颅内血肿的低场MRI表现.DOCVIP

临床医学论文-颅内血肿的低场MRI表现 【摘要】? 目的：探讨颅内血肿的低场MRI表现。方法：对67例颅内血肿患者MRI片进行回顾性分析。结果：急性期血肿于T1WI呈低、等信号，T2WI呈高、等信号。GRET2*WI序列均呈低信号。亚急性早期血肿T1WI仍呈等、低信号，T2WI均呈高及略高信号。亚急性中期T1WI出现典型外周环状高信号，中间等、低信号，T2WI仍呈高及略高信号。亚急性晚期T2WI呈明显均匀高信号，T1WI多数为外周环状高信号，中间等低信号或均匀高信号。慢性期血肿逐渐演变成液化灶，呈均匀长T1、长T2信号。结论：颅内血肿急性期、亚急性各期及慢性期在低场MRI上均能较好显示病变特点，具有特征性。 【关键词】? 颅内血肿 低场 磁共振 影像 　　Study on Low Field MRI Image on Intracranial Hematoma??????? Abstract: Objective：To study the low field MRI image on intracranial hematoma. Method: We reviewed MRI datas on 67 cases intracranial hematoma. Result: MRI exhibited signal intensity of acute and subacute or chronicity premature hematoma. Thats hematomas during acute period shoued hypointense and equal signal intensity on T1-weighted images and hyperintense and T2-weighted images equal signal intensity. GRE T2*WI was hypointense. Insubacute period which showed hypointense and equal signal intensity on T1WI and hyperintense on T2WI.In the mid-term of subacute period showed T2WI hyperintense typical hyperintense in peripheral annular, equal and hypointense in central area. In late subacute period showed obviously hyperintense on T2WI, most of hpyerintense on T1WI in peripheral annular, equal signal intensity or hyperintense in central area. Hematomas resulted in liquefaction in chronicity, with long T1,T2 signal. Conclusion: Theres typical feature on MRI of intracranial hematorma in acute and subacute or chronic period. 牋?Key words:?Intracranial hematoma;?Low field;?MRI;?Image 　　影像学检查是诊断颅内血肿的重要方法，其中CT对于急性颅内血肿的诊断有重要价值。由于血肿在高低场强磁共振中的表现有较大差异，笔者总结本院67例颅内血肿的各期在低场磁共振中不同序列的表现特点，探讨其信号演变规律，以提高低场磁共振对于此类疾病的诊断价值。 　　1? 材料与方法 　　1.1? 材料：搜集自2004年4月至2007年3月我院收治的67例颅内血肿患者的CT和MRI资料。男45例,女22例,年龄18～84岁,平均年龄51岁。本组资料中超急性期0例。急性期（＜48h）24例，亚急性早期（3～5d）17例，亚急性中期（6～10d）11例，亚急性晚期（10～21d）9例、慢性期（21d至数月）6例。 　　1．2? 方法：急性期病例行MRI检查并与CT结果比对确认。亚急性各期、慢性期病例均单行MRI检查。有两位副主任医师阅片，意见一致为诊断标准。????????? 　　美国GE0.35T signa ovation MRI机,常规扫描程序为? 横轴位FSET2WI, T1FLAIR? FSE—IR GRET2*WI序列????????? 　　CT扫描采用：岛津—4500T,扫描层厚10mm,