【Abstract】ObjectiveBy using multidetectorrow spiral CT (MDCT), to investigate the CT imaging features of inflammatory diseases in retroperitoneal space with correlation of radiological anatomy.
MethodsThe clinical and laboratory dada of 30 patients with proven inflammatory diseases of retroperitoneal space were collected. All patients underwent MDCT plain scanning and portal venous acquisition. CT imaging data generated at portal venous phase were processed with coronal, sagittal and oblique multiplanar reformation (MPR) technique.
ResultsAcute pancreatitis and various types of renal infection were the two main sources of retroperitoneal inflammation. Depending on the specific anatomic locations, retroperitoneal inflammation of different subspaces demonstrated characteristic imaging features. Spreading of inflammatory process across subspaces was also quite common.
ConclusionMDCT is the imaging method of choice to depict comprehensively and clearly the inflammatory diseases of various retroperitoneal spaces.
Citation：
YIN Longlin,SONG Bin,LEI Zhihua,ZHANG Huashan.. Analysis of Multi-Detector-Row Spiral CT Signs in Inflammatory Diseases in Retroperitoneal Space. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2005, 12(1): 87-91. doi:
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- 1. 陈炽贤主编. 实用放射学 [M]. 第2版. 北京： 人民卫生出版社，1998∶570～572.
- 2. 闵鹏秋.腹膜后间隙的影像学诊断一个曾长期被疏忽甚至被遗忘的角落 [Ｊ]. 中华放射学杂志, 2002； 36（10）∶871.
- 3. Meyers MA. Dynamic radiology of the abdomen:normal and pathological anatomy [M]. 2nd ed. New York: SpringerVerlag, 1976∶113-194.
- 4. Kneeland JB, Auh YH, Rubenstein WA, et al. Perirenal spaces: CT evidence for communication across the midline [Ｊ]. Radiology, 1987; 164(3)∶657.
- 5. Raptopoulos V, Touliopoulos P, Lei QF, et al. Medial border anatomical communications of the perirenal space: CT and anatomic correction [Ｊ]. Radiology,1997; 205(3)∶777.
- 6. 闵鹏秋，伍兵. 腹膜后间隙放射解剖学研究进展 [Ｊ]. 中国医学计算机成像杂志, 1999； 5（4）∶269.
- 7. Aizenstein RI, Wilbur AC, O’Neil HK. Interfascial and perinephric pathways in the spread of retroperitoneal disease: refined concepts based on CT observations [Ｊ]. AJR, 1997;168(3)∶639.
- 8. Raptopoulos V, Kleinman P, Marks S, et al. Renal Fascial Pathway: posterior extension of pancreatic effusions within the anterior pararenal space [Ｊ]. Radiology,1986; 158(2)∶367.
- 9. Mindell HJ, Mastromatteo JF, Dickey KW, et al. Anatomic communications between the three retroperitoneal spaces: determination by CTguided injections of contrast material in cadavers [Ｊ]. AJR, 1996; 166(3)∶722.
- 10. Korobkin M, Silveman PM, Quint LE, et al. CT of the extraperitoneal space: normal and fluid collections [Ｊ]. AJR,1992; 159(11)∶933.
- 11. 李民利， 金征宇. 多层螺旋CT血管成像技术临床应用进展 [Ｊ]. 国外医学临床放射学分册，2003； 26（4）∶255.
- 12. Fuchs TO, Kachelriess M, Kalender WA. System performance of multislice spiral computed tomography [Ｊ]. IEEE Eng Med Biol Mag,2000; 19(5)∶63.
