肾上腺解剖及肾上腺腺瘤快速排泄性CT和MRI的化学移位的特点资料.ppt

直方图肾上腺富脂，乏脂腺瘤和非腺瘤增强参数比较 富脂 乏脂 非腺瘤 Chemical-shift MRI For all masses identified on MR images, the adrenal-to-spleen ratio ASR was calculated as ASR SIAO / SISO / SIAI / SISI , where SIAO was the signal tensity of the adrenal mass on opposed-phase images, SISO was the signal intensity of the spleen on opposed-phase images, SIAI was the signal intensity of the adrenal mass on in-phase images, and SISI was the signal intensity of the spleen on in-phase images. The signal intensity index SII was calculated as SII SIAI ? SIAO ·100 / SIAI. * ASR and SII of lipid-poor adenomas ranged from 0.35 to 1.33 0.79 ± 0.24 and from ?38.7% ?24,000/620 to 71.8% 11,700/163 30.8 ±25.5% , SII was better than ASR for characterizing adenomas Graph shows MRI sensitivity for lipid-poor adenomas 随着腺瘤CT值增加MRI敏感性逐渐下降 MRI sensitivity for lipid-poor adenomas measuring greater than 10 HU and 20 HU or less on unenhanced CT is 100% , whereas sensitivities for lipid-poor adenomas measuring greater than 20, greater than 30, and greater than 40 HU decreases to 64.0% , 61.5% , and 40% , respectively Graph shows CT and MRI sensitivities for lipid-poor adenomas 直方图显示乏脂类腺瘤MRI和CT诊断灵敏性 Unenhanced 20HU 平扫16 HU 早期50HU 延迟期19 HU 同相位 反相位 Lipid-poor adenoma in 77-year-old man Adrenal-to-spleen ratio and signal intensity index of lesion are 0.463 and 50.1%, respectively, consistent with adenoma Lipid-poor adenoma in 70-year-old 平扫34 HU 123HU 延迟期45 HU 同相位 反相位 Adrenal-to-spleen ratio and signal intensity index of lesion are 1.139 and ?10.3%, respectively, which are not consistent with adenoma * 7O-year-old man with adrenal adenoma. -5HU On initial enhanced 52HU 15-mm delayed enhanced CT 10HU * * Exclusion of Pheochromocytoma Using CT Attenuation and Washout Criteria * 1、plasma and urinary metanephrines or catecholamines 血浆和尿肾上腺素和儿茶酚胺 2、1-minute enhanced attenuation minus unenhanced attenuation pheochromocytoma 3、No adenoma was more than 85-HU enhancing in the arterial phase. More than one ha