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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.

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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