3_0t磁共振成像对肝门部胆管癌的诊断价值

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1、中国CT和MRI杂志2010年2月第8卷第1期总第30期DiagnosticValueofMagneticResonance论著ImagingfortheHilarCholangiocarcinomaat3.0TMRICHENJian-hua,DUANQing,XUEYun-jing,etal.Departmentofmedicalimaging，UnionHospital，FujianMedicalUniversity，Fuzhou350001，China3.0T磁共振成像对肝门部胆管癌的[Abstract]ObjectiveT

2、oevaluatetheclinicvalueandadvantageofmagneticresonanceimaginginthediagnosisofHilarCholangiocarcinomaat3.0TMR.MethodsTocollect诊断价值26cases3.0TMRIandMRCPimagingdataandUltrasounddiagonosisofhilarcholangiocarcinomaconfirmedbyclinicalsurgeryandpathology,12ofthemhad3D-VIBEdy

3、namiccontrast-enhancedscanning,10conventionalCTexamination,compared福建医科大学附属协和医院withthepathologicalresultssoastocomparetheclinicvalueofthem.ResultsTheaccuracyofplainMRscancombinedwithMRCPforevaluatingthesitesandthecausesMR室陈建华段青薛蕴菁孙斌were100%and92.3%respectively，whereas

4、ultrasound92.3%and65.4%respectively,itisstatisticalsignificantlydifferentinqualitativeaccuracy(P<0.05).12casesof3D-VIBEdynamiccontrast-enhancedMRIfound3lesionsmorethanplainMRscan;2【摘要】目的评价3.0T磁共振成casesofmisdiagnosisin10casesofCTscanningbutMRexaminationswerequalita-像在肝

5、门部胆管癌疾病中的诊断价tivelycorrect.Conclusion3.0TplainMRscanandMRCPisgreatclinicaldiagnostic值及其优势。方法收集26例经手术和病理证实的肝门部胆管癌患者的valueforhilarcholangiocarcinomaindiagnosisandclassification,ithashigherclinicvalue3.0T磁共振的常规MRI、MRCP图像thanUltrasounddiagonosisaswellasCTexamination,whichc

6、ombinedwith3D-VIBE及B超诊断，其中12例行3D-VIBE动dynamicsequencescanclearlydemonstratethearterialphase,theportalvenousphase态增强，10例同期行CT检查，并与andparenchymalphase,Itisnotonlyusefultofindsmalllesionswhichcannotbefound病理结果对比,比较它们的诊断价值。结果常规MRI结合MRCP对本组inplainscan，butalsoprovidethebloo

7、dsupplyoflesionsandhighervalueforclinical病例的定位准确率为100%，定性准imaginginformation.确率为92.3%，超声的定位准确率[Keywords]magneticresonanceimaging;hilarcholangiocarcinomamagneticresonan-ce92.3%，定性准确率65.4%，两者对cholangiopancreatography;three-dimensionalvolumetricinterpolatedbreath-holdex-

8、病灶定性的准确率差异有统计学意义（P<0.05）；12例3D-VIBE动态增amination强比MR平扫多发现小病灶3例，定性诊断更加可靠；10例CT扫描2例误诊，MR检查均定性正确。结论3.肝门部胆管癌是常见的胆道肿瘤，由于其特殊的解剖位置和毗