肝脏局灶性结节增生影像分析.PDF

0 2004 1 19 1 Radiol Pract ice, Jan 2004, Vol 19, No 1 ## 薛鹏, 皇甫幼田, 杨继周, 程新宝 = : 分析肝脏局灶性结节增生( FNH) 的 CTMR 及DSA 表现, 提高对本 的认识: 6 例经证实的 FNH , 均行CTMR 及DSA 检查: 6 例 灶CT 平扫低密度者4 例, 均匀或不均匀, 2 例为等密度增强动脉期所有 灶均有明显强化, 除中心瘢痕外 灶强化均匀一致, 3 例可见到中心或周边增粗扭曲的动脉门脉期和延迟期扫描 4 例 灶为等密度, 2 例为略高密度3 例伴有中心瘢痕, 1 例无强化, 2 例延迟强化2 例行DSA 检查, 灶内分布较均匀的新 生血管团MR 检查4 例,T WI 呈等信号或略低信号, T WI 呈略高信号1 例行Gd-DTPA 增强延迟期呈略高信号, 中心瘢 1 2 痕无明显强化: CT MR 及DSA 检查可充分反映FNH 的血供特点和 理特征, 动态增强是诊断FNH 最有效的影像学 手段, 在诊断和鉴别诊断中具有很大价值 = 肝; 局灶性结节增生; 体层摄影术, X 线计算机; 磁共振成像; 血管造影术 = R735 7; R445 2; R814 42; R814 4 3 = A = 1000- 0313( 2004) 01-00 30- 04 Imaging analysis of focal nodular hyperplasia of liver XUE Peng, HUANG- FU You- tian , YANG J-i zhou, et al Dep artment of Radiolo- gy, the Fifth People Hospital of Zhengzhou , Hecnan 450003, P R China = Abstract Objective:To investigate imaging features of focal nodular hyperplasia ( FNH) of liver using CT, MR and DSA Meth- ods:Six patient s with FHN proved pathologically underw ent CT scanning, MR im aging and DSA Results:On plain CT scans, 4 of 6 cases show ed homogeneous or inhomogeneous hypoden sity, and the rem aining two showed isodensity On the arterial phase of contrast enhanced scans, all lesions enh anced dramatically and homogeneously, except the central scar Tortuous and dilated arteries w ere seen at the center or peripheral area in 3 cases On the portal and delayed phase scans, 4 cases appeared isodense and 2 remained slightly hyperdense Central scar w as found in 3 cases and it show ed no enhancement in 1, and enhancem ent in delayed phase in 2 cases 2 of 6 cases underwent DSA an