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急性胰腺炎的MRI诊断
引用本文:邱德正,雷益,陈志刚,郭琪. 急性胰腺炎的MRI诊断[J]. 实用放射学杂志, 2005, 21(2): 147-149
作者姓名:邱德正  雷益  陈志刚  郭琪
作者单位:深圳市第二人民医院放射科,广东,深圳,518026
摘    要:
目的 评价MRI在急性胰腺炎诊断中的作用。方法  77例急性胰腺炎的病人全部采用屏气磁共振序列进行扫描。横断位扫描: 2DFlashT1WI/T1WI+FS,TSET2WI+FSHASTE+FS,部分病人加扫Trufisp序列。冠状位扫描: 2DFlashT1WI+FS;其中 34例病人进行了MRCP检查。所有 77例病人均进行了MRI动态增强扫描。结果 59例诊断为急性水肿性胰腺炎,表现为胰腺肿胀,T1WI稍低信号,T2WI稍高信号。18例诊断为出血坏死性胰腺炎,除前述表现外,还可见T1WI斑片状高信号,胰周渗液明显。结论 MRI对急性胰腺炎的诊断具有重要作用。

关 键 词:急性胰腺炎  诊断  磁共振成像
文章编号:1002-1671(2005)02-0147-03
修稿时间:2003-10-23

MRI of Acute Pancreatitis
QIU De-zheng,LEI Yi,CHEN Zhi-gang,GUO Qi. MRI of Acute Pancreatitis[J]. Journal of Practical Radiology, 2005, 21(2): 147-149
Authors:QIU De-zheng  LEI Yi  CHEN Zhi-gang  GUO Qi
Abstract:
Objective To assess the value of magnetic resonance imaging for acute pancreatitis.Methods 77 patients of acute pancreatitis were examined with holding breath MRI sequence.Transverse scan:2D Flash T 1WI/T 1W+FS,TSE T 2WI+FS or HASTE+FS,Trufisp.Coronals scan:2D Flash T 1W+FS.MRCP was used in 34 patients.2D Flash dynamic contrast enhanced were used in 77 patients.Results 59 cases of acute edematous pancreatitis showed swelling and low signal intensity on T 1WI and higher signal intensity on T 2WI.Excepted the above findings,18 cases of hemorrhagic necrosis pancreatitis alos showed the higher signal intensity on T 1WI and peripancreatic exudative hydrops.Conclusion MRI is a reliable method for demonstrating acute pancreatitis.
Keywords:acute pancreatitis  diagnosis  magnetic resonance imaging
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