期刊文献+

磁共振胰胆管成像与常规扫描诊断胆系结石的对照研究 被引量:4

Comparative study on MR cholangiopancreatography and original images and routine MRI in the diagnosis of biliary stones
下载PDF
导出
摘要 目的:对比探讨磁共振胰胆管成像及其原始图像与磁共振常规扫描诊断胆系结石的价值。方法:应用1.0 T超导M R I扫描仪对55例患者(36例胆囊结石和19例胆总管结石)行重T2加权多次激发FSE序列(HT2-FSE)磁共振胰胆管成像扫描及常规轴面FSE序列M R I T1W I及T2W I扫描。结果:磁共振胰胆管成像的最大强度投影图像能清晰显示肝内、外胆管及扩张胰管的形态结构。多数较大的胆系结石在磁共振胰胆管成像原始图像及M R I常规T2W I图像上可很好地显示,但常在最大强度投影图像被掩盖;较小的胆系结石在磁共振胰胆管成像的最大强度投影图像及M R I常规T2W I图像均难以准确显示,而仅在磁共振胰胆管成像原始图像上显示。结论:磁共振胰胆管成像原始图和最大强度投影图像以及磁共振常规扫描是分析、诊断胆系结石的一个有机整体,不能仅仅依靠某一种成像技术作出诊断。 Objective To evaluate the value of MR cholangiopancreatography and routine MRI in diagnosing biliary stones. Methods Fifty-five patients (36 cases of gallbladder stones and 19 cases of common bile duct stones) had undergone MR cholangiopancreatography with heavily T2 weighted fast spin echo sequences and routine axial MRI T1WI and T2WI with fastspin echo sequences. Results Maximum intensity projection images of MR cholangiopancreatography could definitely demonstrate the configuration of the bile duct and the enlarged pancreatic duct. Most bigger biliary stones could be well demonstrated on original images of MR cholangiopancreatography and routine MRI T2WI images, but often be enshrouded on maximum intensity projection images. Whereas smaller biliary stones could not be demonstrated on maximum intensity projection and routine MRI T2WI images, but only be demonstrated on original images of MR cholangiopancreatography. Conclusion MR cholangiopancreatography and original images and routine MRI is an organic body of diagnosing biliary stones. We should not rely on only one kind of them.
出处 《实用诊断与治疗杂志》 2006年第6期403-404,407,F0004,共4页 Journal of Practical Diagnosis and Therapy
关键词 磁共振胰胆管成像 胆结石 对照研究 MR cholangio-pancreatography cholelithiasis comparative study
  • 相关文献

参考文献7

  • 1Sodickson A, Mortele K J, Barish M A, et al. Three-dimensional fast-recovery fast spin-echo MRCP: comparison with two-dimensional single-shot fast spin-echo techniques[J]. Radiology, 2006, 238(2):549
  • 2钟亮,陈克敏,丁小龙,顾海燕,柴维敏,姚秋英,李磊,王嵇.磁共振胰胆管成像的临床应用研究[J].临床放射学杂志,1999,18(7):416-420. 被引量:27
  • 3Reinhold C,Bret P M.Current status of MR cholangiopancreatography[J].AJR,1996,166(6):1285
  • 4Yamashita Y,Abe Y,Tang Y,et al.In vitro and clinical studies of image acquisition in breath-hold MR cholangiopancreatography: single-shot projection technique versus multislice technique[J]. AJR, 1997, 168(6):1449
  • 5Varghese J C, Liddell R P, Farrell M A, et al. The diagnostic accuracy of magnetic resonance cholangiopancreatography and ultrasound compared with direct cholangiography in the detection of choledocholithiasis[J]. Clin Radiol, 1999, 54 (9) :604
  • 6任克,孙文阁,田雨霖,徐克.MRCP对梗阻性黄疸的诊断价值[J].中国实用外科杂志,2001,21(12):729-731. 被引量:23
  • 7刘于宝,胡道予,夏黎明,王承缘,李震,邹明丽.MRCP结合薄层扫描对胆系结石的诊断价值[J].医学影像学杂志,2003,13(10):724-726. 被引量:25

二级参考文献10

  • 1Varghese JC, Liddel RP, Farrell MA, et al. The diagnostic accuracy of magnetic resonance cholangiopancreatography and ultrasound compared with direct cholangiography in the detection of choledocholithiasis[J].Clin Radiol,1999,54(9) :604.
  • 2Chart YL. Chan ACW,Lam WWM, et al. Choledocholithiasis: comparison of MR cholangiography and endoscopic retrograde cholangiopancreatography[ J ]. Radiology, 1997,200( 1 ) : 85 - 89.
  • 3Varghese JC, Farrell MA, Courtney G, et al. Aprospective comparison of magnetic resonance cholangiopanereatography with endoscopic retrograde cholangiopancreatography in the evaluation of patients with suspected liliary tract disease[J]. Clinical Radiology, 1999,54(9) :513 -520.
  • 4Lee M G,Radiology,1997年,202卷,663页
  • 5钟亮,国外医学消化系统疾病分册,1997年,17卷,195页
  • 6Chan Y L,Radiology,1996年,200卷,85页
  • 7Lee M,Radiology,1997年,202卷,3期,663页
  • 8Chang Y L,Radiology,1996年,200卷,1期,85页
  • 9钟亮.磁共振胆胰管成象的临床应用[J].国外医学(消化系疾病分册),1997,17(4):195-198. 被引量:5
  • 10周连高,陈克敏,丁小龙,钟亮,顾海燕.MRCP诊断总胆管结石及其影像学对比研究[J].中国医学影像技术,2001,17(4):352-354. 被引量:20

共引文献69

同被引文献26

引证文献4

二级引证文献13

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部