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[骨髓造血区域在磁共振成像上的对比增强及形态学表现:与脊柱炎和椎体肿瘤的对比研究]

[Contrast enhancement and morphological findings of hematopoietic regions of bone marrow on MR imaging: comparative study with spondylitis and vertebral tumors].

作者信息

Amano Y, Hayashi H, Matsuura M, Watari J, Kumazaki T

机构信息

Department of Radiology, Nippon Medical School.

出版信息

Nihon Igaku Hoshasen Gakkai Zasshi. 1995 Jun;55(7):451-5.

PMID:7644333
Abstract

The enhanced MR findings of hematopoietic regions in aplastic anemia were compared with those of spondylitis, metastatic vertebral tumors and hematologic neoplasms. The enhanced MR images showed hematopoietic regions to homogeneously enhance and occupy the margin of vertebral bodies, while spondylitis and metastatic tumors appeared as round, inhomogeneously enhancing lesions. MR images of leukemia and myelodysplastic syndrome showed homogeneous enhancement at the margins of vertebrae that was difficult to differentiate from hematopoietic regions. Enhanced MR images were useful in detecting the hematopoietic areas in marrow and differentiating them from spondylitis and metastatic tumors, although further experience is needed to distinguish between tumorous hyperplastic regions and benign hematopoietic regions in marrow.

摘要

将再生障碍性贫血造血区域的增强磁共振成像(MR)表现与脊柱炎、脊椎转移瘤和血液系统肿瘤的表现进行比较。增强MR图像显示造血区域均匀强化并占据椎体边缘,而脊柱炎和转移瘤表现为圆形、强化不均匀的病灶。白血病和骨髓增生异常综合征的MR图像显示椎体边缘均匀强化,难以与造血区域区分。增强MR图像有助于检测骨髓中的造血区域,并将其与脊柱炎和转移瘤区分开来,不过区分骨髓中肿瘤性增生区域和良性造血区域还需要更多经验。

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