磁共振胰胆管成像与常规扫描诊断胆系结石的对照研究  

Comparative study on MR cholangiopancreatography and original images and routine MRI in the diagnosis of biliary stones

作　　者：郁成[1] 陈永强[1] 罗泽斌[1] 

机构地区：[1]广东医学院附属医院放射科,广东省湛江524001

出　　处：《实用诊断与治疗杂志》2006年第6期403-404,407,F0004,共4页Journal of Practical Diagnosis and Therapy

摘　　要：目的:对比探讨磁共振胰胆管成像及其原始图像与磁共振常规扫描诊断胆系结石的价值。方法:应用1.0 T超导M R I扫描仪对55例患者(36例胆囊结石和19例胆总管结石)行重T2加权多次激发FSE序列(HT2-FSE)磁共振胰胆管成像扫描及常规轴面FSE序列M R I T1W I及T2W I扫描。结果:磁共振胰胆管成像的最大强度投影图像能清晰显示肝内、外胆管及扩张胰管的形态结构。多数较大的胆系结石在磁共振胰胆管成像原始图像及M R I常规T2W I图像上可很好地显示,但常在最大强度投影图像被掩盖;较小的胆系结石在磁共振胰胆管成像的最大强度投影图像及M R I常规T2W I图像均难以准确显示,而仅在磁共振胰胆管成像原始图像上显示。结论:磁共振胰胆管成像原始图和最大强度投影图像以及磁共振常规扫描是分析、诊断胆系结石的一个有机整体,不能仅仅依靠某一种成像技术作出诊断。Objective To evaluate the value of MR cholangiopancreatography and routine MRI in diagnosing biliary stones. Methods Fifty-five patients （36 cases of gallbladder stones and 19 cases of common bile duct stones） had undergone MR cholangiopancreatography with heavily T2 weighted fast spin echo sequences and routine axial MRI T1WI and T2WI with fastspin echo sequences. Results Maximum intensity projection images of MR cholangiopancreatography could definitely demonstrate the configuration of the bile duct and the enlarged pancreatic duct. Most bigger biliary stones could be well demonstrated on original images of MR cholangiopancreatography and routine MRI T2WI images, but often be enshrouded on maximum intensity projection images. Whereas smaller biliary stones could not be demonstrated on maximum intensity projection and routine MRI T2WI images, but only be demonstrated on original images of MR cholangiopancreatography. Conclusion MR cholangiopancreatography and original images and routine MRI is an organic body of diagnosing biliary stones. We should not rely on only one kind of them.

关 键 词：磁共振胰胆管成像 胆结石 对照研究 

分 类 号：R445.2[医药卫生—影像医学与核医学]