摘要
目的:研究磁共振成像(MRI)和磁共振胰胆管成像(magnetic resonance cholangiopancreatography,MRCP)在恶性胰胆管梗阻性疾病中的应用价值。方法:使用先进的Siemens Avanto 1.5T磁共振扫描仪,对252例可疑胰胆管梗阻性疾病及正常人行MRI和MRCP检查,原始图像作三维重建,分析图像资料并作出诊断。结果:MRCP清晰显示胰胆管的解剖结构,对胰胆管梗阻程度和梗阻部位判定的准确率达100%,恶性胰胆管梗阻端表现为突然截断、锥状或鼠尾状狭窄,结合MRI能够明确肿瘤大小和范围。MRI和MRCP诊断恶性梗阻的敏感性95%、特异性98%、准确率96%。结论:MRI和MR-CP作为无创伤性检查,准确率高,胰胆管的解剖结构显示清晰,可作为胰胆管疾病常规的检查方法,且可作为肿瘤可切除性评估标准之一。
Objective:To study the application value of MRI and MRCP in the diagnosis of pancreaticobiliary duct malignant obstructive diseases.Methods: With a advanced Siemens 1.5T magnetic instrument, MRCP was performed in 252 cases,iueluding suspicions pancreaticobiliary duct malignant obstructive diseases and normal group.Raw data was made for three-dimensional reconstuction.The findings of MRCP was analyzed and made diagnosis. Results: MRCP can exhibit the anatomic structure well of pancreaticobiliary duct. The accuracy of MRCP in determination the degree and location of pancreaticohiliary duct obstructive was 100% .The obstructive end of pancreaticobiliary duct demonstrated suddenly block,awl-like or mouse taft-like narrow. MRI and MRCP can define the tumor margin and extent.Tha sensitivity ,specificity and accuracy of MRCP were 95% ,98% ,96% respectively in diagnosis malignant obstructive diseases. Conclusion: Without traumatic examination, MRI and MRCP have high accuracy, pancresticobiliary duct anaomic structure demonstrate well. It can be as a common examination means in the diagnosis pancreaticobiliary obstructive diseases and one of standards of a preoperative assessment for the respectability.
出处
《医学影像学杂志》
2006年第5期486-488,共3页
Journal of Medical Imaging
关键词
磁共振成像
磁共振胰胆管成像
胰胆管梗阻
Magnetic resonance imaging
Magnetic resonance cholangiopanoreatngraphy
Pancreaticobiliary duct obstruction