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纵隔肿块的影像学综述,重点介绍磁共振成像。

Pictorial Review of Mediastinal Masses with an Emphasis on Magnetic Resonance Imaging.

机构信息

Department of Radiology, Chonnam National University Hospital, Gwangju, Korea.

Department of Radiology, Chonnam National University Hwasun Hospital, Hwasun, Korea.

出版信息

Korean J Radiol. 2021 Jan;22(1):139-154. doi: 10.3348/kjr.2019.0897. Epub 2020 Aug 11.

Abstract

Magnetic resonance imaging (MRI) has become a crucial tool for evaluating mediastinal masses considering that several lesions that appear indeterminate on computed tomography and radiography can be differentiated on MRI. Using a three-compartment model to localize the mass and employing a basic knowledge of MRI, radiologists can easily diagnose mediastinal masses. Here, we review the use of MRI in evaluating mediastinal masses and present the images of various mediastinal masses categorized using the International Thymic Malignancy Interest Group's three-compartment classification system. These masses include thymic hyperplasia, thymic cyst, pericardial cyst, thymoma, mediastinal hemangioma, lymphoma, mature teratoma, bronchogenic cyst, esophageal duplication cyst, mediastinal thyroid carcinoma originating from ectopic thyroid tissue, mediastinal liposarcoma, mediastinal pancreatic pseudocyst, neurogenic tumor, meningocele, and plasmacytoma.

摘要

磁共振成像(MRI)已成为评估纵隔肿块的重要工具,因为 CT 和 X 线摄影上表现为不确定的一些病变可以在 MRI 上区分。使用三室模型定位肿块并运用 MRI 的基本知识,放射科医生可以轻松诊断纵隔肿块。在这里,我们回顾了 MRI 在评估纵隔肿块中的应用,并展示了使用国际胸内恶性肿瘤兴趣小组的三室分类系统对各种纵隔肿块进行分类的图像。这些肿块包括胸腺增生、胸腺囊肿、心包囊肿、胸腺瘤、纵隔血管瘤、淋巴瘤、成熟畸胎瘤、支气管囊肿、食管重复囊肿、起源于异位甲状腺组织的纵隔甲状腺癌、纵隔脂肪肉瘤、纵隔胰腺假性囊肿、神经源性肿瘤、脑脊膜膨出和浆细胞瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/337d/7772375/c4e49f989c5b/kjr-22-139-g001.jpg

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