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CT、MRCP、B-FFE在胆系结石诊断中的对比研究
引用本文:周蕾,丁永生,祝乐群.CT、MRCP、B-FFE在胆系结石诊断中的对比研究[J].上海医学影像,2005,14(3):196-199.
作者姓名:周蕾  丁永生  祝乐群
作者单位:200437,上海市中医药大学附属岳阳中西医结合医院放射科
摘    要:目的探讨CT,单次屏气磁共振胰胆管成像(MRcholangiopancreatography,MRCP)与平衡全稳态快速场回波技术(balancedfastfieldecho,B-FFE)诊断胆系结石疾病的临床价值。方法对42例手术证实的胆系结石患者进行CT、SSH-RADIALMRCP、B-FFE检查,并与手术结果对照。结果42例胆系结石中,胆管结石CT检出率为60.87%,MRCP检出率为95.65%,B-FFE检出率为91.30%;胆囊结石CT检出率为79.41%,MRCP检出率为91.18%,B-FFE检出率为88.24%。结论CT、MRCP、B-FFE对胆系结石均有较好的诊断价值,但MRI具有成像参数多,可多平面观察及可特殊方法成像(MRCP、B-FFE)等特点,对胆系结石的诊断明显优于CT。

关 键 词:磁共振成像  体层摄影术  X线计算机  胆结石

Evaluation of CT、MRCP and B-FFE in the diagnosis of cholelithiasis: a comparative study
ZHOU Lei,DING Yongsheng,ZHU Lequn.Evaluation of CT、MRCP and B-FFE in the diagnosis of cholelithiasis: a comparative study[J].Shanghai Medical Imaging,2005,14(3):196-199.
Authors:ZHOU Lei  DING Yongsheng  ZHU Lequn
Abstract:Objective To evaluate CT,MRCP and B-FFE in the diagnosis of cholelithiasis. Methods 42 patients with pathologically proved cholelithiasis were performed CT,SSh-MRCP and B-FFE examination. All images were compared with the operation and pathology. Results The detectable rate of cholangiocholithiasis were 60.87%,95.65% and 91.30% in CT, MRCP and B-FFE respectively; The detectable rate of cholecystolithiasis were 79.41%,91.18% and 88.24% in CT, MRCP and B-FFE respectively. Conclusions CT, MRCP and B-FFE were all good method in the diagnosis of cholelithiasis. MRI could observe in multi-plane and it has special sequence such as: MRCP and B-FFE. So MRI was superior to CT in the diagnosis of cholelithiasis.
Keywords:Magnetic resonance imaging  Tomography  X-ray computed  Bile stone
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