【临床培训1】磁共振临床基础知识及读片方法2016讲述.ppt

* * The first of these is PROPELLLER – now on the HD platform able to produce both T2-weighted and FLAIR images. Bringing you back for a moment to the particular challenges of pediatric patients, PROPELLER has the unique ability to produce a high definition image even in the presence of the sometimes severe motion of an unsedated child. * * The first of these is PROPELLLER – now on the HD platform able to produce both T2-weighted and FLAIR images. Bringing you back for a moment to the particular challenges of pediatric patients, PROPELLER has the unique ability to produce a high definition image even in the presence of the sometimes severe motion of an unsedated child. * * The first of these is PROPELLLER – now on the HD platform able to produce both T2-weighted and FLAIR images. Bringing you back for a moment to the particular challenges of pediatric patients, PROPELLER has the unique ability to produce a high definition image even in the presence of the sometimes severe motion of an unsedated child. * * The first of these is PROPELLLER – now on the HD platform able to produce both T2-weighted and FLAIR images. Bringing you back for a moment to the particular challenges of pediatric patients, PROPELLER has the unique ability to produce a high definition image even in the presence of the sometimes severe motion of an unsedated child. 双侧咽隐窝消失，鼻咽部后壁、侧壁软组织明显增厚，咽旁间隙淋巴结增大。颅底骨质结构未见明显异常。双侧中耳－乳突腔内可见广泛性显著长T2高信号影。双侧蝶窦粘膜增厚。 咽部软组织明显增厚；符合鼻咽癌； 腹部 肝脏。磁共振多参数技术在肝脏病变的鉴别诊断中具有重要价值，不需用造影剂即可通过T1WI和T2WI、STIR等技术直接鉴别肝脏囊肿、海绵状血管瘤、肝癌及转移癌，对胆管内病变的显示优于CT。MRCP结合其技术对胰、胆管系统疾病有不可取代的优势。 肾及输尿管。首选CT平扫+增强扫描，对肾实质病变显示清晰度很高，但MR对肾及其周围病灶定性价值要大于CT。MRI可直接显示尿液造影图像（MRU），对输尿管狭窄、梗阻具有重要价值。 胰腺。不用增强对胰腺病变有很好的显示，如急慢性胰腺炎，胰腺癌的显示及周围侵犯及转移情况均可显示。 胃肠道等含气的空腔脏器、呼吸幅度特别急促患者MR检查效果欠佳,建议CT更有利于患者。 肝右后叶血管瘤 Ｔ2像显示肝右后叶显著长T2均匀高信号病灶，边界清，相邻脉管受压推移移,未见中断破坏 病例6 右叶T2像弥漫性混杂等高信号病灶，肝内正常脉管破坏，边界不清 肝右前叶巨块型肝癌 肝多发转移瘤（贲门癌） 小肝癌 谯 男 66岁，肝右叶占位。 * 小肝癌 熬 *男 55岁 乙肝复查。 * CT与MRI 比较 小肝癌CT平扫敏感性不高。增强血供分肝动脉供血最常见，其次肝动脉和门静脉双重供血，门静脉供血型最少。学者研究发现,