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利用CT和MRI对常见肾肿块进行评估与特征描述。

Assessment and characterisation of common renal masses with CT and MRI.

作者信息

Pallwein-Prettner Leo, Flöry Daniel, Rotter Claus Raphael, Pogner Kurt, Syré Gerhard, Fellner Claudia, Frauscher Ferdinand, Aigner Friedrich, Krause Frens Steffen, Fellner Franz

出版信息

Insights Imaging. 2011 Oct;2(5):543-556. doi: 10.1007/s13244-011-0116-1. Epub 2011 Jul 17.

Abstract

OBJECTIVE

Owing to the widespread use of abdominal imaging studies the detection rate of solid renal masses has increased, and an accurate characterisation of imaging features of renal masses has become more essential for case management. METHOD AND RESULTS: MR imaging (MRI) and computed tomography (CT) are frequently used modalities for detection and differentiation of renal masses. This article gives a review of imaging characteristics of benign and malignant renal masses, discussing their appearance in CT and MR imaging. Advanced MR techniques like diffusion-weighted imaging and apparent diffusion coefficient (ADC) mapping, which have shown promising results in the differentiation between benign and malignant renal lesions, will be introduced. CONCLUSION: MRI and CT are useful in the characterisation and estimation of the prognosis for renal masses.

摘要

目的

由于腹部影像学检查的广泛应用,肾实性肿块的检出率有所提高,准确描述肾肿块的影像学特征对于病例管理变得更为重要。方法与结果:磁共振成像(MRI)和计算机断层扫描(CT)是常用于检测和鉴别肾肿块的方法。本文综述了良性和恶性肾肿块的影像学特征,讨论了它们在CT和MRI中的表现。还将介绍扩散加权成像和表观扩散系数(ADC)图等先进的MR技术,这些技术在鉴别良性和恶性肾病变方面已显示出有前景的结果。结论:MRI和CT有助于肾肿块的特征描述和预后评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a13/3289028/d47e96c7c171/13244_2011_116_Fig1_HTML.jpg

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