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颈动脉体瘤的磁共振诊断价值及误诊分析
引用本文:李玮,崔光彬,秦越,熊小双,王玮.颈动脉体瘤的磁共振诊断价值及误诊分析[J].医学影像学杂志,2006,16(12):1253-1255.
作者姓名:李玮  崔光彬  秦越  熊小双  王玮
作者单位:第四军医大学唐都医院放射科,陕西,西安,710038
摘    要:目的探讨磁共振成像在颈动脉体瘤诊断中的价值。方法回顾性分析经手术病理证实的8例颈动脉体瘤的MRI表现,复习文献并分析1例误诊原因。结果7例术前诊断符合病理结果,1例误诊为神经源性肿瘤。8例病变均位于颈总动脉分叉处。MRI表现为等T1WI、稍高T2WI为主的混杂信号,瘤体内见流空血管影,其中6例行增强扫描,瘤体呈显著不均匀强化,5例行MRA检查,表现为颈动脉分叉角扩大。结论颈动脉体瘤具有一定的特征性磁共振表现,对颈动脉体瘤诊断有较高的诊断价值。

关 键 词:颈动脉体瘤  磁共振成像
文章编号:1006-9011(2006)12-1253-03
收稿时间:2006-07-18
修稿时间:2006-10-31

The diagnostic value of MRI in carotid body tumor and misdiagnostic analysis
LI Wei,CUI Guang-bin,QIN Yue,XONG Xiao-shuang,WANG Wei.The diagnostic value of MRI in carotid body tumor and misdiagnostic analysis[J].Journal of Medical Imaging,2006,16(12):1253-1255.
Authors:LI Wei  CUI Guang-bin  QIN Yue  XONG Xiao-shuang  WANG Wei
Abstract:Objective:To study the application values of MRI in diagnosis of carotid body tumor.Methods:The MRI features of 8 cases of carotid body tumor confirmed by pathology were retrospectively analyzed, reviewed the literature and misdiagnostic causes.Results:7 cases and another case were misdiagnosed to be neurogenic tumour. All 8 cases were located at the level of carotid artery bifurcation. All cases showed iso-intensity signal in T_1WI and uneven slightly-high-intensity signal on T_2WI,flow void was seen in tumor body. 6 cases were uneven enhanced significantly after gadolinium administration, and 5 cases showed enlarged carotid artery bifurcation in MRA.Conclusion:Carotid body tumors have characteristic MRI findings, and MRI has higher diagnostic value in carotid body tumor.
Keywords:Carotid body tumor  Meganetic resonance image
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