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磁共振成像在腹盆腔急症中的应用价值

Utility of MR Imaging in Abdominopelvic Emergencies.

作者信息

Uyeda Jennifer W

机构信息

Department of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.

出版信息

Radiol Clin North Am. 2019 Jul;57(4):705-715. doi: 10.1016/j.rcl.2019.02.010.

DOI:10.1016/j.rcl.2019.02.010
PMID:31076027
Abstract

Acute abdominopelvic pain, a common symptom in emergency department patients, is challenging given the spectrum of differential diagnoses encompassing multiple organ systems, ranging from benign self-limiting to life-threatening and emergent. Diagnostic imaging is critical given its high accuracy and management guidance. A contrast-enhanced computed tomography (CT) scan is preferred given its widespread availability and speed of acquisition. MR imaging may be appropriate, usually performed for specific indications with tailored protocols. It is accurate for diagnosis and may be an alternative to CT. This article discusses the advantages and disadvantages, protocols, and appearances of MR imaging of common diagnoses.

摘要

急性腹盆腔疼痛是急诊科患者的常见症状,鉴于其鉴别诊断范围涵盖多个器官系统,从良性自限性疾病到危及生命的急症,极具挑战性。诊断性影像学检查因其高准确性和管理指导作用而至关重要。鉴于其广泛可用性和采集速度,增强计算机断层扫描(CT)是首选。磁共振成像(MR)可能适用,通常针对特定指征采用定制方案进行检查。它诊断准确,可能是CT的替代选择。本文讨论了常见诊断的MR成像的优缺点、检查方案及表现。

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