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脾脏感染的横断面成像表现：能否进行鉴别诊断？

Cross-sectional imaging findings of splenic infections: is differential diagnosis possible?

机构信息

Department of Radiology, Hacettepe University School of Medicine, Ankara, 06100, Turkey.

Department of Radiology, Gulhane Training and Research Hospital, Ankara, 06010, Turkey.

出版信息

Abdom Radiol (NY). 2021 Oct;46(10):4828-4852. doi: 10.1007/s00261-021-03130-8. Epub 2021 May 28.

DOI:10.1007/s00261-021-03130-8
PMID:34047800
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8160561/
Abstract

The spleen plays an important role in the immunological homeostasis of the body. Several neoplastic and non-neoplastic diseases may affect this organ, and imaging is of fundamental importance for diagnosis. Infectious diseases of the spleen can be encountered in daily radiology practice, and differential diagnosis may sometimes be challenging. Infectious involvement of the spleen can be primary or secondary to a different source outside the spleen. Despite the fact that different infectious diseases may cause similar imaging findings, we believe that differential diagnosis between different causes may also be possible in certain patients with imaging. Early diagnosis may potentially enhance patients' treatment and outcome. In this review, we aimed to increase imaging specialists' awareness of splenic infections by describing the multimodality imaging features of common and atypical infections of the spleen with their differential diagnoses.

摘要

脾脏在人体的免疫稳态中发挥着重要作用。几种肿瘤性和非肿瘤性疾病可能会影响到这个器官，而影像学对于诊断具有重要意义。脾脏的感染性疾病在日常放射学实践中较为常见，鉴别诊断有时可能具有挑战性。脾脏的感染性累及可以是原发性的，也可以是脾脏以外的其他部位的感染性疾病的继发性累及。尽管不同的感染性疾病可能会引起相似的影像学表现，但我们认为，在某些具有影像学表现的患者中，不同病因之间的鉴别诊断也是可能的。早期诊断可能会潜在地改善患者的治疗和预后。在这篇综述中，我们旨在通过描述脾脏常见和非典型感染的多模态影像学特征及其鉴别诊断，提高影像专家对脾脏感染的认识。

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