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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
2011 Vol. 22, No. 2
Published: 2011-02-20
 
       论著
77 The value of 1H-MRS in cerebral glioma
HE Dan;YANG Li;ZHU Qing-feng;LIU Huai-jun;FU Fang-wang;ZHANG Yu-di;LIU Zong-jie;LI Yan-hua
DOI:
Objective: To approach the clinical application value of correspondance quantitative analysis with 3.0T magnetic resonance spectroscopy(1H-MRS) in grading cerebral glioma before operation. Methods: Thirty-two patients with cerebral glioma confirmed by pathological results were performed with 1H-MRS on GE 3.0T magnetic resonance system. The spectral line in the solid area of tumour, peritumor edematous area and normal-area of the opposite side were observed with 1H-MRS. Cho/Cr, NAA/Cr, Cho/NAA, Cho/nCho, Lac/Cr were analyzed. The results of 1H-MRS were compared with the results of pathology. Another 11 subjects were normal control. Results: There were significant differences in Cho/Cr, NAA/Cr, Cho/NAA between solid area of glioma and normal area of the opposite side(2.10±1.04, 0.84±0.44, 2.05±0.70 and 0.87±0.13, 1.43±0.14, 0.61±0.10 respectively). There were significant differences in Cho/Cr, NAA/Cr, Cho/NAA, Cho/nCho, Lac/Cr between solid area in the low grade glioma group and that in the high grade glioma group that is(1.58±0.63, 0.96±0.57, 1.74±0.61, 1.04±0.81, 1.58±0.10 and 2.62±1.45, 0.78±0.31, 3.35±0.89, 2.14±1.77, 2.61±2.75 respectively)(P<0.05). There were also significant differences in Cho/Cr, NAA/Cr, Cho/NAA, Cho/nCho(i.e. 1.43±0.32, 0.82±0.45, 1.22±0.19, 1.23±0.36 and 2.21±0.49, 1.12±0.23, 2.09±0.82, 1.47±1.13) between edematous area in the low grade glioma group and that in the high grade glioma group(P<0.05). Cho/Cr, Cho/NAA, Cho/nCho, Lac/Cr(r=0.42, 0.62, 0.41, 0.26) of solid area of tumor was of positive correlation with the grade of tumor, and NAA/Cr(r=-0.35) was of negative corretation. The correlative coefficient of Cho/NAA(r=0.62) was the maximum and had maximal dependability with grade of tumor. Conclusion: 1H-MRS had very important clinical application value in providing diagnostic support for grading of cerebral glioma before operation.
2011 Vol. 22 (2): 77-82 [Abstract] ( 1053 ) HTML (0 KB)  PDF  (0 KB)  ( 192 )
       病例报告
82 Fetal amniotic band syndrome misdiagnosing gastroschisis: report of one case
LUO Ping;HUANG Yi-hua
DOI:
2011 Vol. 22 (2): 82-82 [Abstract] ( 1270 ) HTML (0 KB)  PDF  (0 KB)  ( 209 )
       论著
83 Comparison of ultrasonography and MR imaging in diagnosing and staging of laryngeal carcinoma
HU Qiao;ZHU Shang-yong;CHEN Gong-quan;ZHANG Zhe;GAO Yong
DOI:
Objective: To compare the value of ultrasonography and MR imaging in diagnosing and T-staging of laryngeal carcinoma. Methods: Ultrasonography and MRI were performed in thirty-six patients with laryngocarcinoma. Histopathologic and surgery findings were performed to validate imaging findings. Results: In 36 patients with laryngeal carcinoma, 34 cases were found by ultrasonography, 32 cases were detected on MRI. The accuracy of ultrasonography and MRI in the diagnosis of T1, T2, T3, T4 staging laryngocarcinoma were 90.9%, 60.0%, 87.5%, 85.7% and 63.6%, 70.0%, 75.0%, 100%, respectively. There were no statistical differences observed in accuracy rating between ultrasonography and MRI(χ2 were 2.329, 0.220, 0.410, 1.077, respectively, all P＞0.10). The overall accuracy rating in T-staging was 80.6% for ultrasonography, and was 75.0% for MRI. There was no significant difference between the two methods in overall T-staging accuracy rating(χ2=0.321, P=0.778). Conclusions: Ultrasonography can provide adequate information with the location, size and infiltration of laryngeal carcinoma, it is a complementary method for laryngoscopy, CT and MR imaging assessment of laryngeal carcinoma.
2011 Vol. 22 (2): 83-85 [Abstract] ( 954 ) HTML (0 KB)  PDF  (0 KB)  ( 534 )
86 The clinical value of metallic stents for malignant airway obstruction
ZHENG Jia-he;LIU Zhao-yu;LU Zai-ming;CHANG Zhi-hui;ZHAO Jian;GUO Qi-yong
DOI:
Objective: To evaluate the feasibility and efficacy of metallic stent for malignant airway obstruction. Methods: Forty patients with airway obstruction and dyspnea caused by malignant carcinoma underwent metallic stents placement. Twenty-three patients underwent additional chemotherapy and radiotherapy. Results: Stenosis of 32 patients were located in the trachea, 33 metallic stents were placed. Stenosis of 8 patients were located in the inferior segment or bifurcation of trachea, Y-shaped metallic stents was placed in each of these patients. The stents expanded sufficiently in 28 patients after immediate placement, and in other 12 patients, stents expanded about 40% to 80%. All stents expanded sufficiently after a week and did not have displacement. The stent disruption happened in 4 patients after 2～4 months of placement, they underwent replacement of stent again. The survial time of 17 patients without any additional therapy was 2～6 months. For the 23 patients who had chemotherapy and radiotherapy, the life span was obviously extended as long as 6～15 months. Single-factor survival analysis of overall survival showed that there was statistical significance between the two groups(P=0.002). Conclusion: Metallic stents are useful for relieving respiratory distress and improving life quality in patients with malignant airway obstruction, additional chemotherapy and radiotherapy can further lengthen existence.
2011 Vol. 22 (2): 86-88 [Abstract] ( 1013 ) HTML (0 KB)  PDF  (0 KB)  ( 180 )
89 Research on the detectable ability of MicroPure system on breast micro-calcifications
CUI Ke-fei;QIN Shi-cheng;HE Xiao
DOI:
Objective: To research the detectability of MicroPure system on breast micro-calcifications. Materials and Methods: Forty-three patients with 96 separate micro-calcifications in breast confirmed by the molybdenum target X-ray system were given MicroPure system detection and conventional ultrasound imaging technology respectively. Results: Ninety-four micro-calcifications were detected by MicroPure system, however, there were only 66 micro-calcifications found by conventional imaging technology. There was significant difference between them(P<0.05). Micro-calcifications were found in 30 patients with breast cancer of all the 31 patients with breast cancer by MicroPure system. When compared with conventional ultrasound imaging technology(18 patients), there was significant difference between them(P<0.05). In addition, the results also showed that MicroPure system detected more micro-calcifications(62 lesions) within hypoechoic lesions(64 lesions) than conventional ultrasound imaging technology(40 lesions) in patients with breast cancer. At the same time, the detectability of MicroPure system for micro-calcification in benign and malignant breast tissue was very high. Conclusion: MicroPure system can detect micro-calcifications and has a better visibility for micro-calcifications within hypoechoic lesions, which suggests that the MicroPure system has the ability to discover early breast cancer.
2011 Vol. 22 (2): 89-91 [Abstract] ( 1138 ) HTML (0 KB)  PDF  (0 KB)  ( 219 )
92 MSCT findings in severe influenza A(H1N1) virus pneumonia
GUO Lan-tian;JIANG Xing-yue;XIE Qing-zhi;ZHANG Lin;FAN Wan-feng;MA Zhen-zhen;XING Cheng-yan
DOI:
Objective: To explore the MSCT features in patients with severe influenza A(H1N1) virus pneumonia. Methods: The 64 multi-slices spiral CT images in 20 patients diagnosed as severe influenza A(H1N1) in our hospital were studied retrospectively. Results: ①Most of the lesions in all cases were distributed diffusely and bilaterally, the others located in the middle and lower lobes. ②The CT findings including airway thickening(21/21, 100%), centrilobular nodules(12/21, 57.1%), interlobular septal thickening(9/21, 42.9%), intralobular thin reticulation and micro-nodules(3/21, 14.3%), ground-glass opacity(14/21, 66.7%), single-lobular inflammation(7/21，33.3%), large consolidation(9/21, 42.9%), airway dilatation(5/21, 23.8%). ③Pleural effusion(8/2, 38.1%); lymphadenopathy(9/21, 42.9%); pleural thickening(12/21, 57.1%); effusion of pericardium(1/21, 4.76%). ④The 9 re-examed cases, the imaging findings of the pheumonia changed quickly during the follow-up accompanied with the improvement of clinical symptoms. Three death cases showed centrilobular nodules, consolidation and ground-glass opacity. The others resolved quickly after anti-virus treatment. Conclusions: The 64-slice spiral CT findings of patients with S-OIV(H1N1) are diffuse distribution of bilateral ground-glass opacities and consolidations of lung, most of them showed abnormalities of parenchymal and interstitial tissues. Pleural effusion, lymphadenopathy and pleural thickening were observed. The increasing of ground-glass opacity and consolidation’s range could be the marker of progression of H1N1 infection.
2011 Vol. 22 (2): 92-95 [Abstract] ( 1024 ) HTML (0 KB)  PDF  (0 KB)  ( 221 )
96 MSCT in the diagnosis of the rupture crevasse in traumatic diaphragmatic hernia
HUANG Chun-feng;CAO He-tao;CAI Ting-ting;TAO Jun-hua;HE Xin-hua;LU Rong
DOI:
Objective: To investigate MSCT morphologic characteristics of the diaphragmatic crevasse in traumatic diaphragmatic hernia(TDH). Materials and Methods: The MSCT features of 27 patients with TDH were analyzed retrospectively, which included 21 cases of blunt diaphragmatic hernia(BDH)(all confirmed by surgery) and 6 cases of iatrogenic diaphragmatic hernia(IDH)(2 surgically confirmed). Twenty-seven patients all underwent MSCT scanning, slantwise, projective and linear methods of MPR reconstruction were adopted to observe and compare diaphragmatic crevasse for its display and morphological characteristics. Result: Diaphragm crevasse can display in 21 cases of the 27 cases with slantwise methods of MPR(77.8%), besides 24 cases(88.9%) with projective methods and 20 cases(74.1%) with linear methods, average 77.2%, without difference in coronal or sagittal sites of the last two methods. Of the 27 cases with TDH, the shape of the crevasse was not clearly displayed, 11 ones could not show right side(36.7%, 11/30), 15 ones could not display left side(14.3%, 15/105), t=6.51, P<0.05. Form of diaphragmatic crevasse is mainly classic round, oval or spindle, of which, 16 cases(59.3%), 20 cases(45.5%), 26 cases(59.1%) displayed classic round by tilted method, projective method and linear method in turn, likewise 11 cases(40.7%), 24 cases(54.5%), 18 cases(40.9%) were displayed oval or spindle by three methods above mentioned in turn. Conclusion: The morphological characteristics of break in the most of TDH can be displayed directly or indirectly, the demonstrative situation of tilted method and linear method is similar; and more objective than that of the projective ones.
2011 Vol. 22 (2): 96-99 [Abstract] ( 1676 ) HTML (0 KB)  PDF  (0 KB)  ( 182 )
100 Clinic application of susceptibility weighted imaging in the discovery and diagnosis of focal liver lesions
LI Qiu-yun;XIAO En-hua;LI Hua-bing;BIAN Du-jun;HE Zhong
DOI:
Objective: To investigate the value of susceptibility weighted imaging in the discovery and diagnosis of focal liver lesions. Methods: Eighteen patients with 25 focal liver lesions were collected, all of them were proved by clinic and imaging. It included liver vascular malformation(n=1), hepatocellular carcinoma(n=4), cholangiocellular carcinoma(n=3), metastatic tumor in liver(n=2), liver haemangioma(n=5), and liver cyst(n=3). MR imaging were performed with conventional T1WI, T2WI, SWI and dynamic Gd-DTPA contrast enhanced MRI. The SWI imagings were compared to conventional sequence imagings. 3D MRA were performed in liver vascular malformation(n=1) and post-gadolinium enhanced SWI performed in one liver haemangioma. Results: In liver vascular malformation(n=1), SWI was better than conventional MRI and 3D MRA in discovering abnormal veins. SWI could discover tumor vascular structure and degradation products of blood in hepatocellular carcinoma(n=4), cholangiocellular carcinoma(n=3) and metastatic tumor in liver(n=2). SWI showed homogeneous slight hyper-signal in liver haemangioma(n=5) and liver cyst(n=3), and in comparatively large lesion of which the adjacent vein was compressed. Conclusion: SWI surpassed conventional MRI sequences in discovering liver venous vascular malformation and vascular structure in tumor. SWI is very helpful in differential diagnosis of focal liver lesions. It is a new approach to investigate the internal structures of focal liver lesions.
2011 Vol. 22 (2): 100-104 [Abstract] ( 1119 ) HTML (0 KB)  PDF  (0 KB)  ( 280 )
105 Preliminary experience of dual source, dual energy CT in detection of gout
ZHENG Ling;ZHOU Chang-sheng;ZHANG Long-jiang;LU Li;LIANG Quan;LU Guang-ming
DOI:
Objective: To evaluate the clinical value of dual source, dual energy CT(DECT) in detection of gout. Materials and Methods: Three patients with proven gout and 10 volunteers as controls were included into this study. All subjects underwent foot or hand dual source, DECT scans. The dedicated software of gout was used to analyze the presence of gout and color-coded the gout as green. The presence, number, and distribution of gout were recorded. Results: Multiple intra- and extra-ossicular gouts were discovered in bilateral feet and hands of three patients with clinically proven gout, especially in interphalangeal joint and adjacent soft tissue; while no gout was found in hands and feet of 10 controls. Conclusion: DECT can show and color-coded gout, with potential clinical value.
2011 Vol. 22 (2): 105-107 [Abstract] ( 1590 ) HTML (0 KB)  PDF  (0 KB)  ( 196 )
       综述
108 A review of dual-energy CT: abdominal applications
HU Yi;GUO Qi-yong
DOI:
2011 Vol. 22 (2): 108-111 [Abstract] ( 1027 ) HTML (0 KB)  PDF  (0 KB)  ( 282 )
       短篇论著
112 Multi-slice spiral CT diagnosis of Kimura’s disease in head and neck
TANG Shan-shan;CHEN Yan-ping;YU Guo-wei;ZHANG Ni
DOI:
2011 Vol. 22 (2): 112-114 [Abstract] ( 1017 ) HTML (0 KB)  PDF  (0 KB)  ( 435 )
114 Clinical value of high-frequency color Doppler ultrasonography in the diagonosis of submandibular gland with duct calculi
MA Cai-ye;LI Xing-yun;CHEN Xing-mei
DOI:
2011 Vol. 22 (2): 114-115 [Abstract] ( 1024 ) HTML (0 KB)  PDF  (0 KB)  ( 243 )
116 Internal jugular vein catheterization under the guidance ofcolor Doppler ultrasonography and complication monitoring
LU Hai-juan;ZHONG Hui-qin;WU Xiao-hui;ZHANG Lei
DOI:
2011 Vol. 22 (2): 116-117 [Abstract] ( 1002 ) HTML (0 KB)  PDF  (0 KB)  ( 174 )
118 Pulmonary imaging findings in severe influenza Alpha H1N1
LI Lei
DOI:
2011 Vol. 22 (2): 118-120 [Abstract] ( 977 ) HTML (0 KB)  PDF  (0 KB)  ( 193 )
120 Clinical value of quantitative tissue velocity imaging in the evaluation of left atrial function in diabetes mellitus
ZHOU Chang;ZHOU Jun;ZHU Lei;XIE Han-bo;HE Yong;BAO Rong-hui;WANG Ying
DOI:
2011 Vol. 22 (2): 120-123 [Abstract] ( 1768 ) HTML (0 KB)  PDF  (0 KB)  ( 247 )
124 Imaging and clinical diagnosis of midgut volvulus in neonates
CHEN Rui-gang;ZHU Xiao-nian
DOI:
2011 Vol. 22 (2): 124-126 [Abstract] ( 1750 ) HTML (0 KB)  PDF  (0 KB)  ( 169 )
126 Accuracy of CT scanning and adrenal vein sampling in the diagnosis of aldosterone-secreting adrenal adenomas
LIU Yan;LI Hui;REN Yong-fang;WANG Shan-shan
DOI:
2011 Vol. 22 (2): 126-128 [Abstract] ( 1082 ) HTML (0 KB)  PDF  (0 KB)  ( 196 )
128 Imaging diagnosis and differential diagnosis of adrenal ganglioneuroma
MA Xin-rong;ZHAO Zhen-yu
DOI:
2011 Vol. 22 (2): 128-131 [Abstract] ( 989 ) HTML (0 KB)  PDF  (0 KB)  ( 361 )
131 Predictive value of transvaginal sonographic characteristics for assessing conservative treatment of tubal pregnancy
LEI Lin;BAI Jiao;REN Qing;HAO Ji-ping;CHEN Zhi-hua;ZHENG Dong-ping
DOI:
2011 Vol. 22 (2): 131-133 [Abstract] ( 894 ) HTML (0 KB)  PDF  (0 KB)  ( 201 )
134 Hemodynamics of uterine artery in normal pregnancy during second and third trimester
GAO Xin-ru;ZHANG Yu;WANG Ying-jin;AN Pei-li;MU Shi-gang;ZHANG Rong;AI Hong
DOI:
2011 Vol. 22 (2): 134-136 [Abstract] ( 1307 ) HTML (0 KB)  PDF  (0 KB)  ( 221 )
137 Value of endoscopic ultrasonography in evaluating effects of chemotherapy and radiotherapy on cervical carcinoma
JIA Zhi-ying;WU Xiu-lan;LENG Xiao-ling;ZHANG Lian-hua
DOI:
2011 Vol. 22 (2): 137-138 [Abstract] ( 936 ) HTML (0 KB)  PDF  (0 KB)  ( 222 )
139 Diagnostic value of color Doppler ultrasound in diagnosing lower limb deep venous thrombosis in perinatal period
LV Kang-tai;WU Zheng-qi;WANG Yong-mei;MIAO Li-you;XU Qian-jun
DOI:
2011 Vol. 22 (2): 139-140 [Abstract] ( 971 ) HTML (0 KB)  PDF  (0 KB)  ( 217 )
141 Application value of VR reconstruction in 64 layers spiral CT on adult styloid process syndrome
CHEN Shi-hong;WANG Qing-shan;HE Wei;YANG Wen-ting
DOI:
2011 Vol. 22 (2): 141-142 [Abstract] ( 954 ) HTML (0 KB)  PDF  (0 KB)  ( 181 )
143 A clinical and imaging study on Poncet syndrome
GAO Xiao-ling;WANG Ren-fa;WANG Min
DOI:
2011 Vol. 22 (2): 143-144 [Abstract] ( 964 ) HTML (0 KB)  PDF  (0 KB)  ( 206 )
       病例报告
145 Pseudohypoparathyroidism: report of one case
CHE Zi-gang;GAO Huan;CHAI Shu-bi;CHU Cheng-feng;XU Jia-li;XU Bo-lin
DOI:
2011 Vol. 22 (2): 145-146 [Abstract] ( 947 ) HTML (0 KB)  PDF  (0 KB)  ( 223 )
146 Pulmonary epithelioid hemangioendothelioma: report of one case
LIU Nian-yuan;HE Xiao-peng;HAN Fu-gang;HUANG Xin-wen;YANG Bo
DOI:
2011 Vol. 22 (2): 146-147 [Abstract] ( 928 ) HTML (0 KB)  PDF  (0 KB)  ( 265 )
147 Pulmonary artery sling evaluated by color Doppler ultrasonography: report of one case
ZHANG Hong;ZHAO Yi-yong;SU Chun-ling;WANG Lian-shuang;YUAN Hong-mei
DOI:
2011 Vol. 22 (2): 147-148 [Abstract] ( 951 ) HTML (0 KB)  PDF  (0 KB)  ( 225 )
148 Hepatic paragonimiasis: report of one case
CHEN Hong;WANG Kang-jian;WU Wen-qiao
DOI:
2011 Vol. 22 (2): 148-149 [Abstract] ( 880 ) HTML (0 KB)  PDF  (0 KB)  ( 170 )
149 Cavernous hemangiomas of posterior mediastinum: report of one case
HE Qi-zhou;TANG Ye-zhen;TU Yong-bo;TANG Guang-cai
DOI:
2011 Vol. 22 (2): 149-150 [Abstract] ( 940 ) HTML (0 KB)  PDF  (0 KB)  ( 223 )
150 Huge splenic artery aneurysms with splenomegaly: report of one case
XU Li-jun
DOI:
2011 Vol. 22 (2): 150-151 [Abstract] ( 922 ) HTML (0 KB)  PDF  (0 KB)  ( 254 )
152 Ultrasound diagnosis giant splenic abscess with wall of shell-like calcification: report of one case
TAO Hai-wei
DOI:
2011 Vol. 22 (2): 152-152 [Abstract] ( 967 ) HTML (0 KB)  PDF  (0 KB)  ( 241 )
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