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肝癌的影像学评价:1.5T MRI与常规CT、US比较 总被引:4,自引:1,他引:3
目的:探讨三种非创伤性影像检查方法MRI、CT和US在肝癌诊断中的敏感性和准确性。方法:52例经病理及临床证实的HCC行MRI,CT和US检查。结果:MRI常规序列与FMPSPGR相比,敏感性以SET2W及FMPSPGR序列为高。对HCC检出总的敏感性依次为MRI(SE+FMPSPGR)85.89%,CT75.64%,US71.79%,<3cmHCC,MRI检出的敏感性为71.42%明显高于CT(51.42%)和US(45.71%),对于>3cmHCC,三者敏感性相似。HCC定性准确性依次为动态增强FMPSPGR(92.06%),常规SE序列(85.93%),CT(84.74%),US(75.00%),SE序列结合动态增强FMPSPGR对肝癌定性准确性可达95%,明显优于CT和US。结论:在HCC的检出敏感性和定性诊断上,1.5TMRISE序列结合动态增强FMPSPGR明显优于常规CT和US,为肝癌重要的影像学检查手段。 相似文献
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MR T_1WI抑脂及MR胰胆管造影术用于梗阻性黄疸的诊断 总被引:1,自引:1,他引:0
目的:探讨T1WI抑脂技术(FT1WI)和MR胰胆管造影术(MRCP)对梗阻性黄疸的诊断价值。方法:回顾47例不同病因所致梗阻性黄疸的MRI征象。应用GESigna1.5T超导MR机,除常规的T1WI、T2WI序列外,还采用FT1WI和FMPSPGR造影增强及MRCP技术。结果:恶性病变均可见大小不等的肿块,FT1WI序列对肿块的显示最清楚,为明显的低信号。良性病变均无肿块。MRCP可以明确梗阻的部位及阻塞端的形态。结论:根据MRCP所示胆道梗阻的部位和形态,结合轴位各序列,尤其是FT1WI显示的病灶特点,能更加准确地诊断梗阻性黄疸的病因。 相似文献
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ACOMPARISONINHEALINGOFSKULLDEFECTREPAIREDWITHFOURDIFFERENTKINDSOFGRAFTMATERIALSINRAB┐BITSDINGZhen-qi(丁真奇)1,TANFu-sheng(谭富生)2,... 相似文献
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脑肿瘤是磁共振成像中较常见的肿瘤 ,当前应用于脑肿瘤的MR技术主要是二维的SE序列 ,笔者通过对 41例患者行 3D-SPGR序列扫描 ,试图评价该序列在脑肿瘤MRI的应用价值。1 材料和方法41例患者均进行常规SE(CSE)序列的平扫和增强扫描 ,同时辅之以 3D -SPGR序列的平扫和增强扫描。所有病例均经手术和病理证实。其中脑膜瘤 2 1例 ,脑胶质瘤 11例 ,鞍区肿瘤5例 ,松果体肿瘤 1例 ,脑转移瘤 3例。增强扫描用磁显葡胺(Gd -DTPA)作造影剂 ,按 0 .2ml/kg体重快速静脉注射 ,注药后以肿瘤为中心进行扫描。成像设备用美… 相似文献
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胡春洪 《国外医学:临床放射学分册》1994,17(3):162-162,187
文内综述了乳腺Gd-DTPA增强MRI的现状。重点介绍了自旋回波(SE)及梯度回波(FLASH、FISP)序列正常及乳腺病变的增强MRI表现和脂肪抑制技术在乳腺良恶性病变鉴别、术后乳腺及硅胶假体乳腺的评价等方面的实用价值。特别强调动态MR检查乳癌、腺瘤及小叶增生等的时间-强化曲线特征。 相似文献
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三叉神经痛神经血管压迫的MRI研究 总被引:5,自引:0,他引:5
目的探索三能(TN)神经血管压迫(NVC)的最佳扫描序列和扫描方法。试图发现正常人和人之间神经血管在接触上的差异。评价MRI对TN的诊断价值。方法 对2具福尔马林罪恶的头颅,按照MRI扫描平面切层,观察三叉神经的走行及与邻近血管的关系。且20例,原发性TN15例,使用SET1W少三维时间飞跃破坏性稳态梯度回聚回波(3D-TDF-SPGR)序列。11例病人做了增强扫描。盲法观察3个平面血管神经关系。 相似文献
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One of the factors of the successful military career guidance Cadet schools students is preserving and promoting their health. Medical support of children and adolescents aged 10-17 years should include the full range of medical and preventive measures defined for this group. The state of providing outpatient care for pupils at the Cadet School in St. Petersburg was studied. These results show that full medical care in accordance with the standards can be based only on children's health clinics. It is important that the organization of medical support pupils cadet schools should be cooperate with civilian health care. 相似文献
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V. A. Serezhenkov I. A. Moroz G. A. Klevezal A. F. Vanin 《Applied radiation and isotopes》1996,47(11-12)
ESR-spectrometry was used to investigate radiation-induced paramagnetic centers in enamel of mammals: carnivores (polar bear and fox), ungulates (reindeer, European bison, moose), and man. Values at half the microwave power saturation of the radiation signal, P1/2, evaluated at room temperature, was found to range from 16 to 26 mW for animals and man. A new approach to discrimination of the radiation induced signal from the total ESR spectrum of reindeer enamel is proposed. ‘Dose-response’ dependencies of enamel of different species mammals were measured within the dose range from 0.48 up to 10.08 Gy. Estimations of ‘radiosensitivity’ enamel of carnivores and ungulates showed good agreement with radiosensitivity enamel of man by ESR method. 相似文献
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Analysis of the results of the international comparison of activity measurements of a solution of Fe
The results of an international comparison of activity measurements of a solution of 55Fe organized by the BIPM in 2005 are reported and analysed. This exercise, which follows the procedures of the CIPM mutual recognition arrangement to update older comparisons, is a renewal of the comparison organized by the BIPM that took place in 1978. A EUROMET comparison was organized in 1996 specifically to compare activity measurements of a 55Fe solution by means of liquid-scintillation techniques. Results of these three comparisons are presented and discussed in this paper.
The radionuclide solution was provided by the NPL, which also distributed the samples to the participants. The activity of the ampoules was measured by 16 laboratories using 12 methods producing 25 results. Some general considerations on uncertainty assessments pertaining to the different techniques used are drawn. The outcome of four different estimators is compared from which the presence of at least one outlier can be confirmed. Further measurements should be made to try to reduce the discrepancy between the results. To date the outcome of the present comparison does not show an improvement to that of the 1996 comparison. 相似文献
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D Gasparini 《La Radiologia medica》1987,73(4):304-309
A new method of non-surgical treatment of varicocele syndrome is described: it consists in sclerotherapy of spermatic vein by trans-femoral percutaneous catheterization with balloon-catheters. In 8 cases venous thrombosis has been induced by direct electric clotting. The techniques and a 6 months follow-up are discussed. It is pointed out that this procedure should be considered as the method of choice for tubular lesions and sub-fertility prophylaxis in young people and in childhood. 相似文献
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目的探讨延迟性脾破裂误漏诊原因和预防措施.方法回顾性分析总结12例延迟性脾破裂中的诊断和误漏诊的经验与教训.结果本组延迟性脾破裂的误漏诊5例(41.66%).对多发伤与脾破裂并存可能认识不足,外伤史轻微或伤员隐瞒外伤史,缺乏腹痛-缓解-突然再腹痛的典型病史,缺乏“对冲性脾破裂”力学分析和整体化诊断思路等为其误漏诊的主要原因.结论详细的外伤史和全面系统检查,重视腹以外多发伤掩盖腹内脏器伤及延迟性脾破裂可能.确立外伤-腹内脏器伤-脾破裂整体化诊断思路.不间断地辅以B超检查脾形态学变化和腹内有无积液,腹腔穿刺确定有无血腹、X线胸腹部检查观察左侧胸肋角和膈肌运动情况、必要时CT检查以尽早发现脾包膜下血肿,降低延迟性脾破裂误漏诊率. 相似文献