CAJ | 학술논문

目的：探讨MRI(核磁共振成像)在脊柱血管瘤临床诊断中的应用价值。方法：回顾性分析23例脊柱血管瘤患者的MRI影像学资料，所有患者行常规TSE序列T1WI、T2WI以及T2WI/STIR压脂的矢状面扫描和横断面扫描，其中17例患者行轴位T1WI压脂增强扫描和矢状位T1WI压脂增强扫描。结果：总检查出腰椎11例(47.8%)、胸椎受累7例(30.4%)、颈椎5例(21.7%)，包括5例多发性肿瘤，总发现病灶的有31个；T1WI低信号/T2WI等信号6例， T1WI低信号/T2WI高信号8例， T1WI等信号/T2WI高信号5例。结论：MRI不仅可以对脊柱血管瘤的组织学类型进行良好的推测，还能够对脊柱血管瘤的活动性以及潜在侵袭性进行有效评价，显示了重要的临床价值。
목적：탐토MRI(핵자공진성상)재척주혈관류림상진단중적응용개치。방법：회고성분석23례척주혈관류환자적MRI영상학자료，소유환자행상규TSE서렬T1WI、T2WI이급T2WI/STIR압지적시상면소묘화횡단면소묘，기중17례환자행축위T1WI압지증강소묘화시상위T1WI압지증강소묘。결과：총검사출요추11례(47.8%)、흉추수루7례(30.4%)、경추5례(21.7%)，포괄5례다발성종류，총발현병조적유31개；T1WI저신호/T2WI등신호6례， T1WI저신호/T2WI고신호8례， T1WI등신호/T2WI고신호5례。결론：MRI불부가이대척주혈관류적조직학류형진행량호적추측，환능구대척주혈관류적활동성이급잠재침습성진행유효평개，현시료중요적림상개치。
Objective:To investigate the clinical use value of MRI in diagnosis of vertebral hemangioma.Methods:Retrospective analysis was performed on the data of 23 vertebral hemangioma cases.All of the patients were examined by conventional lipid suppression TSE sequence for T1WI, T2WI and T2WI/STIR in sagittal and cross section.17 cases accepted axial and sagittal lipid suppression enhanced T1WI.Results:11 cases,7 cases and 5 cases were found be involved in lumbar,thoracic and cervical vertebra,respectively.31 lesions,including 5 cases of multiple neoplasm were found,and among these ones 6 showed low signal on T1WI and isointense signal on T2WI,8 showed low signal on T1WI and high signal on T2WI and 5 showed isointense signal on T1WI and high signal on T2WI. Conclusion:MRI showed a potential clinical value on diagnosis of vertebral hemangioma in exactly speculating on the histological type and effectively evaluating of the activity and invasiveness.