3D MRCP及MIP图像与轴位T<sub>2</sub>WI结合诊断胆系结石的价值

摘要
图/表
参考文献
相关文章 (1)

全文: PDF (801 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨磁共振胰胆管成像(MR cholangiopancreatography,MRCP)结合最大强度投影(maximum intensi-ty projection,MIP)及T₂WI扫描资料,对胆系结石的诊断价值。方法回顾分析212例胆系结石患者的3D MRCP、MIP图像及T₂WI扫描资料,通过与手术、病理结果比较,分析并对比三类图像及3种方法结合对胆系结石的诊断符合率。结果 3D MRCP原始图像诊断结石180例,诊断符合率84.91%;MIP图像诊断结石175例,诊断符合率82.55%;轴位T₂WI诊断结石169例,诊断符合率79.72%。三者联合诊断结石193例,诊断符合率91.04%。3种方法联合的诊断符合率,高于单用一种方法的诊断符合率,差异有统计学意义(P<0.05)。结论 MRCP结合MIP及T₂WI扫描资料,可提高胆系结石的诊断率。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	孟菲
	于霞

关键词 ：磁共振胰胆管成像, 胆石病

Abstract：Objective To evaluate the combined value of MR cholangiopancreatography (MRCP) maximum intensity projection (MIP) and T₂WI in the diagnosis of biliary stones. Methods 3D MRCP、 MIP and T₂WI were performed in 212 patients.Retrospective results of 212 cases were compared with operation and pathology to analyse their diagnostic rate. Results Original images of 3D MRCP revealed 180 cases of biliary stones,display rate 84.91%. MIP revealed 175 cases of biliary stones,display rate 82.55%.Axial T₂WI revealed 169 cases of biliary stones,display rate 79.72% .Combination of three methods revealed 193 cases of biliary stones,display rate 91.04%. Conclusions MRCP combined with MRI can improve the diognostic rate of biliary stones.

Key words： MR cholangiopancreatography cholelithiasis

收稿日期: 2015-01-20

ZTFLH:

R364.25

通讯作者: 于霞,E-mail:wjyuxia@126.com

作者简介: 孟菲,本科学历,主任医师,E-mail:wjmenjfei@126.com

引用本文:

孟菲, 于霞. 3D MRCP及MIP图像与轴位T₂WI结合诊断胆系结石的价值[J]. 武警医学, 2015, 26(7): 656-658. MENG Fei, YU Xia. Clinical value of combination of original images、MIP of 3D MR cholangiopancreatography and axial T₂WI in diagnosis of biliary stones. Med. J. Chin. Peop. Armed Poli. Forc., 2015, 26(7): 656-658.

链接本文:

http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2015/V26/I7/656

[4]	张伟,邵广瑞,宋磊,等.肝外胆管梗阻性疾病的MRCP诊断价值[J].中国现代普通外科进展,2006,9(5):296-299.
[5]	Pavone P,Laghi A,Panebianco V,et al. MR techniques and clinications[J].Eur Radiol,1998,8(6):901-910.
[1]	Menon K,Barkun A N,Romagnuolo J,et al.Patient satisfaction after MRCP and ERCP[J].Am J Gastroenterol,2010,96(9):2646.
[2]	陈明安,梁东海,陈和平,等.磁共振与超声在胆道系统疾病诊断中的价值[J].武警医学,2007,18(9):673-675.
[6]	刘长春,靳二虎,赵瑞华,等.低场强MRCP结合轴面T2WI对胆系结石的诊断价值[J].实用放射学杂志,2007,23(6):1055-1059.
[3]	Barish M A,Yucel E K,Ferrucci J T, et al.Magnetic resonance cholangiopancreatography[J].NEJM,1999,341(3):258-264.
[7]	郝粉娥,牛广明,韩晓东,等. MRCP结合薄层T2WI对胆总管下段结石的诊断[J].放射学实践,2009,24(3):65-67.
[4]	张伟,邵广瑞,宋磊,等.肝外胆管梗阻性疾病的MRCP诊断价值[J].中国现代普通外科进展,2006,9(5):296-299.
[8]	候新民.CT、ERCP在胆管微小结石中的应用价值与比较[J].中国实用医学,2013,8(22):51-52.
[5]	Pavone P,Laghi A,Panebianco V,et al. MR techniques and clinications[J].Eur Radiol,1998,8(6):901-910.
[6]	刘长春,靳二虎,赵瑞华,等.低场强MRCP结合轴面T2WI对胆系结石的诊断价值[J].实用放射学杂志,2007,23(6):1055-1059.
[9]	刘金有,唐广山,周光礼. 2D MRCP、3D MRCP结合冠位状T2WI对胆总管胆石诊断价值的对比研究[J].肝胆外科杂志,2012,20(1):33-35.
[7]	郝粉娥,牛广明,韩晓东,等. MRCP结合薄层T2WI对胆总管下段结石的诊断[J].放射学实践,2009,24(3):65-67.
[10]	Yamashita Y,Abe Y,Tang Y,et al.In vitron and clinical studies of image acquisition in breath-hold MR cholangiopancreatography:single-shot projection technique versus multislice technique[J].AJR,1997,168:1449.
[8]	候新民.CT、ERCP在胆管微小结石中的应用价值与比较[J].中国实用医学,2013,8(22):51-52.
[9]	刘金有,唐广山,周光礼. 2D MRCP、3D MRCP结合冠位状T2WI对胆总管胆石诊断价值的对比研究[J].肝胆外科杂志,2012,20(1):33-35.
[10]	Yamashita Y,Abe Y,Tang Y,et al.In vitron and clinical studies of image acquisition in breath-hold MR cholangiopancreatography:single-shot projection technique versus multislice technique[J].AJR,1997,168:1449.