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胰腺神经内分泌瘤的MRI特点
引用本文:徐志明,曾蒙苏.胰腺神经内分泌瘤的MRI特点[J].军医进修学院学报,2009,30(4):490-492.
作者姓名:徐志明  曾蒙苏
作者单位:1. 解放军苏州100医院放射科,苏州,215007
2. 上海复旦大学附属中山医院放射科,上海,200032
摘    要:目的分析胰腺神经内分泌瘤的MR影像特点,并对MRI在胰腺神经内分泌瘤诊断中的价值进行评估。方法对18名经病理证实的胰腺神经内分泌瘤患者的MR扫描进行回顾性分析。扫描系列包括SE T1WI、脂肪抑制T1WI、FSE T2WI、快速多层面干扰梯度回波(FMPSPGR)Gd—DTPA造影剂增强前和增强后。结果多数在T1WI(66.7%,12/18)、脂肪抑制T1WI(78.6%,11/14)和未增强的FMPSPGR(84.2%,16/19)影像上为低信号,在T2WI上为高信号(66.7%,12/18)。脂肪抑制T1WI和FMPSPGR影像上的病变轮廓比常规T1WI和T2WI的更清晰。在动态造影剂增强扫描中,10例肿瘤在动脉期、门静脉期和延迟期呈中到强的均匀性增强,肿瘤信号强度仍然高于正常胰腺实质;3例肿瘤呈周边结节性增强和逐渐的向心性增强;2例肿瘤呈轻度到中度均匀性增强;2例肿瘤呈延迟增强;2例肿瘤呈囊性改变伴环状增强;1例局限于胰体内的病变伴有肝转移。结论多序列和动态造影剂增强MRI对胰腺神经内分泌瘤的诊断具有重要价值。

关 键 词:胰腺  神经内分泌瘤  磁共振成像  诊断

MRI features of pancreatic neuroendocrine tumours
XU Zhi-ming,ZENG Meng-su.MRI features of pancreatic neuroendocrine tumours[J].Academic Journal of Pla Postgraduate Medical School,2009,30(4):490-492.
Authors:XU Zhi-ming  ZENG Meng-su
Institution:XU Zhi-ming1,ZENG Meng-su2 1 Department of Radiology,Chinese PLA 100 Hospital,Suzhou 215007,China,2Department of Radiology,Zhongshan Hospital,Fudan University,Shanghai 200032
Abstract:Objective To analyze the MR imaging features and to assess the role of MRI in the diagnosis of pancreatic neuroendocrine tumors.Methods MR imaging features of 18 patients with pathologically-confirmed pancreatic neuroendocrine tumors were retrospectively analyzed.MR scanning included SE T1WI,fat-suppressed T1WI,FSE T2WI,and fast multiplanar spoiled gradient recalled(FMPSPGR) wave before and after the contrast medium,Gd-DTPA,was used.Results Most lesions were detected at T1WI(66.7%,12/18) and fat-suppressed ...
Keywords:pancreas  neuroendocrine tumors  magnetic resonance imaging  diagnosis  
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