共查询到19条相似文献,搜索用时 171 毫秒
1.
目的:探讨发生在椎管内硬膜外的海绵状血管瘤MRI影像学特征,提高对该类病变的认识。方法:搜集2001年~2007年经手术病理证实的5例发生在椎管内硬膜外的海绵状血管瘤的患者资料,进行回顾性分析。结果:发生在椎管内硬膜外的海绵状血管瘤5例,T1WI呈均匀或不均匀低信号,T2WI呈均匀高信号,增强扫描瘤体明显均匀强化,2例病变轴位显示病灶跨过左侧椎间孔向椎管外"钳状"生长。其中1例相应椎体合并小血管瘤。结论:椎管内硬膜外海绵状血管瘤为少见肿瘤,MRI对椎管内海绵状血管瘤的定位及定性有着无可替代的优势,是目前最为可靠的术前检查手段,能充分显示病变与周围组织的关系,但最后确立诊断,仍须结合临床及完整的病理资料分析。 相似文献
2.
3.
颅内海绵状血管瘤的CT和MRI诊断 总被引:12,自引:2,他引:10
目的 探讨CT和MRI对颅内海绵状血管瘤的表现和诊断价值。资料与方法 经手术病理证实的颅内海绵状血管瘤22例,其中脑内型海绵状血管瘤21例,脑外型海绵状血管瘤1例。10例行CT检查,16例行MRI检查,13例行MRA检查。结果 脑内型海绵状血管瘤可位于脑内任何部位,单发病灶多见,周围无或轻度水肿,无明显占位效应。CT平扫为稍高密度影,钙化占72.7%,增强扫描大都无强化;MR T1WI表现为桑葚状混杂高信号.周围有云絮状低信号环,增强后病灶大都无强化;MRA检查未见异常血管。脑外型病灶位于中颅窝、鞍旁,MRI呈类似哑铃形较均匀的稍长T1、长T2信号,增强扫描见明显均匀强化.MRA检查未见异常血管。结论 脑内型海绵状血管瘤的MRI表现较有特异性,结合CT和MRA可明确诊断;脑外型者易误诊,对CT和MRI表现类似的中颅窝脑膜瘤,应考虑到本病的可能。 相似文献
4.
目的探讨骨上皮样血管内皮瘤(EHE)的CT、MRI及18 F-FDG PET/CT表现,以提高对该病的影像学认识。方法回顾性分析2例经病理证实的骨上皮样血管内皮瘤患者的CT、MRI及18 F-FDG PET/CT检查图像资料,总结其影像特点。结果2例骨EHE中,1例为全身多发骨骼病变,1例仅为胸11椎体病变。CT表现病灶为边缘清晰,轻度硬化并呈分叶状改变的膨胀性溶骨性骨质破坏,病灶内见散在斑点状高密度影,周边软组织及椎间盘未见明显受累。MRI病灶呈稍长T 1、长T 2信号,其内可见散在斑点状低信号影,增强扫描病灶呈明显不均匀强化。病灶外周可见增强无强化的低信号环。18 F-FDG PET/CT主要表现为病灶部位的溶骨性骨质破坏伴SUV摄取值的升高。结论CT、MRI及18 F-FDG PET/CT检查能帮助评估骨上皮样血管内皮瘤的病灶性质及范围,协助下一步诊疗方案的确定。 相似文献
5.
目的:探讨脑内与脑外海绵状血管瘤的CT和MRI表现及诊断价值.方法:搜集45例颅内海绵状血管瘤的CT和MRI影像资料进行分析,MRI检查45例,CT检查30例,其中脑内型海绵状血管瘤42例,脑外型海绵状血管瘤3例,均经手术病理证实.结果:脑内型海绵状血管瘤可位于脑内任何部位,单发病灶多见,无明显占位效应,周围无或轻度水肿.CT检查的全部病例呈稍高及混杂密度影27例,增强扫描大都无强化;MRI检查T2 WI表现为"桑葚状"混杂高信号,周围有云絮状低信号环,增强后病灶仅少数轻度强化.脑外型病灶位于中颅窝鞍旁,MRI呈类似哑铃形或类圆形较均匀的稍长T1明显长T2信号,增强扫描呈明显均匀强化.结论:脑内与脑外型海绵状血管瘤的CT和MRI表现具有一定特征,MRI优于CT像,特别是MRI的T2 WI像有助于明确诊断. 相似文献
6.
目的:研究眼眶海绵状血管瘤的CT、MRI成像特点,提高诊断率。资料与方法:选取20例经手术病理证实的眶内海绵状血管瘤,均行CT平扫、MRI平扫及增强扫描,8例行CT增强扫描,分析其CT、MRI征像特点及检查手段。结果:CT能显示肿瘤钙化,眶壁骨质改变,呈渐进性强化,最后明显均匀强化,MRI三维成像能发现微小病变,显示肿瘤毗邻关系更佳,压脂像冠状位扫描能清晰显示肿瘤与视神经、眼外肌的关系。结论:CT、MRI互补,能明显提高眶内海绵状血管瘤的诊断率. 相似文献
7.
目的探讨脑内海绵状血管瘤的cT、磁共振成像(MRI)影像表现。方法经随访及手术病理证实的脑内海绵状血管瘤13例,4例cT常规检查后行MRI扫描,9例仅行MRI检查。13例患者中2例行磁共振血管造影(MRA)检查,8例行MRI增强检查。结果脑内海绵状血管瘤可位于脑内任何部位,单发病灶多见,瘤周多无水肿及占位效应。cT平扫为稍高密度,有时可有斑片状钙化。MRI中病灶信号混杂,周边有环状低信号。增强后2例病灶轻度强化,6例无明显强化。MRA均未见异常血管团。结论脑内型海绵状血管瘤的MRI表现右明显特秆忡结会CT和MRA可明确诊睐斤 相似文献
8.
9.
脊椎骨巨细胞瘤的MRI诊断价值 总被引:3,自引:3,他引:0
目的 评价MRI对脊椎骨巨细胞瘤的诊断价值。资料与方法 回顾性分析7例经手术病理证实的脊椎骨巨细胞瘤的MRI表现。结果 7例中发生予胸椎2例,腰椎4例,骶椎1例;其中2例仅累及椎体,5例累及椎体和附件;6例累及单个椎体,1例累及相邻2个椎体。MRI表现为膨胀性骨质破坏,其中6例病灶为囊实性混杂信号灶,1例为中等信号相对均匀实性肿块灶;5例突入椎管,压迫脊髓。增强扫描病灶呈不均匀中等强化,囊变区中心不强化,囊壁中度强化。结论 MRI对脊椎骨巨细胞瘤具有重要诊断价值,结合CT扫描对多数病例术前可作出明确诊断。 相似文献
10.
《中国中西医结合影像学杂志》2016,(5):570-572
目的 :探讨原发性椎管内硬膜外占位性病变的MRI特点。方法 :分析21例椎管内硬膜外占位性病变的MRI表现。肿瘤性病变13例,其中淋巴瘤6例,脂肪血管瘤4例,海绵状血管瘤3例;非肿瘤性病变8例,其中椎间盘髓核游离6例,自发性血肿2例。结果:8例原发性椎管内硬膜外占位性病变呈包鞘状包绕硬膜囊。6例淋巴瘤T2WI呈均匀略低信号,增强扫描后明显均匀强化,2例合并邻近骨质破坏。3例脂肪血管瘤与3例海绵状血管瘤主要位于背侧硬膜外。4例脂肪血管瘤T2WI呈高信号,T1WI病灶内可见高信号脂肪组织;3例海绵状血管瘤T1WI呈等或低信号,T2WI呈高信号;所有脂肪血管瘤与海绵状血管瘤增强扫描均明显强化。6例椎间盘髓核游离均位于腹侧硬膜外,呈结节状,T2WI呈低信号,增强扫描呈周边环形强化。2例自发性血肿信号复杂,增强扫描后不强化。结论:原发性椎管内硬膜外占位性病变有一定的MRI特点,MRI能进行有效的诊断与鉴别。 相似文献
11.
Cha JG Yoo JH Kim HK Park JM Paik SH Park SJ 《The British journal of radiology》2012,85(1012):e94-e98
Intra-osseous haemangioma is a rare, benign neoplasm that usually involves the vertebrae and craniofacial bones. Furthermore, its occurrence in the long bones is extremely rare. We report the findings of fluorine-18-fludeoxyglucose ((18)F-FDG) positron emission tomography (PET)/CT and MRI in a patient with intra-osseous haemangioma in the proximal tibia, who was initially misdiagnosed as having a malignancy based on (18)F-FDG PET/CT. (18)F-FDG PET/CT showed a well-marginated osteolytic lesion with abnormal FDG uptake. The mass demonstrated low signal intensity on T(1) weighted MRI. On T(2) weighted images, the lesion appeared as a cluster of high signal intensity lobules and showed strong enhancement on contrast-enhanced T(1) weighted images. Surgical curettage was performed and histopathological examination of the excised tissue confirmed a cavernous haemangioma. 相似文献
12.
Yoshihiro Matsumoto Yusuke Takahashi Akihisa Haraguchi Tatsuro Okamoto Katsumi Harimaya Tomoya Matsunobu Makoto Endo Yoshinao Oda Yukihide Iwamoto 《Skeletal radiology》2014,43(1):89-93
Intraosseous hemangioma (IH) is commonly seen in the vertebral column and skull: however, IH occurring in the appendicular skeleton, including the clavicle, is uncommon. We herein report the case of a 69-year-old female presenting with IH of the left clavicle. The findings of preoperative imaging studies, including radiographs, computed tomography (CT), magnetic resonance imaging, fluorine-18-fludeoxyglucose (18F-FDG) positron emission tomography (PET)/CT and ultrasonography, are described. In particular, 18F-FDG PET/CT showed an ill-defined osteolytic lesion with abnormally high FDG uptake. Surgical en bloc resection with preoperative embolization was carried out and a histopathological examination confirmed the presence of an intraosseous cavernous hemangioma in the clavicle. 相似文献
13.
笔者报道了1例巨大多房前列腺囊腺瘤(PC)18F-氟脱氧葡萄糖(FDG) PET/CT显像的病例,并分析了其影像学特点及鉴别诊断方法。18F-FDG PET/CT不仅可以定位病灶并判断其与周围组织的关系,还可以根据肿瘤的放射性摄取程度鉴别良恶性,从而为临床诊断提供充足的依据。由于PC在临床上较为罕见,且尚无应用18F-FDG PET/CT进行诊断的文献报道,笔者通过对该病例的18F-FDG PET/CT显像特点进行分析,旨在提高影像科医师对该病的认识,避免误诊。 相似文献
14.
淋巴瘤是一种血液系统恶性肿瘤。淋巴瘤骨髓浸润(BMI)使疾病分期上升至IV期, 是疾病进展、预后较差的标志。常规部位的骨髓活检(BMB)具有创伤性, 且检出率低。PET/CT与全身MRI的出现, 丰富了BMI的检测手段。PET/CT与全身MRI对于淋巴瘤, 尤其是侵袭性淋巴瘤BMI均具有较高的检出率, 二者孰高孰低, 尚未定论。对于红骨髓、良性骨髓病变(炎症等)、淋巴瘤BMI病灶以及肿瘤治疗后骨髓的变化与骨髓残留或复发病灶, 全身MRI很难区分, 而PET/CT却可以很好地鉴别这些病灶。但是, PET/CT存在电离辐射; 对于惰性淋巴瘤的BMI, 超出PET/CT分辨率的病灶, 可能出现假阴性; 某些情况会限制PET/CT的使用, 包括18F-FDG生理性摄取量可能发生改变的正常组织、18F-FDG摄取相关性炎症、高血糖或高胰岛素血症导致的18F-FDG分布的改变、肿瘤患者治疗后出现的骨髓活化等。然而, 这些情况可以使用全身MRI。因此, 全身MRI和PET/CT相辅相成, 优势互补, 但二者均不能代替BMB。对于常规BMB阴性, 但影像学提示阳性的患者, 在影像学引导下进行BMB, 可以提高BMI的检出率。另外, 全身MRI阳性的淋巴瘤BMI患者与全身MRI阴性的淋巴瘤BMI患者相比, 前者预后可能较差。 相似文献
15.
Osseous hemangioma is a benign vascular tumor, and it usually occurs in the vertebrae and the skull. However, hemangiomas of flat bones are rare, and there are very few reports that describe the radiologic findings of osseous hemangioma of the ilium. We report a unique case of large cavernous hemangioma mimicking a chondrogenic malignant bone tumor originated from the ilium in a 22-year-old female. The mass showed stippled calcifications, heterogeneous enhancement with thick septa and enhanced soft tissue components on CT and MR, and also this mass demonstrated heterogeneous 2-fluoro [fluorine-18]-2-deoxy-D-glucose (18F-FDG) uptake on 18F-FDG PET/CT. 相似文献
16.
The use of (18)F-fluorodeoxyglucose positron emission tomography ((18)F-FDG-PET) in the field of oncology is rapidly evolving; however, (18)F-FDG is not tumor specific. Aside from physiological uptake (18)F-FDG also may accumulate in benign processes. Knowledge of these (18)F-FDG-avid nonmalignant lesions is essential for accurate PET interpretation in oncologic patients to avoid a false-positive interpretation. Through the systematic review of the reports of PET/computed tomography (CT) studies performed in oncologic patients during a 6-month period, we found benign nonphysiological uptake of (18)F-FDG in more than 25% of studies. In half of these, (18)F-FDG uptake was moderate or marked in intensity, similar to that of malignant sites. A total of 73% of benign lesions were inflammatory in nature, with post-traumatic bone and soft-tissue abnormalities (including iatrogenic injury) and benign tumors accounting for the remainder. The differentiation of benign from malignant uptake of (18)F-FDG on PET alone may be particularly challenging as a result of the low anatomical resolution of PET and paucity of anatomical landmarks. Fusion imaging, namely PET/CT, has been shown to improve not only the sensitivity of PET interpretation but also its specificity. Aside from better anatomical localization of lesions on PET/CT, morphological characterization of lesions on CT often may improve the diagnostic accuracy of nonspecific (18)F-FDG uptake. Correlation with CT on fused PET/CT data may obviate the need for further evaluation or biopsy in more than one-third of scintigraphic equivocal lesions. Familiarity with (18)F-FDG-avid nonmalignant lesions also may extend the use of (18)F-FDG-PET imaging beyond the field of oncology. We have tabulated our experience with benign entities associated with increased (18)F-FDG uptake on whole-body PET/CT from 12,000 whole-body (18)F-FDG-PET/CT studies performed during a 4-year period. 相似文献
17.
Malignant involvement of the spine: assessment by 18F-FDG PET/CT. 总被引:11,自引:0,他引:11
Ur Metser Hedva Lerman Annat Blank Gennady Lievshitz Felix Bokstein Einat Even-Sapir 《Journal of nuclear medicine》2004,45(2):279-284
The purpose of the study was to assess the role of (18)F-FDG PET/CT in the assessment of secondary malignant involvement of the spinal column. METHODS: In 51 patients, 242 lesions at the spinal region detected on (18)F-FDG PET/CT were interpreted separately on PET, CT, and fused PET/CT images, including differentiation between benign and malignant lesions and the level in the vertebral column. CT evaluation also included the type of bony lesion (osteolytic, osteoblastic, or mixed) and accompanying soft-tissue abnormalities; for example, epidural masses and tumor involvement of the neural foramina. RESULTS: Of the 242 lesions detected on PET/CT, PET alone identified 220 lesions and CT alone identified 159; 217 (90%) were malignant and 25 benign. (18)F-FDG PET alone detected significantly more malignant lesions than did CT alone (96% vs. 68%, respectively, P < 0.001). The specificity was 56% for both PET alone and CT alone. PET alone was incorrect in determining the level of abnormality within the vertebral column in 33 (15%) lesions and in determining the part of the vertebra involved in 40 (18%) lesions. In 17 (33%) patients, either epidural extension of tumor (n = 7 lesions), neural foramen involvement of tumor (n = 7 lesions), or a combination of both (n = 11 lesions) was detected. On a patient-based analysis, the sensitivity of PET and of PET/CT for the detection of spinal metastasis was 98% and 74%, respectively (P < 0.01). CONCLUSION: (18)F-FDG PET/CT has better specificity for detection of malignant involvement of the spine than does (18)F-FDG PET. It allows for precise localization of lesions and identifies accompanying soft-tissue involvement, which is of potential neurologic significance. 相似文献
18.
19.
目的:探讨^18F-脱氧葡萄糖(FDG)PET/CT显像对不明原因发热(FUO)的影像学表现及病因诊断价值。方法:回顾性分析常规检查未能明确诊断FUO病因的45例患者^18F-FDG PET/CT显像资料,根据病理检查或临床随访结果分析^18F-FDG PET/CT显像结果,测量异常摄取病灶最大标准摄取值(SUVmax)。采用SPSS 11.0软件进行数据处理,SUVmax两样本均数比较采用t检验。结果:45例患者中35例^18F-FDG PET/CT全身显像发现至少有1处异常放射性浓聚灶,随访证实其中9例为恶性肿瘤,26例为感染或炎性病变,二者病变的SUVmax分别为6.09±1.46和2.57±1.33,差异有显著性意义(t=6.67,P〈0.05);10例^18F-FDG PET/CT显像阴性患者,6例病因不明,4例为风湿性疾病。^18F-FDGPET/CT显像有助于临床FUO病因诊断。结论:全身^18F-FDG PET/CT显像在其它检查方法未能明确诊断FUO病因时,可为临床进一步诊断提供重要的参考价值。 相似文献