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[使用自旋回波和梯度回波序列在1.5T下对颅外血肿进行磁共振成像]

[MRT of extracranial hematomas at 1.5 T using spin echo and gradient echo sequences].

作者信息

Spielmann R P, Triebel H J, Maas R, Langkowski J, Franz P, Heller M, Bücheler E

机构信息

Radiologische Klinik, Universitätskrankenhaus Eppendorf, Hamburg.

出版信息

Rofo. 1989 Apr;150(4):449-53. doi: 10.1055/s-2008-1047054.

Abstract

Magnetic resonance imaging (MRI) at 1.5 T was performed in 25 extracranial haematomas using spin-echo (SE) and fast-field-echo (FFE) sequences. The age of the haematomas was in 11 cases less than 2 days and in 9 cases more than 14 days. Fresh haematomas were isointense to skeletal muscle on T1-weighted SE images. With T2-weighted SE sequences, fresh haematomas had high signal intensity on the first day, but became inhomogeneous with predominantly low signal intensity on the following days. Areas of low signal intensity could be demonstrated by T2-weighted FFE sequences already on the first day after bleeding. Subacute haematomas were recognised by their high signal intensity on the T1-weighted SE images. Also with T2-weighted SE and FFE sequences, subacute haematomas showed increasingly high signal intensity. The characteristic appearance of haematomas facilitates their identification with MRI.

摘要

使用自旋回波(SE)和快速场回波(FFE)序列,对25例颅外血肿进行了1.5T的磁共振成像(MRI)检查。血肿年龄在11例中小于2天,在9例中大于14天。新鲜血肿在T1加权SE图像上与骨骼肌呈等信号。在T2加权SE序列上,新鲜血肿在第一天具有高信号强度,但在随后几天变得不均匀,主要为低信号强度。出血后第一天,T2加权FFE序列即可显示低信号强度区域。亚急性血肿在T1加权SE图像上表现为高信号强度。同样,在T2加权SE和FFE序列上,亚急性血肿也显示出越来越高的信号强度。血肿的特征性表现有助于通过MRI对其进行识别。

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