Suda H, Honjou K, Honma Y, Hatanaka M, Choji T, Kuramitsu T, Nakaki H, Nakamura H, Yamakawa K, Matsumoto T
Department of Radiology, Yamaguchi University School of Medicine.
Nihon Igaku Hoshasen Gakkai Zasshi. 1992 Mar 25;52(3):291-9.
Two-dimensional (2D) time-of-flight (TOF) stereoscopic MR angiographies (MRA) of the pulmonary vessels were obtained from 15 healthy volunteers and five patients with pulmonary cancer in the mediastinum and pulmonary hilum. Fifteen healthy volunteers were examined using FLASH (Fast Low Angle Shot) with breath holding (40/8/40, TR/TE/flip angle). Except for the left superior pulmonary vein, pulmonary vessels in the mediastinum and hilum were well defined on stereoscopic MRA images. Although it was difficult to define the pulmonary arteries in the peripheral zone, intersegmental veins were easily defined with this method. In five cases of pulmonary cancer that were confirmed to show definite tumor involvement of the pulmonary vessels in the mediastinum and hilum by enhanced CT and MRI (SE method), irregular narrowing and interruption of the vessels were shown on MRA. In conclusion, 2D TOF stereoscopic MRA is considered a noninvasive, effective method for evaluation of the morphology of pulmonary vessels adjacent to the tumor in the mediastinum and hilum.
对15名健康志愿者以及5名纵隔和肺门患有肺癌的患者进行了肺血管的二维(2D)飞行时间(TOF)立体磁共振血管造影(MRA)检查。15名健康志愿者采用FLASH(快速低角度激发)序列并屏气(40/8/40,重复时间/回波时间/翻转角)进行检查。除左上肺静脉外,纵隔和肺门的肺血管在立体MRA图像上显示清晰。尽管在外周区域难以确定肺动脉,但采用此方法很容易确定段间静脉。在5例经增强CT和MRI(自旋回波法)证实纵隔和肺门肺血管有明确肿瘤累及的肺癌病例中,MRA显示血管不规则狭窄和中断。总之,二维TOF立体MRA被认为是一种无创、有效的方法,用于评估纵隔和肺门肿瘤附近肺血管的形态。