Inoue M, Fujii K, Yoshioka H, Hamada T, Ishida O
Department of Radiology, Kinki University School of Medicine.
Nihon Igaku Hoshasen Gakkai Zasshi. 1992 Oct 25;52(10):1424-32.
Magnetic resonance (MR) imaging was performed in 35 patients with histologically proved thyroid masses. Gadopentetate dimeglumine was used in 25 of these cases. The thyroid tumors were analyzed by MR imaging as to shape, margin, pseudocapsulation, homogeneity, and enhanced pattern. Gd-DTPA was helpful in identifying pseudocapsules and showing the extent of the tumor. Papillary carcinoma tended to display unclear margins, heterogeneous intensity, and inhomogeneously enhanced patterns. In follicular adenoma, the tumor margin was smooth and pseudocapsules were clearly detected. Follicular adenoma was enhanced homogeneously, but it was difficult to distinguish follicular adenoma from follicular carcinoma by MR imaging. Adenomatous goiter was delineated as multiple nodules with smooth margins, but without pseudocapsules. These nodules were enhanced in various ways after Gd-DTPA administration.
对35例经组织学证实患有甲状腺肿块的患者进行了磁共振(MR)成像检查。其中25例使用了钆喷酸葡胺。通过MR成像对甲状腺肿瘤的形态、边缘、假包膜、均匀性和强化方式进行了分析。钆二乙三胺五乙酸有助于识别假包膜并显示肿瘤范围。乳头状癌往往表现为边缘不清、信号强度不均匀和强化方式不均匀。在滤泡性腺瘤中,肿瘤边缘光滑,假包膜清晰可见。滤泡性腺瘤呈均匀强化,但通过MR成像很难将滤泡性腺瘤与滤泡癌区分开来。腺瘤性甲状腺肿表现为多个边缘光滑的结节,但无假包膜。给予钆喷酸葡胺后,这些结节有不同的强化方式。