常规MRI联合DWI在腮腺常见肿瘤中的诊断价值.pdfVIP

378 放射学实践 2012 年 4 月第 27 卷第 4 期 Radiol Practice. Apr 2012. Vol 27. No. 4 ·头颈部影像学· 常规 MRI 联合 DWI 在腮腺常见肿瘤中的诊断价值 王萍，张成周，王宁，杨青露，夏吉凯，姜兴岳 E摘要】 目的:探讨常规 MRI 联合 DWI 对腮腺常见肿瘤的诊断价值。方法:回顾性分析经病理证实的 62 例腮腺肿 瘤的 MRI 图像，根据其 DWI 图行 ADC 图重建.))1IJ 量肿瘤的 AOC 值。按发病率将 62 例病例分成 3 纽z 多形性腺瘤、腺淋 巴瘤、恶性肿瘤。多形性腺瘤 31 例，全部单友:腺淋巴瘤 19 例 .9 例单发.10 例多发，共 30 个病灶z 恶性肿瘤 12 例 .3 例淋 巳瘤多发，其余均为单发，共 18 个病灶。比较分析 3 种肿瘤的 AOC 值。结果:多形性腺瘤和腺淋巴瘤多发生于腮腺浅叶 (43 个.70.5%) .肿瘤边界多清楚，体积一般较恶性肿瘤小g 恶性肿瘤位于深叶者 8 个(44.4%). 边界清楚或不清楚，多伴 有颈部淋巴结肿大(10 例 .83.3%) 。多形性腺瘤及恶性肿癖乎均 AOC 值均高于腺淋巴瘤(P=o.OOO、 0.002). 且多形性 腺瘤平均 AOC 值高于恶性肿瘤(P=O.OO1) 。结论:腮腺肿瘾的常规 MRI 征象具有一定特点，联合 DWI 能为腮腺常见肿 瘤的诊断及鉴别诊断提供更多依据， E关键诵】 腮腺肿瘤;磁共振成像g 扩散加权成像 E中图分类号) R445.2; R739.87 I 文献标识码】 A I 文章编号) 1000-0313(2012)04-0378-04 Value of routÎne MRI În combinatîon with DWI În the dîagn田îs of parotíd gland tumors WANG Ping , ZHANG Cheng-zhou. WANG Ni吨.et a l. Department of Radiology. Binzhou Medical University Hospital. Shandong 256603. P. R. China IAbstract] ObjectÎve: To evaluate the value of routine MRI in combination with DWI in the diagnosis of common pa- rotid gland tumors. Methods: MRI and DWI of 62 cases with common parotid gland tumors confirmed by histopathology were analyzed retro叩ectively. the ADC values of the tumors were measured. These 62 cases were divided into 3 groups in- c1 uding pleomorphic adenoma.adenolymphoma and malignant tumor. Of the 62 patients.there were pleomorphic adenomas (31 patients.all were so)itary lesion). adenolymphomas (1 9 patients.30 lesions. with 9 solitary lesion and 10 multiple le- sions) •and malignant tumors 02 patients .18 lesions. with 3 lymphoma showing multiple lesions and the rest were so)itary lesion). The AOC va