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Rathke裂囊肿的MRI诊断
引用本文:陈广源,刘德祥,陈汉威,庄伟钊,孙学文. Rathke裂囊肿的MRI诊断[J]. 中国CT和MRI杂志, 2012, 10(6): 22-24
作者姓名:陈广源  刘德祥  陈汉威  庄伟钊  孙学文
作者单位:陈广源 (广东省广州市番禺区中心医院放射科 广东广州511400);刘德祥 (广东省广州市番禺区中心医院放射科 广东广州511400);陈汉威 (广东省广州市番禺区中心医院放射科 广东广州511400);庄伟钊 (广东省广州市番禺区中心医院放射科 广东广州511400); 孙学文 (广东省广州市番禺区中心医院放射科 广东广州511400);
摘    要:目的探讨垂体Rathke裂囊肿的MRI表现。材料与方法回顾性分析23例经手术病理证实的Rathke裂囊肿的MRI表现,包括病灶的位置、大小、信号,增强特点及相邻结构的改变。结栗19例位于鞍内,4例位于鞍内鞍上。增强后病灶均无强化。类圆形12例,椭圆形8例,不规则型3例。MRI信号变化多样。部分病例垂体柄、视交叉及鞍底有爱压。结论Rathke裂囊肿在MRI上的信号复杂,依其囊内容物成分而有不同表现,单凭信号及形态与鞍区其它囊性病变难以区分,动态及延迟增强无强化有助于鉴别。

关 键 词:Rathke裂囊肿  MRI

MRI Diagnosis of Rathke Cleft Cysts
Affiliation:CHEN Guang-yuan,LIU De-xiang,CHEN Han-wei.Department of Radiology,Panyu Central Hospital,Guangzhou Guangdong 510000,China
Abstract:Objective To evaluate the manifestations of Rathke cleft cysts (RCCs) by MRI Materials and methods The MRI features, including location and size, signal~-,enhancement features and changes of adjacent structures, in 23 surgical pathological proved Rathke cleft cysts were evaluated retrospectively. Results 19 cases located intrasellar, 4 cases located intrasellar and suprasellar. 12 were round, 8 were oval, 3 were irregular. MRI signals vary much. The Pituitary stalk, optic chiasma and basilar pituitary fossa were compressed in some cases. Conclusion Rathke cleft cysts exhibits a varied MR signal depending on the content. Dynamic and delay contrast enhancement scan may help differentiate RCCs from other intrasellar or suprasellar cystic lesions combined with morphology and signal features.
Keywords:Rathke cleft cysts  MRI
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