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肝脏肿瘤的动态磁共振成像——反转恢复快速小角度激发磁共振成像评估

[Dynamic MRI of liver tumors--evaluation by inversion recovery snap shot FLASH MR imaging].

作者信息

Murakami T, Mitani T, Nishikawa M, Nakanishi K, Marukawa T, Harada K, Tokunaga K, Kuroda C, Kozuka T

机构信息

Department of Radiology, Osaka University Medical School.

出版信息

Nihon Igaku Hoshasen Gakkai Zasshi. 1990 Nov 25;50(11):1451-3.

PMID:1965025
Abstract

We have studied 20 patients with liver tumor (hepatoma 12, hemangioma 6, metastatic tumor 2) using inversion recovery snap shot FLASH dynamic MR imaging. After intravenous injection of Gd-DTPA, serial 17 images were obtained during 7 minutes. Hepatoma showed central enhancement on early phase (0-20 sec) in 11 patients and absent or less enhancement than surrounding liver parenchyma on late phase (1-3 min) in 12 patients. Hemangioma showed peripheral enhancement on early phase in 6 patients, and slight to moderate enhancement on late phase in 5 patients. Peripheral slight enhancement were seen on late and delayed (5-7 min) phase in two patients with metastatic liver tumor. These characteristic enhancement patterns should facilitate differential diagnosis of liver tumors.

摘要

我们使用反转恢复快速扰相梯度回波动态磁共振成像对20例肝肿瘤患者(肝癌12例、血管瘤6例、转移瘤2例)进行了研究。静脉注射钆喷酸葡胺后,在7分钟内获取了17幅连续图像。11例肝癌患者在早期(0 - 20秒)表现为中央强化,12例患者在晚期(1 - 3分钟)表现为强化缺失或低于周围肝实质。6例血管瘤患者在早期表现为周边强化,5例患者在晚期表现为轻度至中度强化。2例肝转移瘤患者在晚期和延迟期(5 - 7分钟)可见周边轻度强化。这些特征性强化模式应有助于肝肿瘤的鉴别诊断。

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