胆管癌的磁共振成像诊断.docVIP

胆管癌的磁共振成像诊断 ［摘 要］ 目的：探讨磁共振成像(MRI)对胆管癌的诊断价值。方法：回顾性分析18例经手术、病理证实的胆管癌MRI检查资料，研究其MRI表现。结果：18例胆管癌表现为胆管行程区肿块，胆管中断、扩张，肝内胆管“软藤”征。肝内胆管癌3例，肝门部胆管癌10例，肝外胆管癌5例。肿块T1WI呈低信号，T2WI呈高信号，信号不均匀，动态增强扫描有延迟强化，MRCP检查所有病例均有不同程度胆管扩张或中断。结论：胆管癌的MRI和MRCP表现具有特征性，MRI及MRCP对胆管癌具有较高的诊断价值。 　　［关键词］ 胆管癌；磁共振成像；临床诊断 　　MRI Diagnosis of Cancer of Biliary Duct 　　Abstract Objective To study the MRI diagnostic value on cancerof biliary duct．Methods The MRI examination data of 18 patients with cancer of biliary duct proved by operation and pathology were analyed retrospectively，and the