淋巴瘤2.0【擴(kuò)充版】

淋巴瘤2.0【擴(kuò)充版】[復(fù)制]1.姓名：[填空題]*_________________________________2.您的性別：[單選題]*○男○女3.pet號[填空題]_________________________________4.次數(shù)[單選題]*○3○4○5○65.第2次日期：[填空題]_________________________________6.第2次血管pet[矩陣文本題]主動脈弓max________________________主動脈弓min________________________升主動脈max________________________升主動脈min________________________降主動脈max________________________降主動脈min________________________腹主動脈max________________________腹主動脈min________________________無名動脈max________________________無名動脈min________________________左頸動脈max________________________左頸動脈min________________________右頸動脈max________________________右頸動脈min________________________左鎖骨下動脈max________________________左鎖骨下動脈min________________________右鎖骨下動脈max________________________右鎖骨下動脈min________________________7.第二次本底pet[矩陣文本題]*腔靜脈________________________肝血池________________________原發(fā)灶________________________8.評分[單選題]1○1○2○3○4○559.第3次pet檢查日期：[填空題]_________________________________10.第3次化療后血管pet[矩陣文本題]主動脈弓max________________________主動脈弓min________________________升主動脈max________________________升主動脈min________________________降主動脈max________________________降主動脈min________________________腹主動脈max________________________腹主動脈min________________________無名動脈max________________________無名動脈min________________________左頸動脈max________________________左頸動脈min________________________右頸動脈max________________________右頸動脈min________________________左鎖骨下動脈max________________________左鎖骨下動脈min________________________右鎖骨下動脈max________________________右鎖骨下動脈min________________________11.第3次本底pet[矩陣文本題]腔靜脈___________________