延边医学
延邊醫學
연변의학
YAN BIAN YI XUE
2014年
16期
38-40
,共3页
甲状腺腺瘤%磁共振成像%鉴别诊断
甲狀腺腺瘤%磁共振成像%鑒彆診斷
갑상선선류%자공진성상%감별진단
Thyroid adenoma%Magnetic resonance imag-ing%Differential diagnosis
探讨甲状腺腺瘤的低场磁共振表现特点,提高诊断准确率。方法回顾性分析经手术、病理证实的19例甲状腺腺瘤的低场磁共振检查资料。结果甲状腺腺瘤表现为圆形(16例),表现为椭圆形(3例),单纯甲状腺腺瘤T1WI呈等或稍低信号,T2呈高信号,当合并出血时,T1WI呈高信号,T2WI呈高低不等混杂信号,瘤体周围有完整的包膜,且与周围正常组织分界清楚,T1WI包膜呈等信号,T2WI及STIR包膜呈低信号,增强后瘤体轻度强化,瘤体周围包膜明显强化,出血、坏死与囊变区无强化。结论低场磁共振能准确诊断甲状腺腺瘤,指导临床治疗。
探討甲狀腺腺瘤的低場磁共振錶現特點,提高診斷準確率。方法迴顧性分析經手術、病理證實的19例甲狀腺腺瘤的低場磁共振檢查資料。結果甲狀腺腺瘤錶現為圓形(16例),錶現為橢圓形(3例),單純甲狀腺腺瘤T1WI呈等或稍低信號,T2呈高信號,噹閤併齣血時,T1WI呈高信號,T2WI呈高低不等混雜信號,瘤體週圍有完整的包膜,且與週圍正常組織分界清楚,T1WI包膜呈等信號,T2WI及STIR包膜呈低信號,增彊後瘤體輕度彊化,瘤體週圍包膜明顯彊化,齣血、壞死與囊變區無彊化。結論低場磁共振能準確診斷甲狀腺腺瘤,指導臨床治療。
탐토갑상선선류적저장자공진표현특점,제고진단준학솔。방법회고성분석경수술、병리증실적19례갑상선선류적저장자공진검사자료。결과갑상선선류표현위원형(16례),표현위타원형(3례),단순갑상선선류T1WI정등혹초저신호,T2정고신호,당합병출혈시,T1WI정고신호,T2WI정고저불등혼잡신호,류체주위유완정적포막,차여주위정상조직분계청초,T1WI포막정등신호,T2WI급STIR포막정저신호,증강후류체경도강화,류체주위포막명현강화,출혈、배사여낭변구무강화。결론저장자공진능준학진단갑상선선류,지도림상치료。
Objective Low field magnetic resonance imaging features of thyroid adenoma, improve the accuracy of diagnosis.Methods A retrospective analysis of 19 cases of thyroid adenoma by operation, pathology of low field magnetic resonance imaging data. Results Thyroid adenoma showed round (16 cases), showed oval (3 cases), simple adenoma of thyroid T1WI showed equal or slightly low signal, T2 showed high signal, when combined with hemorrhage, T1WI showed high signal, T2WI showed uneven mixed signals, with intact membrane around the tumor's body, and with the surrounding normal tissues clear demarcation, T1WI coated with signal, T2WI and STIR envelope showed low signal intensity, enhancement of tumor enhancement, envelope around the tumor is enhanced obviously, hemorrhage, necrosis and cystic <br> area without reinforcement. Conclusions Low field magnetic reso-nance imaging in diagnosis of thyroid adenoma, guiding clinical therapy.