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肝内胆汁瘤与亚急性血肿的MRI鉴别诊断。

MRI differential diagnosis of intrahepatic biloma from subacute hematoma.

作者信息

Shigemura T, Yamamoto F, Shilpakar S K, Kojima T, Yamamoto S, Pu Y

机构信息

Yamamoto Surgical Hospital, Saga, Japan.

出版信息

Abdom Imaging. 1995 May-Jun;20(3):211-3. doi: 10.1007/BF00200396.

Abstract

The magnetic resonance imaging (MRI) differential diagnosis of intrahepatic biloma from intrahepatic subacute hematoma has been reported in two cases. The biloma was heterogenously intense on T1-weighted images and homogenously hyperintense on T2-weighted images. The hematoma was hyperintense on the both T1- and T2-weighted MR images. The clinical significance of this MRI difference is that intrahepatic biloma needs drainage, whereas intrahepatic hematoma can heal spontaneously.

摘要

已有两例报告了磁共振成像(MRI)对肝内胆汁瘤与肝内亚急性血肿的鉴别诊断。胆汁瘤在T1加权图像上呈不均匀高信号,在T2加权图像上呈均匀高信号。血肿在T1加权和T2加权磁共振图像上均为高信号。这种MRI差异的临床意义在于,肝内胆汁瘤需要引流,而肝内血肿可自行愈合。

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