Taupitz M, Beyersdorff D, Rogalla P
Institut für Radiologie, Charité - Universitätsmedizin Berlin, Campus Charité Mitte.
Aktuelle Urol. 2004 Aug;35(4):297-306. doi: 10.1055/s-2004-830034.
Computed tomography (CT) and magnetic resonance imaging (MRI) underwent significant technical advances in the past ten years, especially in the diagnostic evaluation of renal tumors. Either modality can perform unenhanced and contrast enhanced imaging with high resolution display of three-dimensional data sets of the entire abdomen including the arterial and the parenchymatous perfusion phase after injection of contrast medium. Multiplanar reconstructions of these three-dimensional data allow the display in any chosen orientation. The maximum intensity projection can create CT and MR angiograms. For the diagnosis of renal tumors, both modalities offer the possibility of a detailed visualization of both the parenchyma and the arterial and venous vessels, leading to an efficient preoperative work-up. For the MRI diagnosis of the prostate cancer, the achievable accuracy depends on the applied coil technique and on the available clinical information as well as on the experience of the examiner. For the preoperative MRI staging of prostate cancer, the accuracy has been stated to be between 51 % and 97 %.
计算机断层扫描(CT)和磁共振成像(MRI)在过去十年中取得了重大技术进步,尤其是在肾肿瘤的诊断评估方面。这两种检查方式都可以进行平扫和增强成像,能够高分辨率显示整个腹部的三维数据集,包括注射造影剂后的动脉期和实质灌注期。对这些三维数据进行多平面重建后,可以在任何选定的方向上进行显示。最大密度投影可以生成CT和MR血管造影。对于肾肿瘤的诊断,这两种检查方式都能够详细显示肾实质以及动脉和静脉血管,从而实现高效的术前检查。对于前列腺癌的MRI诊断,可达到的准确性取决于所应用的线圈技术、可用的临床信息以及检查者的经验。对于前列腺癌的术前MRI分期,其准确性据报道在51%至97%之间。