肝门区胆管癌的MRI应用价值.pdfVIP

222 I堕堡型盟兰墨查!业!至箜曼鲞蔓i塑 q腹部放射学》 肝门区胆管癌的MRI应用价值 刘玉林”，孔祥泉，徐海波，彭振军，于群，熊 茵 【摘要】目的探讨肝门区胆管癌(Hc)的MRI检查技术及应用价值。资料与方法Hc34例，所有病例均行MR 评价，与手术结果相对照。结果34侧Hc均可见肝门肿块、肝内胆管扩张、肝门胆管中断，动态增强扫描3l例表 现为延迟强化，3nDcE—MRA中6例在动脉期表现为螺旋样动脉，18例可见门静脉受侵，表现为门脉侧壁浸润、门脉 缩窄或闭塞，MRI对能否手术切除评估的准确性为882％(30／34)。结论MRI检查能充分显示IIc病变及其侵犯 范围，对Hc进行准确的诊断和术前评估。 【关键词】 肝门 胆管癌磁共振成像动态增强 Evaluation ofM砌in Cholangiocarcin啪a Diagnosing删ar UUYuIin，KONG a1． Xiangquan，XUHaibo，et of A娟li8tedunion DepartmentRadi0109y，The Hospital，Ton酣Medic日1colIege， ofSciences且rId Province R．China HuazhongUnive拮ity Techrl0109y，Wuhan，Hubei430022，P v山eof 【Ab啦r雠tlobject押e technique“the MRI ％inve吼ig咖the d】d韶吲ic h¨ar曲ola嘶∽呲㈣a(IIc) M日terials蛐dMethods 0f casesHCwcreex岫inedwilhal 5T un扎Pla】IlMRIa力[IMRCPwcre 讳iny—follr sⅡpcf—conduc【MR f洲owed Gd-D1PA(0．1 was at30secJn把H止㈣【IIe6碍t3 bydy叫mic mnml／k—B曲anced辩anJ】j“g，whichrep黜ted nli舢lIes witll inthe ar一15mln was Ihe阻tientbei“g肿mained 3D—DEC^IRA snm。positionDel8y甜scanni”gⅢdon。a【5，8，10，12 lnanedal wifhanad血io柚Mus 15～20Ⅱd pedo珊ed Gd—DTPA(o15—020 Tlme and严。【alphase ilu刚j佣of nlInoJ／虹) ofboIht11e