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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. 6
Published: 2008-06-20
论著
381
CT manifestation and measurement of adenoid hypertrophy in children
WANG Fang;SHAO Jian-bo
DOI:
Objective: To explore the clinical value of CT manifestation and methods of measurement of adenoid vegetation in children. Materials and Methods: Nasopharyngeal CT plain scans and dynamic CINE CT scan were obtained in 50 children aged 9 months to 14 years with operation proved adenoid hypertrophy as study group and 50 age and gender matched children without adenoid hypertrophy as control. Measurement of maximum thickness of adenoid/anterior-posterior diameter of nasopharyngeal air space ratio(A/N ratio), effective anterior-posterior diameter of nasopharyngeal air space(D value), effective sectional areas of nasopharyngeal air space(Sn) and difference of Sn on dynamic CINE CT(△S) were carried out at the level of sphenoccipital junction on midline sagittal plane. Results: On the transverse CT, hypertrophy adenoid manifested as soft tissue mass that was symmetric, unilateral or embedded into choana. Measurements of study group were: A/N ratio ranged from 0.61 to 0.86, D ranged from 1 to 2.8mm, Sn ranged from 0 to 97.86mm2 and △S ranged from 0 to 32.54mm2. The correspondent measurements of control group were 0.34~0.61, 7.5~12.2mm, 217.87~623.98mm2 and 175.87~274.02mm2 respectively. Conclusion: CT is much better than the lateral X-ray plain film measurement of nasopharynx in the diagnosis of adenoid vegetation for CT can provide much more information and can clearly depict the nasopharynx and CT CINE is especially useful to reflect the changes of nasopharynx with respiration. A/N ratio and D value can be used as indicators: pathologic adenoid hypertrophy should be considered when there is an A/N ratio greater than 0.71 and a D value less than 3mm.
2008 Vol. 19 (6): 381-384 [
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385
Comparative study of 3D-FIESTA and FRFSE T2WI sequences in MRI efficacy of posterior fossa cranial nerves
WANG Hao-chu;XU Shun-liang;FAN Shu-feng
DOI:
Objective: To compare 3D fast imaging with steady state acquisition(3D-FIESTA) to fast recovery fast spin echo T2WI(FRFSE T2WI) sequences in the imaging of cisternal parts of cranial nerves V~XII. Methods: MRI in 3D-FIESTA MPR and FRFSE T2WI sequences of 40 patients were evaluated retrospectively. 320 pairs of nerves were evaluated. Two radiologists, working independently, divided the imaging findings into 3 grades: 0(not visualized), 1(partially visualized), and 2(completely visualized). Results: The rate of visualization of these cranial nerves with 3D-FIESTA and FRFSE T2WI sequences were as follows(partially and completely visualized): nerve V(100% and 100%); nerve VI(98.75% and 42.0%); nerve VII(100% and 100%); nerve VIII(100% and 100%); nerve IX~XI complex(100% and 74%); nerve XII(95.0% and 3.75%). Conclusion: 3D-FIESTA sequence is superior to FRFSE T2WI sequence in the imaging of cisternal parts of the posterior fossa nerves. 3D-FIESTA sequences can be used for obtaining high-resolution MR cisternography images.
2008 Vol. 19 (6): 385-387 [
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2185
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388
Diagnosis and differential diagnosis of high frequency ultrasonography in cervical cystic lesions of children
JIN Zhong-min;WAN Xia;BI Chun-long
DOI:
Objective: To investigate the high resolution ultrasonographic manifestations of cervical cystic lesions in children. Methods: The ultrasonographic findings of 42 cases with cervical cystic lesions pathologically proved were analyzed retrospectively in all cases. Results: Thyroglossal duct cyst comprised 45.24%(19/42), lymphangioma 35.71%(15/42), branchial cleft cyst 19.05%(8/42). Each kind of the cystic lesions had its predilection site and ultrasonic features. Most of the thyroglossal duct cyst were found adjacent to median line and hyoid bone; lymphangioma in lateral part or above the clavicle, and extended widely; and branchial cleft cyst usually located at upper or middle part of the neck. Most of the thyroglossal duct cyst and branchial cleft cyst were monolocular, while lymphangioma was multilocular. Conclusion: Ultrasonography can display the size, shape and extent of cervical cystic lesions clearly. Ultrasonography is accurate and reliable in the diagnosis and differential diagnosis of cervical cystic lesions.
2008 Vol. 19 (6): 388-390 [
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1424
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391
Comparison of establishing rabbit model bearing VX2 tumor in two methods and its meaning for interventional therapy
SI Guang-yan;ZHOU Shi;WANG Xue-jian;ZHANG Wei;GUO Jian-xing;JIANG Tian-peng
DOI:
Objective: To compare the difference of two methods of establishing rabbit model bearing VX2 liver tumor and explore its meaning for trans-catheter arterial chemoembolization and percutaneous ablation therapy. Method: Forty Japanese white rabbits were divided into two groups randomly, 20 in each group. VX2 tumor pieces mixed with sodium chloride were injected into the liver by laparotomic route in group A and VX2 tumor pieces were implanted under the hepatic capsule in group B. The observation included: ①the liver and abdominal cavity by color Doppler ultrasound after two weeks. ②The growth of tumor in liver and metastasis in the abdominal cavity after killing the rabbits. ③Identify the tumor tissue by HE staining. Differences of the two groups were statistically assessed with χ2 tests. Result: The mean period of surgery and bleeding were not significant in the two groups. The rabbits with liver neoplasms in group A was 11 cases and group B was 19 cases seen by color Doppler ultrasound. The discovery rate of liver mass in group B was higher than in group A(P<0.05). Having liver neoplasms only in the transplanted site of group A was 10 cases and group B was 16 cases. Group B was higher than group A(P<0.05). The cases of successful transplanted carcinoma in group A was 17 and in group B was 19. There were no statistically difference between the two groups(P>0.05). Conclusion: The successful rate of transplanted carcinoma had no significant difference between embedding and injecting method through abdominal incision, but ectopia implantation in the former is few, it suits empirical study of trans-catheter arterial chemoembolization and percutaneous ablation therapy.
2008 Vol. 19 (6): 391-394 [
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1298
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病例报告
394
Ultrasonographic diagnosis of huge stone in parotid gland duct: report of one case
ZHANG Yan-qing;GUO Li-yan;GUAN Jun;YU Jing
DOI:
2008 Vol. 19 (6): 394-394 [
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1380
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论著
395
Follow-up study of echocardiography after interventional therapy of atrial septal defects
DENG Dong-an;HOU Chuan-ju;ZHU Xian-yang;HAN Xiu-min
DOI:
Objective: To assess the follow-up outcome of echocardiography in patients who had interventional therapy of atrial septal defects(ASD). Methods: Of the 778 patients with ASD secundum, 276 were men and 502 women, male∶female is 1∶1.8, age ranged from 2 to 74 years old, mean age (29.6±9.6)years old. All of the 778 ASD patients, 765 patients had central type and single ASD, 13 patients had multiple ASD. In addition, 91 patients accompanied with other malformations. Toshiba Type 6000, Philips IE33 color Doppler ultrasonography and Type 1500 esophagus color Doppler ultrasonography were used. The frequency of detecting probe was 2.5MHz and 5MHz. All the patients after interventional therapy were checked by TTE and inner diameters of the heart chamber were recorded, especially the inner diameter of RVOT and RV. In addition, the closer’s position, residual shunt, valvular regurgitation and cardiac status were observed. Follow-up evaluation was performed in 778 patients by TTE at 1, 3, 6 and 12 months after discharged. The section of TTE was apex cordis and parasternal 4-chamber plane, subappendix 4-chamber and 2-atrium plane, main artery and subappendix short-axis plane. Results: The incidence rate of interventional operation’s complication was 2.3%, including 5 patients had closer shedding, 2 patients had brain infarction, 5 patients had pericardial effusion, 4 patients had residual shunt and 1 patient had pulmonary arteriovenous fistula. Conclusion: TTE had clinical value in follow-up examination for patients who had ASD interventional therapy.
2008 Vol. 19 (6): 395-397 [
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3394
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398
Clinical application of FDG PET/CT to evaluate the therapeutic efficacy of proton radiation therapy in body tumors
LIU Jian;LV Jie;ZHU Bin;ZHAO Tao;SHI Zhi-gang;SUN Bo
DOI:
Objective: To investigate the clinical value of PET/CT for the therapeutic efficacy of proton radiation therapy of body malignant tumors. Methods: Twenty-two patients with body malignant tumors, all are confirmed by pathology or clinic. The 18F-FDG PET/CT scan was performed both before and after proton radiation therapy. With maximal standard uptake value(SUVmax) to evaluate the efficacy of the treatment, conventional CT imaging and clinical follow-up results were analyzed after proton radiation therapy. Results: ①Before proton radiation therapy, 46 lesions were found in the PET/CT imaging of 22 cases with tumor. SUVmax is between 6.9~37(16.36±9.35) and 38 lesions were found in the conventional imaging. ②After proton radiation therapy, the metabolic activity of 46 lesions is decreased with SUVmax dropped 24%~88% between 2.5~24(6.64±5.37). CT and conventional imaging showed that 41%(19/46) tumors were disappeared or reduced, and 59%(27/46) of the tumor did not change significantly. Clinical follow-up of 3~9 months confirmed that 46 lesions have been effectively controlled after the proton radiotherapy. Conclusion: PET/CT can early and effectively evaluate the therapeutic efficacy of proton radiation therapy.
2008 Vol. 19 (6): 398-401 [
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1406
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402
Evaluation of living renal donors before operation using MSCT angiography
PENG Qian;FAN Miao;HUANG Gang;LI Zi-ping;YE Bin-bin
DOI:
Objective: To evaluate the value of MSCT in living renal donors before operation. Materials and Methods: Fifty-five renal donors were undergone three phase enhanced MSCT scanning before operation. MPR, VR, MIP and CTVE reformation were performed to observe renal parenchyma, renal artery, and renal vein. Compared with those operational findings who were performed renal transplatation. Results: One hundred and ten kidneys could be found in 55 cases. Twenty-nine accessory renal arteries were found in 19 cases, renal artery pro-branch in 2 cases, accessory vein in one side in 2 cases, renal vein were pressed by superior mesenteric artery in 1 case, multiple renal cysts in 3 cases, calculus of kidney in 5 cases, renal hamartoma in 1 case were detected. Forty-six donors were coincidence to clinic standard. Conclusion: MSCTA has an important role as a “one-stop” technique for the evaluation of living renal donors, it can replace DSA.
2008 Vol. 19 (6): 402-405 [
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1323
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406
Diagnostic value of hepatic perfusion flow in contrast enhanced ultrasound in various diffuse liver lesions
LI Ya-feng;DUN Guo-liang;LI Tao;JUN Li;LI Jing
DOI:
Objective: To explore the value of detecting the changes of hepatic perfusion flow in diagnosis of diffuse liver lesions by contrast enhanced ultrasound. Methods: Thirty-four patients with various diffuse liver lesions and 20 normal subjects were recruited to be studied as control group. Each subject was administrated with a bolus injection of the ultrasound microbubble agent SonoVue(0.8ml) into an arm vein. The arrival times in the hepatic artery(ATHA), time to peak in the hepatic artery(TTPHA), peak intensity of the hepatic artery(PIHA), arrival times in the hepatic vein(ATHV), time to peak in the hepatic vein(TTPHV) and peak intensity of the hepatic vein(PIHV) were measured with the use of time-intensity curve software. The hepatic transit time(HTT) calculated from hepatic arrival times in the hepatic artery and the hepatic vein was compared with serum markers of hepatic fibrosis. Results: HTT was shorter in acute hepatitis group(P<0.05) and significantly shorter in liver cirrhosis group(P<0.01) than those of the control group. The coincidence rate in evaluating mild or moderate hepatic fibrosis by use of HTT was higher than that by use of serum markers of hepatic fibrosis(P<0.05). Conclusions: Detecting the changes of hepatic perfusion flow by contrast enhanced ultrasound may help the diagnosis of liver diffuse lesions.
2008 Vol. 19 (6): 406-408 [
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409
Diagnostic value of 3D CE LAVA in evaluating focal hepatic lesion
MENG Zhuo;XU Yi-kai;ZHANG Ya-ping;HE Zhuo-kai;JIA Fei-ge
DOI:
Objective: To study the value of 3D contrast enhanced MRI(3D CE LAVA) in the diagnosis of liver carcinoma. Materials and Methods: 3D LAVA dynamic enhanced MR angiography and Gd-enhanced 2D GRE T1WI scanning were performed in 76 cases of liver carcinoma, maximum intensity projection(MIP) and multiplanar reconstruction(MPR) were used for image reconstruction. The visualization of the liver vessels was noted. Result: 3D CE LAVE and images reconstruction showed the contrast enhanced processes of liver neoplasms and hepatic vascular morphology so as to provide evidence for diagnosis and differential diagnosis of hepatic lesions. Conclusion: The performance of 3D CE LAVE is better than Gd-enhanced 2D GRE T1WI scanning and has a successful value not only in lesion detection and characterization for patients with focal liver lesions, but also in being able to provide more information about the details of lesion hemodynamics and hepatic vascular anatomy.
2008 Vol. 19 (6): 409-411 [
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1481
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412
Experimental study on lipid ultrasound contrast agent in imaging and differentiating renal VX2 carcinoma
ZENG Gong-jun;LIU Jian-hua;GAO Yun-hua;LIU Zheng;TAN Kai-bin;WU Mei
DOI:
Objective: To evaluate the imaging capability of lipid ultrasound contrast agent in imaging and differentiating renal VX2 carcinoma. Methods: Fourteen rabbits with VX2 carcinoma of left kidney were scanned by fundamental imaging and second harmonic imaging(SHI) after bolus injection of lipid ultrasound contrast agent(Zhifuxian 0.02ml/kg). The contrast-enhanced effect was estimated with qualitative vision and quantification gray-scale value. Results: The tumor was enhanced 5s after injection of ultrasound agent and lasted for 10~15 minutes. As to the qualitative vision there was statistically significant before and after contrast-enhanced. There was remarkable difference between renal cortex and renal tumor in gray-scale value after injection ultrasound agent. Conclusion: Lipid ultrasound contrast agent can effectively enhance the imaging of renal tumors and improve the detection of specificity.
2008 Vol. 19 (6): 412-414 [
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1450
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415
Clinical application of spinal angiography in diagnosing spinal cord vascular malformation with 64-detector row spiral CT
GAO Si-jia;ZHANG Meng-wei;ZHU Yu-sen;LIU Jing-hong;WANG Zhong-hui;ZANG Pei-zhuo;SHI Qiang;WANG Qiang;LIANG Chuan-sheng;XU Ke
DOI:
Objective: To explore the value of CT spinal angiography in diagnosing spinal cord vascular malformation by 64-detector row spiral CT. Methods: Seventeen patients with initial MR and clinical findings suggestive of spinal vascular diseases underwent CT spinal angiography. Among these, 14 patients were performed DSA later within 1 week, and 7 patients underwent surgical treatment, 6 patients underwent vascular intervention embolotherapy. CT protocol: Toshiba Aquilion 64 Slice CT scanner, 0.5mm thickness, 0.5/r, 120kV, 350mA, choose aortic arch level as inspection position, and use “sure start” technique with CT threshold 180HU. Contrast medium was Iohexol(370mgI/ml), injection velocity 6ml/s, total volume 80ml. CT spinal angiography were evaluated based on disease typing, disease range, feeding arteries, fistulas, draining veins of vascular malformation and compared with DSA and operation results. Results: All of the 17 patients showed clearly the abnormality of spinal cord vessels and the range of lesions by CT spinal angiography. Among them, one patient was diagnosed as arteriovenous fistulas(AVF) by MRI and CT spinal angiography, which was verified by surgical operation. However, DSA didn’t visualize the lesion. One case was diagnosed as AVM complicated with AVF by DSA, but CT spinal angiography could only show AVM, and didn’t visualize AVF. The typing of all the other 16 patients agreed with DSA. Thirteen cases which obtained positive results of CT spinal angiography and DSA displayed 20 feeding vessels. Among them, 16 vessels were displayed correctly by CT spinal angiography, 4 vessels were not visualized, and 2 false-positive results were obtained. Fistulas were not shown in six cases by CT spinal angiography. Draining veins were displayed clearly in all cases, and agreed with DSA. Conclusion: There are great values for CT spinal angiography in diagnosing vascular malformation of spinal cord. It can be a screening exam before DSA, and has a guiding effect on DSA, reducing the amount of time required for DSA.
2008 Vol. 19 (6): 415-418 [
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1625
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419
Imaging analysis and comparison of pathological tissue in spinal tuberculosis
CHEN Kai;CHEN Yu-hui;ZHENG Xiang-dong;YANG Ping-sheng
DOI:
Objective: To explore the MRI, CT, X-ray imaging features of different kinds of pathological tissue in spinal tuberculosis. Materials and Methods: To analyse and compare the pathological tissue of spinal tuberculosis images of MRI, CT, X-ray of which 17 cases were proven by surgery and 12 cases by clinic. Results: There are totally 23 cases with cold abscesses, 26 cases with intervertebral discs destruction, 23 cases with bone sequestration, 10 cases with kyphosis, 15 cases with osteitis, 10 cases with tuberculous granuloma, 9 cases with caseous necrosis which were not liquefied on MRI, CT and X-ray imaging. Conclusion: The types of pathological tissue of spinal tuberculosis can be displayed and discriminated distinctly by MRI, CT and X-ray imaging.
2008 Vol. 19 (6): 419-422 [
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1337
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419
Imaging analysis and comparison of pathological tissue in spinal tuberculosis
CHEN Kai;CHEN Yu-hui;ZHENG Xiang-dong;YANG Ping-sheng
DOI:
Objective: To explore the MRI, CT, X-ray imaging features of different kinds of pathological tissue in spinal tuberculosis. Materials and Methods: To analyse and compare the pathological tissue of spinal tuberculosis images of MRI, CT, X-ray of which 17 cases were proven by surgery and 12 cases by clinic. Results: There are totally 23 cases with cold abscesses, 26 cases with intervertebral discs destruction, 23 cases with bone sequestration, 10 cases with kyphosis, 15 cases with osteitis, 10 cases with tuberculous granuloma, 9 cases with caseous necrosis which were not liquefied on MRI, CT and X-ray imaging. Conclusion: The types of pathological tissue of spinal tuberculosis can be displayed and discriminated distinctly by MRI, CT and X-ray imaging.
2008 Vol. 19 (6): 419-421 [
Abstract
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1209
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225
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综述
423
Research development in MRI of gastric cancer
WANG Song;REN Ke
DOI:
2008 Vol. 19 (6): 423-426 [
Abstract
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1083
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214
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论著摘要
427
Quantitative analysis of contrast-enhanced ultrasound in the detection of thyroid nodules
YUAN Hui;WANG Dan;SONG Jie;NIU Jin-dong
DOI:
2008 Vol. 19 (6): 427-428 [
Abstract
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1126
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228
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428
Measurement of atherosclerotic carotid plaque size using high resolution MRI
WANG Xiao-gang;ZHOU Ding-biao;CAI Jian-ming;CHEN Sui-hui
DOI:
2008 Vol. 19 (6): 428-430 [
Abstract
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1115
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266
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430
Correlation study of the accessory axillary breast ultrasonography with pathology
SUN Wei;ZHAO Shu-dan;ZHANG Hai-ping
DOI:
2008 Vol. 19 (6): 430-431 [
Abstract
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1185
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298
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431
Echocardiographic measurement of cardiac structure and heart function in patients with chronic renal failure
DUAN Xu-wei
DOI:
2008 Vol. 19 (6): 431-432 [
Abstract
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1086
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223
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433
Clinical significance of echocardiography in early diagnosis of atypical Kawasaki disease
XU Hui;ZHANG Jun;LI Jun;LIU Li-wen;LI Hong-ling
DOI:
2008 Vol. 19 (6): 433-434 [
Abstract
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1080
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185
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434
Solid-pseudopapillary tumor of the pancreas: CT findings and pathologic correlation
GAO Wei-min;HU Lian-yuan;LUO Ya-hong
DOI:
2008 Vol. 19 (6): 434-436 [
Abstract
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1144
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369
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436
Role of MSCT in staging and assessing resectability of carcinoma of the gallbladder
SONG Qing-lun;FENG Huai-zhi;FANG Hong-yang;ZHANG Wen-hua;QU Hao;ZHENG Wei
DOI:
2008 Vol. 19 (6): 436-438 [
Abstract
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1223
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209
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438
Utility of 3D ultrasound in abnormal appearance of intrauterine contraceptive device
SHUI Xu-juan;YU Cai-cha;JIAO Yan;ZHANG Li-zhen
DOI:
2008 Vol. 19 (6): 438-439 [
Abstract
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1119
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241
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440
CT value in the diagnosis of female non-genital origin masses in pelvis
XIONG Yan;WEN Yan;LI Feng;LIU Li
DOI:
2008 Vol. 19 (6): 440-442 [
Abstract
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1097
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255
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443
MRI diagnosis and differential diagnosis of spinal type multiple sclerosis
YANG Tao;ZHANG Yan;CHENG Jing-liang;JIN Hui
DOI:
2008 Vol. 19 (6): 443-445 [
Abstract
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1053
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226
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445
Value of combining DR X-ray technique with knee weight bearing position in the diagnosis of osteoarthritic knee
ZHANG Hui;CHENG Xiao-guang
DOI:
2008 Vol. 19 (6): 445-446 [
Abstract
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1142
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309
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病例报告
447
Huge Langerhans cell histiocytosis of the chest wall: report of one case
QI Ying;ZHAO Peng-fei;WANG Xiao-ming
DOI:
2008 Vol. 19 (6): 447-448 [
Abstract
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1129
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301
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448
Value of 64-slice spiral CT angiography in the diagnosis of interrupted aortic arch: report of one case
CHEN Guang-xiang;HUANG Xin-wen;CHEN Hong-liang;TANG Guang-cai;GAO Li-ming;YAN Zhi-gang
DOI:
2008 Vol. 19 (6): 448-449 [
Abstract
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1253
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305
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450
Dilated phase of hypertrophic cardiomyopathy: report of one case
CHENG Xu;LI Dian-fu;WEI Qi;FU Chang-wen;FU Yu
DOI:
2008 Vol. 19 (6): 450-450 [
Abstract
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1155
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267
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451
Analysis of CT appearance of inflammatory pseudotumor of the liver: report of one case
GAO Sen;HE Dan;SONG Shi-qun
DOI:
2008 Vol. 19 (6): 451-452 [
Abstract
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1110
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236
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453
Xanthogranuloma of the mesenteric lymph nodes: report of one case
GAO Jin;YU Jian-qun;XU Chi-wei;CHEN Xiao-bin;HU Qiao-jun
DOI:
2008 Vol. 19 (6): 453-454 [
Abstract
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1912
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208
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454
Osteoblastoma of costa: report of one case
CHEN Xun-gui
DOI:
2008 Vol. 19 (6): 454-455 [
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1046
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244
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456
Prenatal ultrasonography in the diagnosis of fetal pulmonary sequestration: report of one case
LIU Wei;CAI Ai-lu;ZHAO Dan
DOI:
2008 Vol. 19 (6): 456-456 [
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1173
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