课件：克罗恩病CMRI诊断最新.pptVIP

* 横结肠肠壁增厚 * 升结肠近段、左中腹偏下及下腹小肠多节段肠壁增厚、明显强化， * 中下腹部-回盲部-盆腔多发小肠肠壁增厚，DWI呈高信号，ADC图呈低信号，增强明显强化，肠腔呈节段性狭窄，周围脂肪间隙模糊 * 最内层为高密度的黏膜层，中间为低密度水肿的黏膜下层，最外层为高密度的浆膜层；增强后内层为强化的黏膜层，外层为低密度水肿的黏膜下层。慢性期溃疡进一步延伸至浆膜层，这一时期形成一种比较典型的克罗恩病症状改变一一非干酪样肉芽肿 * Figure 8.Stratified enhancement of bowel in a 53-year-old man with active Crohn disease. Coronal contrast-enhanced fat-suppressed T1-weighted 3D gradient- echo MR image shows stratified mural enhancement in a small-bowel loop (arrow). The hyperenhancing inflamed mucosa at the center is surrounded by a lower-signal-intensity ring of submucosal edema and an outer ring of enhan