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期刊信息  
创刊日期：1990年
主管单位：中国人民共和国卫生部
主办单位：中国医学影像技术研究会
　　　　　中国医科大学
承办单位：中国医科大学附属盛京医院
　　　　　辽宁省医学影像学会
编辑出版：《中国临床医学影像杂志》
　　　　　编辑部
刊　　期：月刊
2014 Vol. 25, No. 4
Published: 2014-04-20
 
       论文
229 Location of periventricular nodular heterotopia and its relationship with associated brain abnormalities on MRI
LIU Zhai;HE Li;DONG Qiang-qiang;QI Yu-xuan;REN Qing-yun
DOI:
Objective: The purpose of this study was to determine whether specific associated brain abnormalities may be related to the location of periventricular nodular heterotopia(PNH) assessed by MR imaging. Methods: MR images of 40 patients previously diagnosed as PNH were retrospectively analyzed. Relationship between the location, numbers and sides of PNH and associated brain abnormalities were tested by using χ2 test. Results: Of the 40 PNH cases, anterior PNH(aPNH) was found in 12 patients(30%), posterior PNH(pPNH) in 13(32.5%), and diffuse PNH(dPNH) in 15(37.5%), cortical malformations were present in 18 patients. Associated cortical malformations were significantly more frequent in pPNH(92.3%) compared with aPNH(8.3%) and dPNH(33.3%), there were significant differences among the three groups(P<0.001). Abnormalities of the corpus callosum present in 9 patients, 5 cases in dPNH, 3 cases in pPNH and 1 case in aPNH, there were significant difference among the three groups(P<0.05). Reduced volume of cerebral white matter was noticed in 17 patients. A significant difference in the incidence of reduced white matter volume was found between aPNH(16.7%) and pPNH(53.8%, P<0.05) and between aPNH and dPNH(53.3%, P<0.05). Conclusion: PNH occurs in different locations that tend to be associated with different types of malformations. Among these location, pPNH is particularly distinct because of its significant association with malformations of the cerebral cortex and anomalies of corpus callosum.
2014 Vol. 25 (4): 229-232 [Abstract] ( 648 ) HTML (0 KB)  PDF  (0 KB)  ( 270 )
233 Diagnostic value of 18F-FDG PET/CT in recurrent and metastatic breast cancer
DAI Wen-jing;ZHANG Wei;YAO Li-hui;HAN Lu;WANG Hui-ying;XIN Jun
DOI:
Objective: To investigate the clinical value of 18F-FDG PET/CT in the diagnosis of recurrence and metastasis in post-operative breast cancer. Methods: From January 2008 to December 2012, whole body 18F-FDG PET/CT imaging with attenuation correction was performed in 58 female patients with suspected recurrent or metastasis of breast cancer, age ranged from 32yrs old~79yrs old with an average of 52.7 years old． The primary breast lesions were all confirmed by surgery and pathology. Among these cases, 2 were ductal carcinoma in situ, 1 case was breast invasive lobular carcinoma, 1 was medullary carcinoma, 1 was phyllodes tumor, the rest were invasive ductal carcinoma. Results: Among the 58 cases, 7 cases were recurrence, 34 cases were of metastasis. The range of SUVmax of the local recurrent lesions was 3.64~18.70, with an average of 8.04. The sensitivity, specificity, accuracy, positive predictive value and negative predictive value of 18F-FDG PET/CT in the diagnosis of breast cancer recurrence and metastasis were 97.50％, 88.89％, 94.83％, 95.12％ and 94.12%, respectively. Conclusion: 18F-FDG PET/CT imaging can accurately diagnose breast cancer recurrence and metastasis, can provide important information for clinical establishment of a right treatment plan, and is valuable in monitoring of breast cancer recurrence and metastasis.
2014 Vol. 25 (4): 233-236 [Abstract] ( 584 ) HTML (0 KB)  PDF  (0 KB)  ( 444 )
237 Application of speckle tracking imaging in evaluating left ventricular rotation and torsion inpatients with acute myocardial infarction
DENG Yu-jiao;XIA Dao-zi;YANG Bing-bing;LI Yang;XUAN Jian-yuan
DOI:
Objective: To evaluate the value of speckle tracking imaging(STI) in detecting left ventricular(LV) rotation and torsion after percutaneous coronary intervention(PCI) in acute myocardial infarction patients with non ST-segment elevation(NSTEAMI) and with ST-segment elevation(STEAMI) NSTEAMI and STEAMI using STI． Methods: Nineteen patients with NSTEAMI(group A) and 31 patients with STEAMI(group B)， who had acute myocardial infarction(AMI) for the first time and have been treated by PCI， were enrolled in this study． High frame rate two-dimensional images were collected from LV short views at the basal level and the apical level， and the parameters of rotation and torsion were calculated using STI in those patients at one week and three months after PCI． So were the 27 normal controls(group C)． Results: The apex was counterclockwise movement and rotation value was positive， and the base was clockwise movement and rotation value was negative in group A， B and C． Compared with group C， the values of apical rotation， basal rotation and LV twist were decreased in group A and STEAMI group at one week after PCI(P<0.05)， especially in group B． Those parameters were increased in group A and B at three months after PCI， and the apical rotation in part of segments was significantly improved in group A compared with one week after PCI(P<0.05)． Conclusion: The rotation of apex and base and LV twist were severely damaged in patients with different transmural extent of myocardial necrosis． There are significant improvements of those parameters in group A than that in group B after PCI for a long time．
2014 Vol. 25 (4): 237-239 [Abstract] ( 639 ) HTML (0 KB)  PDF  (0 KB)  ( 200 )
240 Comparative study of CTA between isolated peripheral arterial dissection and aortic dissection
LU Jun-ying;XU Qian;GUO Zhi-jun;CHI Hong-wei;ZHAO Bao-fang;CHEN Yan-fang
DOI:
Objective: To investigate the different imaging features between isolated peripheral arterial dissection and aortic dissection. Materials and Methods: CTA images were retrospectively analyzed for isolated peripheral arterial dissection in 22 cases and aortic dissection in 25 cases, and then imaging features were compared. Results: The true lumen, false lumen and involved length of arterial dissection could be clearly distinguished from CTA images of aortic dissection and isolated peripheral arterial dissection. Most patients of the two groups could be found varying degrees of atherosclerosis. Between the two groups, there were statistically significant difference in the ratio of false-true lumen, the involved length of artery and the incidence of atherosclerosis, P<0.05. Conclusion: Isolated peripheral artery dissection often occurred on the basis of atherosclerosis, and the affected artery was limited, and the true lumen is often greater than the false lumen. Its condition was relatively stable, and its imaging features existed obvious differences from aortic dissection.
2014 Vol. 25 (4): 240-242 [Abstract] ( 658 ) HTML (0 KB)  PDF  (0 KB)  ( 232 )
243 Quantitative analysis of early liver fibrosis in rats by 13N-NH3·H2O PET/CT
HAN Ting-ting;DU Ming;ZHANG Xin;CAO Li;LI Hong;ZHAO Zhou-she;XIN Jun;GUO Qi-yong
DOI:
Objective: To investigate the value of 13N-NH3·H2O PET/CT in quantitative diagnosis of early liver fibrosis. Methods: Using 13N-NH3·H2O as imaging agent and acetazolamide(ACZ) as inhibitor, 5 rats of control group and 12 rats of liver fibrosis(7 of stage S1 and 5 of stage S2+S3+S4) undertook dynamic PET/CT scan. With data reconstruction and imaging analysis, we calculated the uptake rate of 13N-NH3·H2O by livers in the two groups at time points of 20 s, 90 s, 5 min, 10 min, 15 min, 20 min and 25 min. Blood perfusion, interstitial diffusion and 13N-NH3·H2O uptake were compared between the two groups at different time points. Results: The SUV of S0 at time points of 10 min and 15 min, S1 at 20 s, S2+S3+S4 at 10 min, 15 min, 20 min and 25 min showed statistical difference before and after using the inhibitor(ACZ). The SUV of each group at any time point had no obvious difference. Conclusion: 13N-NH3·H2O PET/CT combined with ACZ can diagnose early liver fibrosis and staging of liver fibrosis.
2014 Vol. 25 (4): 243-247 [Abstract] ( 732 ) HTML (0 KB)  PDF  (0 KB)  ( 210 )
248 The initial clinical study of acoustic radiation force impulse imaging in quantitative evaluatingthe degree of primary biliary cirrhosis
ZHANG Da-kun;ZHAO Yuan-yuan;CHEN Min;LIU Yang;LI Meng;ZHOU Yi-ming;ZHAO Hong-wei
DOI:
Objective: To investigate the clinical diagnostic value of the acoustic radiation force impulse (ARFI) technique in the quantitative evaluation of primary biliary cirrhosis(PBC). Methods: Fifty eight patients with PBC and 30 normal healthy controls were examined using ARFI technique. ARFI was compared by correlation with liver pathological grades in PBC. Referring to the histological stage on liver biopsy, the ARFI value was assessed by using receiver operating characteristic(ROC) curve analysis. Results: The parameter of ARFI was significantly higher in PBC group((2.05±0.70) m/s) than that in control group((1.02±0.18) m/s, P<0.01). The liver stiffness at ARFI sono-elastography were (1.64±0.58)m/s for the patients with group Ⅰ, (1.83±0.53) m/s for those with group Ⅱ, (2.37±0.65) m/s for those with group Ⅲ, and (2.68±0.67) m/s for those with group Ⅳ, respectively. This results showed that the ARFI values were significantly different(P＜0.01) among the different stages of PBC. A positive correlation was found between the stiffness of the liver and the pathological grade of PBC(r=0.57, P<0.01). The ARFI cut-off that best distinguished group of cirrhosis from patients with PBC was 2.05 m/s(accuracy: AUC=0.81). Conclusion: ARFI technique not only can examine the stiffness of the liver noninvasively, but also has potentially valuable for quantitative evaluating the degree of PBC.
2014 Vol. 25 (4): 248-251 [Abstract] ( 548 ) HTML (0 KB)  PDF  (0 KB)  ( 378 )
252 Correlation research between pancreatic fat accumulation and abdominal fat through 64 rows of VCT
ZENG Yan-hong;REN Jin-jun;CHEN Yan-fang;MEN Ming;TENG Xue-rong;CHI Hong-wei
DOI:
Objective: To measure and analyze the amount of the fatty tissue in pancreas and abdominal fat content through 64 multislice VCT. Try to find out the relationship between abdominal obesity and pancreatic fat accumulation. Materials and Methods: The measurements of the relevant parameters in 81 healthy adults through 64 multislice VCT were analyzed retrospectively. The 81 healthy adults were divided into 3 groups that is normal, overweight and obesity groups, according to the body mass index(BMI). Firstly, the density of the pancreas and pancreatic volume were analyzed. Then the correlation between the density of pancreas and other related parameters were analyzed. Results: The density of pancreas in the normal group was obviously higher than those of the overweight and obesity groups, the difference was statistically significant(P<0.01). The difference of the pancreatic density between the overweight and obesity group also had statistical significance(P<0.05). The average density of the pancreas in the 81 healthy adults was (42.41±42.41) HU which was significantly negative correlated with age, abdominal fat content(P<0.001), but the correlation of the density of pancreas and the subcutaneous fat volume had no statistical significance(P>0.05). Conclusion: With the increase of abdominal fat, the pancreas volume change is not obvious, but the reduce of density of the pancreas is significant. Thus it is obvious that the degree of pancreas fatty infiltration increase closely with abdominal obesity.
2014 Vol. 25 (4): 252-255 [Abstract] ( 483 ) HTML (0 KB)  PDF  (0 KB)  ( 199 )
256 Diagnostic value of prenatal ultrasound for fetal holoprosencephaly
DENG Feng-lian;GUO Yan-li;DUAN Ling-min;LI Rui;XUE Ya-fang;FENG Yu-jie;LIU Jian-jun;ZHONG Hua;WANG Yan
DOI:
Objective: To investigate the clinical significance of antepartum ultrasound in holoprosencephaly(HPE) diagnosis. Methods: A total of 34 fetuses diagnosed as HPE from 2007 to 2013 in our hospital. Sonographic features and postpartum results were analysed retrospectively. Results: Among the 34 fetuses, 21 cases were diagnosed as alobar HPE, 5 cases as semilobar HPE, and 8 as lobar HPE. The characteristic ultrasound findings in alobar HPE were related to the single primitive ventricle, fused thalami, and absence of midline structures; semilobar HPE were related to the single primitive ventricle, partial fused thalami and partia1 absence of midline structures; and lobar HPE were related to the absence of septum pellucidum cavity, and fused anterior horn of lateral ventricle． There were 23 cases combined with other craniofacial malformations, 8 with cardiovascular malformations, 4 with kidney malformations, 1 with spina bifida, 6 with limbs abnormality, 3 with subcutaneous edema, 6 with single umbilical artery, 1 with umbilical cord cyst, 2 with absence of stomach, 5 with polyhydramnios and 2 with oligohydramnios. Ten karyotype analysis resulted in 3 Trisomy 13, 1 Triploid and 5 normal. Conclusions: Prenata1 ultrasound is a useful tool in diagnosing HPE with highly accuracy. It is necessary to undergo antepartum ultrasound for the pregnant women． The antepartum ultrasound is an effective method to screen HPE.
2014 Vol. 25 (4): 256-259 [Abstract] ( 589 ) HTML (0 KB)  PDF  (0 KB)  ( 209 )
260 The application of transvaginal color Doppler ultrasound in the diagnosis and treatment of cesarean scar pregnancy
DUAN Li-fen;XU Hong;HE Ping;SHAN Li-ping
DOI:
Objective: To explore the adoption valuation of transvaginal color Doppler ultrasonography flow imaging(TV-CDFI) in the diagnosis and treatment of cesarean scar pregnancy(CSP). Methods: The characteristics of TV-CDFI and the different methods of CSP treatment including color Doppler ultrasound-guided punctures(CDUGP) from March 2010 to June 2013 in 45 cases were analyzed. Results: Forty-five cases with CSP were divided into 3 types: gestational sac type(19 cases), mass type(23 cases), mixed type(3 cases). The patients received such treatments as drug intervention by CDUGP(16 cases), curettage of uterine cavity under ultrasound-guidance(3 cases), conservative drug treatment(6 cases), hysteroscopic or laparoscopic treatment and curettage of uterine cavity(12 cases), transuterine artery chemotherapy and embolization(7 cases), transabdominal CSP lesion removal(1 case). Thirty-nine cases were diagnosed correctly, diagnostic accuracy was 86.7%, 6 cases were misdiagnosed, including uterine pregnancy threatened abortion(2 cases), inevitable abortion(1 case), missed abortion(1 case), uterine pregnancy incomplete abortion(1 case), cervix pregnancy(1 case). Conclusions: TV-CDFI is a reliable method for early diagnosing CSP, drug intervention treatment by CDUGP is an effective therapeutic method.
2014 Vol. 25 (4): 260-262 [Abstract] ( 586 ) HTML (0 KB)  PDF  (0 KB)  ( 206 )
263 CT and MR diagnosis of elastofibroma dorsi
YAO Li-hui;DAI Wen-jing;ZENG Qiao;SUN Ling-ling
DOI:
Objective: To assess the value of MSCT and MR in the diagnosis of elastofibroma dorsi(EFD). Materials and Methods: Eight patients with elastofibroma dorsi confirmed by surgery and pathology enrolled into this study. All patients underwent plain chest CT, while 2 underwent contrast enhanced CT and 1 underwent plain chest MR. Clinical features and imaging(CT and MR) characteristics of EFD were analyzed. Results: Eight patients were all female. Five patients had ten lesions bilaterally, on right side 2 patients, on left side 1 patient. All lesions located in the deep subscapular muscle at the scapular angle area in the back. Totally 13 lesions were found on CT. Masses were flat mound-like or semi-circular in shape, mainly were muscular-like density, and fat densities were seen along the long axis of masses, presenting as stripes in all lesions. The masses had irregular edges, and with no clear boundary between adjacent ribs and skeletal muscle. All 4 lesions did not enhance. 1 mass had inhomogeneous signal intensity on MR with intermingled muscle and fat intensities. Conclusion: EFD has its characteristic imaging findings, a definite diagnosis can be made in most patients with CT and MR images.
2014 Vol. 25 (4): 263-266 [Abstract] ( 919 ) HTML (0 KB)  PDF  (0 KB)  ( 276 )
267 A prospective study on the X-ray features and staging of femoroacetabular syndrome
CAI Yi;CHU Dong-hui;YE Sheng-qiang;ZHAO Song-bo;TIAN Zhao-jian
DOI:
Objective: To evaluate the characteristic X-ray features of femoroacetabular impingement(FAI) syndrome and also prospectively establish a diagnostic and staging criteria for FAI syndrome. Methods: Combined with X-ray plain film of the hip joint and scoring method, the X-ray features of the hip in 31 patients with FAI and 3 patients after hip surgery were analyzed for classification and staging. Results: ①X-ray plain film can clearly show the characteristic changes of the hip joint in FAI syndrome. By quantifying X-ray features, 11 items were set up for measurement, scoring and staging of FAI. Low scoring of FAI, the pathological changes were also early and mild. ②Among the 31 FAI patients, 9 patients belong to Cam type impingement, 7 patients were pincer type impingement, 15 patients belong to mixed type. Conclusion: The main X-ray features of FAI are abnormal appearances of the acetabulum, femoral-neck junction. Analysis of the morphological deformation and measurement of the 11 items are valuable for the staging of FAI syndrome.
2014 Vol. 25 (4): 267-271 [Abstract] ( 656 ) HTML (0 KB)  PDF  (0 KB)  ( 198 )
272 Advances in functional magnetic resonance imaging research after stroke
ZUO Zhi-wei;LI Gong-jie
DOI:
2014 Vol. 25 (4): 272-274 [Abstract] ( 607 ) HTML (0 KB)  PDF  (0 KB)  ( 225 )
275 Vascular imaging of head and neck by double low dose CT: a primary clinical study
LV Ren-feng;YU Li-hua;ZHUANG Mei-jun;MIN Nan
DOI:
2014 Vol. 25 (4): 275-277 [Abstract] ( 614 ) HTML (0 KB)  PDF  (0 KB)  ( 180 )
277 BI-RADS rating criteria combined with ultrasound elastography score for differential diagnosis ofbenign and malignant breast tumors value
LI Yan-ling;ZHU Ling;CAI Ting-ting
DOI:
2014 Vol. 25 (4): 277-279 [Abstract] ( 863 ) HTML (0 KB)  PDF  (0 KB)  ( 199 )
279 The comparison of abdominal fat distribution between diabetes mellitus type 1 patients andnormal people of the same age
WANG Ming-liang;ZHU An-hui;YAO Dan;CUI Bin;ZHANG Xiao-jin
DOI:
2014 Vol. 25 (4): 279-281 [Abstract] ( 466 ) HTML (0 KB)  PDF  (0 KB)  ( 186 )
282 The value of virtual touch quantification in the diagnosis of chronic kidney disease
LI Tao;LI Ya-feng;YAN Li-juan
DOI:
2014 Vol. 25 (4): 282-283 [Abstract] ( 619 ) HTML (0 KB)  PDF  (0 KB)  ( 183 )
284 CT findings of renal oncocytoma
CHEN Ling;TIAN Xia-hui;CHEN Fei-fei;LIN Ting;LIANG Wen
DOI:
2014 Vol. 25 (4): 284-286 [Abstract] ( 651 ) HTML (0 KB)  PDF  (0 KB)  ( 333 )
286 Analysis of clinical and X-ray features of ulnar sided wrist impaction syndrome
ZHANG Xue-feng
DOI:
2014 Vol. 25 (4): 286-288 [Abstract] ( 652 ) HTML (0 KB)  PDF  (0 KB)  ( 165 )
288 MSCT manifestation of osteopetrosis
WANG Zhi-jun;YANG Dong-sheng;HONG Bo
DOI:
2014 Vol. 25 (4): 288-290 [Abstract] ( 531 ) HTML (0 KB)  PDF  (0 KB)  ( 188 )
291 Study on clinical application of percutaneous inferior vena cava filter placementunder the guidance of color ultrasonography
ZHANG Bing-yi;ZHANG Yu-lin;PING Jie;NIE Jun;ZHANG Li-wei;ZHANG Ling;XING Bo-yuan
DOI:
2014 Vol. 25 (4): 291-292 [Abstract] ( 616 ) HTML (0 KB)  PDF  (0 KB)  ( 357 )
293 Reasonable option of 3D-CTA intelligent triger monitoring points on head and neck
YAO Li-hua;BIAN Liu-li;LI Jun;WANG Yong-jie
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2014 Vol. 25 (4): 293-295 [Abstract] ( 790 ) HTML (0 KB)  PDF  (0 KB)  ( 224 )
295 Ultrasound diagnosis of fetal Galen venous angioma: report of one case
YE Zheng
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2014 Vol. 25 (4): 295-295 [Abstract] ( 624 ) HTML (0 KB)  PDF  (0 KB)  ( 199 )
296 Solitary plasmacytoma of the skull: report of one case
YUAN Jing;DONG Fei
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2014 Vol. 25 (4): 296-297 [Abstract] ( 542 ) HTML (0 KB)  PDF  (0 KB)  ( 186 )
297 Atypical lipoma of retropharyngeal space: report of one case
FAN Wei;WANG Xiao-ming
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2014 Vol. 25 (4): 297-298 [Abstract] ( 680 ) HTML (0 KB)  PDF  (0 KB)  ( 214 )
299 Active growth of parathyroid adenoma after thyroidectomy: report of one case
LIU Feng-ju;YONG Qiang
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2014 Vol. 25 (4): 299-299 [Abstract] ( 599 ) HTML (0 KB)  PDF  (0 KB)  ( 216 )
300 Misdiagnosis of pulmonary leiomyomatosis as bronchial alveolar carcinoma by PET/CT: report of one case
YAN Jin
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2014 Vol. 25 (4): 300-301 [Abstract] ( 628 ) HTML (0 KB)  PDF  (0 KB)  ( 224 )
301 Ectopic varices with portal hypertension: report of one case
ZHANG Peng;SONG Ji-ye;YANG Jun-yan
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2014 Vol. 25 (4): 301-302 [Abstract] ( 628 ) HTML (0 KB)  PDF  (0 KB)  ( 179 )
302 Ovarian carcinoid with mature cystic teratoma: report of one case
AN Rui-fu;ZHANG Guo-an
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2014 Vol. 25 (4): 302-303 [Abstract] ( 587 ) HTML (0 KB)  PDF  (0 KB)  ( 163 )
304 Multi-ganglioneuroma of intervertebral foramen of cervical,thoracic and lumbar vertebrae: report of one case
HAN Xue-fang;GENG Zuo-jun;CHANG Rui-ting
DOI:
2014 Vol. 25 (4): 304-304 [Abstract] ( 505 ) HTML (0 KB)  PDF  (0 KB)  ( 174 )
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