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CT和MRI检查中的脾脏异常与病变:放射科医生和临床医生必备知识——图文综述

Spleen anomalies and lesions in CT and MRI: essentials for radiologists and clinicians-a pictorial review.

作者信息

Herrera-Ortiz Andrés Felipe, Del Castillo Valeria, Aguirre Diego, Duarte José Nicolás, Gutierrez María José, Olarte Laura Manuela, Noguera Valeria, Quiroz-Alfaro Alejandro José

机构信息

Radiology, Fundación Santa Fe de Bogotá, 116 Street # 9-02, 110111, Bogotá, Colombia.

Medicine, Universidad El Bosque, Bogotá, Colombia.

出版信息

Abdom Radiol (NY). 2025 Feb;50(2):860-874. doi: 10.1007/s00261-024-04405-6. Epub 2024 Aug 28.

DOI:10.1007/s00261-024-04405-6
PMID:39192089
Abstract

The precise evaluation of splenic lesions using cross-sectional imaging presents a complex challenge due to the overlapping imaging characteristics of most splenic diseases and the absence of specific symptoms, complicating the diagnosis process. This pictorial review highlights the essential elements that should be included in a radiology report to interpret cross-sectional imaging studies of splenic lesions. To augment the diagnostic accuracy, we propose the implementation of a stepwise algorithmic approach. This approach offers a comprehensive analysis of splenic anomalies and lesions, providing an invaluable tool for radiologists and clinicians.

摘要

由于大多数脾脏疾病的影像学特征重叠且缺乏特异性症状,利用横断面成像对脾脏病变进行精确评估面临着复杂的挑战,这使得诊断过程变得复杂。本图谱综述强调了放射学报告中应包含的关键要素,以解读脾脏病变的横断面成像研究。为提高诊断准确性,我们建议采用逐步算法方法。这种方法对脾脏异常和病变进行全面分析,为放射科医生和临床医生提供了一个宝贵的工具。

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本文引用的文献

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MRI of Splenic Sarcoidosis with T1 and T2 Mapping.脾结节病的MRI检查及T1和T2映射成像
Radiology. 2024 Feb;310(2):e232367. doi: 10.1148/radiol.232367.
2
The Spectrum of Solitary Benign Splenic Lesions-Imaging Clues for a Noninvasive Diagnosis.孤立性脾脏良性病变的谱——无创诊断的影像学线索
Diagnostics (Basel). 2023 Jun 20;13(12):2120. doi: 10.3390/diagnostics13122120.
3
Primary Angiosarcoma of the Spleen: An Aggressive Neoplasm.脾脏原发性血管肉瘤:一种侵袭性肿瘤。
World J Oncol. 2022 Dec;13(6):337-342. doi: 10.14740/wjon1542. Epub 2022 Dec 24.
4
Asplenia and spleen hypofunction.脾缺失和脾功能低下。
Nat Rev Dis Primers. 2022 Nov 3;8(1):71. doi: 10.1038/s41572-022-00399-x.
5
Polysplenia syndrome in adulthood: a case report.成人多脾综合征:病例报告。
Pan Afr Med J. 2022 Jan 25;41:67. doi: 10.11604/pamj.2022.41.67.29014. eCollection 2022.
6
Algorithmic Approach to the Splenic Lesion Based on Radiologic-Pathologic Correlation.基于放射学-病理学相关性的脾脏病变算法研究方法
Radiographics. 2022 May-Jun;42(3):683-701. doi: 10.1148/rg.210071. Epub 2022 Mar 18.
7
Cross-sectional imaging findings of splenic infections: is differential diagnosis possible?脾脏感染的横断面成像表现:能否进行鉴别诊断?
Abdom Radiol (NY). 2021 Oct;46(10):4828-4852. doi: 10.1007/s00261-021-03130-8. Epub 2021 May 28.
8
Primary angiosarcoma of the spleen, a rare indication for splenectomy: a case report.脾脏原发性血管肉瘤,脾切除术的罕见指征:一例病例报告
Int J Surg Case Rep. 2021 May;82:105929. doi: 10.1016/j.ijscr.2021.105929. Epub 2021 Apr 29.
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Surg Case Rep. 2021 Jan 26;7(1):33. doi: 10.1186/s40792-021-01119-5.
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Abdominal splenosis and its differential diagnoses: What the radiologist needs to know.腹部脾组织异位症及其鉴别诊断:放射科医师须知。
Curr Probl Diagn Radiol. 2021 Mar-Apr;50(2):229-235. doi: 10.1067/j.cpradiol.2020.04.012. Epub 2020 May 19.