Murakami T, Mitani T, Nishikawa M, Nakanishi K, Marukawa T, Harada K, Tokunaga K, Kuroda C, Kozuka T
Department of Radiology, Osaka University Medical School.
Nihon Igaku Hoshasen Gakkai Zasshi. 1990 Nov 25;50(11):1451-3.
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.
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。