Takehara Y, Kurihashi K, Isoda H, Isogai S, Kodaira N, Sugiyama M, Ozawa F, Masunaga H, Kaneko M, Nozaki A
Department of Radiology, Hamamatsu University School of Medicine.
Nihon Igaku Hoshasen Gakkai Zasshi. 1998 Aug;58(9):524-6.
Dynamic magnetic resonance dacryocystography (MRD) was implemented using 1.5T superconductive imager with a standard head coil. Prior to MRD, a pair of polyethylene microcatheters were inserted into the lower lacrimal canaliculi. Injecting a mixture of 6 ml of saline and 4 ml of xylocaine (0.5%) as a substitute for contrast medium, repeated measurement of thick section heavily T2 weighted image using half Fourier single shot fast spin echo (SSFSE) sequence was performed. MRD could well depict the pathologies of the lacrimal sac and the lacrimal duct in five cases of epiphora. It pinpointed the level of lacrimal duct obstruction, which was confirmed by both X-ray dacryocystography and intraoperative findings. Dynamic MRD is a reliable method of diagnosing nasolacrimal duct obstruction without using ionizing radiation or chemical contrast medium.
使用配备标准头部线圈的1.5T超导成像仪进行动态磁共振泪囊造影(MRD)。在进行MRD之前,将一对聚乙烯微导管插入下泪小管。注入6毫升生理盐水和4毫升利多卡因(0.5%)的混合物作为造影剂替代品,使用半傅里叶单次激发快速自旋回波(SSFSE)序列对厚层重T2加权图像进行重复测量。MRD能够很好地描绘5例溢泪患者泪囊和泪道的病变情况。它明确了泪道阻塞的部位,这一点通过X线泪囊造影和术中发现均得到证实。动态MRD是一种无需使用电离辐射或化学造影剂来诊断鼻泪管阻塞的可靠方法。