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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
2010 Vol. 21, No. 5
Published: 2010-05-20
 
       论著
305 Clinical application of susceptibility-weighted imaging in the reperfusion of ischemic stroke
YANG Zhi-hong;MIAO Yan-wei;WU Jian-lin;ZHANG Qing;ZHANG Jing-wen;CAI Zhao-cheng
DOI:
Objective: To investigate the imaging evolution of the ischemic stroke in SWI, and evaluate the role of SWI in assessment of reperfusion after ischemic stroke. Methods: Fifty-four patients(30 males, 24 females, age 20~83 years, average 67 years) with cerebral infarction were performed with conventional MRI and SWI. Nine cases of hyperacute infarction(<6 hours), 18 cases of acute infarction(7~24 hours), 18 cases of subacute infarction(1.5~7days), 3 cases of stable stage(8~14days), and 6 cases of chronic infarction(>15days) were recruited in this study. Twenty-one cases with large area of infarction were followed up by SWI in this study. The presence of hemorrhage within the infarction, the extent of hemorrhage and microvascular changes around the ischemic area were observed in the follow-up images. The correlation between the extent of hemorrhage in the infarction region, the number of surrounding microvessels and the NIHSS changes were analyzed. Results: ①Hemorrhage was revealed by SWI in 16 out of 21 massive cerebral infarctions. There was a significant positive correlation between the severe hemorrhage and the NIHSS scores(rs=0.765, P=0.001). ②Among the 21 cases of large area of infarctions, increased microvessels were observed in 10 patients(47.6%). There was no significant correlation between the microvessels and the NIHSS scores changes(rs=0.408, P=0.066). Conclusion: SWI is sensitive in detecting the microbleeds in the infarction, which can be used to predict the evolution of reperfusion injury after ischemic stroke. The microvascular changes reflected on SWI can be used to assess the reperfusion status after stroke, which is helpful in guiding the clinical treatment.
2010 Vol. 21 (5): 305-308 [Abstract] ( 1141 ) HTML (0 KB)  PDF  (0 KB)  ( 202 )
309 Diagnostic value and imaging identities for carotid body tumor by 64-MSCTA
WANG Gang;LU Xing-ru;FENG Ying;WANG Xiao-qi;XU Feng
DOI:
Objective: To study the value, technique and advantages of 64-MSCT angiography in the diagnosis of carotid body tumor. Methods: The CTA results of 14 cases with carotid body tumor confirmed by clinic and pathology were analysed retrospectively. The value of 64-MSCT angiography in the diagnosis of carotid body tumor were discussed. Results: ①Solitary lesion located at the bifurcation of carotid artery with irregular shape, clear edge, and no calcification was displayed in all cases; In arterial phase, the tumor was inhomogeneously evidently intensified with numerous tumor vessels; In venous phase, the enhanced degree of the tumor was lower than that in the arterial phase, tended to be homogeneous. ②The tumor usually was located at the bifurcation of external carotid artery and internal carotid artery. Most of the bifurcation angle was increased obviously. Conclusion: The 64-MSCT angiography has the advantage of convenience in performing, accuracy and specificity in features, is the method of choice in detecting carotid body tumor. Different kinds of reconstruction techniques showed the location, size, shape, and extent of the lesions and displayed the lesion in any directions, clearly displayed the relation between the tumor and carotid artery and show more reliable diagnostic information.
2010 Vol. 21 (5): 309-311 [Abstract] ( 1248 ) HTML (0 KB)  PDF  (0 KB)  ( 431 )
312 MSCT characteristics of single solid tumor in carotid space
HE Xin-hua;CAO He-tao
DOI:
Objective: To explore the features of the single solid tumor in carotid space(CS) and its clinical significance. Materials and Methods: Nineteen cases of neurogenic tumors and 28 cases of lymph node tumors in CS confirmed by surgery, biopsy and clinic (with confirmed primary tumor) were collected. All patients had CT plain and enhanced scans. The transverse and sagittal diameter of tumor in the largest cross-section were measured. Multi-planar reconstruction(MPR) was made along two planes. In the coronal plane and sagittal plane, the transverse diameter, sagittal diameter and longitudinal diameter of tumor were measured. The morphological characteristics of tumor and adjacent relations in the three reconstruction plane were observed and the ratio of the two diameters was calculated. Results: Neurogenic tumor and lymph node tumor were all mainly round in shape. The former caused the lateral displacement of the main neck vessels, the latter caused the medial displacement of the main neck vessels. The average ratio of the two diameters were: 1.22±0.38, 1.18±0.25, t=2.31, P>0.05. In the coronal and sagittal MPR, 15 cases of neurogenic tumors were oval or fusiform, 21 cases of lymph node tumors were round. The “nerve tail sign” was showed in one pole(3 cases) and bipolar(1 case) of 4 neurogenic tumors. In the coronal MPR, the average ratio of the two diameters successively followed by: 2.25±0.98, 1.48±0.38, t=5.27, P<0.05. In the coronal MPR: 2.57±1.06, 1.69±0.45, t=6.22, P<0.05. Conclusion: The axial position is useful in demonstration of the relationship between the tumor and adjacent structures in CS, MPR is useful in demonstration of the morphological characteristics of tumor in CS. A combination of both will further helpful for the diagnosis.
2010 Vol. 21 (5): 312-315 [Abstract] ( 1213 ) HTML (0 KB)  PDF  (0 KB)  ( 408 )
       病例报告
315 Ultrasound diagnosis of mesenteric lipoblastoma: report of one case
MENG Fan-ling;BAI Xu-dong;ZHAO Jing;LIN Wei
DOI:
2010 Vol. 21 (5): 315-315 [Abstract] ( 1106 ) HTML (0 KB)  PDF  (0 KB)  ( 225 )
       论著
316 Diagnostic value of thyroid cold nodules by using 99Tcm-HL91/99Tcm-MIBI imaging
YANG Fan;YUAN Wei-hong;ZHANG Yi;YANG Jian-xian;YUE Jiang-hong;LING Gang-bo
DOI:
Objective: To evaluate the diagnostic value of 99Tcm-HL91 and 99Tcm-MIBI imaging in thyroid cold nodules with the qualitative and semi-quantitative analysis. Methods: 103 patients with cold nodules underwent SPECT tumor imaging before operation. Thirty-five patients underwent 99Tcm-HL91 imaging, 68 patients underwent 99Tcm-MIBI imaging; and then comparing the qualitative and semi-quantitative analysis of the early and delayed images in the two groups. Results: The accuracy and specificity of 99Tcm-HL91 hypoxia imaging in the diagnosis of thyroid cold nodules were higher than 99Tcm-MIBI tumor imaging, there was a significant difference(P<0.001); the sensitivity of the two imaging methods had no significant difference. Conclusion: 99Tcm-HL91 imaging in differentiating malignant from benign thyroid cold nodules is more useful than 99Tcm-MIBI imaging.
2010 Vol. 21 (5): 316-318 [Abstract] ( 1079 ) HTML (0 KB)  PDF  (0 KB)  ( 197 )
319 Assessment of left ventricular systolic synchrony in left heart insufficiency byreal-time three-dimensional echocardiography
YU Xiu-ying;LI Yu-hong
DOI:
Objective: To Discuss the clinical value of real-time three-dimensional echocardiography for studying LV systolic synchrony in patients with left heart insufficiency. Methods: Normal control group consisted of 31 normal subjects, and left heart insufficiency group included 96 patients. Patients in left heart insufficiency group were divided into three subgroups according to LVEF and two subgroups on the basis of QRS width. The former consisted of mild(30), moderate(34) and severe(32) left heart insufficiency patients, and the latter included narrow QRS duration group(32) and wide QRS duration group(64). Real-time three-dimensional echocardiography volume-time curves of all subjects were analyzed, the cut-off value used to define LV systolic dys-synchrony was defined arbitrarily as the mean+3SD of the Tmsv16-SD% value found in normal control group. Results: SDI increased with worsening of LV systolic function(mild, 2.71%±4.52%; moderate, 5.56%±2.22%; severe left heart insufficiency, 7.88%±1.67%; P for trend <0.01); The SDI was higher in patients with mild left heart insufficiency, compared with 1.54%±0.85% in normal subjects(P<0.05); The SDI was significantly higher in patients with moderate, severe left heart insufficiency, compared with normal subjects(P<0.01). Left ventricular systolic dys-synchrony was observed in 6.67%(2,30), 38.24%(13,34), 68.75%(22,32) in patients with mild, moderate, severe left heart insufficiency respectively. There were significant difference between the moderate, severe and mild left heart insufficiency group(P＜0.01); there were difference between the moderate and severe left heart insufficiency group(P＜0.05). Left ventricular systolic dys-synchrony was observed in 56.25%(18,32), 79.06%(50,64) patients with narrow and wide QRS duration group, there were difference between them(P＜0.05). Significantly negative correlation was presented in patients with left heart insufficiency group between LVEF and SDI(r=-0.752, P＜0.001), weak correlation was found between SDI and QRS duration(r=0.256, P=0.011). Conclusion: RT-3DE can be used to assess the left ventricular systolic synchrony and represent a novel technique to identify left heart insufficiency who may otherwise not be considered for CRT.
2010 Vol. 21 (5): 319-323 [Abstract] ( 1169 ) HTML (0 KB)  PDF  (0 KB)  ( 189 )
       病例报告
323 Diprosopus diagnosis by antepratum ultrasound: report of one case
GUAN Yun-ping;ZHANG Yun-luo;ZHOU Wei-wei;FENG Xiao-jing
DOI:
2010 Vol. 21 (5): 323-323 [Abstract] ( 982 ) HTML (0 KB)  PDF  (0 KB)  ( 218 )
       论著
324 Accuracy in measuring ventricular volume: comparison of two methods of volume data ofreal-time three-dimensional echocardiography
DENG Bin-hua;XIE Ming-xing;WANG Xin-fang;ZHOU Yang-yang
DOI:
Objective: To compare the accuracy of measuring the ventricular volume between long-axis plane method and short-axis plane method in real-time three-dimensional echocardiography(VD-RT3DE). Methods: RT3DE was performed in 17 healthy individuals and 24 patients with left ventricular remodeling. Left ventricular end-diastolic volume(LVEDV) and right ventricular end-diastolic volume(RVEDV) were measured off-line by volume-analyzing software long-axis plane method and short-axis plane method and the time of endocardial boundary tracing was calculated as well. LVEDV and RVEDV were compared with values of multi-slice computed tomography(MSCT) respectively. Results: ①Values of LVEDV and RVEDV by long-axis plane method and short-axis plane method both had good correlation with MSCT(P＜0.05). ②The correlations between values of long-axis plane method and MSCT in measuring LVEDV were slightly higher than that of short-axis plane method. In normal group, correlation values of long-axis plane method and short-axis plane method were 0.975, and 0.960 respectively; the correlation values in left ventricular remodeling group were 0.925, and 0.904 respectively. ③The correlations between the values of long-axis plane method and MSCT in measuring RVEDV were apparently higher than that of short-axis plane method. In normal group, correlation values of long-axis plane method and short-axis plane method were 0.933, and 0.797 respectively; in left ventricular remodeling group, the correlation values of long-axis plane method and short-axis plane method were 0.908, and 0.753 respectively. ④The ventricular volume by the same method in left ventricular remodeling group were higher than that of normal group(P＜0.001), the correlations in left ventricular remodeling group were lower than that of normal group. ⑤The time of endocardial boundary tracing by long-axis plane method was shorter than that of short-axis plane method and there was extremely significant difference between the two methods(P＜0.001). Conclusions: RT3DE long-axis plane method can more effectively and accurately measure ventricular volume, which especially has more advantages than short-axis plane method in measuring right ventricular volume.
2010 Vol. 21 (5): 324-327 [Abstract] ( 1159 ) HTML (0 KB)  PDF  (0 KB)  ( 203 )
328 Preliminary evaluation of the gastrointestinal signals elimination in 3D-MRU by using Ferric ammonium citrate
ZHANG Li-ma;XU Ke;REN Ke;SUN Wen-ge;JIN An-yu;QI Xi-xun;LI Yan-liang
DOI:
Objective: To evaluate the elimination of the high signals in gastrointestinal tract by using ferric ammonium citrate(FAC) with appropriate time of inversion recovery(TI) in performing 3D-MRU. Materials and Methods: Twenty-two patients were involved in this study. 3D-MRU imaging were performed in all patients both before and after oral FAC administration. Image assessment was based on the extent to which the gastrointestinal signals were eliminated(contrast effect) and to which the image quality was improved(image effect). Results: After administration, the signal intensity of intestines around left renal hilum decreased from primary 1.10±1.22 to 0.62±0.39, while the signal intensity of intestines around right renal hilum was 0.57±0.32 comparing with 1.28±0.96 before FAC administration. The signal intensity of intestines around right(P<0.05) and left renal hilum(P<0.05) decreased significantly after taking FAC. No significant difference was found on signal intensity decrease between intestines around right and left renal hilum(P>0.05). The image quality was significantly elevated from primary 4.25±1.84 to 7.75±1.84 after administration(P<0.05). Conclusions: The combined use of FAC and appropriate TI can suppress gastrointestinal signals effectively and improve image quality significantly in 3D-MRU.
2010 Vol. 21 (5): 328-330 [Abstract] ( 1270 ) HTML (0 KB)  PDF  (0 KB)  ( 202 )
331 The imaging and pathology of inflammatory myofibroblastic tumor
LV Shao-mao;DUAN Shao-yin;HAN Dan;WANG Jin-an;YE Feng;LIANG Kun-ru
DOI:
Objective: To investigate the imaging and pathology of inflammatory myofibroblastoma(IMT). Methods: Thirteen patients of IMT proved by pathology, in which 10 patients with contrast medium enhancement, and the imaging were analyzed retrospectively. Results: The anatomic locations included mastoid antrum(n=1), lung(n=2), mediastinum(n=2), pharynx(n=1), sinus(n=1), gastric antrum(n=1), esophagus(n=1), liver(n=1), retroperitoneum(n=1), bladder(n=2). Imaging findings were solid masses in eight cases, cystic and solid mass in 5 cases. The majority of cases have a clear boundary. After contrast administration, moderate or marked homogeneous or heterogeneous enhancement, was found. IMT occurred in the head and neck, retroperitoneal space, and 1 case of mediastinum tumor had invasive imaging features. The tumors were mainly composed of spindle shaped fibrous cells and inflammatory cells on pathology, and positive staining for muscle deriving proteins was observed immunohistochemically. Conclusion: Imaging provides accurate anatomic location and helpful information for clinical diagnosis of IMT, yet the definite diagnosis relies on pathological and immunohistochemical study.
2010 Vol. 21 (5): 331-335 [Abstract] ( 1182 ) HTML (0 KB)  PDF  (0 KB)  ( 464 )
331 The imaging and pathology of inflammatory myofibroblastic tumor
LV Shao-mao;DUAN Shao-yin;HAN Dan;WANG Jin-an;YE Feng;LIANG Kun-ru
DOI:
Objective: To investigate the imaging and pathology of inflammatory myofibroblastoma(IMT). Methods: Thirteen patients of IMT proved by pathology, in which 10 patients with contrast medium enhancement, and the imaging were analyzed retrospectively. Results: The anatomic locations included mastoid antrum(n=1), lung(n=2), mediastinum(n=2), pharynx(n=1), sinus(n=1), gastric antrum(n=1), esophagus(n=1), liver(n=1), retroperitoneum(n=1), bladder(n=2). Imaging findings were solid masses in eight cases, cystic and solid mass in 5 cases. The majority of cases have a clear boundary. After contrast administration, moderate or marked homogeneous or heterogeneous enhancement, was found. IMT occurred in the head and neck, retroperitoneal space, and 1 case of mediastinum tumor had invasive imaging features. The tumors were mainly composed of spindle shaped fibrous cells and inflammatory cells on pathology, and positive staining for muscle deriving proteins was observed immunohistochemically. Conclusion: Imaging provides accurate anatomic location and helpful information for clinical diagnosis of IMT, yet the definite diagnosis relies on pathological and immunohistochemical study.
2010 Vol. 21 (5): 331-335 [Abstract] ( 1130 ) HTML (0 KB)  PDF  (0 KB)  ( 200 )
336 Clinical research of using SPECT/CT fusion imaging in differential diagnosis of single spinal ‘hot spot’ abnormality
ZHAO Feng;WANG Ying;ZHAO Qian;HE Li-rong;LIU Bao-jun;LI Juan
DOI:
Objective: To evaluate the value of 99mTc-MDP SPECT/CT fusion imaging in differentiating malignant from benign single spinal radioactive‘hot spot’ abnormality. Methods: There were 131 patients underwent bone scan and SPECT/CT tomography. The diagnosis was made by two doctors from Nuclear Medicine Department. Results: Of the 131 lesions detected in whole body scan, 34(26.0%) were malignant lesions and 94(71.7%) were benign lesions, 3(2.3％) were primary bone tumors. SPECT/CT fusion imaging can supply the precise anatomical location of the conventional bone scan abnormalities. And show the associated location and shape in benign and malignant spinal lesions. It can significantly reduce the false-positive rate of bone scan in diagnosis of bone metastases; diagnosis of types of bone metastases as well. Conclusion: SPECT/CT fusion imaging has significant clinical value in differentiating malignant from benign single spinal radioactive ‘hot spot’ abnormality.
2010 Vol. 21 (5): 336-339 [Abstract] ( 2177 ) HTML (0 KB)  PDF  (0 KB)  ( 276 )
       综述
340 Clinical value of SPECT/CT fusion imaging in differentiated thyroid cancer
HE Ying;PAN Ming-zhi
DOI:
2010 Vol. 21 (5): 340-342 [Abstract] ( 931 ) HTML (0 KB)  PDF  (0 KB)  ( 397 )
       短篇论著
343 Imaging features of central neurocytoma
LIU Si-ping;ZHANG Zong-jun;LU Guang-ming;ZHANG Bo
DOI:
2010 Vol. 21 (5): 343-345 [Abstract] ( 1080 ) HTML (0 KB)  PDF  (0 KB)  ( 196 )
345 The value of 64-slice spiral CT multi-direction adjusting and multi-planar reformation of the inner ear
CAO Shao-dong;WANG Dan;SHEN Bao-zhong;BAI Rong-jie;ZHANG Tong;QIN Hai-yan;XU Yan
DOI:
2010 Vol. 21 (5): 345-348 [Abstract] ( 1031 ) HTML (0 KB)  PDF  (0 KB)  ( 185 )
348 MSCT manifestations of cervical lymph nodes metastasis of papillary thyroid carcinoma
DING Ying-ying;LI Kun;WANG Guan-shun
DOI:
2010 Vol. 21 (5): 348-350 [Abstract] ( 1048 ) HTML (0 KB)  PDF  (0 KB)  ( 189 )
350 VIBRANT dynamic contrast-enhanced subtraction MR image of the breast
ZHU Yue;TAO Li;DUAN Yang;LUO Ya-hong;ZENG Xian-yi;FAN Yi-sha
DOI:
2010 Vol. 21 (5): 350-352 [Abstract] ( 1081 ) HTML (0 KB)  PDF  (0 KB)  ( 204 )
353 Measurment of the normal left atrial volume by SCT
YANG Xiao-jun;YANG Guang-fu;YAO Xiao-qun;HAN Bo;LIU Hui;YAN Xin-cheng;REN Xiao-jun;FU Xian-min;ZHANG Wen-kui;GU Ke-li;ZHANG Bao-qi;CUI Hua
DOI:
2010 Vol. 21 (5): 353-354 [Abstract] ( 1358 ) HTML (0 KB)  PDF  (0 KB)  ( 198 )
355 Heart rate variability and its influence on image quality of 64 multi-slice CT in coronary angiography and its strategy
CHEN Yan-hao;ZHANG Shu-tong;JIN Chao-lin
DOI:
2010 Vol. 21 (5): 355-357 [Abstract] ( 1043 ) HTML (0 KB)  PDF  (0 KB)  ( 200 )
358 Experimental research of 99mTc-H-Annexin V scintigraphy in evaluating the degree ofpathological changes of atherosclerotic lesions in rabbit
SONG Li-ping;HUA Zi-chun;ZHANG Xin;XUAN Nan;XING Hai-yan
DOI:
2010 Vol. 21 (5): 358-360 [Abstract] ( 1091 ) HTML (0 KB)  PDF  (0 KB)  ( 318 )
361 Clinical implications of transient left ventricular ischemic dilation without coronary artery disease in hypertension
ZHENG Hong-ming;CHEN Ying-min;FENG Jue;FANG Feng-ning;WANG Ya-ping
DOI:
2010 Vol. 21 (5): 361-363 [Abstract] ( 2089 ) HTML (0 KB)  PDF  (0 KB)  ( 171 )
363 Echocardiography of primary amyloidotic cardiomyopathy
XU Hui;ZHANG Jun;LI Jun;SU Hai-li;LIU Li-wen
DOI:
2010 Vol. 21 (5): 363-364 [Abstract] ( 1043 ) HTML (0 KB)  PDF  (0 KB)  ( 186 )
365 Early Epirubicin-induced myocardial dysfunction revealed by strain rate imaging andintegrated backscatter technique
GAO Chun-heng;SHEN Wei-sheng;ZOU Da-zhong;ZHANG Hua;DENG Li-chun;YUAN Ming;XI Lei;ZHANG Yao
DOI:
2010 Vol. 21 (5): 365-367 [Abstract] ( 2049 ) HTML (0 KB)  PDF  (0 KB)  ( 221 )
368 Ultrasound-guided percutaneous cholecystostomy for the treatment of acute obstructive suppurative cholangitis
MA Yu-jia;LIU Zhao-yu;LU Zai-ming;ZHANG Jun;WEN Feng;SHAN Ming
DOI:
2010 Vol. 21 (5): 368-369 [Abstract] ( 1134 ) HTML (0 KB)  PDF  (0 KB)  ( 225 )
370 Value of ultrasonography in diagnosing primary intestinal lymphoma
YANG Hua;LI Ying;TANG Shao-shan;LIU Shou-jun;DENG Li-jun
DOI:
2010 Vol. 21 (5): 370-371 [Abstract] ( 1189 ) HTML (0 KB)  PDF  (0 KB)  ( 233 )
372 Ultrasonographic characteristics of normal adult appendix under physiological conditions
DONG Liang;CHEN Jie;FANG Xuan
DOI:
2010 Vol. 21 (5): 372-374 [Abstract] ( 998 ) HTML (0 KB)  PDF  (0 KB)  ( 230 )
374 Imaging diagnosis of pyogenic phalangeal osteomyelitis
LU Zhong-lie;WU Qing-jie
DOI:
2010 Vol. 21 (5): 374-375 [Abstract] ( 1022 ) HTML (0 KB)  PDF  (0 KB)  ( 196 )
       病例报告
376 Mucocele of frontal and ethmoid sinuses with osteoma penetrated into brain: report of one case
ZHANG Gao-feng;LIU Ye;ZENG Yi-cong
DOI:
2010 Vol. 21 (5): 376-377 [Abstract] ( 1001 ) HTML (0 KB)  PDF  (0 KB)  ( 207 )
377 Findings of hereditary pulmonary arteriovenous fistula with cerebral cavernous angioma:report of one case and literature review
SUN Xiao-yan;FENG Chun-sheng;YANG Si-rui;CAO Dian-bo
DOI:
2010 Vol. 21 (5): 377-348 [Abstract] ( 1035 ) HTML (0 KB)  PDF  (0 KB)  ( 209 )
377 Findings of hereditary pulmonary arteriovenous fistula with cerebral cavernous angioma:report of one case and literature review
SUN Xiao-yan;FENG Chun-sheng;YANG Si-rui;CAO Dian-bo
DOI:
2010 Vol. 21 (5): 377-378 [Abstract] ( 1067 ) HTML (0 KB)  PDF  (0 KB)  ( 184 )
378 Ultrasonography of polysplenia syndrome: report of one case
XIANG Gui-shuang;ZHU Hong
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2010 Vol. 21 (5): 378-379 [Abstract] ( 1139 ) HTML (0 KB)  PDF  (0 KB)  ( 253 )
379 Chondromyxoid fibroma of the right mandibular condyle: report of one case
ZHAO Dong-mei;QI Jun;LIU Li-li
DOI:
2010 Vol. 21 (5): 379-380 [Abstract] ( 1044 ) HTML (0 KB)  PDF  (0 KB)  ( 233 )
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