MR在肝脏病变诊断中的应用.ppt

Liver abscess-HIV positive patient 肝TB 肝TB Schistosomiasis 血吸虫病 CT 平扫示： “tortoise shell” sign（龟壳征）. 钙化的血吸虫卵沉积在肝表面和门脉周围间隙 低倍镜示多发的血吸虫在周围门脉间隙。周围可见纤维化。 高倍镜示一个血吸虫幼虫 CT revealed a heterogeneous hypodense tumor with areas of fat-equivalent density and smooth well-defined margins. The pathological:Multiple nests of mature lipocytes were seen. 上皮细胞（Epithelioid） 肝细胞（Hepatocytes） 肝转移瘤(Liver Metastases) 富血管转移瘤(Hypervascular Metastases) 常见 肠道癌,乳腺癌和肺癌肝转移 T2WI高信号, T1WI低或等信号 动态扫描增强特点 早期强烈的周边环状增强 均匀的厚环 环的内侧呈锯齿状,少数呈分叶状 延迟像环周边造影济消退伴中央进一步增强 ← 120min delay-SE T1 120min delay-SPGR T1 恶性肿瘤(Malignant Tumors) 淋巴瘤(Lym