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[新生儿肾上腺出血与神经母细胞瘤鉴别诊断中的核磁共振断层扫描]

[Nuclear magnetic resonance tomography in the differential diagnosis of adrenal gland hemorrhage and neuroblastoma in a newborn infant].

作者信息

Stichnoth F A, Kehr S, Baumer K

机构信息

Zentrale Strahlenklinik, Krankenhauszweckverbandes Kempten.

出版信息

Monatsschr Kinderheilkd. 1990 Apr;138(4):221-3.

PMID:2192272
Abstract

Adrenal hemorrhages in newborns are usually diagnosed by sonography. Magnetic resonance imaging is indicated when morphological change, clinical appearance and follow-up do not allow differentiation of adrenal hemorrhage and neuroblastoma. Using artefact-suppressing sequences, the adrenal gland can be examined with modern MRI systems. The adrenal gland hemorrhage is characterized by a typical signal behaviour. If a haematoma persists over a longer period, a circular methemoglobin zone can be observed. An additional contrast application (Gadolinium-DTPA) can aid in demonstrating vascular tumors.

摘要

新生儿肾上腺出血通常通过超声检查来诊断。当形态学改变、临床表现及随访结果无法区分肾上腺出血和神经母细胞瘤时,需进行磁共振成像检查。使用伪影抑制序列,可通过现代MRI系统检查肾上腺。肾上腺出血具有典型的信号表现。如果血肿持续较长时间,可观察到一个圆形的高铁血红蛋白区。额外应用造影剂(钆喷酸葡胺)有助于显示血管肿瘤。

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