共查询到20条相似文献,搜索用时 35 毫秒
1.
Mediastinal myelolipoma: CT and MRI appearances 总被引:1,自引:0,他引:1
Kawanami S Watanabe H Aoki T Nakata H Hayashi T Kido M Tsukada J Eto S 《European radiology》2000,10(4):691-693
A 72-year-old man presented with a mediastinal mass on chest radiograph. Computed tomography and MR imaging showed that the
mass consisted of both fatty and small nodular soft tissue components, highly suggestive of an extramedullary hematopoiesis
or a myelolipoma. A CT-guided needle biopsy was next performed and confirmed the diagnosis. We discuss the CT and MR imaging
appearances of this tumor and usefulness of a CT-guided needle biopsy to avoid surgery in asymptomatic patients.
Received: 8 March 1999; Revised: 23 June 1999; Accepted: 25 June 1999 相似文献
2.
The aims of this article are to describe the findings of perividian tumor spread and to compare the accuracy of MRI and CT
in diagnosing perineural metastasis along the vidian nerve. Moreover, the frequency of perividian metastasis in patients with
head and neck cancer was evaluated. The CT and MR examinations of 98 consecutive untreated patients with histologically proven
head and neck cancer were retrospectively reviewed. We considered as criteria for perineural tumor spread along the vidian
nerve the following CT and MR findings: For CT (a) enlargement of the pterygoid canal, (b) erosion of its bony wall, and (c)
obliteration of its normal fatty content; and for MR (a) enlargement of the vidian nerve, (b) enhancement of the nerve, and
(c) obliteration of fat, particularly in the anterior part of the pterygoid canal. Ten patients met the selected criteria
for perineural metastasis, which was bilateral in 3 patients, with a total of 13 vidian metastases. The CT scans demonstrated
unilateral involvement of the vidian nerve in 9 patients. The MRI scans showed 13 perineural metastases. In 3 patients MR
scans demonstrated involvement of four vidian nerves that appeared normal on CT examinations. The diagnostic difference between
CT and MRI was statistically significant (Fisher's exact test; p = 0.04). Perineural spread along the vidian nerve is an event more frequent than previously reported and must be investigated
with a careful imaging technique. Although a major limitation of our study is the lack of histological proof, the MR finding
of a significant enhancement of the nerve, whether enlarged or normal in size, could be considered very suggestive of this
kind of metastatic spreading, particularly if associated with simultaneous involvement of the neighboring structures (pterygopalatine
fossa, foramen lacerum, trigeminal branches, etc.).
Received: 5 January 1999; Revision received 11 May 1999; Accepted: 17 June 1999 相似文献
3.
Hottya GA Péterfy CG Uffmann M Häckl FO LeHir P Rédei J Gindele AU Dion E Genant HK 《European radiology》2000,10(3):467-475
The purpose of this review is to provide illustrative examples of diseases of the foot and ankle when imaged with a low-field
MR imaging system. A retrospective review of 268 foot and ankle examinations, performed in our institution within the past
3 years with a 0.2-T (Artoscan Esaote, Genoa, Italy) dedicated extremity MR system was done. Additionally, illustrative comparison
with conventional radiography and high-field MR imaging is presented in patients in whom these examinations were also performed.
Although motion artifact limited the value of a few studies, in the majority of examinations low-field MR imaging provided
diagnostic image quality for the full spectrum of disorders affecting the foot and ankle and seemed to be a feasible alternative
to high-field MR imaging in establishing an accurate diagnosis.
Received: 23 November 1998; Revision received: 8 February 1999; Accepted: 4 June 1999 相似文献
4.
MR imaging and CT in osteoarthritis of the lumbar facet joints 总被引:11,自引:0,他引:11
Objective. To test the agreement between MR imaging and CT in the assessment of osteoarthritis of the lumbar facet joints, and thus
to provide data about the need for an additional CT scan in the presence of an MR examination. Design and patients. Using a four-point scale, two musculoskeletal radiologists independently graded the severity of osteoarthritis of 308 lumbar
facet joints on axial T2-weighted and on sagittal T1- and T2-weighted turbo-spin-echo images and separately on the corresponding
axial CT scans. Kappa statistics and percentage agreement were calculated. Results. The weighted kappa coefficients for MR imaging versus CT were 0.61 and 0.49 for readers 1 and 2, respectively. The weighted
kappa coefficients for interobserver agreement were 0.41 for MR imaging and 0.60 for CT, respectively. There was agreement
within one grade between MR and CT images in 95% of cases for reader 1, and in 97% of cases for reader 2. Conclusion. With regard to osteoarthritis of the lumbar facet joints there is moderate to good agreement between MR imaging and CT. When
differences of one grade are disregarded agreement is even excellent. Therefore, in the presence of an MR examination CT is
not required for the assessment of facet joint degeneration.
Received: 12 June 1998 Revision requested: 20 October 1998 Revision received: 29 December 1998 Accepted: 14 January 1999 相似文献
5.
Magnetic resonance imaging in the assessment of urologic disease: an all-in-one approach 总被引:9,自引:0,他引:9
Verswijvel GA Oyen RH Van Poppel HP Goethuys H Maes B Vaninbrouckx J Bosmans H Marchal G 《European radiology》2000,10(10):1614-1619
The aim of this study was to evaluate an “all-in-one” MR procedure to examine the kidneys, the renal vascular supply and
renal perfusion, and the urinary tract. In 64 patients (58 with urologic disease and 6 healthy volunteers), MR was performed
including: (a) T1- and T2-weighted imaging; (b) 3D contrast-enhanced MR angiography (MRA), including the renal arteries, renal
veins, as well as renal perfusion; and (c) 3D contrast-enhanced MR urography (MRU) in the coronal and sagittal plane. For
the latter, low- and high-resolution images were compared. Prior to gadolinium injection, 0.1 mg/kg body weight of furosemide
was administered intravenously. The results were compared with correlative imaging modalities (ultrasonography, intravenous
urography, CT), ureterorenoscopy and/or surgical–pathologic findings. Visualization of the renal parenchyma, the vascular
supply, and the collecting system was adequate in all cases, both in nondilated and in dilated systems and irrespective of
the renal function. One infiltrating urothelial cancer was missed; there was one false-positive urothelial malignancy. Different
MR techniques can be combined to establish an all-in-one imaging modality in the assessment of diseases which affect the kidneys
and urinary tracts. Continuous refinement of the applied MR techniques and further improvements in spatial resolution is needed
to expand the actual imaging possibilities and to create new tracts and challenges in the MR evaluation of urologic disease.
Received: 27 September 1999; Revised: 20 January 2000; Accepted: 22 May 2000 相似文献
6.
Pancreatitis: computed tomography and magnetic resonance imaging 总被引:9,自引:1,他引:8
The value of CT in management of severe acute pancreatitis is well established. Some, but not all, experimental studies suggest
a detrimental effect of intravenous iodinated contrast agents in acute pancreatitis, but although initial clinical data tends
to support this, the positive advantages of enhanced CT outweigh the possible risks. Magnetic resonance imaging has been shown
to be as effective as CT in demonstrating the presence and extent of pancreatic necrosis and fluid collections, and probably
superior in indicating the suitability of such collections for percutaneous drainage. Image-guided intervention remains a
key approach in the management of severely ill patients, and the indications, techniques and results of radiological intervention
are reviewed herein. Both CT and MRI can be used to diagnose advanced chronic pancreatitis, with the recent addition of MRCP
as a viable alternative to diagnostic endoscopic retrograde cholangiopancreatography (ERCP). Both MRCP and CT/MR imaging of
the pancreatic parenchyma still have limitations in the recognition of the earliest changes of chronic pancreatitis – for
which ERCP and tests of pancreatic function remain more sensitive – but the clinical significance of these minor changes remains
contentious.
Received: 12 February 1998; Revision received: 17 June 1998; Accepted: 22 June 1998 相似文献
7.
The role of MR imaging in invasive cervical carcinoma 总被引:6,自引:0,他引:6
In this article the role of MR imaging in the management of cervical cancer is reviewed and illustrated. The appearance of
the normal uterine cervix and of cervical carcinoma is shown. Important factors for optimal MR imaging of cervical carcinoma
are reviewed. The value of MR imaging in the staging of cervical carcinoma is illustrated by showing parametrial invasion
and lymph node involvement. Finally, the value of MR imaging staging is compared with clinical staging, CT staging, and surgical
findings. The role of new imaging techniques, such as fast dynamic enhanced MR imaging, is described.
Received: 12 April 1999; Revised: 13 July 1999; Accepted: 14 July 1999 相似文献
8.
Local recurrence of rectal cancer: MR imaging before and after oral superparamagnetic particles vs contrast-enhanced computed tomography 总被引:2,自引:0,他引:2
The aim of this study was to compare three imaging strategies for the diagnosis of local recurrence of rectal cancer: (a) MR imaging; (b) MR imaging after administration of enteral superparamagnetic particles (Ferristene); and (c) contrast-enhanced CT. Seventeen patients with previous surgery for rectal cancer were examined, 12 patients with local tumour recurrence in the pelvis and 5 patients with postoperative changes. Pelvic multi-coil MR imaging before and after oral administration of superparamagnetic contrast medium [Abdoscan (Ferristene USAN), Nycomed-Amersham, Liding?, Sweden] as well as abdominal and pelvic CT was performed in all patients. The examinations were independently evaluated by three different radiologists. The general effect of the oral MR contrast medium, the delineation of normal and pathological structures as well as confidence in the diagnosis were registered on a visual analog scale (VAS). The diagnosis according to MR before and after oral contrast medium, and CT, was compared, in 16 patients, with the final diagnosis which was verified by biopsy (n = 3), surgery (n = 6), clinical follow-up (n = 4) and by follow-up with MR or CT (n = 3). No significant improvement in MR image quality was found after enteral contrast medium. The post-contrast MR diagnosis was not changed in any of the patients. The diagnosis on MR correlated with the final diagnosis in 12 of 16 patients (sensitivity 91%, accuracy 62%) and the diagnosis on CT in 11 of 16 patients (sensitivity 82 %, accuracy 56 %). The radiologists' "confidence" in the diagnosis and the degree of accordance with the final diagnosis did not score higher on MR after than before oral contrast administration; however, the accordance with the final diagnosis scored better on MR than on CT. No advantages of orally administered superparamagnetic contrast medium were observed in the examined patient group. Magnetic resonance is preferable to CT in diagnosing local tumour recurrence. 相似文献
9.
Petit P Vivarrat-Perrin L Champsaur P Juhan V Chagnaud C Vidal V Gaubert JY Bartoli JM Dessi P Zanaret M Moulin G 《European radiology》2000,10(7):1184-1189
The aim of this study was to describe cross-sectional imaging features of recurrent papilloma of the nasal fossa and paranasal
sinuses and to evaluate the role of MR and CT in the postoperative follow-up of this lesion. Magnetic resonance imaging and
CT of ten patients who presented recurrence of inverted papilloma were reviewed and correlated to initial imaging, endoscopy,
and surgical reports. Imaging patterns of recurrent inverted papilloma are identical to those of initial tumors and recurrence
location is closely related to the site of the former lesion. Magnetic resonance is more efficient than CT for the diagnosis
and evaluation of extensions. Magnetic resonance supplies the deficiencies of endoscopy in case of extensions to the frontal
sinus or the lateral recess of the antrum, especially if mucosal hyperplasia or sinusitis is associated. Magnetic resonance
imaging is the first imaging modality to perform in the follow-up after removal of inverted papilloma.
Received: 28 April 1999; Revised: 18 November 1999; Accepted: 19 November 1999 相似文献
10.
Gleno-humeral instabilities 总被引:4,自引:1,他引:3
The purpose of this review is to highlight the most efficient imaging exploratory techniques depicting shoulder instability,
to describe its various forms and to point out the findings which can simulate instability. In anterior recurrent dislocation,
surgery is indicated and the procedure essentially depends on the importance of glenoid rim lesions. In this case, a standard
X-ray evaluation is usually sufficient. The CT arthrography or MRI techniques give more specific details as to the severity
of the lesions, particularly soft tissues alterations; however, these data do not alter standard therapeutic protocol. In
fixed posterior dislocations, CT scan represents the most pertinent technique to evaluate the size of the humeral head defect
and to determine the therapeutic follow-up. In subtle forms of instability, diagnosis or instability direction are not clearly
assessed clinically and standard X-ray evaluation is usually unremarkable. In this case, further exploration, such as CT arthrography,
MR imaging or MR arthrography, are recommended to confirm the diagnosis of instability and to evaluate its direction. The
technique of choice is undoubtedly MR arthrography. Atraumatic voluntary painless subluxations associated with hyperlaxity
of the shoulder do not require any specific exploratory method because the findings are generally limited to a capacious axillary
pouch.
Received: 28 September 1998; Revised: 21 January 1999; Accepted: 22 March 1999 相似文献
11.
Vanrietvelde F Lemmerling M Mespreuve M Crevits L De Reuck J Kunnen M 《European radiology》2000,10(4):576-578
The clinical, biochemical and magnetic resonance imaging findings of two patients with cerebrotendinous xanthomatosis are
reported. This is a rare hereditary disease. Early recognition of this entity is important in view of the existing treatment
possibilities. Magnetic resonance imaging findings typically include a bilateral and almost symmetrical increase of the signal
intensity on the T2-weighted images in the cerebellar and periventricular cerebral white matter, the basal ganglia, the dentate
nuclei and the brainstem as well as cerebellar and cerebral atrophy.
Received: 18 January 1999; Revised: 3 June 1999; Accepted: 7 June 1999 相似文献
12.
Multifocal nodular fatty infiltration of the liver mimicking metastatic disease on CT: imaging findings and diagnosis using MR imaging 总被引:1,自引:0,他引:1
Kröncke TJ Taupitz M Kivelitz D Scheer I Daberkow U Rudolph B Hamm B 《European radiology》2000,10(7):1095-1100
The aim of this study was to describe the MR appearance of multifocal nodular fatty infiltration of the liver (MNFIL) using
T1-weighted in-phase (IP) and opposed-phase (OP) gradient-echo as well as T2-weighted turbo-spin-echo sequences with fat suppression
(FSTSE) and without (HASTE). Magnetic resonance imaging examinations at 1.5 T using T1-weighted IP and OP-GRE with fast low
angle shot (FLASH) technique, and T2-weighted FSTSE, T2-weighted HASTE of 137 patients undergoing evaluation for focal liver
lesions were reviewed. Five patients were identified in whom CT indicated metastatic disease; however, no liver malignancy
was finally proven. Diagnosis was confirmed by biopsy (n = 3), additional wedge resection (n = 1) or follow-up MRI 6–12 months later (n = 5). Regarding the identified five patients, the number of focal liver lesions was 2 (n = 2) and more than 20 (n = 3). The MR imaging characteristics were as follows: OP-image: markedly hypointense (n = 5); IP image: isointense (n = 2) or slightly hyperintense (n = 3); T2-weighted FSTSE-image: isointense (n = 5); T2-weighted HASTE image isointense (n = 1); slightly hyperintense (n = 4). On OP images all lesions were sharply demarcated and of almost spherical configuration (n = 5). Further evaluation by histology or follow-up MR imaging did not give evidence of malignancy in any case. Histology
revealed fatty infiltration of the liver parenchyma in three patients. Magnetic resonance follow-up showed complete resolution
in two patients and no change in three patients. Multifocal nodular fatty infiltration can simulate metastatic disease on
both CT and MR imaging. The combination of in-phase (IP) and opposed-phase (OP) gradient-echo imaging can reliably differentiate
MNFIL from metastatic disease.
Received: 15 September 1999 Revised: 3 February 2000; Accepted: 7 February 2000 相似文献
13.
The aim of this study was to evaluate the efficacy of contrast-medium (CM)-enhanced MR imaging of operated pituitary macroadenomas
with reduced dose of gadopentetate dimeglumine. In a prospective study 18 patients were examined with coronal T1-weighted
MR imaging prior to and following intravenous CM injections. Two sets of contrast-enhanced coronal images were obtained in
each patient; the first set after 50 % of the recommended dose of 0.1 mmol/kg body weight (b. w.) had been administered, and
the second set immediately after additional CM had been given to make up a total dose of 0.1 mmol/kg b. w. The images were
evaluated by three neuroradiologists. The SIPAP classification system was used to evaluate tumour extension, whereas tumour
margin conspicuity was scored using an arbitrary scale of 1–5 (1 = indistinct, 5 = well defined). Signal intensity measurements
obtained from the most enhancing part of the adenomas demonstrated increased enhancement with increased CM dose. Tumour delineation
scores were significantly better on the reduced- and full-dose images than on pre-CM injection images, but, with one exception,
tumour extension was identified as the same on all imaging sequences. Postoperative MR imaging of large macroadenoma residues
can routinely be performed without intravenous CM. When CM is indicated a reduced dose of gadopentetate dimeglumine should
provide sufficient diagnostic information.
Received: 29 June 1999; Revised: 2 December 1999; Accepted: 14 March 2000 相似文献
14.
A 21-year-old woman with tuberous sclerosis presented with abdominal distension and flank pain. Imaging studies, including
CT and MR imaging, revealed bilateral renal mass lesions, containing fat and suggesting the diagnosis of tuberous sclerosis.
However the imaging characteristics of one of these lesions differed from the others with no radiologically detectable fat
tissue in this solid lesion suggesting renal cell carcinoma. Histopathological examination of this lesion in the left kidney
revealed an angiomyolipoma with minimal fat tissue. The radiological diagnosis of angiomyolipomas with minimal fat tissue
remains difficult and the differential diagnosis is discussed.
Received: 5 October 1998; Revised: 22 December 1998; Accepted: 7 June 1999 相似文献
15.
Role of radiology in the diagnosis of neurosarcoidosis 总被引:2,自引:0,他引:2
Clinical studies report a rate of 5 % and autopsy results a rate of 25 % of brain involvement in sarcoidosis. The aim of
this study was to evaluate the role of radiology in the diagnosis of patients with neurosarcoidosis. The chest radiographs
and MRI brain scans of 22 patients with sarcoidosis were retrospectively reviewed, along with the information that was provided
in the request form and clinical charts. All patients had neurological signs and symptoms; 21 patients were examined with
contrast enhancement. Facial nerve paralysis was the most common clinical manifestation identified in 10 patients. A wide
spectrum of MR findings was noted: periventricular high-signal lesions on T2-weighted images (46 %); multiple supratentorial
and infratentorial brain lesions (36 %); solitary intra-axial mass (9 %); solitary extra-axial mass (5 %); and leptomeningeal
enhancement (36 %). Neurological signs and symptoms can be significant manifestations of sarcoidosis. Magnetic resonance imaging
shows a wide spectrum of brain abnormalities associated with neurosarcoidosis. The patient's history and chest X-ray are helpful
in arriving at the correct diagnosis, but in selected cases with isolated brain involvement biopsy may still be required.
Received: 21 June 1999; Revised: 27 August 1999; Accepted: 15 October 1999 相似文献
16.
We report a 48-year-old woman with a left posterior temporal extra-axial mass that had the imaging characteristics of a meningioma
on preoperative CT, MRI and angiography. However, a biopsy diagnosis of sarcoidosis was made. This case illustrates that dural-based
sarcoid masses can be very vascular and radiographically indistinguishable from meningiomas. Characteristic imaging features
of extra- and intra-axial sarcoid lesions are discussed.
Received: 4 March 1999/Accepted: 11 June 1999 相似文献
17.
Two-dimensional thick-slice MR digital subtraction angiography for assessment of cerebrovascular occlusive diseases 总被引:2,自引:0,他引:2
Aoki S Yoshikawa T Hori M Ishigame K Nambu A Kumagai H Araki T 《European radiology》2000,10(12):1858-1864
Although spatial resolution of current MR angiography is excellent, temporal resolution has remained unsatisfactory. We evaluated
clinical applicability of 2D thick-slice, contrast-enhanced subtraction MR angiography (2D-MR digital subtraction angiography)
with sub-second temporal resolution in cerebrovascular occlusive diseases. Twenty-five patients with cerebrovascular occlusive
diseases (8 moyamoya diseases, 10 proximal internal carotid occlusions, and 2 sinus thromboses ) were studied with a 1.5-T
MR unit. The MR digital subtraction angiography (MRDSA) was performed per 0.97 s continuously just after a bolus injection
of 15 ml of gadolinium chelates up to 40 s in sagittal (covering hemisphere) or coronal planes. Subtraction images were generated
at a workstation. We evaluated imaging quality and hemodynamic information of MRDSA in comparison with those of routine MR
imaging, non-contrast MR angiography, and X-ray intra-arterial DSA. Major cerebral arteries, all of the venous sinuses, and
most tributaries were clearly visualized with 2D MRDSA. Also, pure arterial phases were obtained in all cases. The MRDSA technique
demonstrated prolonged circulation in sinus thromboses, distal patent lumen of proximal occlusion, and some collateral circulation.
Such hemodynamic information was comparable to that of intra-arterial DSA. Two-dimensional thick-slice MRDSA with high temporal
resolution has a unique ability to demonstrate cerebral hemodynamics equivalent to that of intra-arterial DSA and may play
an important role for evaluation of cerebrovascular occlusive diseases.
Received: 16 November 1999; Revised: 27 June 2000; Accepted: 29 June 2000 相似文献
18.
Weishaupt D Hetzer FH Ruehm SG Patak MA Schmidt M Debatin JF 《European radiology》2000,10(12):1958-1964
The aim of this study was to compare the performance of 3D MRI in conjunction with an intravascular contrast agent to spiral
contrast-enhanced CT, regarding the detection of abdominal parenchymal injuries as well as peritoneal hemorrhage in an animal
model. Liver and kidney injuries were created surgically in six female pigs under general anesthesia. All pigs underwent contrast-enhanced
spiral CT and 3D MR imaging following administration of an intravascular contrast agent (NC100150 Injection). Two readers
rated their confidence independently on MR and CT data sets using a five-point scale for the presence of organ injury and
hemoperitoneum. Autopsy findings served as standard of reference. Sensitivity and specificity for MR in detecting hepatic
and renal injuries as well as hemoperitoneum was 100 %. Computed tomography was less accurate with sensitivity and specificity
values of 90 and 94 %, respectively. Receiver operating characteristics (ROC) analysis revealed a higher confidence when interpretation
was based on MR images. In an animal model 3D MR imaging in conjunction with an intravascular contrast agent proved highly
accurate in detecting and localizing parenchymal injuries to the upper abdomen as well as in detecting intraperitoneal blood
collections.
Received: 4 November 1999, Revised: 5 May 2000, Accepted: 9 May 2000 相似文献
19.
Primary hepatic angiosarcoma is a rare mesenchymal tumor of the liver that usually presents with nonspecific symptoms in
elderly men. We present four cases of hepatic hemangiosarcoma and discuss the imaging characteristics of this entity. Our
series shows that this tumor is not uncommon in younger patients with no associated risk factors such as previous exposure
to thorotrast or vinyl chloride. Our experiences on a limited number of patients suggests that the combined use of angiography
and dual-phase helical CT provides a better identification of the tumor and its complications. Analysis of imaging studies
in patients with hepatic hemangiosarcoma reveals hypervascular lesions. Common complications were portal vein thrombosis,
Budd-Chiari syndrome, as well as arterio-venous or arterio-portal shunts. Due to the vascularity of the tumor, percutaneous
liver biopsy is hazardous.
Received: 20 November 1998; Revised: 2 March 1999; Accepted: 12 April 1999 相似文献
20.
Ide C De Coene B Mailleux P Baudrez V Ossemann M Trigaux JP 《European radiology》2000,10(12):1865-1870
We present the characteristic imaging findings of hypoplasia of the internal carotid artery (ICA) in two cases, one accompanied
by an intracranial aneurysm. Finding of a diffuse luminal narrowing of the ICA on MR angiography or digital subtraction angiography
(DSA) could wrongly evoke severe acquired diseases such as dissection or atherosclerosis. Absence of associated wall thickening
and flow disturbances on color Doppler sonography (CDS) should suggest carotid hypoplasia. Confirmation of the diagnosis is
obtained by CT of the skull showing a small carotid canal. Non-invasive procedures are sufficient to differentiate this rare
congenital anomaly from acquired string signs.
Received: 25 October 1999; Revised: 27 January 2000; Accepted: 30 March 2000 相似文献