Matsumoto S, Hasuo K, Uchino A, Matsuura Y, Gibo M, Masuda K, Ohnishi Y
Department of Radiology, Faculty of Medicine, Kyushu University.
Nihon Igaku Hoshasen Gakkai Zasshi. 1992 Jun 25;52(6):721-8.
Thirty-two intraocular lesions were studied with magnetic resonance (MR) imaging and computed tomography (CT). These lesions included retinoblastoma (n = 11), uveal melanoma (n = 6), metastatic choroidal tumor (n = 3), choroidal hemangioma (n = 2), retinochoroiditis (n = 6) and Coats' disease (n = 4). MR imaging was superior to CT in the depiction of intraocular masses and retinal detachment. Gd-DTPA enhanced MR imaging was more useful than contrast enhanced CT in evaluating the contrast enhancement of intraocular tumors. Differential diagnosis of intraocular tumors was difficult with both MR imaging and CT. Intratumoral calcification was noticed on CT in nine cases of retinoblastoma. It was concluded that MR imaging, including contrast enhancement study, is more useful than CT in the evaluation of intraocular lesions, except for calcification, and contrast enhanced CT may be unnecessary in the diagnosis of intraocular lesions.
对32例眼内病变进行了磁共振(MR)成像和计算机断层扫描(CT)研究。这些病变包括视网膜母细胞瘤(n = 11)、葡萄膜黑色素瘤(n = 6)、脉络膜转移瘤(n = 3)、脉络膜血管瘤(n = 2)、视网膜脉络膜炎(n = 6)和科茨病(n = 4)。在眼内肿块和视网膜脱离的显示方面,MR成像优于CT。钆喷酸葡胺增强MR成像在评估眼内肿瘤的对比增强方面比对比增强CT更有用。MR成像和CT对眼内肿瘤的鉴别诊断都很困难。9例视网膜母细胞瘤在CT上可见瘤内钙化。结论是,包括对比增强研究在内的MR成像在评估眼内病变方面比CT更有用,但钙化情况除外,并且在眼内病变的诊断中可能不需要对比增强CT。