中华消化病与影像杂志（电子版）
中華消化病與影像雜誌（電子版）
중화소화병여영상잡지（전자판）
2014年
3期
115-119
,共5页
磁共振成像%肝肿瘤%血管
磁共振成像%肝腫瘤%血管
자공진성상%간종류%혈관
Magnetic resonance imaging%Liver neoplasms%Blood vessels
目的：探讨T1高分辨力各相同容积激发序列（ e-THRIVE）动态增强并动脉期血管重建显示肝癌供血血管的价值。方法2007年2月至2012年8月河南省商丘市第一人民医院收治41例肝癌患者，均行磁共振e-THRIVE序列动态增强检查并动脉期最大信号强度投影（ MIP ）重建肝动脉血管，e-THRIVE横断位图像观察肿瘤部位、大小、类型。重建血管图像，观察肿瘤血管显示：血管的起源、走行、数量，有无变异、寄生血管供血，并与常规血管造影对照。结果所有患者均清晰地显示肿瘤的解剖信息，其中巨块型21例、巨块结节型8例、多发结节型6例、弥漫型8例。32例患者显示肿瘤主要供血血管为规则供血，并显示血管起源、数量，并不同程度地显示了肿瘤区肝动脉血管受侵犯、血管断续、肿瘤染色征象，与数字减影血管造影（ DSA）显示相似。显示7例患者为变异供血，并显示血管变异类型，9例巨块型和巨块结节型肝癌显示有寄生血管参与供血。与DSA相对照，显示了变异型血供7/8例，寄生型血供9/21例。结论 e-THRIVE动态增强并肝动脉重建能很好地显示肿瘤规则供血血管及血管变异情况，对手术方法的选择、规范化治疗、提高疗效有重要的作用，在细小的寄生血管显示上有待提高。
目的：探討T1高分辨力各相同容積激髮序列（ e-THRIVE）動態增彊併動脈期血管重建顯示肝癌供血血管的價值。方法2007年2月至2012年8月河南省商丘市第一人民醫院收治41例肝癌患者，均行磁共振e-THRIVE序列動態增彊檢查併動脈期最大信號彊度投影（ MIP ）重建肝動脈血管，e-THRIVE橫斷位圖像觀察腫瘤部位、大小、類型。重建血管圖像，觀察腫瘤血管顯示：血管的起源、走行、數量，有無變異、寄生血管供血，併與常規血管造影對照。結果所有患者均清晰地顯示腫瘤的解剖信息，其中巨塊型21例、巨塊結節型8例、多髮結節型6例、瀰漫型8例。32例患者顯示腫瘤主要供血血管為規則供血，併顯示血管起源、數量，併不同程度地顯示瞭腫瘤區肝動脈血管受侵犯、血管斷續、腫瘤染色徵象，與數字減影血管造影（ DSA）顯示相似。顯示7例患者為變異供血，併顯示血管變異類型，9例巨塊型和巨塊結節型肝癌顯示有寄生血管參與供血。與DSA相對照，顯示瞭變異型血供7/8例，寄生型血供9/21例。結論 e-THRIVE動態增彊併肝動脈重建能很好地顯示腫瘤規則供血血管及血管變異情況，對手術方法的選擇、規範化治療、提高療效有重要的作用，在細小的寄生血管顯示上有待提高。
목적：탐토T1고분변력각상동용적격발서렬（ e-THRIVE）동태증강병동맥기혈관중건현시간암공혈혈관적개치。방법2007년2월지2012년8월하남성상구시제일인민의원수치41례간암환자，균행자공진e-THRIVE서렬동태증강검사병동맥기최대신호강도투영（ MIP ）중건간동맥혈관，e-THRIVE횡단위도상관찰종류부위、대소、류형。중건혈관도상，관찰종류혈관현시：혈관적기원、주행、수량，유무변이、기생혈관공혈，병여상규혈관조영대조。결과소유환자균청석지현시종류적해부신식，기중거괴형21례、거괴결절형8례、다발결절형6례、미만형8례。32례환자현시종류주요공혈혈관위규칙공혈，병현시혈관기원、수량，병불동정도지현시료종류구간동맥혈관수침범、혈관단속、종류염색정상，여수자감영혈관조영（ DSA）현시상사。현시7례환자위변이공혈，병현시혈관변이류형，9례거괴형화거괴결절형간암현시유기생혈관삼여공혈。여DSA상대조，현시료변이형혈공7/8례，기생형혈공9/21례。결론 e-THRIVE동태증강병간동맥중건능흔호지현시종류규칙공혈혈관급혈관변이정황，대수술방법적선택、규범화치료、제고료효유중요적작용，재세소적기생혈관현시상유대제고。
Objective To evaluate the value of enhanced T 1 high-resolution isotropic volume examination (e-THRIVE) combined with revascularization of arterial phase blood vessel on revealing liver cancer blood-supply vessels.Methods From February 2007 to August 2012, 41 liver cancer patients were treated in Shangqiu First People′s Hospital .Magnetic resonance e-THRIVE sequence dynamic enhancement inspection was carried out to observe the location , size and type of tumor .Arterial phase maximum intensity projection (MIP) was performed to revascularize hepatic arteries and observe the tumor vessels , the source, shape and quantity of vessels , the variation if necessary and the blood supply of parasitic vessels .The results were compared with routine angiography .Results The anatomic structure of tumors was clearly revealed in all patients .There were 21 patients with massive liver cancer , 8 with massive-nodule liver cancer , 6 with multiple nodular liver cancer , and 8 with diffuse type liver cancer .In 32 patients , main blood supply came from normal vessels , and the source and quantity of vessels , and the signs that vessels in tumor area were invaded and interrupted and that tumor was dyed were revealed to some extent .The result was similar to digital subtraction angiography ( DSA) .Variant blood supply and variation type of blood vessels were seen in 7 patients.Parasitic vessels participated in blood supply in 9 patients with massive & massive-nodule liver cancer.Compared with DSA, 7/8 patients suffered from variant blood supply and 9/21 patients suffered from parasitic blood supply .Conclusions The e-THRIVE combined with revascularization of hepatic artery can fully reveal the regular blood supply vessels of tumor and the vessel variation , which plays an important role in choosing operation method , standardizing treatment and improving curative effect . However , it has limitations on revealing fine parasitic vessels .
