethe izici zobuningi ezingase zibonise i-pathophysiology eyisisekelo yezicubu. Ukusetshenziswa kwalezi zivivinyo kungathuthukisa ukuthathwa kwezinqumo zezokwelapha futhi kuthole indawo ikakhulukazi ku-oncology, okuvumela, isibonelo, ukuhlolwa kwendawo encane yomdlavuza kanye nezinketho zokwelashwa ezinomthelela. Eminyakeni embalwa edlule, ucwaningo oluningi luye lwenziwa ngokusetshenziswa kwale ndlela, ngisho nasekuhlolweni kwe-urothelial carcinoma, kodwa lokhu kuseyilungelo lokucwaninga.
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I-LnkMed ingumhlinzeki wemikhiqizo namasevisi emkhakheni we-radiology embonini yezokwelapha. Amasirinji aphakathi nendawo anomfutho ophakeme athuthukiswe futhi akhiqizwa inkampani yethu, okuhlanganisaI-CT injector eyodwa,I-CT double head injector,Umjovo we-MRIfuthiumjovo wemidiya wokuqhathanisa i-angiography, asethengiselwe amayunithi angaba ngu-300 ekhaya naphesheya, futhi azuze ukunconywa ngamakhasimende. Ngasikhathi sinye, i-LnkMed futhi ihlinzeka ngezinaliti ezisekelayo namashubhu afana nezinto ezisetshenziswayo zale mikhiqizo elandelayo: i-Medrad, i-Guerbet, i-Nemoto, njll., kanye namajoyinti okucindezela okuhle, imitshina ye-ferromagnetic neminye imikhiqizo yezokwelapha. I-LnkMed ibilokhu ikholelwa ukuthi ikhwalithi iyisisekelo sentuthuko, futhi ibisebenza kanzima ukuhlinzeka amakhasimende ngemikhiqizo namasevisi asezingeni eliphezulu. Uma ufuna imikhiqizo yokuthwebula yezokwelapha, wamukelekile ukuthintana noma uxoxisane nathi.
Isikhathi sokuthumela: Mar-20-2024
