磁共振扩散加权成像对肝脏常见肿瘤的诊断及鉴别诊断作用.pdfVIP

.488. 中国临床医学影像杂志 2007 年第 18 卷第 7 期 J Chin Clin Med Imaging, 2007 , Vo1.1 8, No.7 磁共振扩散加权成像对肝脏常见肿瘤的诊断及鉴别诊断作用 刘志兰，李晓娟，王 巍，刘鹏飞 (哈尔滨医科大学附属第一医院磁共振室，黑龙江哈尔滨 150001 ) [摘要l 目的:探讨磁共振扩散加权成像对肝脏常见肿瘤的诊断反鉴别诊断的作用。方法:选取肝脏常见肿瘤 88 例，其中 原发性肝癌 28 例，肝转移瘤 15 例，肝血管瘤 33 例，肝囊肿 12 例。行轴位扩散加权扫描，并拟合出 ADC 图，在 ADC 图上测出 ADC 值并进行统计分析。然后行动态增强全肝扫描，观察实性病变在动脉期、门脉期以及延迟期不同时相的强化程度。结果:肝 囊肿和血管瘤 ADC 值均明显高于原发性肝癌、转移瘤(PO.OI ) 根据多期动态增强扫描动脉期肝脏恶性肿瘤病灶的表现将其 分为富血供病灶和乏血供病灶。结论:ADC 值的应用大大提高了 MRI 对肝脏常见肿瘤的诊断和鉴别诊断能力。 I关键词1 肝肿瘤;磁共振成像，弥散 [中图分类号] R735.7; R445.2 I文献标识码] A I文章编号] 1008-1062(2007)07-0488-03 The application of MR DWI in the diagnosis and differential diagnosis of common Iiver masses LIU Zhi-Ian, LI X iω-juan， WANG W叫 LIU Pengτfei (Department of MRI, t加 f习ïrst Affili耐d Hospital of Harbin Medical University, Harbin 150001, China) Abstract: Objective: To evaluate the efficacy of DWI for diagnosis and differentiation of common liver masses. Methods: DWI was performed in 88 patients having hepatic lesions , including primary hepatic carcinoma(n=28) , hepatic metastases(n=l匀， hepatic cavemous hemangioma(n=33) and hepatic cyst (n=12). The apparent diffusion coefficient(ADC) values of these lesions were measured , then statistical analysis was performed. Multiphase dynamic enhancement was performed to obse凹e dynamic contrast-enhanced changes in arterial , portal and delay phase of these lesions. ResuJt: The ADC values of hepatic cysts and hemangiomas were higher than those of primary hepatic carcinomas and hepatic metastasis , which were significantly different (PO.OI). According to signal intensity in arterial phase , hepatic malignant tumors were classified into hypervascular and hypo- vascular lesions. Conclusion: The measurement of ADC values is helpful in MR diagnosis and difTerentiation