小肾癌的MRI诊断.pdfVIP

丝塾堂塞壁!!!!生!旦筮!!堂箜!塑垦型型旦!!笪堡：』!!!!!!：!!!!!!盥!：! 661 ● 腹部影像学 ● 小肾癌的MRI诊断 孙聚葆，张建国，王艳丽 【摘要】 目的：探讨小肾癌的MRI表现。方法：21例手术病理证实的小肾癌患者，肿瘤直径均为1．3～3．0cm，术前 强化，其增强程度低于肾实质；6例未见明显强化；1例为囊性。增强后囊壁及分隔有强化。MRl分期诊断准确率为 80．95％(17／21)。结论：小肾癌MRI的信号复杂多变，假包膜的出现有助于诊断，静脉增强扫描信号取决于肿瘤血供。 MRI有利于小肾癌的检出和分期。 【关键词】 肾肿瘤；磋共振成像；诊断 【中图分类号】R445．2；R737．11【文献标识码】A【文章编号】1000—0313(2008)06—0661—03 MRI ofSmall SUNJu-bao，ZHANG of Diagnosis KidneyNeoplasms Jian—guo，WANGYan—li．DepartmentImaging．the FirstAffiliated ofHenan Scientificand 471039，P．R．China Hospital TechnologicalUniversity，Luoyang theMRIfeaturesofsmall [Abstract]Objective：Tostudy kidney patients with were MRI small examined inonemonthandahalfbefore ofHe— pathologicallyprovedkidneyneoplasms by surgery MRI were small weredetectedMRI 6ca— phrectomy．Theappearancesnanalysed．Results：Allkidneyneoplasms by images．1 seshad 5 had had and not．16cases in intensitiesofsmall clearlyboundary pseudocapsuleMRI(16／18，88．89％)．Signal had in kidney notcharacteristicscan，includedrenaldeformation，cortex-medullademarcation neoplasms plain disappear- ance，andthe of intravenous of 11 administrationcontrastmediain cases，theintensities presencepseudocapsule．After signal wereas werein and thanthatofthe enhancedless n