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MRCP结合薄层T2WI对壶腹周围病变的诊断价值
引用本文:郝粉娥,牛广明,韩晓东,高阳,张颖,郭冬玲. MRCP结合薄层T2WI对壶腹周围病变的诊断价值[J]. 实用放射学杂志, 2008, 24(11)
作者姓名:郝粉娥  牛广明  韩晓东  高阳  张颖  郭冬玲
作者单位:内蒙古医学院附属医院MRI室,内蒙古,呼和浩特,010050
摘    要:目的探讨MRCP及薄层轴位T2WI脂肪抑制序列对壶腹周围病变的定性诊断价值。方法收集2005-11—2007-11行磁共振检查,同时对感兴趣区行薄层扫描且临床资料完整的壶腹周围病变95例,总结其轴位MRI及MRCP的征象特征,比较增加薄层扫描前后诊断准确率。结果经手术病理或ERCP证实胰头癌27例,壶腹周围癌30例,壶腹区结石38例,MRCP结合常规MRI对病变诊断的准确率为75.79%,增加薄层扫描后准确率为92.63%,二者之间差异有统计学意义(χ2=10.13,P<0.01)。结论薄层扫描可提高壶腹周围病变的诊断准确率,有助于小结石、小肿瘤的鉴别诊断。

关 键 词:壶腹周围病变  磁共振成像  磁共振胰胆管水成像  

Diagnostic Value of Thin-slice T2-weighted Imaging Combining with MRCP in Periampullary Diseases
HAO Fe-ne,NIU Guang-ming,HAN Xiao-dong,GAO Yang,ZHANG Ying,GUO Dong-ling. Diagnostic Value of Thin-slice T2-weighted Imaging Combining with MRCP in Periampullary Diseases[J]. Journal of Practical Radiology, 2008, 24(11)
Authors:HAO Fe-ne  NIU Guang-ming  HAN Xiao-dong  GAO Yang  ZHANG Ying  GUO Dong-ling
Abstract:Objective To evaluate the value of axial thin-slice T2WI in combination with MRCP in diagnosing the periampullary diseases.Methods 95 cases of the periampullary diseases with complete clinical data proved operation and pathology underwent MRI and MRCP,and thin-slice scanning in interesting areas from November 2005 to November 2007.The diagnostic accuracy by MRCP and MRI and with or without the application of the thin-slice scanning was analysed comparatively.Results 95 cases included carcinoma of pancreatic...
Keywords:periampullary diseases  MR imaging  MR cholangiopancreatography  
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