CAJ | 학술논문

目的探讨磁共振肝脏动态增强与肝门静脉三维成像一站式检查代替单纯三维对比增强腹部血管成像检查评估肝门静脉的可能性和可靠性，为“一站式检查”的序列设计提供参考依据。方法选择100例病历资料完整、临床确诊肝硬化的住院患者，其中50例行应用THRIVE_BH序列的磁共振肝脏动态增强与肝门静脉三维成像一站式检查，为A组；另外50例行应用CE_MRA_ABD序列的单纯的三维对比增强腹部血管成像检查，为B组。对两组肝门静脉图像分别进行单盲分析并评分，结果使用SPSS 13.0软件进行统计分析。结果肝门静脉的肝外部分：A组肠系膜下静脉干显示率低于B组（P＜0.05）；肝门静脉的肝内部分：A、B组间无统计学差异（P＞0.05）。结论应用THRIVE_BH序列的磁共振肝脏动态增强与肝门静脉三维成像一站式检查替代应用CE_MRA_ABD序列的单纯的三维对比增强腹部血管成像检查评估肝门静脉是可行的，可作为肝硬化患者随访的重要手段。
목적탐토자공진간장동태증강여간문정맥삼유성상일참식검사대체단순삼유대비증강복부혈관성상검사평고간문정맥적가능성화가고성，위“일참식검사”적서렬설계제공삼고의거。방법선택100례병력자료완정、림상학진간경화적주원환자，기중50례행응용THRIVE_BH서렬적자공진간장동태증강여간문정맥삼유성상일참식검사，위A조；령외50례행응용CE_MRA_ABD서렬적단순적삼유대비증강복부혈관성상검사，위B조。대량조간문정맥도상분별진행단맹분석병평분，결과사용SPSS 13.0연건진행통계분석。결과간문정맥적간외부분：A조장계막하정맥간현시솔저우B조（P＜0.05）；간문정맥적간내부분：A、B조간무통계학차이（P＞0.05）。결론응용THRIVE_BH서렬적자공진간장동태증강여간문정맥삼유성상일참식검사체대응용CE_MRA_ABD서렬적단순적삼유대비증강복부혈관성상검사평고간문정맥시가행적，가작위간경화환자수방적중요수단。
Objective To compare 3-D contrast-enhanced abdominal MR angiography(MRA)with dynamic contrast-enhanced MRI and 3-D MRI of portal vein.Methods One hundred in-patients with clinical diagnosis of cirrhosis and complete medical records were divided randomly into two groups of 50 patients. One group underwent one-stop MRI including dynamic contrast-enhanced MRI and 3-D MRI of the portal vein using the THRIVE_BH sequence.The other group underwent 3-D contrast-enhanced abdominal MRA.The image quality of the portal vein using the two methods was compared.Results The inferior mesenteric venous branch of the extra-hepatic portal vein was less well seen on dynamic contrast-enhanced and 3-D THRIVE_BH MRI than 3-D contrast-enhanced MRA(P<0.05).Visibility of the intra-hepatic portal vein was not significantly different between the two methods (P>0.05).Conclusions One-stop examination including dynamic contrast-enhanced and 3-D THRIVE_BH MRI of portal vein can be useful for monitoring cirrhosis.