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甲状腺癌的磁共振成像诊断
引用本文:邱海英,强金伟,冯琴,李若坤,廖治河. 甲状腺癌的磁共振成像诊断[J]. 中国临床医学, 2011, 18(5): 699-701
作者姓名:邱海英  强金伟  冯琴  李若坤  廖治河
作者单位:1. 复旦大学附属金山医院放射科,上海,200540
2. 山西省长治市人民医院放射科,山西长治,046000
摘    要:目的:分析甲状腺癌的磁共振成像(MRI)表现,提高甲状腺癌的诊断水平。方法:27例经手术和病理证实的甲状腺癌患者(乳头状癌23例,滤泡状癌2例,未分化癌和转移癌各1例)行MRI检查,男性7例,女性20例,年龄26-68岁,平均年龄48岁。观察癌结节的大小、数量、形态、边缘、信号类型、强化方式。结果:27例甲状腺癌共33个癌结节,其中单发结节23例(85%),多发结节4例(15%)。形态不规则30个,类圆形3个。T1wI呈等或略低信号32个,不规则等和高信号1个;T2wI呈均匀或不均匀高信号31个,等信号2个;结节边缘见不完整低信号环9个。增强后结节均有不同程度强化;边缘明显环形强化、中央强化稍低8个,其中“残圈征”6个,表现为结节周边强化环连续性中断、不完整;均匀强化6个;不均匀强化19个,其中乳头样强化3个,半岛样强化3个。颈部淋巴结转移7例,其中5例信号和强化不均匀。结论:甲状腺癌具有一定的形态学特征,了解其MRI表现有助于明确诊断。

关 键 词:甲状腺癌  磁共振成像

MRI Characteristics of Thyroid Carcinoma
QIU Haiying,QIANG Jinwei,FENG Qin,LI Ruokun,LIAO Zhihe. MRI Characteristics of Thyroid Carcinoma[J]. Chinese Journal Of Clinical Medicine, 2011, 18(5): 699-701
Authors:QIU Haiying  QIANG Jinwei  FENG Qin  LI Ruokun  LIAO Zhihe
Affiliation:QIU Haiying1 QIANG Jinwei1 FENG Qin2 LI Ruokun1 LIAO Zhihe1 1.Department of Radiology,Jinshan Hospital,Fudan University,Shanghai 200540,China,2.Department of Radiology,Changzhi People's Hospital,Shanxi Province,Changzhi 046000
Abstract:Objective:To study the magnetic resonance imaging(MRI) features of thyroid carcinoma to improve its diagnosis.Methods: The MRI was performed in 27 patients with surgically and pathologically proven thyroid carcinoma,including 23 with papillary carcinomas,two with follicular carcinoma,one with undifferentiated carcinoma and one with metastasis.The subjects were 20 women and 7 men with age range of 26-68 years(mean,48 years).The number,size,shape,margin,signal characteristics,and enhancement patterns of cance...
Keywords:Thyroid carcinoma  Magnetic resonance imaging  
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