Office Online  
Journal Online  
  Just Accepted
  Current Issue
  Archive
  Advanced Search
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
2013 Vol. 24, No. 1
Published: 2013-01-20
 
       短篇论著
0 Two-dimension speckle tracking of left ventricular function in patients with acute anterior myocardialinfarction after percutaneous coronary interventions
LIU Nan-nan;REN Wei-dong;SONG Ping-mei;GUAN Xiao-meng;JIANG Bin;QIAO Wei
DOI:
2013 Vol. 24 (1): 0-58 [Abstract] ( 663 ) HTML (0 KB)  PDF  (0 KB)  ( 190 )
       论著
1 Application of transcatheter arterial embolization in nasopharyngeal angiofibroma before operation
CHEN Ji-ming;WAN Ren-jun;ZHENG Hui
DOI:
Objective: To assess the clinical value of preoperative embolization for nasopharyngeal angiofibroma． Materials and Methods: Fifty-six patients with nasopharyngeal angiofibroma confirmed by surgery and pathology were analyzed retrospectively． Among them, 39 patients(surgical operation for 51 times) had superselective external and internal carotid angiographic diagnosis and occluding the terminal branches of the feeding arteries of the tumor from the external carotid artery with particles of liquidized gelfoam, these patients underwent surgery in 1 to 3 days after embolization were set as the embolization group. The other 17 patients(surgical operation for 28 times) were operated directly as non-embolization group. Results: During angiography, a large amount of vascularity and tumor staining were found in the area of tumor in the embolism group. The arteries of supplying blood were from the maxillary branch and/or the pharyngeal ascending br. rising from external carotid artery, which were embolized without serious complications. The average bleeding volume during the operatiom was (1 636.22±1 529.79) mL(range 50～6 000 mL) in the embolization group, while it was (2 816.67±1 154.31) mL(range 500~3 900 mL) in the non-embolization group, with a very significant difference(P<0.05) between the two groups. Conclusion: The preoperative embolization of nasopharyngeal angiofibroma can reduce bleeding during operation, thus can improve the safety of the operation. It should be one of the crucial preoperation measures.
2013 Vol. 24 (1): 1-4 [Abstract] ( 693 ) HTML (0 KB)  PDF  (0 KB)  ( 419 )
5 Measurements of normal cochlear nerve canal, internal auditory canal andcochlear nerve in infants and adults: an imaging study
ZHENG Hui;LI Yu-hua;CAO Wen-jun;LI Hui-min;YU Ling-wei;ZHANG Zhong-yang
DOI:
Objective: Knowledge of the normal cochlear nerve canal(CNC), internal auditory canal(IAC) and cochlear nerve(CN) is necessary during preoperative evaluation for cochlear implantation(CI) in infants. The purpose of this work was therefore to measure the dimensions of the CNC, IAC and CN. In addition the mean values(x±SD) were compared to analyse the difference between infants and adults. Methods: Thirty infants and thirty adults were studied who had underwent HRCT of the temporal bone. Moreover twenty infants and twenty adults were also studied who had underwent MRI of IAC. No patient had a prior history of sensorineural hearing loss(SNHL) and bony abnormalities of the inner ear. The diameters of IAC and CNC were measured on transverse HRCT. And the diameter of the CN in IAC was measured using 3D FIESTA sequence. Mean values were compared between the ears of infants’ and adults, and statistical analysis was done. Results: Mean±SD measurements(in mm) of these structures in infants and adults were as follow: CNC(transverse section) 1.92±0.25 and 1.84±0.19; IAC 4.92±0.69 and 5.04±0.59; CN 1.06±0.08 and 1.02±0.11. There was no significant difference in all of the measurements between infants and adults. Conclusion: There was no difference in the dimensions of CNC, IAC and CN between infants and adults.
2013 Vol. 24 (1): 5-8 [Abstract] ( 682 ) HTML (0 KB)  PDF  (0 KB)  ( 370 )
9 Comparison of BI-RADS and ultrasonic elastography in differentiation of breast lesions
GE Hui;DING Zhong;WANG Mao;LI Cheng-hua;ZHANG Feng;CHEN Han
DOI:
Objective: To compare the diagnostic value of BI-RADS and ultrasonic elastography in the differentiation of breast lesions. Methods: 140 patients with 159 lesions were included in the study. The lesions were scored with BI-RADS and ultrasound elastography(UE) respectively. The pathologic diagnosis was the gold standard. The diagnostic performance of the 2 methods was evaluated with receiver operating characteristic(ROC) curve. Result: The areas under the curve(AUC) of the 2 methods were BI-RADS 0.851, UE 0.887. After ROC comparing, the diagnostic performance of UE was better than that of BI-RADS(P<0.05). The specificity and accuracy of UE were better than those of BI-RADS(P<0.05). Conclusions: The UE could improve the differentiation of breast lesions. The grade of Ⅳ in BI-RADS should be paid more attention.
2013 Vol. 24 (1): 9-12 [Abstract] ( 667 ) HTML (0 KB)  PDF  (0 KB)  ( 293 )
13 Evaluating ventricular systolic synchrony in patients with coronary heart disease byreal-time 3-plane quantitative tissue velocity imaging
SHEN Yan-hua;HE Sheng;SONG Kai;ZHANG Yun-shan;YU Ze-hui
DOI:
Objective: To investigate the clinical value of real-time 3-plane quantitative tissue velocity imaging in ventricular systolic synchrony of coronary heart disease(CHD). Methods: 139 cases proved by coronary angiography were selected for synchronous real-time dynamic image acquisition of tissue velocity imaging, including apical 4-chamber view, apical 2-chamber view and long axis of left ventricle(LV) view. Then parameters such as time of systolic velocity(Ts) in the left and right ventricular walls’ basal segments were measured, and intraventricular and interventricular systolic dyssynchrony was compared. Results: Ts show significant difference in several LV walls’ basal segments among different groups(P<0.01 or P<0.05). Intraventricular and interventricular systolic dyssynchrony had no significant difference(P＞0.05). The ventricular septum Ts had the maximum diagnostic value on coronary artery stenosis when the stenosis was larger than 50%(P<0.01). Conclusion: The real-time 3-plane quantitative tissue velocity imaging used in evaluation of ventricular systolic synchrony has higher sensitivity than conventional echocardiography in the diagnosis of myocardial ischemia.
2013 Vol. 24 (1): 13-16 [Abstract] ( 739 ) HTML (0 KB)  PDF  (0 KB)  ( 238 )
17 Evaluation of diffusion-weighted MR imaging sequences of normal pancreas at 3.0T
YAO Xiu-zhong;FENG Hao;CHEN Wen-fang;RAO Sheng-xiang;SUN Fei;WANG He;ZENG Meng-su
DOI:
Objective: To investigate the artifact and SNR of normal pancreas among different DWI sequences on 3.0T MR scanner. Methods: Thirty normal volunteers underwent conventional T1WI, T2WI with Fatsat., MRCP, DWI and non-enhanced LAVA on 3.0T. Based on SE-EPI sequence and b values=0 and 600 s/mm2, DWI sequences included breath-hold DWI with MPG pulses in X, Y, Z direction(BH600ALL), breath-hold DWI with MPG pulses in Z direction(BH600SI), respiratory-triggered DWI with MPG pulses in X, Y, Z direction(TRIG600), respiratory-triggered DWI with MPG pulses in X, Y, Z direction and inversion recovery for fat saturation(TRIG600+BS), free-breathing DWI with MPG pulses in X, Y, Z direction and inversion recovery for fat saturation(FB600+BS) and breath-hold DWI with MPG pulses in X, Y, Z direction and inversion recovery for fat saturation(BH600+BS). Artifacts and SNR of normal pancreas were statistically investigated and compared among different DWI sequences. Results: Artifacts of normal pancreas showed noticeably statistical difference among different DWI sequences by ANOVA(P＜0.001). Normal pancreas displayed the lowest artifact scores in TRIG600+BS and the highest artifact scores in BH600+BS. SNR of normal pancreas showed noticeably statistical difference among different DWI sequences(P＜0.001); Among six different DWI sequences, TRIG600 had the highest SNR, while BH600+BS had the lowest SNR. The head, body and tail of pancreas had the increasing SNR in all six different DWI sequences and the statistical difference in SNR was noticed between the head and tail of pancreas(P＜0.05). Conclusion: Normal pancreas in TRIG600+BS displayed homogeneous hypointensity, edge sharpness and the superior image quality compared to other five DWI sequences on 3.0T MR.
2013 Vol. 24 (1): 17-22 [Abstract] ( 615 ) HTML (0 KB)  PDF  (0 KB)  ( 189 )
23 Bilateral versus unilateral femoral arterial puncture for uterine artery embolization： a systematic review
JIANG Ying-jie;SU Rui;CHANG Zhi-hui;LU Zai-ming;LIU Zhao-yu
DOI:
Objective: To assess the efficacy and safety of bilateral and unilateral femoral arterial puncture for uterine artery embolization. Methods: We searched the Cochrane Library, MEDLINE, EMbase, CBM(from inception to Jul. 2012). Clinical controlled trials were identified according to the inclusion and exclusion criteria, and then the quality of included trials was accessed, and the data were extracted. Meta-analysis was performed by RevMan 5.0.22 software. Results: Two studys were included. One study involving 57 participants was randomized controlled trial(RCT), the results showed bilateral puncture procedures had less fluoroscopy time and less procedure time, and there was no difference in dose-area product(DAP). Another study was prospective non-RCT included 24 patients, the results showed that bilateral femoral puncture compared with unilateral shortened fluoroscopy time. Moreover there was no statistical difference in the procedure time and DAP between the two groups. Conclusion: Bilateral femoral arterial puncture may be shortened the fluoroscopic time and do not increase postoperative complications, but no evidence supported bilateral femoral puncture can shortened procedure time and reduced DAP compared with unilateral puncture. However, the evidence is not strong enough because of the low quality of the included studies. Thus, more high-quality RCTs are required in the future.
2013 Vol. 24 (1): 23-25 [Abstract] ( 783 ) HTML (0 KB)  PDF  (0 KB)  ( 182 )
26 The value of apparent diffusion coefficient in the assessment of cervical cancer
KUANG Fei;CHEN Zi-qian;ZHONG Qun;FU Li-yuan
DOI:
Objective: To evaluate the potential value of apparent diffusion coefficient(ADC) measurement in the assessment of cervical cancer according to different characteristics of cervical cancer. Methods: 112 patients with cervical carcer underwent diffusion-weighted imaging(DWI) in addition to routine MR imaging and dynamic contrast-enhanced MRI(DCE-MRI) on 3.0T MRI. The ADCs were divided into the following groups: ①different pathologic gradings of cervical cancer(G1, G2, G3); ②squamous carcinoma and adenocarcinoma; ③with or without subsequent recurrence or metastasis; ④early stage(FIGOⅠb/Ⅱa) tumor and advanced tumor(FIGOⅡb, Ⅲ and Ⅳ); ⑤cervical cancer with different lymph node status(0, 1, 2, 3); ⑥cervical cancer with different tumor size(greatest diameter≤2 cm, 2~4 cm, ＞4 cm); ⑦cervical cancer with different age range. All ADCs were calculated from b=0, 600 s/mm2 and b=0, 1 000 s/mm2. Results: There was a statistically significant difference between the ADCs of well/moderately differentiated tumors(G1/2) and poorly differentiated tumors(G3), between the ADCs of squamous carcinoma and adenocarcinoma, between the ADCs of patients with and without subsequent tumor recurrence or metastasis on the two groups of ADC maps. There was no significant difference among the ADCs of the cervical cancer when charactirised by other features(FIGO, lymph node status, tumor size and age groups) on the two groups of ADC maps. Conclusion: The ADC values were reliably in predicting prognosis with high diagnostic accuracy. The ADCs can be used to indicate degree and histologic type of cervical cancer although with some overlaps. The diagnostic accuracy was equal on both ADC maps.
2013 Vol. 24 (1): 26-31 [Abstract] ( 820 ) HTML (0 KB)  PDF  (0 KB)  ( 169 )
32 The application of list-mode in 18F-FDG PET/CT emission scan duration optimisation
FENG Hong-bo;ZHANG Yan-jun;ZHANG Shuo
DOI:
Objective: Discussing the feasibility of optimizing the 18F-FDG PET/CT emission scan duration by using the list-mode acquisition. Method: Both the list-mode and sino 18F-FDG PET/CT examinations were performed on 22 patients with a weight-based injected activity(7.4 MBq/kg). PET images of different emission scan durations from 40 s to 180 s were obtained by the list-mode raw data reconstruction. SUVmax and SUVmean of the liver ROIs of different scan durations were analyzed by using SPSS 16. Result: SUVmax and SUVmean declined as the acquisition duration increased. No significant differences were found among the groups which emission scan durations were more than 80 s. Conclusion: Optimized scan duration improved the examination efficiency. The list-mode acquisition which could reflect the dynamic relationship of emission scan duration and image quality would be an effective method to determine the suitable scan duration.
2013 Vol. 24 (1): 32-34 [Abstract] ( 599 ) HTML (0 KB)  PDF  (0 KB)  ( 167 )
35 A preliminary study of 1H MRS examination for vertebral bony changes in chronic renal failure
GAO Cai-liang;ZENG Nan-lin;DONG Guo-li;YU Ling-an;XIA Cheng-yun;GUO Yong-bang;LIU Nian;LIU Bin;WANG Fei
DOI:
Objective: To prospectively analyze 1H MRS features of the vertebral bony changes in renal failure patients and evaluate its diagnostic value. Materials and Methods: In 64 patients with clinically diagnosed chronic renal failure had 1H MRS of the second lumbar vertebra(L2) as the chronic renal failure group(CRF) and at the same time, 34 age matched healthy volunteers were recruited as control group. The fat fraction percent(FF%) and lipid-to-water(LWR) in ROI of the L2 were quantitatively analyzed. The differences between the two groups were compared, and the correlation with estimated glomerular filtrate rate(eGFR) and ROC curves were analyzed. Results: The mean FF% and mean LWR of L2 in the CRF group were (52.56±10.74)% and 1.25±0.68 respectively. The mean FF% and mean LWR of L2 in the control group were (43.24±12.19)% and 0.85±0.44 respectively. The mean FF% and the mean LWR of the CRF group were higher than those of the control group, the differences between the two groups were statistically significant(t=-3.752, P=0.000 and t=-3.512, P=0.001 respectively). In the CRF group, FF% was negatively related to eGFR(r=-0.264, P=0.035); the LWR was also negatively related to eGFR(r=-0.264, P=0.035). The ROC of FF% was 0.706, confidence internal(CI) was 95%(0.591~0.821), diagnostic critical value was 33.29%, the sensitivity was 0.984, the specificity was 0.296. The ROC of LWR was 0.706, CI was 95%(0.591~0.821), diagnostic critical value was 50.00%, the sensitivity and specificity were 0.984 and 0.296 respectively. Conclusion: 1H-MRS can be used as a non-invasive method to analyze the FF% and LWR of the vertebral body. So it can be used to assess the bony changes indirectly in CRF patients.
2013 Vol. 24 (1): 35-39 [Abstract] ( 669 ) HTML (0 KB)  PDF  (0 KB)  ( 223 )
40 The analysis of the missed diagnosis of the limbs and joint fracture usingradiography in the emergency department
ZHANG Yu-xin;WANG Shu-li
DOI:
Objective: To explore the reasons of the missed diagnosis of the limb and joint fracture using CR system in the emergency department. Methods: Thirty-six cases aged 9~68 years(mean 41.5 years) were included during the period June 2006—April 2011 which caused the dissatisfaction for the missed diagnosis of the limbs fracture in the emergency department. Results: Thirty-eight fractures were missed in the 36 cases, and the correct diagnosis was made by reviewing the radiography on the same day or after 3~11 days(mean 4.9 days). Standard position was taken in 23 cases, and non-standard position in other cases. CT was conducted in 19 cases and MR was performed in 8 cases. Conclusion: The inevitable reasons for missed diagnosis of the limbs fracture at the first examination in the emergency department include: ①Fractures caused anatomic derangement. ②Because of the body position of the patients, fracture is hidden by the bony structure.③Subtle fracture and occult fracture can’t be displayed by plain radiography. So unnecessary clinical dispute can be avoided by taking standard imagingn, fully understanding of the condition that may occur at the time of trauma, closely examine the clinical sign of the patients, close follow-up or further examination.
2013 Vol. 24 (1): 40-43 [Abstract] ( 681 ) HTML (0 KB)  PDF  (0 KB)  ( 169 )
       综述
44 The causes and influencing factors of the partial volume effect in PET imaging
CUI Yan;LI Ya-ming
DOI:
2013 Vol. 24 (1): 44-46 [Abstract] ( 856 ) HTML (0 KB)  PDF  (0 KB)  ( 215 )
       短篇论著
47 The value of ultrasound in the resection of deep cerebral cavernous malformation
CHEN Hong-bing;CEN Bo;TAN An-na;LI Hong-ling
DOI:
2013 Vol. 24 (1): 47-48 [Abstract] ( 737 ) HTML (0 KB)  PDF  (0 KB)  ( 240 )
49 Diagnostic value of high frequency ultrasound and color Doppler for intraocular membranous disease
MA Hong-ying;CHEN Yi
DOI:
2013 Vol. 24 (1): 49-51 [Abstract] ( 626 ) HTML (0 KB)  PDF  (0 KB)  ( 219 )
51 Micropure technology in diagnosing thyroid microcarcinoma
SHI Bo;LI Shi-xing;REN Wei-dong
DOI:
2013 Vol. 24 (1): 51-52 [Abstract] ( 725 ) HTML (0 KB)  PDF  (0 KB)  ( 198 )
53 Features of the thyroid micro-papillary carcinoma on ultrasonography
MENG Bin;ZHU Wen-jun;QUAN Li-juan;JIN Hui-hong;FENG Ping;ZHOU Zhao-liang;XU Ming-min;WANG Ting
DOI:
2013 Vol. 24 (1): 53-55 [Abstract] ( 702 ) HTML (0 KB)  PDF  (0 KB)  ( 232 )
55 Two-dimension speckle tracking of left ventricular function in patients with acute anterior myocardialinfarction after percutaneous coronary interventions
LIU Nan-nan;REN Wei-dong;SONG Ping-mei;GUAN Xiao-meng;JIANG Bin;QIAO Wei
DOI:
2013 Vol. 24 (1): 55-58 [Abstract] ( 684 ) HTML (0 KB)  PDF  (0 KB)  ( 177 )
58 Application of contrast ultrasonography after microwave ablation treatment of malignant liver tumors
ZHANG Li-ying;LI Kai-yan;CUI Xian;ZHANG Ting-ting
DOI:
2013 Vol. 24 (1): 58-60 [Abstract] ( 615 ) HTML (0 KB)  PDF  (0 KB)  ( 239 )
60 Clinical application of modified double-lumen balloon catheter for hysterosalpingography
WU Wei-hua;YANG Ai-jun
DOI:
2013 Vol. 24 (1): 60-62 [Abstract] ( 719 ) HTML (0 KB)  PDF  (0 KB)  ( 224 )
62 Evaluation of fetal pulmonary veins by e-flow echocardiography
ZHOU Li-xia;LU Dong-min;YANG Xue-hui
DOI:
2013 Vol. 24 (1): 62-63 [Abstract] ( 619 ) HTML (0 KB)  PDF  (0 KB)  ( 249 )
64 Value of prenatal ultrasonography in the diagnosis of left isomerism
YE Feng;CHEN Li-min;CHEN Bei-lei;CHEN Rong-rong;DONG Xue-qin
DOI:
2013 Vol. 24 (1): 64-65 [Abstract] ( 641 ) HTML (0 KB)  PDF  (0 KB)  ( 207 )
66 Value of color Doppler ultrasonography in the diagnosis of the cavernous body of penis rupture
YUAN Xin-chun;LUO Li-yun;ZHOU Ai-yun;CHEN Li;DEN Lin-yun
DOI:
2013 Vol. 24 (1): 66-67 [Abstract] ( 676 ) HTML (0 KB)  PDF  (0 KB)  ( 269 )
       病例报告
68 Ultrasonic diagnosis of tumor-like Sj?觟gren’s syndrome of parotid gland: report of one case
LIU Xin-jie;BI Chong-cai;MA Hong-xi;YANG Song-qing
DOI:
2013 Vol. 24 (1): 68-69 [Abstract] ( 644 ) HTML (0 KB)  PDF  (0 KB)  ( 201 )
69 Idiopathic pulmonary hemosiderosis: report of one case
WANG Hong-chao;NING Ai-dong;CHEN Shao-hui
DOI:
2013 Vol. 24 (1): 69-70 [Abstract] ( 666 ) HTML (0 KB)  PDF  (0 KB)  ( 357 )
70 Multiple poorly differentiated synovial sarcoma of chest wall: report of one case
LI Xiao-yan;YANG Quan;LI Xiao-lan
DOI:
2013 Vol. 24 (1): 70-71 [Abstract] ( 615 ) HTML (0 KB)  PDF  (0 KB)  ( 260 )
72 Dextrocardia with bilocular heart: report of one case
JIANG Jing;WANG Xiao-cong;ZHANG Yan-li;PEI Li-ping;YU Wei;SONG Qi
DOI:
2013 Vol. 24 (1): 72-73 [Abstract] ( 735 ) HTML (0 KB)  PDF  (0 KB)  ( 166 )
73 Paraganglioma of the urinary bladder: report of one case
ZHU Yu-chun;ZHOU Wei;ZHANG Huai-xin
DOI:
2013 Vol. 24 (1): 73-74 [Abstract] ( 660 ) HTML (0 KB)  PDF  (0 KB)  ( 364 )
74 CT and MRI diagnosis of hermaphrodite’s hysteromyoma: report of one case
AN Run;QU Yao-dong;ZHU De-yin
DOI:
2013 Vol. 24 (1): 74-75 [Abstract] ( 735 ) HTML (0 KB)  PDF  (0 KB)  ( 360 )
76 Primary leiomyosarcoma(vascular origin) of iliac bone: report of one case
CHEN Fang-ming;CHEN Jin-yong
DOI:
2013 Vol. 24 (1): 76-76 [Abstract] ( 668 ) HTML (0 KB)  PDF  (0 KB)  ( 242 )
Copyright © Editorial Board of JOURNAL OF CHINA MEDICAL IMAGING
Supported by:Beijing Magtech