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[肝脏的CT和MRI检查:何时、检查什么、为何检查?]

[CT and MRI of the liver: when, what, why?].

作者信息

Budjan J, Schoenberg S O, Attenberger U I

机构信息

Institut für Klinische Radiologie und Nuklearmedizin, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim der Universität Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.

出版信息

Radiologe. 2017 May;57(5):366-372. doi: 10.1007/s00117-017-0232-0.

DOI:10.1007/s00117-017-0232-0
PMID:28280859
Abstract

The detection and differential diagnostic clarification of liver pathologies play an important role in almost all medical disciplines. Because of its superior soft tissue contrast, the availability of liver-specific contrast agents and functional techniques, magnetic resonance imaging (MRI) is the method of choice for the diagnostics of focal and diffuse liver pathologies. In addition to its superior detection and differentiation capabilities, MRI can provide prognostic information and enable early assessment of the therapy response for malignant liver lesions using functional techniques, especially diffusion imaging. Computed tomography (CT) is the imaging method of choice for the detection of traumatic liver injury. Despite the increasing availability of functional techniques in CT, MRI remains the overall modality of choice in liver imaging.

摘要

肝脏病变的检测与鉴别诊断在几乎所有医学学科中都起着重要作用。由于其卓越的软组织对比度、肝脏特异性对比剂的可用性以及功能技术,磁共振成像(MRI)是诊断局灶性和弥漫性肝脏病变的首选方法。除了其卓越的检测和鉴别能力外,MRI还可以提供预后信息,并能够使用功能技术,特别是扩散成像,对肝脏恶性病变的治疗反应进行早期评估。计算机断层扫描(CT)是检测创伤性肝损伤的首选成像方法。尽管CT中的功能技术越来越普及,但MRI仍然是肝脏成像的总体首选方式。

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J Magn Reson Imaging. 2017 May;45(5):1276-1295. doi: 10.1002/jmri.25550. Epub 2016 Dec 16.
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Speed in Clinical Magnetic Resonance.临床磁共振成像的速度
Invest Radiol. 2017 Jan;52(1):1-17. doi: 10.1097/RLI.0000000000000330.
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CT Perfusion for Early Response Evaluation of Radiofrequency Ablation of Focal Liver Lesions: First Experience.CT灌注成像用于评估肝脏局灶性病变射频消融的早期反应:初步经验
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Benign Hepatocellular Nodules: Hepatobiliary Phase of Gadoxetic Acid-enhanced MR Imaging Based on Molecular Background.良性肝细胞结节:基于分子背景的钆塞酸二钠增强磁共振成像肝胆期表现
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Diffusion-Related MRI Parameters for Assessing Early Treatment Response of Liver Metastases to Cytotoxic Therapy in Colorectal Cancer.用于评估结直肠癌肝转移对细胞毒性疗法早期治疗反应的扩散相关磁共振成像参数
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Quantitative Measurements of Enhancement on Preprocedure Triphasic CT Can Predict Response of Colorectal Liver Metastases to Radioembolization.术前三相CT增强的定量测量可预测结直肠癌肝转移对放射性栓塞的反应。
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