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MRI多种成像技术在胰腺肿块鉴别诊断中的价值
引用本文:陈翼,许乙凯,花蒨蒨,赵云辉,蒋志强,王海兵. MRI多种成像技术在胰腺肿块鉴别诊断中的价值[J]. 放射学实践, 2005, 20(5): 381-385
作者姓名:陈翼  许乙凯  花蒨蒨  赵云辉  蒋志强  王海兵
作者单位:510515,广州,第一军医大学南方医院影像中心;510515,广州,第一军医大学南方医院影像中心;510515,广州,第一军医大学南方医院影像中心;510515,广州,第一军医大学南方医院影像中心;510515,广州,第一军医大学南方医院影像中心;510515,广州,第一军医大学南方医院影像中心
摘    要:目的研究MRI多种成像技术在胰腺癌和胰腺炎性肿块鉴别诊断中的价值。方法搜集经手术病理证实的胰腺癌和胰腺炎性肿块病例共47例,采用的MRI技术分别为FLASHT1WI、TSET2WI、T1WI FS、T2WI FS、Gd DT PA动态增强扫描和MRCP,分析其MRI表现。结果T1WI、T2WI、T1WI FS、T2WI FS、Gd DTPA动态增强扫描以及MRCP对26例胰腺癌的检出率分别为53.9%、50.0%、73.1%、76.9%、88.5%、84.6%,对21例胰腺炎性肿块的检出率分别为52.4%、57.1%、71.4%、71.4%、81.0%、85.7%。结论T1WI FS、T2WI FS、Gd DTPA动态增强扫描和MRCP成像技术对胰腺癌和胰腺炎性肿块的定位、定性准确率较高,是鉴别诊断胰腺癌和胰腺炎性肿块的理想方法。

关 键 词:胰腺肿瘤  胰腺炎  磁共振成像
文章编号:1000-0013(2005)05-0381-05
修稿时间:2004-07-08

The Value of MR in the Diagnosis of Pancreatic Carcinoma and Pancreatic Inflammatory Mass
CHEN Yi,XU Yi-kai,HUA Qian-qian,et al.. The Value of MR in the Diagnosis of Pancreatic Carcinoma and Pancreatic Inflammatory Mass[J]. Radiologic Practice, 2005, 20(5): 381-385
Authors:CHEN Yi  XU Yi-kai  HUA Qian-qian  et al.
Affiliation:CHEN Yi,XU Yi-kai,HUA Qian-qian,et al.Center of Diagnostic Imaging,Nanfang Hospital,First Military Medical University,Guangzhou 510515,P.R.China
Abstract:Objective:To study the diagnostic value of various techniques of MRI of pancreatic carcinoma and pancreatic inflammatory mass.Methods:MRI findings of pathologically proved pancreatic carcinoma (n=26) and pancreatic inflammatory mass (n=47) were analyzed retrospectively.FLASH T_1WI,TSE T_2WI,T_1WI FS,T_2WI FS,dynamic CE T_1WI and MRCP sequences were used.Results:The accuracy of T_1WI,T_2WI,T_1WI FS,T_2WI FS,dynamic CE T_1WI and MRCP for pancreatic carcinoma were 53.9%,50.0%,73.1%,76.9%,88.5%,84.6%respectively while the accuracy of T_1WI,T_2WI,T_1WI FS,T_2WI FS,dynamic CE and MRCP for inflammatory pancreatic mass were 52.4%,57.1%,~71.4%, 71.4%,81.0%,85.7% respectively.Conclusion:T_1WI FS,T_2WI FS,dynamic CE T_1WI and MRCP sequences have a high accuracy for the location and characterization of pancreatic cacinoma and pancreatic inflammatory mass.
Keywords:Pancreatic neoplasms  Pancreatitis  Magnetic resonance imaging
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