.T磁共振成像对肝门部胆管癌的诊断价值的论文.docVIP

3.0T磁共振成?像对肝门部胆管癌?的诊断价值的论文? 3.0T磁共振?成像对肝门部胆管?癌的诊断价值的论?文 ? 【关键词?】 ? 磁共?振成像;肝门部胆?管癌;磁共振胰胆?管造影;3d-v?ibe序列 【?摘要】 ? 目的 评价 ? 3.0t磁共振?成像在肝门部胆管?癌疾病中的诊断价?值及其优势。方法? 收集26例经手?术和病理证实的肝?门部胆管癌患者的? 3.0t磁?共振的常规mri?、mrcp图像及?b超诊断，其中1?2例行3d-vi?be动态增强，1?0例同期行ct检?查，并与病理结果?对比,比较它们的?诊断价值。结果 ?常规mri结合m?rcp对本组病例?的定位准确率为1?00%，定性准确?率为92.3%，?超声的定位准确率?92.3%，定性?准确率6 5?.4%，两者对病?灶定性的准确率差?异有统计学意义(?p 0.05);?12例3d-vi?be动态增强比m?r平扫多发现小病?灶3例，定性诊断?更加可靠;10例?ct扫描2例误诊?，mr检查均定性?正确。结论 ? 3.0t mr?平扫及mrcp对?肝门部胆管癌诊断?及分型具有重要价?值，高于同期b超?、ct诊断价值;?结合3d-vib?e序列动态增强扫?描则能清楚显示动?脉期，门静脉期及?实质期等各个时相?，不但有利于小病?灶的发现，还能提?供病灶的血供情况?，为临床提供更高?价值的影像信息。? ? 【关键词】? ? 磁共振?成像;肝门部胆管?癌;磁共振胰胆管?造影;3d-vi?be序列diag?nostic v?alue of ?magnetic? resonan?ce imagi?ng for t?he hilar? cholang?iocarcin?oma at ? 3.0t m?ri chen ?jian-hua? ,duan q?ing, xue? yun-jin?g, et al?. depart?ment of ?medical ?imaging，?union ho?spital，f?ujian me?dical un?iversity?，fuzhou ?350001，c?hina [ab?stract] ?objectiv?e to eva?luate th?e clinic? value a?nd advan?tage of ?magnetic? resonan?ce imagi?ng in th?e diagno?sis of h?ilar cho?langioca?rcinoma ?at 3.?0t mr. m?ethods t?o collec?t 26 cas?es 3.?0t mri a?nd mrcp ?imaging ?data and? ultraso?und diag?onosis o?f hilar ?cholangi?ocarcino?ma confi?rmed by ?clinical? surgery? and pat?hology, ?12 of th?em had 3?d-vibe d?ynamic c?ontrast-?enhanced? scannin?g, 10 co?nvention?al ct ex?aminatio?n, pared? with th?e pathol?ogical r?esults s?o as to ?pare the? clinic ?value of? them. r?esults t?he accur?acy of p?lain mr ?scan bin?ed with ?mrcp for? evaluat?ing the ?sites an?d the ca?uses wer?e 100% a?nd 92.3%? respect?ively，wh?ereas ul?trasound? 92.3% a?nd 6 5?.4% resp?ectively?, it is ?statisti?cal sign?ificantl?y differ?ent in q?ualitati?ve accur?acy(p 0.?05). 12 ?cases of? 3d-vibe? dynamic? contras?t-enhanc?ed mri f?ound 3 l?esions m?ore than? plain m?r scan; ?2 cases ?of misdi?agnosis ?in 10 ca?ses of c?t scanni?ng but m?r examin?ations w?ere qual?itativel?y correc?t. concl?usion ?