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垂体脓肿的CT和MR表现
引用本文:许晓琴,姚振威,周林江,黄丙仓. 垂体脓肿的CT和MR表现[J]. 医学影像学杂志, 2010, 20(3): 304-307
作者姓名:许晓琴  姚振威  周林江  黄丙仓
作者单位:1. 浙江省台州市立医院影像科,浙江,台州,318000
2. 复旦大学附属华山医院放射科,上海,200025
摘    要:
目的:分析垂体脓肿的CT和MR表现特征,以提高诊断的准确性。方法:对经过手术病理证实的12例垂体脓肿的CT和MR资料,结合文献进行回顾性分析。结果:CT平扫呈等或低密度,MR平扫T1WI呈等低或等高混杂信号,T2WI呈高信号或高低混杂信号,7例MR增强后呈均匀薄环状强化。12例中3例见正常垂体,3例垂体柄增粗强化,2例伴邻近脑膜轻度强化,5例伴副鼻窦炎。结论:垂体脓肿症状、体征及CT和MRI表现与其他鞍区囊性病变不易鉴别,但是根据增强前后的特征性表现,有可能在术前作出正确诊断。

关 键 词:垂体脓肿  磁共振成像  体层摄影术,X线计算机

CT and MR findings of pituitary abscess
XU Xiao-qin,YAO Zhen-wei,ZHOU Lin-jiang,HUANG Bing-cang. CT and MR findings of pituitary abscess[J]. Journal of Medical Imaging, 2010, 20(3): 304-307
Authors:XU Xiao-qin  YAO Zhen-wei  ZHOU Lin-jiang  HUANG Bing-cang
Affiliation:XU Xiao-qin1,YAO Zhen-wei2,ZHOU Lin-jiang2,HUANG Bing-cang21.Department of Radiology,Taizhou Municipal Hospital,Zhejiang 318000,P.R.China2.Department of Radiology,Huashan Hospital,Shanghai 200040,P.R.China
Abstract:
Objective:To study the CT and MRI features of pituitary abscess and to improve its diagnostic accuracy.Methods:CT and MR findings in 12 patients with pituitary abscess proved by surgery and pathology were analyzed retrospectively.Results:The lesions appeared isodensity or hypodensity on CT plan scan,iso-hypointense or iso-hyperintense heterogeneous intensity on T1WI,and hyperintense or hyper-hypointense on T2WI.7 cases showed thin ring-like enhancement in MR enhancement scan.Normal pituitary gland was seen ...
Keywords:Pituitary abscess  Magnetic resonance imaging  
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