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纤维性纵隔炎的磁共振成像

Magnetic resonance imaging of fibrosing mediastinitis.

作者信息

Rholl K S, Levitt R G, Glazer H S

出版信息

AJR Am J Roentgenol. 1985 Aug;145(2):255-9. doi: 10.2214/ajr.145.2.255.

DOI:10.2214/ajr.145.2.255
PMID:3875221
Abstract

Magnetic resonance imaging (MRI) was performed in seven patients with fibrosing mediastinitis. Comparison was made in each case to standard chest radiography and computed tomography (CT). Angiography was performed in three cases. Although MRI and CT were found to be equivalent in defining the extent of adenopathy, CT was superior at demonstrating calcifications, often important in making the diagnosis of fibrosing mediastinitis. MRI, however, offered complementary information, particularly in assessing vascular patency without the need for intravenous contrast media. On T2-weighted images, the adenopathy associated with fibrosing mediastinitis was noted to be of relatively low signal intensity, possibly indicating its benign nature.

摘要

对7例纤维性纵隔炎患者进行了磁共振成像(MRI)检查。每例均与标准胸部X线摄影和计算机断层扫描(CT)进行比较。3例患者进行了血管造影。虽然发现MRI和CT在确定腺病范围方面相当,但CT在显示钙化方面更具优势,钙化在纤维性纵隔炎的诊断中通常很重要。然而,MRI提供了补充信息,特别是在评估血管通畅性时无需静脉注射造影剂。在T2加权图像上,与纤维性纵隔炎相关的腺病信号强度相对较低,这可能表明其良性性质。

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