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骨髓疾病:定量磁共振成像特征分析

Bone marrow disorders: characterization with quantitative MR imaging.

作者信息

Smith S R, Williams C E, Davies J M, Edwards R H

机构信息

Magnetic Resonance Research Centre, University of Liverpool, United Kingdom.

出版信息

Radiology. 1989 Sep;172(3):805-10. doi: 10.1148/radiology.172.3.2772192.

Abstract

Thirty patients with various hematologic disorders and 15 healthy control subjects underwent quantitative magnetic resonance (MR) imaging of the lumbar spine with spin-echo techniques. Images of patients with infiltrative bone marrow disorders showed significantly more prolonged T1 times than those of control subjects (P less than .001). It was not possible to distinguish different diffuse infiltrative bone marrow disorders on the basis of T1 values. Aplastic anemia could be distinguished from normality because of significantly shortened T1 (P less than .001). A significant correlation was seen between T1 and bone marrow cellularity (r = .74, P less than .001). T2 was of no value in the characterization of bone marrow disorders. Quantitative MR imaging dose not improve the diagnostic potential of bone marrow imaging in the detection of diffuse marrow infiltrates.

摘要

30例患有各种血液系统疾病的患者和15名健康对照者接受了采用自旋回波技术的腰椎定量磁共振(MR)成像检查。浸润性骨髓疾病患者的图像显示T1时间比对照者显著延长(P<0.001)。根据T1值无法区分不同的弥漫性浸润性骨髓疾病。再生障碍性贫血由于T1显著缩短可与正常情况相区分(P<0.001)。T1与骨髓细胞密度之间存在显著相关性(r = 0.74,P<0.001)。T2在骨髓疾病的特征描述中无价值。定量MR成像在检测弥漫性骨髓浸润方面并未提高骨髓成像的诊断潜力。

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