Murakami T, Marukawa T, Kuroda C, Harada K, Fujita N, Tokunaga K, Wakasa K, Sakurai M, Monden M, Kozuka T
Nihon Igaku Hoshasen Gakkai Zasshi. 1989 Nov 25;49(11):1427-9.
In three patients with histologically proven liver cirrhosis, a large number of small, low-intensity nodule(SLIN)s was clearly seen on gradient echo(GRE) images which are sensitive to field inhomogeneity. A histological study revealed that the SLINs corresponded to the regenerating nodules, laden with iron, of liver cirrhosis. As TE was prolonged, the SLINs increased in size in all three cases and fused with each other in one of three cases on GRE images. This phenomenon suggests that the magnetic susceptibility effect due to iron included in the regenerating nodules is the cause for the regenerating nodules shown as SLINs on GRE images, and that one SLIN does not always correspond to one regenerating nodule. We conclude that GRE images should be considered important for diagnosis of regenerating nodules in liver cirrhosis.
在3例经组织学证实为肝硬化的患者中,在对磁场不均匀性敏感的梯度回波(GRE)图像上清晰可见大量小的低强度结节(SLIN)。组织学研究显示,这些SLIN对应于肝硬化的含铁再生结节。随着回波时间(TE)延长,所有3例患者的SLIN在GRE图像上均增大,其中1例相互融合。这一现象表明,再生结节中所含铁导致的磁敏感性效应是GRE图像上再生结节表现为SLIN的原因,且一个SLIN并不总是对应一个再生结节。我们得出结论,GRE图像对肝硬化再生结节的诊断应被视为重要。