Haubold-Reuter B, Nicolas V
Abteilung Röntgendiagnostik, Universitätskrankenhaus Eppendorf, Hamburg.
Rofo. 1994 Oct;161(4):312-8.
The pelvic veins and/or the inferior vena cava were examined in 15 patients with pelvic vein thrombosis or retroperitoneal tumours, using phlebography or cavography and MR angiography. The latter was carried out using 0.5 Tesla with an inflow technique TR/TE 30/8 ms, flip angle 70 degrees). 3-D projection angiograms were obtained from the 2-D angiograms in the coronary plane. Image quality was generally satisfactory and the veins up to the internal iliac could be demonstrated in all cases; below this, the examination was unreliable. Comparison of the methods with reference to information of therapeutic relevance has shown that in two-thirds of all examinations (8/13) MR angiography and phlebography were of equal diagnostic value. In the presence of a renal cell carcinoma, MR angiography was unable to distinguish between thrombosis and infiltration of the vena cava.
对15例盆腔静脉血栓形成或腹膜后肿瘤患者,采用静脉造影或腔静脉造影以及磁共振血管造影检查盆腔静脉和/或下腔静脉。后者使用0.5特斯拉磁场,采用流入技术(TR/TE 30/8毫秒,翻转角70度)进行。从冠状面的二维血管造影图像获得三维投影血管造影图像。图像质量总体令人满意,所有病例均可显示直至髂内静脉的血管;在此以下,检查结果不可靠。对具有治疗相关性信息的方法进行比较表明,在所有检查的三分之二(8/13)中,磁共振血管造影和静脉造影具有同等的诊断价值。在存在肾细胞癌的情况下,磁共振血管造影无法区分下腔静脉的血栓形成和浸润。