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扩散成像技术在鉴别肝脏单纯性囊肿和囊性包虫囊肿中的应用
引用本文:李辉,张雪林.扩散成像技术在鉴别肝脏单纯性囊肿和囊性包虫囊肿中的应用[J].临床放射学杂志,2010,29(1).
作者姓名:李辉  张雪林
作者单位:南方医科大学南方医院影像中心,广州,510515
摘    要:目的评价扩散加权成像(DWI)在鉴别肝单纯性囊肿和包虫囊肿特别是完全液化的肝包虫囊肿的价值。资料与方法20例囊性包虫病患者22个病灶,肝脏单纯囊肿9例10个病灶,均行b值500和1000 s/mm2的MRDWI序列扫描。结果b值500和1000 s/mm2的病灶ADC值以及病灶和周围肝实质的信号强度率均有显著性差异,肝脏单纯囊肿的表观扩散系数(ADC)值明显高于肝包虫囊肿,肝脏包虫囊肿的信号强度率明显高于肝脏单纯囊肿(P值<0.05)。结论肝脏MR DWI有助于鉴别肝脏单纯囊肿和肝脏囊性包虫囊肿。

关 键 词:肝脏包虫囊肿  肝脏单纯囊肿  磁共振扩散成像  

The Clinical Value of Diffusion Weighted Imaging in Differential Diagnosis of Simple and Hydatid Cysts of the Liver
LI Hui,ZHANG Xuelin.The Clinical Value of Diffusion Weighted Imaging in Differential Diagnosis of Simple and Hydatid Cysts of the Liver[J].Journal of Clinical Radiology,2010,29(1).
Authors:LI Hui  ZHANG Xuelin
Abstract:Objective To evaluate clinical value of diffusion-weighted imaging(DWI)in differential diagnosis of simple and hydatid cysts of the liver.Materials and Methods 32 cysts(22 hydatid cysts,10 simple cysts)were collected in this study,DWI was performed using a breath-hold single-shot-echo-planar sequence(b value=500/1000 s/mm2),apparent diffusion coefficients(ADC)and the signal intensity ratio were calculated.Results The ADC values of the hydatid cysts were significantly lower than that of simple cysts of liver...
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