血管母细胞瘤的影像诊断.pdfVIP

·461· 血管母细胞瘤的影像诊断 张海兵，倪建明，徐骁，李君 (上海交通大学医学院附属仁济医院崇明分院放射科，上海202150) 摘要：目的探讨血管母细胞瘤的影像特征，提高其诊断准确率。方法 回顾性分析47例经病理证实为血管母细胞瘤患者的 影像资料。结果囊结节型26例；实质型17例；单纯囊型4例。壁结节CT呈等密度，MRT，WI呈等信号，TzWI晕稍高信号；增 强后肿瘤实质成分娘著强化，囊壁大多无强化。强化的附壁结节与未强化的囊壁，构成戒指征。5例肇结节内囊变，呈现大囊套小 囊征象。23例肿瘤内部或周围显示血管流空信号。结论血管母细胞瘤具有较典型的CT和MRI征象。 中图分类号：R739．41；R814．42；R445．2文献标识码：A 文章编号：1002—1671(2009)04—0461—04 of Diagnosis Imaging Hemangioblastoma ZHANG XiaoJun Hal--bing。NIJian—mingIxUlLI ent Branch i (Departm ， ofRadiology。Chongming ofRenjHospital， Medical CollegeofShanghaiJiaotongUniversity，Shanghai202150，China) To the featuresof thatto the Abstract：0bjectiveinvestigate hemangioblastoma。soimprovediagnosticaccuracy．Meth- imaging ods dataof in47cases were Amongthecases- Imaginghemangioblastomasproved analyzedretrospectively．Results bypathology 26caseswere mural were cyst—nodulartype，17casesweresolid caseswere nodules type。4 purecystictype．The onCTand on on contrast--enhancedMR solid iso—intensity T2WI．On imaging-thecomponentstrongly TxWI，hyper—intensity the mural wallenhanced enhancednoduleandthewall asa noduleswith enhanced，while scarcely，the ap