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MRCP结合薄层T2WI-STIR序列对胆总管泥沙样结石的诊断准确性
引用本文:董志坚,马宁强,巩宁,师颖,李斐. MRCP结合薄层T2WI-STIR序列对胆总管泥沙样结石的诊断准确性[J]. 实用医学影像杂志, 2011, 12(4): 227-229
作者姓名:董志坚  马宁强  巩宁  师颖  李斐
作者单位:陕西省杨凌示范区医院磁共振室,陕西杨凌,712100
摘    要:目的比较上腹部常规磁共振成像(MRI)结合磁共振胰胆管成像(MRCP)与薄层T2WI-STIR序列结合MRCP对胆总管泥沙样结石的诊断准确性。方法 58例经临床手术或内镜逆行胰胆管造影(ERCP)证实的胆总管泥沙样结石患者均经上腹部常规MRI、MRCP及薄层T2WI-STIR序列扫描。随后,对常规MRI+MRCP与薄层T2WI-STIR序列+MRCP探测胆总管泥沙样结石的检出率进行比较。结果与手术或ERCP所见相对照,常规MRI+MRCP在58例胆总管泥沙样结石患者中检出33例,符合率为56.9%;而薄层T2WI-STIR序列+MRCP检出胆总管泥沙样结石44例,符合率为75.9%。两种方法对胆总管泥沙样结石的检出率有显著性差异(P<0.05)。结论与常规MRI+MRCP比较,薄层T2WI-STIR序列+MRCP对胆总管泥沙样结石有更高的诊断准确性。

关 键 词:胆总管  泥沙样结石  常规MRI  磁共振胰胆管成像  STIR序列

Diagnostic accuracy of MRCP plus thin-slice T2WI-STIR sequence for detecting choledochal silty stones
Dong Zhijian,Ma Ningqiang,Gong Ning,Shi Ying,Li Fei. Diagnostic accuracy of MRCP plus thin-slice T2WI-STIR sequence for detecting choledochal silty stones[J]. Journal of Practical Medical Imaging, 2011, 12(4): 227-229
Authors:Dong Zhijian  Ma Ningqiang  Gong Ning  Shi Ying  Li Fei
Affiliation:Dong Zhijian,Ma Ningqiang,Gong Ning,Shi Ying,Li Fei.MR Division,Shanxi Provincial Yangling Shifanqu Hospital,Yanglingshi 712100,China
Abstract:Objective To compare the diagnostic accuracy of conventional magnetic resonance imaging(MRI) of the upper abdomen plus magnetic resonance cholangiopancreatography(MRCP) versus thin-slice T2WI-STIR sequence plus MRCP for detecting choledochal silty stones(CSS).Methods Fifty-eight patients with surgically or endoscopic retrograde cholangiopancreatography(ERCP) proved CSS underwent conventional MRI of the upper abdomen,MRCP and thin-slice T2WI-STIR sequence scans.Subsequently,the detecting rate of thin-slice T...
Keywords:Choledochus  Silty stone  Conventional MRI  MRCP  STIR sequence  
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