骶尾椎脊索瘤的CT与MRI征象分析.docVIP

骶尾椎脊索瘤的CT与MRI征象分析 代平 刘勇 何其舟 杨彬 西南医科大学附属中医医院放射影像科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 分析骶尾椎脊索瘤的CT和MRI征象, 以提高诊断准确性。方法 回顾性分析30例经手术病理证实的骶尾椎脊索瘤的CT和MRI表现。30例均行CT、MRI检查, 其中CT增强28例, MRI增强25例。结果 30例均见骶尾椎膨胀性不规则骨质破坏, 偏心性1例, 中心性29例, 大部分肿瘤体积较大。CT:显示钙化29例, 出血4例, “反引号”征10例。增强后不均匀强化26例, 较均匀强化2例。MRI:T1WI呈低信号为主混杂信号, T2WI呈高信号为主混杂信号, 出血26例, 分隔25例, 假包膜18例, 坏死囊变6例, “反引号”征18例, “分节现象”15例。增强后“蜂房样”强化23例。30例中, 臀部肌肉受累8例, 骶髂关节受累4例。结论 CT和MRI能很好显示骶尾椎脊索瘤范围、骨质破坏程度、软组织肿块及邻近组织受侵情况, 其表现有一定的特征性, 对提高诊断准确性具有帮助。 关键词： 骶尾椎; 脊索瘤; 体层摄影术, X线计算机; 磁共振成像; 作者简介：代平 (1987-) , 女, 四川沪州人, 毕业于成都医学院, 本科学历, 住院医师, 主要从事心胸与骨肌系统影像诊断及其相关研究工作 作者简介：刘勇 教授, 硕士生导师, 副主任医师 E-mail:1909768159@ 收稿日期：2017-03-14 CT and MRI features of sacrococcygeal chordoma DAI Ping LIU Yong HE Qizhou YANG Bin Department of Radiology, The Traditional Chinese Affiliated hospital of Southwest Medical University; Abstract： Objective To analyze the CT and MRI features of the sacrococcygeal chordoma, so as to improve its diagnostic accuracy. Methods 30 cases of sacrococcygeal chordoma proved by pathology were examined with CT and MRI retrospectively.All of 30 cases underwent CT and MRI examinations, and 28 cases were examined by CT enhancement, 25 cases by MRI enhancement. Results In 30 cases, all sacrococcygeal chordoma demonstrated expansibility and irregular bone destruction, among which eccentricity was 1 case, centrality was 29 cases, and most of the tumor presented with large size. CT demonstrated calcification in 29 cases, bleeding in 4 cases, “anti-quote”sign in 10 cases, uneven enhancement in 26 cases and uniform enhancement in 2 cases. On MR images, all lesions demonstrated mixed low signal intensity on T1WI and mixed high signal intensity on T2WI. The lesions presented with bleeding in 26 cases, separation in 25 cases, pseudocapsule was found in 18 cases, cystic areas in 6 cases, “anti-quote”sign in 18 cases, segmentation in 15 cases and honeycomb reinforced in 23 cases. Hip muscle invasio