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肝腺瘤的临床及MRI诊断价值
引用本文:刁显明,邱丽华,林川,朱建军,何建波,敖永胜. 肝腺瘤的临床及MRI诊断价值[J]. 西部医学, 2010, 22(5): 932-934
作者姓名:刁显明  邱丽华  林川  朱建军  何建波  敖永胜
作者单位:宜宾市第二人民医院放射科,四川,宜宾,644000
摘    要:目的探讨肝腺瘤的临床及MRI表现,提高对肝腺瘤的诊断及鉴别诊断能力。方法对经术后病理证实的肝腺瘤患者6例的MR平扫及动态增强扫描资料进行回顾分析,以评价MRI的诊断价值。结果6例患者无明显临床症状,系偶然发现。MR平扫T1WI肿瘤常呈等或稍低信号,部分T1WI反相位图像信号下降,T2WI以高信号为主,瘤内有出血坏死信号不均匀。动脉期呈明显强化或轻~中度强化,部分瘤内出血无强化;门脉期及延迟期扫描强化下降或持续强化。假包膜T1WI为低信号,T2WI为高信号,增强后可呈持续明显强化或延迟强化。结论肝腺瘤临床和MR表现缺乏特异性,了解其常见平扫及动态增强表现,结合临床可提示诊断;对部分表现不典型病例,利用肝脏特异性对比剂可与其它肿瘤鉴别。

关 键 词:腺瘤  肝细胞  磁共振成像

Magnetic resonance imaging in diagnosis of hepatocellular adenoma
DIAO Xian-ming,QIU Li-hua,LIN Chuan,et al. Magnetic resonance imaging in diagnosis of hepatocellular adenoma[J]. , 2010, 22(5): 932-934
Authors:DIAO Xian-ming  QIU Li-hua  LIN Chuan  et al
Affiliation:DIAO Xian-ming,QIU Li-hua,LIN Chuan,et al(Department of Radiology,The Second Hospital of Yibin,Yibin 644000,Sichuan,China)
Abstract:Objective To improve the capability of diagnosis and differential diagnosis of hepatocellular adenoma(HCA) by investigating the clinical and magnetic resonance imaging features.Methods 6 cases of HCA confirmed by pathology were retrospectively analyzed.All cases were performed by precontrast MR scan and dynamic MR scan after intravenous contrast material injection.Results 6 asymptomatic cases were discovered accidentally.On precontrast T1WI tumor's images were iso-or hyperintensity compared with normal live...
Keywords:Adenoma  Liver cell  Magnetic resonance imaging  
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