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肝脏孤立性坏死结节与肝脏炎性假瘤mri鉴别及意义
引用本文:孙伟,王琨,周令飞.肝脏孤立性坏死结节与肝脏炎性假瘤mri鉴别及意义[J].现代医用影像学,2011,20(4):231-233.
作者姓名:孙伟  王琨  周令飞
作者单位:江苏省泗洪县人民医院影像科,223900
摘    要:目的:探讨肝脏孤立性坏死结节与肝脏炎性假瘤MRI表现的不同之处.材料与方法:收集7例肝脏 孤立性坏死结节、5例肝脏炎性假瘤临床及MRI资料,以上病例均经手术病理证实.结果:1、部分肝脏孤立性坏死结节MRI表现为T1及T2WI上分别呈低信号及等信号,另各有1例T2WI混杂信号,及略高信号,增强后病灶内部无强化,部分病灶(3/7)有细环状轻度延迟强化的包膜.2、肝脏炎性假瘤MRI表现为:T1WI呈低或等低信号,T2WI为略低信号(4/5)或略低信号内夹杂小斑片状高信号(1/5),增强门脉期及延迟期,病灶强化方式有①边缘部强化明显,中心强化弱(3/5)②不均匀强化,边缘欠清(1/5).结论:MRI平扫加动态增强能很好的鉴别肝脏孤立性坏死结节与肝脏炎性假瘤,尤其对肝脏孤立性坏死结节具有高度诊断特异性,并指导临床治疗方案的制定.

关 键 词:孤立性坏死结节  肝脏炎性假瘤  mri

The role of MRI in diffentiat diagnosis between Isolated Necroic Nodule and Inflammatory Psedotumor of liver
Sun Wei , Wang Kun , Zhou Lingfei.The role of MRI in diffentiat diagnosis between Isolated Necroic Nodule and Inflammatory Psedotumor of liver[J].Modern Medical Imagelogy,2011,20(4):231-233.
Authors:Sun Wei  Wang Kun  Zhou Lingfei
Institution:Sun Wei Wang Kun Zhou Lingfei Department of Radiology Sihong County People′s Hospital Jiangsu 223900 China
Abstract:Purpose:To disscuss the diffent in manifestations of MRI between isolated necrotic nodle and inflammatory pseudotumor of liver.Materials and Methods:The clinical and MRI data were collected,the diagnosis for all of 12 patients was confirmed by operation and parhology,7 cases and 5 cases suffered isolated necrotic nodule and inflammatoey pseudotumor of liver respectively.Results:1.MRI manifestations of some isolated necrotic nodule presented hypointesity in T1WI and isotensity in T2WI,each of three cases pre...
Keywords:Isolated necrotic nodule Inflammatory pseudotumor MRI  
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