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脊髓血管畸形的MRI诊断价值
引用本文:邱大胜,孔祥泉,刘定西,徐海波,于群. 脊髓血管畸形的MRI诊断价值[J]. 临床放射学杂志, 2004, 23(8): 663-666
作者姓名:邱大胜  孔祥泉  刘定西  徐海波  于群
作者单位:430022,武汉,华中科技大学同济医学院附属协和医院放射科;430022,武汉,华中科技大学同济医学院附属协和医院放射科;430022,武汉,华中科技大学同济医学院附属协和医院放射科;430022,武汉,华中科技大学同济医学院附属协和医院放射科;430022,武汉,华中科技大学同济医学院附属协和医院放射科
摘    要:目的 评价MRI对脊髓血管畸形的诊断价值。资料与方法 24例临床诊断为脊髓占位的患者行MR平扫、增强、3D-CISS和三维增强磁共振血管成像(3D-CE-MRA)。结果 24例中23例可显示畸形血管:髓内3例,髓外16例,髓内外4例。对供血动脉、引流静脉的显示MR平扫不及3D-CE-MRA。1例MRI显示硬膜下血肿,未见畸形血管。结论 MR平扫是脊髓血管畸形最敏感的首选检查方法,3D-CE-MRA有助于脊髓畸形血管的显示。

关 键 词:脊髓  血管畸形  磁共振成像

MRI Value in Diagnosing Spinal Vascular Malformation
QIU Dasheng,KONG Xiangquan,LIU Dingxi,et al.. MRI Value in Diagnosing Spinal Vascular Malformation[J]. Journal of Clinical Radiology, 2004, 23(8): 663-666
Authors:QIU Dasheng  KONG Xiangquan  LIU Dingxi  et al.
Affiliation:QIU Dasheng,KONG Xiangquan,LIU Dingxi,et al. Department of Radiology,The Affiliated Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei Province 430022,P.R.China
Abstract:Objective To evaluate MRI and MR angiography (MRA) in the diagnosis of spinal vascular malformation.Materials and Methods Both plain and enhanced MR scanning, 3D-CISS and CE-MRA were performed in 24 patients with clinically-diagnosed spinal space-occupying lesion. The imaging findings were analyzed.Results Of the total 24 cases, vascular malformation was seen in 23. The lesions were intra-medullary (n=3), extra-medullary (n=16) or both intra- and extra-medullary (n=4). The remaining one case had subdural hematoma and showed no vascular deformity.Conclusion Plain MRI is the most sensitive technique to demonstrate spinal vascular malformation. CE-MRA is superior to MRI in displaying the deformed vessels.
Keywords:Spinal cord Vascular malformation Magnetic resonance imaging
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