培训课件--脾脏影像学资料.pptVIP

* Hemangioma The most common primary benign neoplasm of the spleen Composed of endothelium-lined vascular channels filled with blood Most are hypointense to the spleen on T1WI and hyperintense on T2WI Early nodular centripetal enhancement and uniform enhancement at delayed imaging * Splenic hemangioma Axial T2WI FSE and E+ 3D VIBE Typical MRI features * Diffuse hemangiomatosis A rare benign vascular condition occurring as a manifestation of systemic angiomatosis Associations with Klippel-Trénaunay-Weber, Turner, Kasabach-Merritt–like, and Beckwith-Wiedemann syndromes less commonly, confined to the spleen Sometimes accompanied by severe disturbance of blood coagulation * Axial E+ 3D VIBE and T2WI of a Klippel-Trénaunay-Weber syndrome Diffuse angiomatosis of the spleen and chest wall * Hamartomas Benign asymptomatic lesions, usually single, composed of a mixture of normal splenic structures such as white and red pulp Commonly associated with tuberous sclerosis Heterogeneously hyperintense relative to the spleen on T2WI and demonstrate diffuse enhancement on early postcontrast images and more uniform enhancement on delayed images * Hamartomas Lesion with high signal intensity on T2WI, low signal intensity on T1WI, and more uniform enhancement on the delayed image * Splenic Sarcoma Primary splenic angiosarcomas are extremely rare tumors with a very poor prognosis. highly aggressive and manifest with wide-spread metastatic disease or splenic rupture Low signal intensity on T1WI and heterogeneous high signal intensity on T2WI Heterogeneous enhancement with multiple hyperintense nodular foci and hypointense regions MRI seems to be more precise in the overall assessment and staging of this type of tumor and is of particular value for timely diagnosis of this rapidly fatal disease * Angiosarcoma E+ 3D VIBE T2WI half-Fourier RARE Low on T1WI High on T2WI Heterogeneous enhancement * Lymphoma The commonest malignant tumor of the spleen It is important to detect spleni