Urhahn R, Klose K C, Drobnitzky M, Bohndorf K, Günther R W
Klinik für Radiologische Diagnostik, RWTH Aachen.
Rofo. 1993 Feb;158(2):104-8. doi: 10.1055/s-2008-1032613.
11 lesions of focal nodular hyperplasia (FNH) in 6 patients were studied by means of dynamic snapshot-FLASH MRI before and after bolus injection of Gd-DTPA. In addition, plain snapshot-FLASH images were compared with T1- and T2-weighted spin-echo (SE) images and with T1-weighted breathhold-FLASH images. Highest FNH-liver signal-difference-to-noise ratios were obtained with snapshot-FLASH followed by T2-SE. In all patients contrast-enhanced serial snapshot-FLASH demonstrated reliably the typical haemodynamic appearance of FNH known from dynamic computed tomography. Because of its high intrinsic lesion-liver contrast and high time-resolution dynamic snapshot-FLASH MRI may facilitate differential diagnosis of hepatic tumours.
对6例患者的11个局灶性结节性增生(FNH)病灶在团注钆喷酸葡胺(Gd-DTPA)前后采用动态快速小角度激发(FLASH)磁共振成像(MRI)进行研究。此外,将快速小角度激发平扫图像与T1加权和T2加权自旋回波(SE)图像以及T1加权屏气快速小角度激发图像进行比较。快速小角度激发获得的FNH与肝脏的信号差噪比最高,其次是T2加权自旋回波。在所有患者中,对比增强的连续快速小角度激发成像均可靠地显示了动态计算机断层扫描中已知的FNH典型血流动力学表现。由于其固有的高病灶与肝脏对比度和高时间分辨率,动态快速小角度激发MRI可能有助于肝脏肿瘤的鉴别诊断。