临床疑似急性胆囊炎的磁共振成像。与超声检查的比较。
MR imaging in clinically suspected acute cholecystitis. A comparison with ultrasonography.
作者信息
Håkansson K, Leander P, Ekberg O, Håkansson H O
机构信息
Department of Radiology, Kalmar Hospital, Sweden.
出版信息
Acta Radiol. 2000 Jul;41(4):322-8. doi: 10.1080/028418500127345587.
PURPOSE
The diagnostic value of fast pulse sequences in MR imaging was compared with US in patients with clinically suspected acute cholecystitis.
MATERIAL AND METHODS
In a prospective study of 94 patients, 35 were examined with both MR and US within 24 h.
RESULTS
MR diagnoses were acute cholecystitis in 23, gallbladder and common bile duct stones in 3, other pathologic conditions of the abdomen in 7 and normal in 2 patients. US diagnoses were acute cholecystitis in 17, gallbladder stones in 8, other pathologic conditions of the abdomen in 2, normal in 5 and non-conclusive in 3 patients.
CONCLUSION
MR has a higher sensitivity than US for diagnosing acute cholecystitis and, with increased accessibility, may be the first imaging method.
目的
比较快速脉冲序列在磁共振成像（MR）中对临床疑似急性胆囊炎患者的诊断价值与超声（US）的诊断价值。
材料与方法
在一项对94例患者的前瞻性研究中，35例患者在24小时内接受了MR和US检查。
结果
MR诊断为急性胆囊炎23例，胆囊及胆总管结石3例，腹部其他病理状况7例，正常2例。US诊断为急性胆囊炎17例，胆囊结石8例，腹部其他病理状况2例，正常5例，诊断不明确3例。
结论
MR在诊断急性胆囊炎方面比US具有更高的敏感性，并且随着其可及性的提高，可能成为首选的成像方法。
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