Objective To explore the value of the multi-phasic spiral CT scan in the diagnosis of gallbladder carcinoma.Methods The characteristic CT findings were reviewed in 42 cases with gallbladder carcinoma proven pathologically.Results The gall bladder carcinoma had certain enhancing characteristics: high density in hepatic artery period,same or high density in porch vein period,and no clear fadeaway in delaying period.In other words,the gall bladder carcinoma was higher enhancement than normal gallbladder wall and liver,and had long-term enhancement.Conclusion The multi-phasic spiral CT scan plays an important role in diagnosis and differential diagnosis of gallbladder carcinoma.

A total of 38 cases of senile brucella spondylitis disease at our hospital during January 2002 and March 2012 were analyzed .After admission , all of them were definitely diagnosed on the basis of epidemiological history , clinical manifestations , laboratory tests , imaging and pathological examinations . Over a follow-up period of 12 months, 17 cases were cured after standardized drug treatment .Among 21 surgical cases, there were curing (n=17) and improving (n=2).Senile brucellosis spondylitis has distinct serological and pathological characteristics .And formulating the diagnostic criteria may improve its diagnostic rate and reduce its misdiagnostic rate .And standardized drug therapy achieves a better curing rate and a proper timing of surgical intervention improves its clinical outcomes .