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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
2008 Vol. 19, No. 9
Published: 2008-09-20
论著
609
Proton magnetic resonance spectroscopy study of left frontal lobe in vascular dementia
DENG Min;LI Wen-bin;LI Mei;TANG Cui-song;CHANG Cheng
DOI:
Objective: To study the metabolic alterations in left middle frontal gyrus of patients suffering from vascular dementia(VD) with proton magnetic resonance spectroscopy(1H-MRS). Materials and Methods: A single voxsel 1H-MRS was performed in gray matter and subcortical white matter of left middle frontal gyrus in 14 VD patients and 18 healthy age-matched controls using stimulated echo acquisition mode. Results: The VD group showed significant reduction of NAA/Cr ratio(P<0.05) both in regions of gray matter and subcortical white matter of middle frontal gyrus compared with control group. There was no significant differences of Cho/Cr ratio between VD group and control group(P>0.05). The VD group showed a significant correlation between MMSE scores and NAA/Cr ratio, and showed no significant correlation between MMSE scores and Cho/Cr ratio. Conclusion: The reduction of NAA/Cr ratio in gray matter and subcortical white matter of middle frontal gyrus in VD patients could be the metabolic information which is helpful to the early qualitative diagnosis and differential diagnosis of VD.
2008 Vol. 19 (9): 609-611 [
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1188
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612
1H-MRS changes in mild cognitive impairment and Alzheimer’s disease
TANG Cui-song;LI Wen-bin;DENG Min;CHANG Cheng;LIU Jia;ZHONG Yuan
DOI:
Objective: To evaluate the role of proton magnetic resonance spectroscopy(1H-MRS) in the diagnosis of mild cognitive impairment(MCI) and Alzheimer’s disease(AD). Methods: A single voxel 1H-MRS studies were performed to 20 patients with MCI, 20 patients with AD, and 20 normal control volunteers. The mode of spectral acquisition was STEAM technique, localizing 2cm×2cm×2cm voxels in the posterior cingulate gyri, the middle frontal gyrus cortex and the left occipital cortex. The metabolites in the spectra collected for quantification included N-acetyl aspartate(NAA), choline(Cho), creatine(Cr) and myo-inositol(mI). The ratios of NAA/Cr, mI/Cr and Cho/Cr were calculated and compared among the groups. Results: NAA/Cr of the posterior cingulate gyri and the middle frontal gyrus cortex region in AD-MCI group, AD-NC group were significantly different(P<0.05). mI/Cr of the posterior cingulate gyri and the middle frontal gyrus cortex region in AD, MCI and NC groups were significantly different(P<0.05). Conclusion: We found the reduction of NAA/Cr ratio and the increase of mI/Cr ratio in the posterior cingulate gyri and the middle frontal gyrus cortex in patients with AD, but only the increase of mI/Cr ratio in patients with MCI. 1H-MRS could provide biochemical and metabolic information on patients with MCI and AD noninvasively, which is helpful for the early diagnosis of MCI and AD.
2008 Vol. 19 (9): 612-615 [
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1390
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616
MDCT manifestations of normal transverse mesocolon and anatomic basis
LIU Wen-juan;DONG Peng;WANG Bin;CUI Hui;ZHOU Mao-yi;XU Min
DOI:
Objective: Combining general anatomy to investigate the multiple-detector spiral CT(MDCT) manifestations of the normal transverse mesocolon. Materials and Methods: ①CT scan were performed in 41 consecutive patients. Emphasis was placed on the following findings: manifestation of major mesenteric vessels in the transverse mesocolon; location of the transverse mesocolon; fat within the transverse mesocolon; lymph nodes of the transverse mesocolon; the best manifestation level. ②To observe normal transverse mesocolon in 6 patients who had gastric surgery and get emphasis, the following data as: the location of the mesenteric vessels in the transverse mesocolon; the right origin of the transverse mesocolon were noticed. The data of patients’ age and sex were obtained. Results: ①The revealing rate of middle colic artery was 93.0%(38/41), the middle colic vein was 85%(35/41), the gastrocolic trunk was 100%(41/41). On axial MDCT images, the transverse mesocolon appeared as the vessels on the level of the transverse colon under the gastric-colic ligament. It appeared as the vessel net behind the gastro-colic ligament if the transverse mesocolon was oblique, and on the sagittal scans, it appeared as the transverse vessels behind the transverse colic ligament. The attenuation of fat located within the transverse mesocolon was homogenous, the transverse mesocolon was located in the upper and middle abdomen. Eighteen cases showed the small bowel upon the midportion of transverse colon. In 3(7.0%) cases, the normal lymph nodes were revealed in the root of the transverse mesocolon. ②Through general anatomy, pancreas was located in the middle of the two layers of the transverse mesocolon, and the vessels were located on the posterior layer. Conclusion: MDCT can demonstrate the details of the transverse mesocolon.
2008 Vol. 19 (9): 616-619 [
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620
Evaluation of clinical application of 64-slice spiral CT urography
SUN Jian-nan;GAO Li-yuan;LIU Ying;YAO Gang;ZHAO Heng-yu;WANG Xiang-hui;CHEN Xiu-mei;CHI Bao-rong
DOI:
Objective: To evaluate the clinical application value of 64-slice spiral CT in the diagnosis of urologic diseases. Methods: Fifty-two cases suspected urinary system diseases were examined with 64-slice spiral CT and 3D reconstruction of urinary tract were performed. Results: Among the 52 cases, there were 1 case with ureteral fistula, 12 cases with calculus of ureter, 5 cases with carcinoma of ureter, 2 cases with double renal pelvis, 5 cases with carcinoma of renal pelvis, 2 cases with carcinoma of bladder, 3 cases with other diseases. 3D photograph showed clearly not only ureteral figure, intraluminal changes of ureter, sites and causes of obstruction, but also walls and extraluminal changes of ureter at the same time. Conclusion: Figures and all kinds of pathological changes about pelvis, ureter and bladder could be observed by 64-slice spiral CT. More diagnostic information could be provided by 3D photographs. 64-slice spiral CT is a kind of efficient imaging examination in the diagnosis of urinary system diseases.
2008 Vol. 19 (9): 620-622 [
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1493
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623
CT and MRI features of ganglioglioma and clinical pathological analysis
HUANG Qing-ling;LIU Wen;CAI Zong-yao;ZHANG Zong-jun;LU Guang-ming
DOI:
Objective: To better characterize and report the images of the ganglioglioma(GG) in a series of 17 cases. Methods: Clinical and pathologic features of all cases were retrospectively studied. Results: This group included 17 patients. All cases demonstrated solitary lesion. Fifteen lesions located in supratentorial region, 2 lesions situated in the subtentorial region. Among them, 6 lesions located in the temporal lobe, 5 lesions located in the frontal lobe, 2 lesions located in the parietal lobe, 4 lesions located in the corpus callosum, frontal-temporal lobe, left cerebellum and medulla-cervical cord respectively. CT scan of 3 cases disclosed moderate hypodense lesion, 1 isodense, without peritumoral edema, 1 lesion with bone resorption. On MRI 7 lesions displayed gyriform granulose, 5 lesions were elliptical, the rest were irregular in shape. There were 6 mural nodule in 17 lesions. On T1WI the lesions appeared to be hypointense; T2WI, hyperintense or mixed signal; and absence of contrast enhancement. On T2 fluid attenuated inversion recovery weighted images, the margin and the mural nodule of the lesion appeared to be hyperintense. On DWI the lesions appeared to be isointense to hypointense, while the apparent diffusion coefficient(ADC) value was high. Conclusion: The typical neuroradiologic aspect of GG may be helpful for the diagnosis preoperatively.
2008 Vol. 19 (9): 623-626 [
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1423
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627
64-row CT in demonstrating blood supply of primary lung cancer
QI Li-ping;ZHANG Xiao-peng;SUN Ying-shi;CAO Kun;TANG Lei;LI Jie
DOI:
Objective: To investigate the ability of 64-row CT in demonstrating blood supply of primary lung cancer. Materials and Methods: 64-row CT scans were performed in 62 primary lung cancer cases and 30 normal control cases. The contrast-enhanced CT was performed 28~30s after injecting contrast medium. The images reconstructions of VR, MIP and MPR were performed at AW 4.2 workstation. Results: The mean number of bronchial arteries(BA) reconstructed on cancer group was more than that in the control group, 2.6 vs 1.5 per case respectively. 69.3% cases in cancer group displayed only one BA in the right lung and 50% showed more than two BA in the left lung. The BA of R1L2 accounted for 35.5% of lung cancer cases. Seven aberrant BA were detected, which were originated from subclavian arteries and its branches. In 6 cases systemic arteries supplied lung cancers, including 3 cases of intercostal arteries, 2 cases of internal mammary arteries and 1 case of subclavian artery. In lung cancer group, 34 cases could demonstrate tumor vasiformation on MIP reconstruction. The caliber of BA and the total axial areas on the side of the lung cancer were larger than those of the opposite side and of the control group(P<0.05). BA axial area was correlated with tumor size but not with location. Conclusion: 64-row CT can provide information about anatomy and morphology of BA, aberrant BA origin and abnormal systemic artery blood supply of tumors. Tumor vasiformation can be detected with MIP reconstruction. These are helpful for study of blood supply of tumor and transcatheter bronchial arterial chemoembolization of primary lung cancer.
2008 Vol. 19 (9): 627-630 [
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631
Relationship between the GRACE risk score and the risk stratification of myocardial perfusion imaging in patients with unstable angina
TIAN Ai-juan;ZHAO Ming;JI Xiao-peng;YU Jing;ZHOU Dong-li;ZHANG Hong-wei
DOI:
Objective: To investigate the correlation of the risk stratification of 99mTc-MIBI gated stress-rest myocardial perfusion imaging(MPI) and the global registry of acute coronary events(GRACE) risk score in patients with unstable angina(UA). Methods: Thirty-seven patients with determinated UA were enrolled in the study. At first, the GRACE risk scores were evaluated according to the baseline characteristics on admission. And then all the patients received the 99mTc-MIBI exercise or adenosine stress-rest gated MPI in two days. Based on the summed difference score(SDS) and post-stress left ventricular ejection fraction(LVEF) of MPI, the patients were classified into 2 groups: the low risk group and the moderate risk group. The correlation of the risk stratification assessed by MPI and the GRACE risk score were analysed. Results: All the 37 patients completed the 99mTc-MIBI gated stress-rest MPI successfully. Based on the risk stratification of MPI, 24 patients were in low risk group and 13 in moderate risk group. The GRACE risk scores in moderate risk group were obviously higher than those in low risk group(P<0.05). The relevant analysis showed that the GRACE risk score was positively correlated with the summed stress score(r=0.561, P<0.01) and the summed difference score(r=0.623, P<0.01), and had no relation with the summed rest score(r=0.175, P>0.05). Conclusion: In UA patients, the GRACE risk score has certain predicting value in the risk stratification of MPI.
2008 Vol. 19 (9): 631-634 [
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1324
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635
Relationship of power Doppler flow on bladder cancer and depth of tumor invasion
WANG Yan;WANG Xue-mei
DOI:
Objective: To study the blood signal of bladder tumor in power Doppler technique and evaluate the clinical value of power Doppler image(PDI) in examining bladder cancer. Materials and Methods: All 60 patients were examined by ATL-HDI 5000 US system. Then the blood flow characteristics of bladder cancer and the blood flow grades were determined. Some data, such as PSV, EDV, RI, were got from it. The post-operation samples were dyed in HE to confirm the depth of invasion. Results: There were good relationship between PDI blood flow grade, depth of muscle layer invasion, and adjacent tissue invasion, P=0.05. Correlation coefficient was 0.318, 0.355 respectively. RI had significant correlation with depth of muscular layer invasion, P=0.01, and correlative coefficient was 0.540. RI correlated well with adjacent tissue invasion, P=0.05, the correlation coefficient was 0.282. As the depth of muscular layer and adjacent tissue invasion increased, the blood flow signals within tumor increased, RI was rising too. PSV, EDV had no correlation with depth of muscular layer invasion. Conclusion: The more blood signals within tumors, the more tendency of invasion to muscle and adjacent tissue. RI is rising too, which shows RI has some values in determing the nature of bladder cancer.
2008 Vol. 19 (9): 635-637 [
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1211
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638
Imaging features of cystic tumors of the pancreas with multi-slice CT: compared with pathology
TANG Ping;XIAO Li;WANG Wei;YIN Yu-lei;WU Wei-lan;HUA Yan-qing;ZHANG Guo-zhen
DOI:
Objective: To explore the imaging features and diagnostic value of cystic tumors of the pancreas with multi-slice CT(MSCT). Methods: Twenty-one patients confirmed by surgery and pathology were studied retrospectively, including serous cystadenoma(n=5), mucinous cystic neoplasm(n=10, mucinous cystadenoma 5 cases, mucinous cystadenocarcinoma 5 cases), intraductal papillary mucinous tumor(n=3), solid and pseudopapillary tumor(n=3). They all underwent the pre- and post-enhanced multi-phase CT examination with Siemens sensation 4- or 16-slice scanner. Results: ①Five cases of serous cystadenoma all occured in women, of which 4 tumors located in the head of the pancreas and manifested as a multilocular sponge-like mass. Central calcification was seen in 1 case. ②In 10 patients with mucinous cystic neoplasm, 7 cases were female, 8 cases involved the body and tail of the pancreas. Tumors were multilocular or unilocular. Benign cystic neoplasm(cystadenoma) showed a well-defined border with no or small intramural nodule, whereas malignant cystic neoplasm(cystadenocarcinoma) displayed a ill-defined border with larger intramural nodule and peripancreatic infiltration. The dilation of the bile duct and pancreatic duct or distal metastasis could be seen. ③In 3 cases with intraductal papillary mucinous tumor, 2 were women, and in 2 cases the lesion located at the head of the pancreas. Cystic tumors had the grape-like locular appearance and communicated with the dilated pancreatic duct. ④In 3 cases of solid and pseudopapillary tumor, 2 were women which all located in the body and tail of the pancreas. They were young or middle aged. The tumors were well circumscribed, and may be enclosed by thick fibrous capsule. The proportion of the solid part to cystic part of the tumor was changeable. Solid part was heterogeneously enhanced during the arterial phase with progressive fill-in to the lesion during the late phases. Conclusion: MSCT can reveal the pathologic characteristics of cystic tumors of the pancreas and play an important role in diagnosis and differential diagnosis.
2008 Vol. 19 (9): 638-641 [
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1530
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642
Clinical application of 18F-FDG PET/CT imaging after interventional treatments of hepatic malignancies
CHANG Zhi-hui;LIU Zhao-yu;LI Jian-ming;SUN Hong-zan;SHAN Ming
DOI:
Objective: To discuss the application of 18F-FDG PET/CT imaging after interventional treatment of hepatic malignancies. Materials and Methods: Eighteen patients(15 males and 3 females, 36~83 years old and 61.5 years old as an average) who underwent interventional treatments for hepatic malignancies were included in the study. A strong impression of tumor residual remaining or recrudescence was drawn according to clinical symptoms or AFP value but negative findings were got on conventional imaging. A whole body PET/CT examination was performed and the PET/CT results were compared with the final results of histology or close follow-up. Results: Twenty-eight foci were found and finally confirmed. 93.7%(15/16) of the foci inside liver and 100%(12/12) of the foci outside liver could be detected by PET/CT. The detection rate of PET/CT was 96.4%. 18F-FDG PET/CT was able to detect at least 1 lesion in 15 cases. Conclusion: 18F-FDG PET/CT not only can help to confirm those undetectable foci of hepatic malignancies on conventional imaging for recrudescence or newly-onset after interventional treatments, but also is able to show foci outside the liver parenchyma.
2008 Vol. 19 (9): 642-645 [
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646
Effect of transcatheter uterine arterial chemoembolization on VEGF, MVD of cervical carcinoma
ZHANG Guo-ling;ZHAO Xin-jian;GAO Yong-chang
DOI:
Objective: To evaluate the influence of transcatheter uterine arterial chemoembolization on expression of vascular endothelial growth factor(VEGF) and micro vascular density(MVD) of cervical cancer. Methods: Immunohistochemical exam was performed to detect the expression of VEGF and MVD in 42 cases of cervical carcinoma before and after transcatheter uterine arterial chemoembolization. Results: After transcatheter uterine arterial chemoembolization, the expression of VEGF decreased from 67%(28/42) to 35%(15/42), while MVD also decreased remarkably(P<0.05). Conclusions: Transcatheter uterine arterial chemoembolization can decrease expression of VEGF and MVD and may able to suppress the growth and metastasis of cervical cancer.
2008 Vol. 19 (9): 646-648 [
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1281
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649
Diagnostic value of contrast enhanced ultrasound in focal liver lesion
CHEN Hong;YANG Shu-ping;WANG Kang-jian
DOI:
Objective: To explore the diagnostic value of contrast enhanced ultrasound(CEUS) in focal liver lesion. Methods: SonoVue was injected in 149 patients with focal liver lesion, and the technique of CEUS was performed. The enhancement features were observed. Results: 149 cases with focal liver lesion were detected. Malignant focal liver lesions had characteristic contrast pattern, and were easy to be diagnosed. However the benign focal liver lesions had no characteristic contrast pattern except some diseases, such as hemangiomas and FNH. Conclusions: Contrast enhanced ultrasound has high value in diagnosing focal liver lesion, especially in differentiating malignant or benign focal liver lesions.
2008 Vol. 19 (9): 649-651 [
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1274
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652
Clinical application of MR oviduct water imaging
ZHAO Xiao-hua;ZHANG Yan-ling;XIAO Xue-hong;LU Peng;CHENG Feng;WANG Jian-jian;DONG Yan-jiang
DOI:
Objective: To explore the technology of MR water imaging of the fallopian tube and its clinical application. Methods: Seventy cases of oviduct water imaging with heavy T2, the technology of FSE and STIR were used. The image was handled by 3D maximum idensity projection(MIP). Thirty-two cases were patients with adnexa cystic lesions found by vagina B-ultrasound, 33 cases were dysgenesia, 5 cases were volunteers who were healthy unmarried young woman students of university, salpingography were operated in 43 cases. Results: Thirty-one cases(56 oviducts) of hydrosalpinx were found in the 71 cases, 55 oviducts of dropsy were confirmed by HSG, 2 oviducts of dropsy were confirmed by operation. Conclusion: MR oviduct water imaging can reveal dilated dropsy oviduct, and plays an important role in the diagnosis of hydrosalpinx.
2008 Vol. 19 (9): 652-654 [
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1362
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655
Research on femoral neck BMD with CAD based on QCT data
ZHAO Heng;PAN Shi-nong;ZHAO Kai;PAN Xiao-guang;LI Hong;ZHAO Yue;YUE Yong;GUO Wen-li;LIAO Wei;KANG Yan;GUO Qi-yong
DOI:
Objective: To evaluate the clinical value of computer-aided diagnosis(CAD) based on QCT data in bone density measurement, through analyzing the correlation of trabecular bone mineral density(BMD), integral BMD, cortical BMD measured by CAD based on QCT data and BMD measured by DXA. Materials and Methods: BMD of femoral neck in 50 patients was measured. Trabecular, integral, cortical BMD were measured by CAD based on QCT data and by DXA. SPSS was used to analyze their relationship. Results: The correlation of trabecular BMD, integral BMD, cortical BMD measured by CAD based on QCT data and BMD measured by DXA were at a high level of significance(P<0.001). The correlation of trabecular BMD measured by CAD based on QCT data and BMD measured by DXA was the highest(r=0.873). Conclusion: CAD based on QCT data could automatically and accurately calculate the femoral neck BMD. It is a useful method to measure BMD.
2008 Vol. 19 (9): 655-657 [
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1376
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综述
658
Clinical application of radionuclide imaging in the diagnosis and therapy of cardiomyopathy
SUN Mu-chuan;LI Na;LI Ya-ming
DOI:
2008 Vol. 19 (9): 658-660 [
Abstract
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1205
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247
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论著摘要
661
Image diagnosis of pulmonary sequestration(report of 17 cases)
DONG Zhi-ming;HAN Bang-cheng;HAN Chang-li;ZHENG Guo-jiang;SUN Lian-ying;LI Shuo-feng
DOI:
2008 Vol. 19 (9): 661-663 [
Abstract
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2189
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294
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663
Air trapping at thin-section CT: diagnostic value of expiratory scans and clinical significance
GENG Chang;ZHAO Bao-ying;BAI Bo;LI Qin-tong;KANG Peng
DOI:
2008 Vol. 19 (9): 663-665 [
Abstract
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1541
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399
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665
Value of MSCT in the diagnosis of pancreatogenic segmental portal hypertension
PENG Tao
DOI:
2008 Vol. 19 (9): 665-667 [
Abstract
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1161
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267
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668
The therapeutic result of liver carcinoma with only high-intensity focused ultrasound in 18 patients
CHEN Qi-rui;LI Yong-zhong;LI Zhao-xia;HOU Li-wei
DOI:
2008 Vol. 19 (9): 668-669 [
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2067
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244
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670
Comparative study of ultrasonography, CT, MRI in the diagnosis of non-functioning adrenal tumor
TIAN Li-xin;REN Ke;ZHANG Hao;YANG Shao-bo;DONG Ming;TIAN Yu-lin
DOI:
2008 Vol. 19 (9): 670-671 [
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1237
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245
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672
Color Doppler ultrasound in the diagnosis of testicular torsion: report of 37 cases
FU Mao-li;BAI Jie
DOI:
2008 Vol. 19 (9): 672-673 [
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1084
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237
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673
Application of color Doppler image in analysis of the cause of the recurrence of varicosis after varicotomy in lower extremity
CHEN Guang-yong;LIN Yu-dong;HUANG Wei;LIU Li-ping;LIN Hong-shan
DOI:
2008 Vol. 19 (9): 673-675 [
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1276
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675
Imaging findings and misdiagnostic causes of atypical osteoblastoma
KONG Qing-cong;GUO Yuan;DENG Xing-he;WANG Xiao-hong;GUO Yue-fei
DOI:
2008 Vol. 19 (9): 675-677 [
Abstract
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1753
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266
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678
Diagnostic value of 18F-FDG PET/CT in metastatic tumor of spine
MAO Qing-cong;LIU Bing-jiang
DOI:
2008 Vol. 19 (9): 678-679 [
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1235
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230
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病例报告
680
Hemangiopericyte sarcoma of facial region: report of one case
CHEN Guang-xiang;CHEN Hong-liang;TANG Guang-cai;QI Jun;GAO Li-ming
DOI:
2008 Vol. 19 (9): 680-681 [
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1205
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256
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681
Kartagener syndrome: report of one case
MIAO Miao;ZHANG Yan;WANG Hui-ying;ZHANG Wei
DOI:
2008 Vol. 19 (9): 681-682 [
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1291
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682
Hemochromatosis diagnosed by percutanous transhepatic puncture biopsy guided by ultrasound: report of one case
YU Lei;FENG Guo-sheng;HUANG Min;DING Zhi-min;HUANG Zhong
DOI:
2008 Vol. 19 (9): 682-683 [
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1240
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683
Primary bone anaplastic large cell lymphoma detected by bone scintigraphy: report of one case
LIU Bin;KUANG An-ren;ZENG Yu
DOI:
2008 Vol. 19 (9): 683-684 [
Abstract
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1336
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234
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