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[口咽、下咽及喉肿瘤——磁共振成像诊断]

[Tumors of the oropharynx, hypopharynx and larynx--diagnosis with magnetic resonance imaging].

作者信息

Held P, Rupp N

机构信息

MR-Institut am Klinikum Passau.

出版信息

Bildgebung. 1991;58(3):132-40.

PMID:1747560
Abstract

312 patients with neoplasms of the oropharynx, hypopharynx and larynx--301 of these suffered from malignancies--were examined with use of magnetic resonance imaging (MRI) and--in most cases--with computed tomography (CT) for comparison. MRI yielded better results than CT in the case of oropharyngeal tumors. With regard to hypopharyngeal tumors, however, slight discrepancies in the diagnostic capacities of both methods were observed. MRI afforded a clearer tumor definition through sagittal and coronal slice orientations. In the case of laryngeal neoplasms in the glottic region, CT is currently superior to MRI. This could change in the future as a result of improvement in signal behavior of the 2D gradient echo (2D GE) sequences and of the use of phonation studies (Turbo-FLASH). MRI, on the other hand, is superior to CT in the definition of sub-, supra- and panglottic tumors.

摘要

对312例口咽、下咽和喉部肿瘤患者(其中301例为恶性肿瘤)进行了磁共振成像(MRI)检查,并且在大多数情况下还进行了计算机断层扫描(CT)检查以作比较。对于口咽肿瘤,MRI的检查结果优于CT。然而,对于下咽肿瘤,两种检查方法在诊断能力上存在细微差异。通过矢状面和冠状面切片定位,MRI能更清晰地界定肿瘤。对于声门区的喉部肿瘤,目前CT优于MRI。随着二维梯度回波(2D GE)序列信号表现的改善以及发声研究(Turbo-FLASH)的应用,这种情况未来可能会改变。另一方面,在界定声门下、声门上和声门旁肿瘤方面,MRI优于CT。

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