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DWI中不同b值对肝脏小病灶诊断价值的探讨
引用本文:郑建刚,许建兴,梅莉,顾勇坚. DWI中不同b值对肝脏小病灶诊断价值的探讨[J]. 中国CT和MRI杂志, 2009, 7(5): 41-43
作者姓名:郑建刚  许建兴  梅莉  顾勇坚
作者单位:影像科,江苏常州市江苏大学附属武进医院,213002
摘    要:目的通过选择DWI中的不同b值,探讨检出肝脏小病灶的价值。方法对27例肝脏小病灶患者(其中包括肝囊肿5例、肝血管瘤6例、肝癌8例、肝转移瘤8例)进行MRI平扫、动态增强扫描及不同b值的DWI(50s/mm2、200s/mm2、400s/mm2、600s/mm2、700s/mm2、1000s/mm2),比较不同b值发现病灶的能力。结果27病例共89个小病灶,b值为50s/mm2时,显示小病灶数89个,随着b值的增加,显示小病灶的个数依次减少,分别为78个、45个、38个、29个、20个,假阴性率明显增加;图像质量用好、中、略差、差分级,b值为50s/mm2时,图像质量最好,随着b值的增加,图像质量逐渐下降。结论低b值能更敏感地检测出肝内小病灶,是MR的有益补充。

关 键 词:弥散加权成像  弥散系数  肝脏  小病灶

Approach the diagnostic values of different b values in DWI for detecting small focuses in liver
ZHENG Jian-gang,XU Jian-xing,MEI Li,et al.. Approach the diagnostic values of different b values in DWI for detecting small focuses in liver[J]. , 2009, 7(5): 41-43
Authors:ZHENG Jian-gang  XU Jian-xing  MEI Li  et al.
Affiliation:ZHENG Jian-gang,XU Jian-xing,MEI Li,et al. Department of Imaging,The Affiliated Wujin Hospital of Jiangsu University,Changzhou,Jiangsu,213002,China
Abstract:Objective By selecting different diffusion coefficient (b value) in DWI,to approach the worth of detecting small focuses in live. Methods Twenty-seven patients whose small focuses (including five cases of hepatic cyst,6 cases of hepatic hemangioma,8 cases of liver cancer,8 cases of liver metastases) were all scaned by ordinary MR,dynamic contrast-enhanced and DWI which applied different b values (50 s / mm2 ,200 s / mm2,400 s / mm2,600 s / mm 2,700 s / mm2,1000 s / mm2 ). The capacities of different b value...
Keywords:diffusion-weighted imaging  diffusion coefficient  liver  small focuses  
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