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山东大学学报(医学版) ›› 2010, Vol. 48 ›› Issue (5): 128-.

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腹部外韧带样型纤维瘤病的MRI表现

杨辉,杨晨明,于德新,李传福   

  1. 山东大学齐鲁医院放射科,济南 250012
  • 收稿日期:2010-01-31 出版日期:2010-05-16 发布日期:2010-05-16
  • 通讯作者: 李传福(1945- ),教授,博士生导师,主要研究方向腹部磁共振影像学。 E-mail: chuanfulee@hotmail.com
  • 作者简介:杨辉(1979- ),博士研究生,主要研究方向磁共振功能影像学。 E-mailHermes0@163.com

MRI features of extra-abdominal desmoid-type fibromatoses

YANG Hui, YANG Chenming,  YU Dexin,  LI Chuanfu   

  1. Department of Radiology, Qilu Hospital of Shandong University, Jinan 250012,China
  • Received:2010-01-31 Online:2010-05-16 Published:2010-05-16

摘要:

目的  探讨腹部外韧带样型纤维瘤病的MRI表现。方法  利用MRI平扫和动态增强MRI,对经病理证实的原发腹部外韧带样型纤维瘤病7例进行检查,观察病变位置、大小、边缘、形态、信号特点、强化类型,并绘制病变的时间-信号强度曲线。结果  7例中浸润性生长6例,膨胀性生长1例。MRI信号不均匀,T1WI以等信号为主,T2WI以略高信号为主,各序列均可见肿瘤内存在低信号区域,肿瘤不均匀强化,时间-信号强度曲线呈持续上升形态。结论  MRI检查显示腹部外韧带样型纤维瘤病的形态、信号、强化方式等方面有一定的特征性,具有鉴别诊断价值。

关键词: 磁共振成像;韧带样型纤维瘤病;增强;诊断

Abstract:

Objective  To investigate the magnetic resonance imaging (MRI) features of extra-abdominal desmoid-type fibromatoses. Methods  Plain and dynamic contrastenhanced MRI (DCE-MRI) was performed on 7 patients with extra-abdominal desmoid-type fibromatoses confirmed by surgery and pathology. The imaging features including location, dimension, edge,shape, signal intensity, enhancement pattern, and the time-signal intensity curve (TIC) of the lesions were analyzed. Results  On MR images, six lesions were infiltrative, while one was expansive. All lesions exhibited heterogeneity, with isointensity on T1WI and slight hyperintensity on T2WI. In all lesions, cordlike or patch-like low signal could be found. All lesions showed heterogeneous enhancement, and the time-signal intensity curves of the enhanced portions within the lesion demonstrated continuous ascending trend. Conclusion  Plain and DCE-MRI can characterize the imaging features as the shape, signal and enhancement pattern of extra-abdominal desmoid-type fibromatoses, which may have potential role in differential diagnosis.

Key words: Magnetic resonance imaging; Desmoid-type fibromatoses; Enhancement; Diagnosis

中图分类号: 

  • R814
[1] 杨辉,于德新,马祥兴,张晓明,李传福. 3.0T磁共振动态增强扫描量化参数在肝脏占位性病变鉴别诊断中的应用[J]. 山东大学学报(医学版), 2010, 48(4): 139-.
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