女性生殖系统MR常规.ppt

* * T2w sequences are the best sequences to detect the cervical tumour and its extension to the uterus, parametria and the adjacent organs [19] (Fig. 1). The use of fat suppression is not recommended as the presence of para- metrial fat can lead to better tumour delineation. All the ESUR centres and most of the authors in the literature are performing T2w sequences in two orthogonal planes such as sagittal and oblique [19]. Oblique images must be acquired perpendicularly to the long axis of the cervical canal. Slice thickness varied from 3 to 6 mm, with a 0.25 gap. For optimal image quality, T2-weighted images covering the pelvis should be acquired with a small FOV (20–25 cm) and ideally with a 512 × 512 matrix. 8 of 18 reviewed papers also add a coronal T2w sequence on the pelvis with thin slices (3-4 mm/0.4 mm) to assess para- metrial extension [20] (Fig. 2). All the ESUR centres and several authors in the literature are also obtaining images ofthe abdomen (from the level of the renal veins to the pelvic brim) to evaluate for presence of abnormal lymph nodes [7, 19, 21] (Fig. 3). Both T1 and T2—weighted images can be used for this purpose. This obviates the need for an additional CT of the abdomen. The total acquisition time for the entire staging MRI is 25–30 min. * 北京大学第一医院女性生殖系统系统MR检查常规 1 * 内容 检查适应证 检查前准备 摆位 扫描序列 后处理 照相 其它 2 * 检查适应证 1. 子宫及宫颈MR检查适应证 1）子宫及宫颈MR平扫： 原发性闭经和（或）周期性下腹痛 习惯性流产 痛经 3 * 检查适应证 2）子宫及宫颈MR增强： 绝经后阴道流血 接触性出血 4 * 检查适应证 3.卵巢及输卵管MR检查适应证 1）卵巢及输卵管MR平扫： 继发不孕除外输卵管卵巢炎、结核 所致可能 卵巢及输卵管病变、恶性肿瘤分期、 子宫内膜异位症诊断 2）卵巢及输卵管MR增强： 卵巢及输卵管病变的肿瘤检出、定性、 恶性肿瘤分期、随访 5 * 检查适应证 4. 子宫预约注意事项 1）急危重病人不适宜盆腔MRI检查， 如必须检查，需临床医师陪同 2）经期不适宜子宫及宫颈MRI检查 3）核实病人有无妊娠 4）核实病人无节育器或其它金属异物 ?