磁敏感加权成像在四肢软组织海绵状血管瘤临床应用-影像医学与核医学专业论文.docxVIP

山西医科大学硕士论文 山西医科大学硕士论文 I I 磁敏感加权威像 在四肢软组织海绵状血管瘤临床应用 摘要 目的探讨磁敏感加权成像在四肢软组织海绵状血管瘤的影像学表现特征及其应用价值。 方法分析19例经临床及病理证实的四肢软组织海绵状血管瘤常规 MR表现及SWI表现。 结果 MR表现分为:①结节型3例， T1WI 呈等高信号， T2WI 呈高信号。②局限肿块型 12例， 7例T1WI 呈等或稍高信号， 5例呈稍低信号为主; 7例T2WI 呈高信号， 5例T2WI 呈高、低混杂 信号。③弥漫蔓藤型 4例， 1例呈等信号为主， 3例呈不均匀高信号; 1例T1WI 呈等高信号， T2WI 及T2WI 脂肪拥制呈高信号或高、低混杂信号。 SWI表现:①肿瘤显示: 3例结节型呈较 均匀高信号; 3例局限肿块型呈较均匀稍高信号， 2例局限肿块型及 1例弥漫蔓藤型呈不均 匀高信号; 1例呈等信号; 3例弥漫蔓藤型及6例局限肿块型呈混杂信号或低信号为主，其 间混杂条索状高信号:在肿瘤显示方面，最大截面积 T2WI-FS序列和SWI序列总体间差别 无统计学意义(丹0.0日。②静脉引流血管显示: 3例结节型均为低回流型; 6例局限肿块 型为为低回流型; 6例局限肿块型及4例弥漫蔓藤型为高回流型。 T2WI序列与SWI序列在显 示肿瘤引流静脉血管数差别有统计学意义 (P0.05); T2WI序列与SWI序列在显示肿瘤引 流静脉血管直径差别均有统计学意义 (PO.05)。③肿瘤钙化与出血的鉴别:7例肿瘤共检 测钙化灶 13个，相位图以低信号为主，周边环以高信号 ;11例共检出出血灶 17个，出血灶 信号与钙化相反; SWI序列与TlWI序列和T2WI序列显示出血差别有统计学意义 (P0.05); T2WI序列与SWI序列在显示肿瘤钙化个数差别有统计学意义 (PO.05) 。 结论 SWI序列可以客观的反映软组织海绵状血管瘤的构成成分，较常规序列可以提供更多 的信息，为临床诊断及治疗方案的选择提供有重要的价值。 关键词磁敏感加权成像:海绵状血管瘤:软组织 E E Priliminary Study of Susceptibility Weighted Imaging in Iimbs Soft Tissue Cavernous hemangioma Abstract Purpose To evaluate the cliagnosti.c value of susceptibility weighted irnaging (SWI) for soft tissue cavernous hernangioma(STCH) Materials andMethods 19 case confirmed soft ti.ssue cavernous hernangiorna the extremities by c1inic and pathology were performed with MRI conventiona1 sequences ，inc1uding T1WI 、T2WI and SWI. in this work.A11case were donfirmed by poerati.on and pathology. Results Results Ofthe 19 case，3 case were micronodu1町， in MRI conventiona1 sequences T1WI STCH displayas equisigna1， high signa1 intensity二 in T2WI as high signal intensity. 12 case were cavemous c1umps，there were eight cases in intramuscu1ar and two case in rare:facti.on tissue. In MRI conventiona1 sequences T 1WI STCH display as equisigna1， high signal intensity，7 case in T2WI as equisignal，high signal intensity and 5 case were lllgh， mixed signa1 intensity二 inT2WI fat saturati.on as high signa1血tensity.The fo田pampiniform c1umps were alllocated in r征e鱼cti.on tissue，which appeared tortuous dilation bloo