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肝门部胆管癌的低场MRI诊断价值
引用本文:孙晓东,卜顺林,白卓杰,张雨涵. 肝门部胆管癌的低场MRI诊断价值[J]. 医学影像学杂志, 2011, 21(7): 1015-1018
作者姓名:孙晓东  卜顺林  白卓杰  张雨涵
作者单位:东南大学附属南京江北人民医院放射科,江苏,南京,210048
摘    要:目的:总结肝门部胆管癌的低场MRI影像表现,以提高对肝门部胆管癌的认识。方法:收集经手术病理证实的肝门部胆管癌21例,均有完整的MRI影像资料。结果:MRCP对肝门部胆管梗阻水平定位准确率达100%。21例肝门部胆管癌均表现为肝内胆管不同程度"软藤样扩张",肝门部胆管狭窄、管壁增厚或软组织肿块;6例MRI肝门部可见稍长T1、稍长T2的肿块影,15例未发现明确肿块;增强扫描5例可见肿块延迟期缓慢持续强化,14例表现为管壁增厚强化、管腔狭窄。结论:低场MRI是检查肝门部胆管癌的有效方法,联合应用MRCP可显示肝门部胆管癌的特征性改变。

关 键 词:肝门部胆管癌  磁共振成像

Diagnostic value of low field MRI on hilar cholangiocarcinoma
SUN Xiao-dong,BO Shun-lin,BAI Zhuo-jie,ZHANG Yu-han. Diagnostic value of low field MRI on hilar cholangiocarcinoma[J]. Journal of Medical Imaging, 2011, 21(7): 1015-1018
Authors:SUN Xiao-dong  BO Shun-lin  BAI Zhuo-jie  ZHANG Yu-han
Affiliation:SUN Xiao-dong,BO Shun-lin,BAI Zhuo-jie,ZHANG Yu-hanDepartment of Radiology,Nanjng Jiangbei Hospital,Southeast University,Nanjing 210048,P.R.China
Abstract:Objective:To explore the low field MRI imaging of findings of hilar cholangiocarcinoma,and improve the diagnostic accuracy.Methods:Twenty-one cases of hilar cholangiocarcinoma proved by pathology were studied,all the cases had intact MRI materials.Results:The localized accuracy of MRCP for hilar cholangiocarcinomas was 100%.Dilatation of the intrahepatic biliary tree in vary degree like soft vine in all 21 cases and hilar bile duct narrowed,occluded or soft tissue mass;precontrast MRI found hilar masses wit...
Keywords:Hilar cholangiocarcinoma  Magnetic resonance imaging  
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