中国CT和MRI杂志
中國CT和MRI雜誌
중국CT화MRI잡지
Chinese Journal of CT and MRI
2015年
10期
15-18
,共4页
李广鉴%赵利%刘业松%张亚杰%孙秋%刘景旺
李廣鑒%趙利%劉業鬆%張亞傑%孫鞦%劉景旺
리엄감%조리%류업송%장아걸%손추%류경왕
肝性脑病%核磁共振成像%体%层摄影术%X线计算机
肝性腦病%覈磁共振成像%體%層攝影術%X線計算機
간성뇌병%핵자공진성상%체%층섭영술%X선계산궤
Hepatic Encephalopathy%Magnetic Resonance Imaging%Tomography%X-ray Computerd
目的:探讨MRI联合多层螺旋CT对肝性脑病的诊断价值。方法对临床确诊的15例肝性脑病患者的MRI及多层螺旋CT影像资料进行回顾性分析。结果急性肝性脑病3例,2例MRI T1WI表现为双侧基底节苍白球区、中脑腹侧高信号,T2WI未显示异常信号,螺旋CT呈等密度改变,1例MRI及CT表现为弥漫性脑水肿改变。慢性肝性脑病12例,T1WI像显示双侧基底节苍白球区高信号10例、中脑腹侧高信号6例,垂体前叶高信号4例,T2WI未显示异常信号,MRI及CT显示脑萎缩改变8例。结论 MRI联合螺旋CT对肝性脑病诊断具有重要临床价值。
目的:探討MRI聯閤多層螺鏇CT對肝性腦病的診斷價值。方法對臨床確診的15例肝性腦病患者的MRI及多層螺鏇CT影像資料進行迴顧性分析。結果急性肝性腦病3例,2例MRI T1WI錶現為雙側基底節蒼白毬區、中腦腹側高信號,T2WI未顯示異常信號,螺鏇CT呈等密度改變,1例MRI及CT錶現為瀰漫性腦水腫改變。慢性肝性腦病12例,T1WI像顯示雙側基底節蒼白毬區高信號10例、中腦腹側高信號6例,垂體前葉高信號4例,T2WI未顯示異常信號,MRI及CT顯示腦萎縮改變8例。結論 MRI聯閤螺鏇CT對肝性腦病診斷具有重要臨床價值。
목적:탐토MRI연합다층라선CT대간성뇌병적진단개치。방법대림상학진적15례간성뇌병환자적MRI급다층라선CT영상자료진행회고성분석。결과급성간성뇌병3례,2례MRI T1WI표현위쌍측기저절창백구구、중뇌복측고신호,T2WI미현시이상신호,라선CT정등밀도개변,1례MRI급CT표현위미만성뇌수종개변。만성간성뇌병12례,T1WI상현시쌍측기저절창백구구고신호10례、중뇌복측고신호6례,수체전협고신호4례,T2WI미현시이상신호,MRI급CT현시뇌위축개변8례。결론 MRI연합라선CT대간성뇌병진단구유중요림상개치。
[Abstarct]Objective To evaluate the diagnostic value of MRI and muti-slice CT in hepatic encephalopathy.Methods The MRI ang MSCT findings of 15 patients with hepatic encephalopathy were retrospectively analyzed.Results There were 3 cases of acute hepatic encephalopathy. Bilateral basal ganglia area globus pallids, midbrain and anteriorpituitary lobes were showed symmetrical high signal intensity on T1WI and normal appearances on T2WI and equal density on MSCT in 2 cases of acute hepatic encephalopathy. The other cases demonstrated diffuse brain edema on MRI and MSCT. There were 12 cases of chronic hepatic encephalopathy. 10 cases high signal intensity on T1WI were found in bilateral basal ganglia area globus pallid, 9 cases high signal intensity on T1WI were found in the midbrain and 4 cases high signal intensity on T1WI were found in the anterior pituitary lobes. They were normal appearances on T2WI. There were 8 cases of brain atrophy on MRI and MSCT.Conclusion MRI and MSCT has an important value to the diagnosis of hepatic encephalopathy.