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[基于核磁共振断层扫描的影像学检查对甲状腺疾病的诊断]

[Diagnosis of thyroid diseases using imaging procedures with reference to nuclear magnetic resonance tomography].

作者信息

Held P, Zilch H G, Baumgartl W, Maccio A

出版信息

Acta Med Austriaca. 1986;13(3):77-8.

PMID:3554875
Abstract

Results of MR imaging performed in 74 patients with diseases of the thyroid gland and in normal persons are compared with nuclear medicine (99mTc 04 and 131J scans) and sonography (5 and 7.5 MHz transducers, linear scans) results. The MR-signal intensity of hot nodules--Plummers' disease--is not specific. Therefore scintigraphy combined with sonography remain the methods of choice for the diagnosis of hyperfunctioning nodules. Morphologic alterations within the thyroid gland are detected by MRT as well as by ultrasound. But when lesions are not limited to the thyroid bed MRT will become the imaging examination of choice. Therefore MRT can be useful for scanning retrotracheal and superior mediastinal extent of thyroid lesions. Also clinically inapparent metastases to the cervical and mediastinal nodes may be detected.

摘要

将74例甲状腺疾病患者及正常人的磁共振成像(MR)结果与核医学(99mTc O4和131I扫描)及超声检查(5和7.5MHz换能器,线阵扫描)结果进行比较。热结节(普卢默病)的MR信号强度不具特异性。因此,闪烁扫描结合超声检查仍是诊断功能亢进性结节的首选方法。甲状腺内的形态学改变可通过磁共振成像(MRT)及超声检测到。但当病变不限于甲状腺床时,MRT将成为首选的成像检查方法。因此,MRT有助于扫描甲状腺病变的气管后及上纵隔范围。此外,还可检测到临床上不明显的颈部及纵隔淋巴结转移。

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