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头颈部血管畸形和肿瘤的磁共振成像。

MR Imaging of Vascular Malformations and Tumors of Head and Neck.

机构信息

Department of Diagnostic Radiology, Mansoura University Faculty of Medicine, Elgomhoria Street, Mansoura 35512, Egypt.

Department of Vascular Surgery, Mansoura University Faculty of Medicine, Elgomhoria Street, Mansoura 35512, Egypt.

出版信息

Magn Reson Imaging Clin N Am. 2022 Feb;30(1):199-213. doi: 10.1016/j.mric.2021.07.005.

Abstract

Soft tissue vascular anomalies show a wide heterogeneity of clinical manifestations and imaging features. MR imaging has an important role in the diagnosis and management of vascular lesions of the head and neck. MR angiography is mandatory in cases of arteriovenous and combined malformations to assess the high-flow nature/component of the lesions and plan therapy. Infantile hemangiomas can be differentiated from congenital hemangiomas by clinical course. Reactive vascular tumors have nonspecific features similar to infantile hemangiomas. Locally malignant and malignant vascular tumors have irregular borders, infiltration of different tissue planes, and lower apparent diffusion coefficient values than benign vascular tumors.

摘要

软组织血管异常表现出广泛的临床表现和影像学特征的异质性。磁共振成像在头颈部血管病变的诊断和治疗中具有重要作用。在动静脉畸形和混合性畸形的情况下,磁共振血管造影是必要的,以评估病变的高流量性质/成分,并计划治疗。婴幼儿血管瘤可以通过临床病程与先天性血管瘤相区别。反应性血管肿瘤具有与婴幼儿血管瘤相似的非特异性特征。局部恶性和恶性血管肿瘤的边界不规则,浸润不同的组织层面,表观扩散系数值低于良性血管肿瘤。

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