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Limited value of diffusion and magnetization transfer imaging in children with neurofibromatosis, leukodystrophy and encephalopathy 扩散和磁化转移成像在神经纤维瘤病、脑白质营养不良和脑病儿童中的有限价值
Pub Date : 2004-12-01 DOI: 10.1016/j.compmedimag.2004.10.004
Margaret H. Pui, Nina Singh, Yongdong Wang

Diffusion and magnetization transfer imaging was performed on 29 children with encephalopathy and 69 children in the normal control group. Neurofibromatosis lesions had significantly lower magnetization transfer ratios and lower apparent diffusion coefficients than normal. Apparent diffusion coefficients of leukodystrophy, hypoxic/ischemic encephalopathy, and post-infectious encephalopathy were significantly higher than normal. Two radiologists independently detected more lesions and scored higher lesion contrast on T2- and FLAIR-weighted images than diffusion and magnetization transfer imaging. In conclusion, apparent diffusion coefficient and magnetization transfer ratio determination is not more sensitive than T2- and FLAIR-weighted imaging in assessing children with encephalopathy.

对29例脑病患儿和69例正常对照组患儿进行扩散和磁化转移成像。神经纤维瘤病变的磁化传递比和表观扩散系数明显低于正常。脑白质营养不良、缺氧/缺血性脑病和感染后脑病的表观扩散系数明显高于正常人。两名放射科医生独立地在T2和flair加权图像上检测到更多的病变,并获得比扩散和磁化转移成像更高的病变对比度。综上所述,表观扩散系数和磁化传递比的测定在评估儿童脑病时并不比T2和flair加权成像更敏感。
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引用次数: 0
Radiation-induced changes in the brain following stereotactic irradiation evaluated by sequential MRI 序贯MRI评估立体定向照射后脑内辐射引起的变化
Pub Date : 2004-12-01 DOI: 10.1016/J.COMPMEDIMAG.2004.10.003
N. Tomura, Jun-ichi Izumi, I. Sakuma, Satoshi Takahashi, K. Omachi, T. Otani, A. Anbai, J. Watarai, A. Suzuki, K. Mizoi
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引用次数: 4
Pulmonary metastasis from pancreatic cancer: a case showing biphasic radiological and histological patterns 胰腺癌肺转移:表现双期放射学和组织学模式1例
Pub Date : 2004-10-01 DOI: 10.1016/J.COMPMEDIMAG.2004.09.001
T. Okafuji, S. Sakai, K. Yoshimitsu, H. Soeda, Akio Furuya, S. Matsuura, T. Horiuchi, A. Nonami, H. Honda
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引用次数: 8
Pulmonary metastasis from pancreatic cancer: a case showing biphasic radiological and histological patterns 胰腺癌肺转移:表现双期放射学和组织学模式1例
Pub Date : 2004-10-01 DOI: 10.1016/j.compmedimag.2004.09.001
Takashi Okafuji , Shuji Sakai , Kengo Yoshimitsu , Hiroyasu Soeda , Akio Furuya , Shuji Matsuura , Takahiko Horiuchi , Atsushi Nonami , Hiroshi Honda

We present a case of pulmonary metastasis from pancreatic cancer with biphasic radiological patterns: demarcated nodules, irregularly shaped opacities showing the so-called ‘air-space pattern’, and both typical and atypical radiological findings. The histology of the demarcated nodules was poorly differentiated adenocarcinoma identical to the pancreatic tumor, while that of the irregularly shaped opacities was well-differentiated adenocarcinoma showing a lepidic growth pattern. Pulmonary metastasis from pancreatic cancer may contain components of various differentiations showing different radiological findings.

我们报告一例胰腺癌肺转移的双期影像学表现:有边界的结节,不规则形状的混浊物显示所谓的“空气-空间模式”,典型和不典型的影像学表现。有界结节的组织学为与胰腺肿瘤相同的低分化腺癌,而形状不规则的混浊物为高分化腺癌,呈鳞状生长模式。胰腺癌肺转移可能包含多种分化成分,表现出不同的放射学表现。
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引用次数: 6
CT colonography of the normal appendix: detection and characterization 正常阑尾的CT结肠镜检查:检测和特征
Pub Date : 2004-10-01 DOI: 10.1016/j.compmedimag.2004.08.002
Craig E. Barnes, Michael Y. Chen, Daniel C. Clark, Allen D. Elster

To determine the ability of CT colonography to detect and characterize the normal appendix in adults. A total of 55 patients with CT colonography examinations are analyzed. Each observer detected an appendix in 48 cases (87%), with high interobserver concordance (kappa=0.679). The appendiceal diameter varied from 3 to 12 mm (mean 6.2 mm) with wall thickness uniformly 1 mm or less. Gas filled at least part of the appendiceal lumen in 37 cases (67%), more frequently in the prone position. Appendicoliths and periappendiceal stranding were seen in 2 and 1% of cases, respectively. An appendix can be reliably identified in approximately 87% of normal adults using CO2-insufflation CT colonography.

目的探讨CT结肠镜检查成人正常阑尾的能力。本文对55例CT结肠镜检查患者进行分析。48例(87%)观察者均检出阑尾,观察者间一致性高(kappa=0.679)。阑尾直径3 ~ 12mm(平均6.2 mm),壁厚均匀小于等于1mm。37例(67%)阑尾腔内至少有部分充满气体,俯卧位更常见。阑尾结石和阑尾周围搁浅分别见于2%和1%的病例。大约87%的正常成年人使用co2注入CT结肠镜可以可靠地识别出阑尾。
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引用次数: 0
Infarction of an accessory spleen secondary to splenic vein thrombosis in essential thrombocytosis 原发性血小板增多症中继发于脾静脉血栓形成的副脾梗死
Pub Date : 2004-09-01 DOI: 10.1016/S1572-3496(04)00015-0
M. Seçil, S. Akar, A. Gulcu, E. Iğci, B. Ündar, N. Akkoç
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引用次数: 0
Infarction of an accessory spleen secondary to splenic vein thrombosis in essential thrombocytosis 原发性血小板增多症中继发于脾静脉血栓形成的副脾梗死
Pub Date : 2004-09-01 DOI: 10.1016/j.compmedimag.2004.07.001
Mustafa Secil , Servet Akar , Aytac Gulcu , Enis Igci , Bulent Undar , Nurullah Akkoc

Accessory spleen is an incidental finding of no clinical significance in most patients. Essential thrombocytosis is a chronic, myeloproliferative disorder with a clinical course complicated by thrombotic episodes. We report on a case of essential thrombocytosis presented with infarction of the accessory spleen secondary to splenic vein thrombosis.

副脾在大多数患者中是偶然发现的,没有临床意义。原发性血小板增多症是一种慢性,骨髓增生性疾病,临床过程中伴有血栓发作。我们报告一例原发性血小板增多症表现为副脾梗死继发于脾静脉血栓形成。
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引用次数: 1
MRCP findings of gallbladder perforation and pericholecystic abscess 胆囊穿孔及胆囊周围脓肿的MRCP表现
Pub Date : 2004-09-01 DOI: 10.1016/j.compmedimag.2003.11.007
Musturay Karcaaltincaba , Mark D. Hohenwalter , Scott J. Erickson , Andrew J. Taylor

We report a case of gallbladder perforation with contained pericholecystic abscess, diagnosed by MRCP. MRCP demonstrated direct communication between the gallbladder lumen and a pericholecystic abscess, with associated cholelithiasis. MRCP can be helpful in diagnosis of clinically silent gallbladder perforation in patients with right upper quadrant pain.

我们报告一个胆囊穿孔合并胆囊周围脓肿的病例,经MRCP诊断。MRCP显示胆囊腔与胆囊周围脓肿之间有直接联系,并伴有胆石症。MRCP对右上腹疼痛患者临床无症状胆囊穿孔的诊断有一定的帮助。
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引用次数: 6
Case reportInfarction of an accessory spleen secondary to splenic vein thrombosis in essential thrombocytosis 病例报告原发性血小板增多症继发于脾静脉血栓形成的副脾梗死
Pub Date : 2004-09-01 DOI: 10.1016/j.compmedimag.2004.07.001
M. Seçil, S. Akar, A. Gulcu, E. Iğci, B. Ündar, N. Akkoç
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引用次数: 1
Benign solitary fibrous tumor of the retroperitoneum: radiological features 腹膜后良性孤立性纤维性肿瘤:影像学特征
Pub Date : 2004-07-01 DOI: 10.1016/j.compmedimag.2004.04.007
J. Darío Casas , Elda Balliu , Ma Carmen Sánchez , Antonio Mariscal

We present the case of a benign solitary fibrous tumor of the retroperitoneum and describe its radiologic characteristics. MRI was more sensitive than US or CT for determining the retroperitoneal origin, and for orienting tumor histology and reducing the differential diagnosis with other retroperitoneal tumors.

我们报告一例腹膜后良性孤立性纤维性肿瘤,并描述其放射学特征。MRI在确定腹膜后肿瘤起源、定位肿瘤组织学和减少与其他腹膜后肿瘤的鉴别诊断方面比US或CT更敏感。
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引用次数: 0
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CMIG Extra: Cases
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