[使用钆-二乙三胺五乙酸进行颈静脉球和颈动脉体副神经节瘤的磁共振断层扫描研究]

[Magnetic resonance tomographic studies of paragangliomas of the glomus caroticum and glomus jugulare using Gd-DTPA].

作者信息

Vogl T, Bauer M, Schedel H, Brüning R, Mees K, Lissner J

机构信息

Radiologische Klinik, Universität München.

出版信息

Rofo. 1988 Jan;148(1):38-46. doi: 10.1055/s-2008-1048142.

DOI:10.1055/s-2008-1048142

PMID:2829304

Abstract

The value of magnetic resonance tomography in the diagnosis of paragangliomas in the head and neck has been studied and compared with CT and angiography. Magnetic resonance tomography on its own equals the accuracy of CT, but the use of Gd-DTPA improves diagnostic accuracy. In 19 patients with a glomus jugulare tumour, MR tomography with Gd-DTPA accurately diagnosed all tumours larger than 5 mm. In seven patients with a carotid body tumour, it was possible to arrive at an exact differential diagnosis. Sensitivity was better than that of CT or of sonography. Where there is clinical suspicion of a glomus tumour, magnetic resonance tomography with Gd-DTPA should be the first investigation; if there is a positive finding, angiography should be carried out to demonstrate the circle of Willis.

摘要

已对磁共振断层扫描在头颈部副神经节瘤诊断中的价值进行了研究，并与CT和血管造影进行了比较。单独的磁共振断层扫描与CT的准确性相当，但使用钆喷酸葡胺（Gd-DTPA）可提高诊断准确性。在19例颈静脉球瘤患者中，使用Gd-DTPA的磁共振断层扫描准确诊断了所有直径大于5mm的肿瘤。在7例颈动脉体瘤患者中，能够做出准确的鉴别诊断。其敏感性优于CT或超声检查。当临床上怀疑有球瘤时，应首先进行使用Gd-DTPA的磁共振断层扫描；如果有阳性发现，则应进行血管造影以显示 Willis 环。