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解读体部 MRI 病例:盆腔 MRI 的典型表现

Interpreting body MRI cases: classic findings in pelvic MRI.

机构信息

Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA, USA.

出版信息

Abdom Radiol (NY). 2020 Sep;45(9):2916-2930. doi: 10.1007/s00261-020-02615-2. Epub 2020 Jun 30.

DOI:10.1007/s00261-020-02615-2
PMID:32607649
Abstract

The high contrast resolution provided by magnetic resonance imaging (MRI) compared to all other modalities allows the interpreting radiologist to make a specific diagnosis for many common and uncommon findings. In some cases, the diagnosis can be so certain that there is no differential diagnosis. In this article, we review the most classically recognized findings when interpreting MRI of the pelvis including the following: Ovaries: Simple cyst, hemorrhagic cyst, corpus luteum, dermoid, fibroma/fibrothecoma. Uterus: C-section scar, adenomyosis, endometriosis, fibroid, congenital uterine anomalies. Cervix: nabothian cyst, cervical cancer. Vagina/Vulva: Gardener's duct cyst, Bartholin's gland cyst. Urethra: skene gland cyst, urethral diverticulum. Prostate: utricle cyst, Mullerian duct cyst, benign prostatic hyperplasia, prostate cancer.

摘要

磁共振成像(MRI)提供的高对比度分辨率与其他所有方式相比,使解读放射科医生能够对许多常见和不常见的发现做出具体诊断。在某些情况下,诊断如此明确,以至于无需鉴别诊断。在本文中,我们回顾了在解读骨盆 MRI 时最常被认可的发现,包括以下内容:

  • 卵巢:单纯囊肿、出血性囊肿、黄体、皮样囊肿、纤维瘤/纤维肉瘤。

  • 子宫:剖宫产瘢痕、子宫腺肌病、子宫内膜异位症、肌瘤、先天性子宫异常。

  • 子宫颈:纳博特囊肿、宫颈癌。

  • 阴道/外阴:加德纳管囊肿、巴氏腺囊肿。

  • 尿道:斯基恩腺囊肿、尿道憩室。

  • 前列腺:鞘膜囊囊肿、苗勒管囊肿、良性前列腺增生、前列腺癌。

相似文献

1
Interpreting body MRI cases: classic findings in pelvic MRI.解读体部 MRI 病例:盆腔 MRI 的典型表现
Abdom Radiol (NY). 2020 Sep;45(9):2916-2930. doi: 10.1007/s00261-020-02615-2. Epub 2020 Jun 30.
2
Dynamic half Fourier acquisition, single shot turbo spin-echo magnetic resonance imaging for evaluating the female pelvis.动态半傅里叶采集单次激发快速自旋回波磁共振成像在女性盆腔评估中的应用
J Urol. 2000 Nov;164(5):1606-13.
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Posterior urethral diverticulum presenting as a midline prostatic cyst: sonographic and MRI appearance.表现为中线前列腺囊肿的后尿道憩室:超声和磁共振成像表现
Abdom Imaging. 1995 Jan-Feb;20(1):70-1. doi: 10.1007/BF00199650.
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Periurethral cystic mass misdiagnosed: a case report.尿道周围囊性肿物误诊:一例报告
J Reprod Med. 2014 Jul-Aug;59(7-8):414-6.
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Congenital prostatic urethral diverticulum simulating mullerian duct cyst.先天性前列腺尿道憩室酷似苗勒管囊肿。
J Urol. 1960 Jul;84:144-6. doi: 10.1016/S0022-5347(17)65504-6.
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Three-dimensional ultrasound and magnetic resonance imaging assessment of cervix and vagina in women with uterine malformations.三维超声与磁共振成像评估子宫畸形患者的宫颈和阴道
Ultrasound Obstet Gynecol. 2014 Mar;43(3):336-45. doi: 10.1002/uog.12536.
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Magnetic Resonance Imaging of Uterine Cervix: A Pictorial Essay.子宫颈的磁共振成像:图文综述
Indian J Radiol Imaging. 2021 Apr;31(2):454-467. doi: 10.1055/s-0041-1734377. Epub 2021 Aug 4.
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Can magnetic resonance imaging differentiate among transurethral bulking agent, urethral diverticulum, and periurethral cyst?磁共振成像能否区分经尿道膀胱内填充物、尿道憩室和尿道周围囊肿?
Abdom Radiol (NY). 2019 Aug;44(8):2852-2863. doi: 10.1007/s00261-019-02052-w.
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Interpreting body MRI cases: classic findings in abdominal MRI.解读体部 MRI 病例:腹部 MRI 的经典表现
Abdom Radiol (NY). 2018 Oct;43(10):2790-2808. doi: 10.1007/s00261-018-1551-y.
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MRI of female urethra and periurethral pathologies.女性尿道及尿道周围病变的磁共振成像
Int Urogynecol J. 2016 Feb;27(2):195-204. doi: 10.1007/s00192-015-2790-x. Epub 2015 Jul 26.

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Skene's glands abscess an overlooked diagnosis in acute lower urinary symptoms.斯基恩氏腺脓肿——急性下尿路症状中被忽视的诊断
Radiol Case Rep. 2021 Oct 2;16(12):3751-3756. doi: 10.1016/j.radcr.2021.09.006. eCollection 2021 Dec.