脑包虫病的MRI 表现及诊断.pdfVIP

·700· 生堡越射堂盘壶垫!Q至!旦筮丝鲞筮!翅垦垡翌』墅尘丛：卫生垫!Q：!吐丝：盟垒Z ．中枢神经系统放射学． 脑包虫病的MRI表现及诊断 米日古丽·沙依提贾文霄 【摘要】 目的分析脑包虫病的MR／特征性表现。方法回顾性分析18例经手术病理证实脑 包虫病患者的MR／表现，总结脑包虫病的MR／诊断与鉴别诊断要点。结果18例脑包虫病患者中 囊性包虫病和泡型包虫病各9例。囊性包虫病表现为脑内大小不等的圆形长TI、长T2信号病灶，内 部信号均匀一致，液体衰减反转回复(FLAIR)序列扫描其内囊液信号可被抑制；DWI序列病灶为低信 号；6例病灶周围无水肿带，3例破裂包虫囊肿病灶周围有水肿带；6例病灶见囊壁显示，3例病灶囊壁 显示不明显；增强扫描3例破裂包虫囊肿有环形强化，6例病灶无强化；泡型包虫病表现为脑内多发 等T1、短T：簇状异常信号，病灶周围通常有类似脑肿瘤样的水肿带。病灶T2wI信号似“煤炭样”黑 色的低信号，内见无数密集稍高信号的小囊泡影，小囊泡直径约l一10mill为其特征性表现。DWI序 列病灶为低信号；Gd．DTPA增强扫描后病灶均见不规则的异常环形强化。2例脑灌注成像病变为低 灌注改变。结论MRI以多方位、多参数成像的优势显示脑包虫更准确，术前诊断率更高，对临床诊 治具有重要意义。 【关键词】棘球蚴病；磁共振成像 Mm and ofbrainedlinococcll晦 fimFmgs dlagnot；is Miriguli·$hayhi‘．删耽n-xian+Imaging First Medical Center，fJkAffiliated ofXinjiangUniversity，Ummqi830054，China Hospital Correspondingauthor：心耽n—xiao，ImagingCenter，theSecond筋l池以Hospitalof瓜慨Medical 830028，China，Email：jwxxj@sino．corn Univers毋，Urumqi of To thecharacteristic braineehinoeoceosisOnMm． 【Abstract】0bjeetive findings study Methods7nleMRI of18 with confirmedbraineehinococcosiswere findings patientspathologically reviewed．R姻lll协the were9casesof echinccoceosisand retrospectively Amongpatients．there cystic of revealed on 9casesalveolarechinococcosis．Inechinococeosis．MRI cystic homogeneouslyhypointensity WIand on itshowedlow insidethe onFLAJRandDWI． intensity Tl hyperintensityT2WI，while sigIlal cysts IIl of was 6ease8 echinococcosis．noedemadetected lesions，whileedema cystic