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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

2007 Vol. 18, No. 4 Published: 2007-04-20

论著

	229	CT diagnostic value of persistent hyperplastic primary vitreous
		HUANG Xin-wen;LV Hong-bin;LAN Yong-shu;ZHENG Ting
		DOI:
		Objective: To evaluate the diagnostic value of CT in persistent hyperplastic primary vitreous(PHPV). Methods: The CT findings of 5 cases with PHPV were analyzed retrospectively. Results: CT scan showed all 5 cases(5 eyes) having microphthalmic, high density signal of vitreous body, and a girdle-shaped or cone soft-tissue band which located from the posterior lens to the papilla optica, and also showed 4 cases(4 eyes) having lens crystalline deform, lens outline not smooth, lens antedisplacement, shallow anterior chamber, high density of lens. But there is no high-density calcification focus in the soft tissue in all 5 cases(5 eyes). Conclusion: The microphthalmus, a girdle-shaped or cone soft-tissue band which located from the posterior lens to the papilla optica, without high-density calcification focus in the soft tissues are the CT manifestation of PHPV. CT can display objective basis for clinical diagnosis and offer valuable reference in diagnosing and differential diagnosing of PHPV.
		2007 Vol. 18 (4): 229-231 [Abstract] ( 1349 ) HTML (0 KB) PDF (1024 KB) ( 683 )

病例报告

	231	Gallbladder myxofibrosarcoma: report of one case
		LIU Dong;LI Feng-hua;GAO Yu-ping
		DOI:

		2007 Vol. 18 (4): 231-231 [Abstract] ( 1061 ) HTML (0 KB) PDF (784 KB) ( 648 )

论著

	232	Feasibility of MSCT in evaluating left ventricular function at the same time of coronary angiography
		GAO Bo;HOU Yang;GUO Qi-yong;YUE Yong;SUN Bao-hai
		DOI:
		Objective: To assess functional parameters of left ventricle by using 64-slice multislice computed tomography(MSCT) and to compare the results of MRI, and investigate the accuracy of data obtained from MSCT coronary angiography in the assessment of left ventricular function. Materials and Methods: End diastolic volume(EDV), end systolic volume(ESV), stroke volume(SV), ejection fraction(EF), and myocardial mass(MM) were calculated based on CT data sets from 20 patients scheduled for noninvasive MSCT angiography of the coronary arteries because of suspected coronary artery disease(CAD). The results from MSCT were compared with MRI. Results: There was no significant difference among the measurements for MSCT and MRI of the ventricular function parameters. A strong correlation between MSCT and MRI(r=0.72~0.92) was found for all parameters. However, EDV, ESV, SV and MM were overestimated with MSCT compared to MRI. While EF was underestimated in MSCT. Conclusions: A strong correlation between MSCT and MRI was found for all parameters. ECG-gated MSCT angiography of the heart is noninvasive assessment of the coronary tree, whereas the analysis of left ventricular parameters provides additional information of cardiac function without further radiation exposure.
		2007 Vol. 18 (4): 232-234 [Abstract] ( 1370 ) HTML (0 KB) PDF (961 KB) ( 794 )

	235	To evaluate the early toxicity effect of anthracycline on heart by transthoracic color Doppler ultrasound
		PIAO Wen-wen;WU Hai-xiang;YU Ping
		DOI:
		Objective: To evaluate the early toxicity of anthracycline on heart through observing the main coronary artery, branches and flow reserve(CFR) by transthoracic coronary artery echocardiography. Methods: Sixty-three patients, who had malignant tumor diagnosed by pathology or cytology(lung cancer), were treated with anthracycline randomly. The same dose of anthracycline was used in the same kind of disease. The left ventricle ejection fraction(LVEF), E/A, the electrocardiogram(ECG), CFR and diameter of the main coronary artery and branches were detected in group before treated with drug and after treatment. Results: The LVEF, E/A, CFR before treated with drug were not altered in the group, the same as the diameters of the main coronary artery, the branching and the ECG. After treatment, the second cycle namely appears the CFR value to reduce, is longer along with the treatment cycle, the CFR value is lower. The third cycle appears E/A value to reduce. The fourth cycle appears the LVEF drop and the ECG change. Conclusion: It is effective to monitor the early toxicity effect of anthracycline on heart by transthoracic coronary artery echocardiography.
		2007 Vol. 18 (4): 235-236 [Abstract] ( 1369 ) HTML (0 KB) PDF (740 KB) ( 799 )

	237	Assessment of the changes of ventricular function in children with simple obesity using Doppler Tei index
		ZHAO Xiao-ning;YANG Xiao-ying;SU Zhen-cheng;XU Hui
		DOI:
		Objective: To assess the changes of left and right ventricular function in children with simple obesity using Doppler Tei index. Methods: Left and right ventricular Tei index, ejection fraction and other indexes were calculated with Aloka SSD-5500 ultrasonic system in 30 normal children and 66 children with simple obesity. Results: The left and right ventricular Tei index are both higher in the children with simple obesity than in the normal children(P<0.01). Conclusion: Tei index can be used to access ventricular function in children with simple obesity, and it is an accurate, practical method.
		2007 Vol. 18 (4): 237-239 [Abstract] ( 1246 ) HTML (0 KB) PDF (938 KB) ( 707 )

	240	Assessment of left ventricular segmental function during acute ischemia reperfusion by strain and strain rate imaging
		LIN Ping;REN Wei-dong;LIU Chang-hong;XIA Dao-zi;WU Jun;WANG Yue-ai
		DOI:
		Objective: We aimed to investigate the feasibility of quantitative evaluation for regional left ventricular contractile function during acute ischemia reperfusion(AIR) using strain and strain rate imaging echocardiography. Methods: Fourteen anesthesia opened-chest dogs were scanned before, ligation, subsequently reperfused for 30min, 60min and 120min. Three complete cardiac cycles were stored in cineloop format of tissue velocity imaging. Off-line left ventricular regional strain and strain rate along long axis using digital workstation were obtained and analyzed the features of strain rate. Left ejection fraction(LVEF), end-diastolic volume(EDV) and end-systolic volume(ESV) were obtained by Simpson biplane method. Results: AIR modes of 12 dogs were successfully established from 14 dogs. The peak systolic strain(εpeak) and the peak systolic strain rate(SRpeak) in ischemic segment was decreased at 30min after left anterior descending coronary artery(LAD) ligation(P<0.05). εpeak and SRpeak was decreased seriously during reperfusion 30min. εpeak and SRpeak increased slightly after reperfusion 60min and 120min, but still decreased than before ligation. There is no significant difference between before and after LAD ligation at LVEF, EDV, ESV(P>0.05). Conclusions: Regional wall motion abnormalities can be evaluated quantitatively and synchronously with high sensitivity by strain and strain rate which has the potential value in early diagnosis of regional myocardial ischemia and reperfusion.
		2007 Vol. 18 (4): 240-242 [Abstract] ( 1245 ) HTML (0 KB) PDF (1122 KB) ( 633 )

	243	MRI and pathological analysis of hepatic focal nodular hyperplasia
		XU Shang-wen;CHEN Zi-qian;QIAN Gen-nian;ZHONG Qun;CHENG Guan-xun
		DOI:
		Objective: To improve diagnostic accuracy of hepatic focal nodular hyperplasia(FNH) by studying MRI multiphase scanning. Methods: A retrospective analysis was made on the unenhanced and dynamic enhanced MR images of 15 patients(totally 16 lesions) with surgical and pathological proved FNH. Results: MR images of 16 lesions always showed appearance with slightly low or isointense on T1-weighted images and isointense or slightly hyperintense on T2-weighted images. All lesions had apparent enhancement in the arterial phase and prolonged enhancement in the portal venous phase and delayed phase. Central scar was found in 5 FNH lesions on unenhanced images and in 11 FNH lesions on dynamic contrast- enhanced images, and demonstrated late enhancement. Conclusion: The unenhanced and dynamic contrast-enhanced MRI scanning can fully show the pathologic and the blood supplying characteristics of FNH and improve differentiating ability from other malignant hypervascular tumors.
		2007 Vol. 18 (4): 243-246 [Abstract] ( 1208 ) HTML (0 KB) PDF (1196 KB) ( 671 )

病例报告

	246	Color Doppler ultrasonography in the diagnosis of allantoic cyst concurrent with infection: report of one case
		GAO Wen-juan;HOU Jing;YU Jie;LI Zhen-ping;HU Ya-nan
		DOI:

		2007 Vol. 18 (4): 246-246 [Abstract] ( 1195 ) HTML (0 KB) PDF (809 KB) ( 555 )

论著

	247	Value of gated myocardial perfusion imaging in evaluating curative effectsof Ad5-HGF transference in swine model of myocardial infarction
		FENG Jian-lin;LI Dian-fu;CHENG Xu;XU Zhao-qiang;ZHANG You-rong;LI Jian-hua;YUAN Dong-lan
		DOI:
		Objective: To study the value of rest 99mTc-MIBI gated myocardial perfusion imaging(G-MPI) in evaluating the curative effects of adenovirus-mediated human hepatocyte growth factor(Ad5-HGF) transference in the swine model of myocardial infarction. Methods: Twenty-five swine were randomly divided into 5 groups: control group, model group and Ad5-HGF-treated group(low, medium and high dose). G-MPI and coronary angiography(CAG) were performed before and after treatment, respectively. Histological examination was also performed at the end of the study. Results: ①The myocardial perfusion and Rentrop scores of the model group and all treated groups were significantly lower than that of the control group before treatment(P<0.01). The score difference before and after treatment between the low dose group and the model group was not statistically significant(P>0.05), whereas the score difference between the medium and high dose group was significantly higher than the model group(P<0.01). ②Left ventricular ejection fraction(LVEF) measured by G-MPI of the model group and all treated groups were significantly lower than that of the control group before treatment(P<0.01). The LVEF difference before and after treatment between the low dose group and the model group was not significant(P>0.05), whereas the LVEF difference of the medium and high dose group was significantly higher than the model group(P<0.01). ③In the medium and high dose group, the number of vessels were significantly more than that of the model group(P<0.01). Conclusion: G-MPI is an excellent tool to evaluate the curative effects of Ad5-HGF transference in the swine model of myocardial infarction.
		2007 Vol. 18 (4): 247-250 [Abstract] ( 1117 ) HTML (0 KB) PDF (978 KB) ( 675 )

	251	Study of 1H-MRS for retroperitoneal neuroblastoma pre- and post-chemotherapy in children
		GAO Yu;LIU Ming;ZHANG Yu-zhen;ZHONG Yu-min;ZHANG Yong-ping;LI Yu-hua
		DOI:
		Objective: To observe the histochemical change of MRS in pre- and post-chemotherapy of retroperitoneal neuroblastoma and predict the resistance or response to chemotherapy by 1H-MRS. Materials and Methods: MRI and MRS were performed in 20 cases pre- and post-chemotherapy. Twelve were boys and 8 were girls, the age ranged from 3 months to 12 years, the mean age was 4.5. The variation of the ratio of mobile lipid and choline pre- and post-chemotherapy were observed. Results: There is a significant difference of the ratio of mobile lipid and choline pre- and post-chemotherapy. Conclusion: The significant change of the ratio of mobile lipid and choline pre- and post-chemotherapy may be as a tool to predict the resistance or response to chemotherapy.
		2007 Vol. 18 (4): 251-253 [Abstract] ( 2523 ) HTML (0 KB) PDF (828 KB) ( 709 )

	254	Renal cell carcinoma diagnosing by 3D-CDE and pathologic analysis
		LIU Yan-jun;WANG Xue-mei
		DOI:
		Objective: To investigate tumor vascular type detecting by CDE and 3D-CDE in renal cell carcinoma patients. Methods: We observed the CDE and 3D-CDE vascular characteristics by Doppler ultrasound in 43 patients with renal cell carcinomas who underwent surgery, the results were compared with pathologic result. Results: Forty-three tumors were found by ultrasonography, in which 23 masses were located in left kidney, the other 20 tumors in right kidney. Pathological results showed that 93.02%(40/43) was clear cell carcinoma, 6.98%(3/43) was granular cell carcinoma. Two-dimensional ultrasonic features were classified by echo partern: hypoechoic in 21 cases(48.8%), mixed echoic in 13 cases(30.2%), hyperechoic in 8 cases(18.6%), cystic in 1 case(2.3%). Vascular type in CDE and 3D-CDE images were divided into two groups: 88.4%(38/43) with rich blood supply and 11.6%(5/43) with poor blood supply. Many peripheral and internal branch vessels were showed in tumors with rich blood supply, mainly in solid and small mixed echoic in sonogram, the other, showed very little blood supply by CDE and 3D-CDE, mainly in bigger mixed echoic and cystic tumors. Conclusions: Tumor internal echoic characteristic can be displayed clearly by ultrasound in renal cell carcinoma patients, and also has good correlations with pathology. 3D-CDE can demonstrate tumor vascular distribution and spatial structure, also may play an important role in diagnosis.
		2007 Vol. 18 (4): 254-256 [Abstract] ( 2269 ) HTML (0 KB) PDF (987 KB) ( 665 )

	257	Clinical study of echocardiography on surgical procedure for complete transposition of great artery and Taussig-Bing anomaly
		DENG Dong-an;HOU Chuan-ju;ZHU Xian-yang;ZHU Hong-yu;WANG Zeng-wei
		DOI:
		Objective: This paper reported the clinical experience of TTE used in studying switch procedure on patients with complete transposition of great arteries(TGA), double outlet of right ventricle(DORV) and Taussig-Bing anomaly from April 2002 to June 2005. Methods: Seventeen patients included 14 in male and 3 in female with age ranging from 6 hours to 16 years. All patients were correctly diagnosed by clinical data, ECG, TTE and X-ray, and finally confirmed by surgical procedure except 14 patients by angiocardiography and 3 patients by TTE. Of them, 15 patients were attributed to TGA, in which 14 patients being SDD type, 1 patient was divided as SDL type. And 2 patients with Taussig-Bing were confirmed as SDD type. In 15 patients with TGA, 8 patients had intact ventricular septum, others were complicated with patent ductus arteriosus(PDA) and communication between atriums, in which 2 patients being ASD and 5 patients being confirmed as patent foramen ovale(PFO), and other complications including anomaly of coronary artery in 1 patient and left ventricular outflow tract obstruction in 1 patient. Of the 15 patients, 7 patients were complicated with VSD, in which 5 patients with pulmonary stenosis(PS) and 1 patient having pulmonary hypertension(PH) and PDA, other complication in 1 patient. Two patients with Taussig-Bing were complicated with VSD and PH. Instrument routinely used in the study were Toshiba 6000 and Philips IE33 with probe frequency ranging from 2.5 to 3.75MHz. Results: All patients are correctly diagnosed by TTE. TTE is accorded with surgical finding. Of the 17 patients, 16 survived and only one died. During following-up for 1 month to 2 years with TTE, all 9 patients are in nomal dynamic function, except 1 patient had a super PS. Conclusion: TTE plays an important role in studying on arterial switch for TGA, DORV and Taussig-Bing anomalies, especially in surgical planning.
		2007 Vol. 18 (4): 257-258 [Abstract] ( 1914 ) HTML (0 KB) PDF (778 KB) ( 815 )

	259	Application of rotational DSA in percutaneous transhepatic variceal embolization
		WANG Tao;YU Chang-lu;QI Bing;LIU Jian;DONG Wei-guo;HE Yi-yi;ZHANG De-sheng;LI Jin-hua
		DOI:
		Objective: To investigate the value of rotational DSA in percutaneous transhepatic variceal embolization(PTVE). Materials and Methods: With Toshiba 2000A DSA unit, all 62 patiens have anisodegree portal hypertension and hemorrhage history of digestive tract, which are due to cirrhosis of liver after hepatitis. Percutaneous transhepatic portal vein angiography was practiced under ultrasound, based on the extent of gastroesophageal varicose vein, coronary vein of stomach and gastric fundus vein was examined one by one using conventional DSA and rotational DSA. The detection of the varicose vein and the effect of the ultra-selective interventional treatment were compared between conventional and rotational images. Result: A total of 62 cases, two-dimensional images of the routine proper DSA couldn’t completely display the appearance and sub-branches of the overlapped vein in 21 cases. But three-dimensional images of the rotational DSA could completely display and supervised the interventional therapy through the optimal angle of catheterization being locked. Conclusion: Compared with conventional DSA, three-dimensional images of the rotational DSA can well display spacial structure of the tortuous vein from different angles, rotational DSA is of great help for improving the successful rate of super-selective catheterization, and thus is a valuable examination for PTVE.
		2007 Vol. 18 (4): 259-261 [Abstract] ( 1193 ) HTML (0 KB) PDF (911 KB) ( 702 )

	262	Quantitative assessment of left ventricular volume and systolic function using real-time three-dimensional echocardiography in late-stage liver cirrhosis
		XU Hui;YANG Xiao-ying;WU Xiao-li;WANG Run-lan;MEI Li
		DOI:
		Objective: To explore the value of real-time three-dimensional echocardiography(RT-3DE) in evaluating left ventricular volume and systolic function in late-stage liver cirrhosis. Methods: Thirty-two patients with late-stage liver cirrhosis and twenty healthy volunteers were enrolled in this study. Full volume RT-3DE was performed. The 17-segmental time-volume curves and left ventricular end-diastolic volume(EDV), end-systolic volume(ESV) and ejection fraction(EF) were obtained by the online Qlab software. The time to minimal systolic volume in each segment(Tmsv) was taken to derive the following indexes: Tmsv16-SD, Tmsv12-SD, Tmsv6-SD, Tmsv16-Dif, Tmsv12-Dif and Tmsv6-Dif, which meant the standard deviation or the maximal difference of Tmsv among the 16, 12 and 6 segments of the left ventricle respectively. The software also provided with each of the above parameters as a percentage of the cardiac cycle: Tmsv16-SD%, Tmsv12-SD%， Tmsv6-SD%, Tmsv16-Dif%, Tmsv12-Dif% and Tmsv6-Dif%. Results: EDV, ESV and EF of left ventricle: there were no significant differences between the two groups(P>0.05), Tmsv16-SD, Tmsv12-SD, Tmsv16-Dif, Tmsv12-Dif, Tmsv16-SD%, Tmsv12-SD%, Tmsv16-Dif%, Tmsv12-Dif%: were significantly higher in late-stage liver cirrhosis than those in the control group(P<0.05), Tmsv6-SD, Tmsv6-Dif, Tmsv6-SD%, Tmsv6-Dif%: there were no significant differences between the two groups(P>0.05). Conclusions: RT－3DE can be used to access left ventricular volume and systolic function changes of late-stage cirrhosis and it is a convenient, practical method to evaluate left ventricular volume and systolic function.
		2007 Vol. 18 (4): 262-264 [Abstract] ( 1368 ) HTML (0 KB) PDF (820 KB) ( 803 )

	265	Efficacy of splanchnic nerve and celiac plexus block in treating superior abdominal cancer pain
		YAO Peng;ZHAO Guang-yi;JIANG Chang-lin;CUI Jian-jun;MENG Ling-xin
		DOI:
		Objective: To evaluate the efficacy of neurolytic celiac　plexus block(NCPB) and splanchnic nerve block(SNB) in treating superior abdominal cancer pain guided by CT. Methods: Forty-eight patients with intractable abdominal cancer pain were enrolled in this study and divided into two groups randomly, NCPB and SNB were performed. VAS, pain relief and complications were observed. Results: Immediate pain relief was noticed in all 48 patients after block. VAS, pain relief are all improved at different times. No significant deviation observed between the two groups. No severe complications occurred in this study. Conclusion: SNB has the same efficacy of NCPB and may be an alternative to celiac plexus blockade in patients with superior abdominal cancer pain.
		2007 Vol. 18 (4): 265-268 [Abstract] ( 1195 ) HTML (0 KB) PDF (1258 KB) ( 1025 )

病例报告

	268	Hernia of linea alba: report of 2 cases
		YANG Zhi;WANG Bing-heng;DING Wei-dong
		DOI:

		2007 Vol. 18 (4): 268-268 [Abstract] ( 3557 ) HTML (0 KB) PDF (1031 KB) ( 6182 )

论著

	269	Diagnostic value of multi-slice helical CT for differentiating WHO subtypes of renal carcinoma
		YANG Ke-le;LIU Lei;FU Yu-cun;GUO Xiu-qin;ZHANG Fan-tao
		DOI:
		Objective: To evaluate the efficacy of multi-slice helical CT for differentiating subtypes of renal carcinoma(RC). Methods: Ninty-two RCs confirmed by pathology according to WHO classification including 54 clear cell carcinomas, 25 papillary and 13 chromophobe RCs, were retrospectively analyzed. CT attenuation in unenhanced, corticomedullary, nephrographic and excretory phase, and pattern of enhancement were compared. Results: CT attenuation on unenhanced scan was not statistically different. CT attenuation of clear cell carcinoma was higher than that of papillary and chromophobe RCs in corticomedullary, nephrographic and excretory phase, while that of papillary and chromophobe RCs was not statistically different in all three phases. Homogeneous and heterogeneous enhancement was most commonly seen in chromophobe RC and clear cell carcinoma, respectively. Accuracy of CT for differentiating clear cell and non-clear cell carcinoma in three enhanced phases was 93.5%, 86.9% and 81.5%, respectively. Conclusion: Multi-slice helical CT was effective for differentiating clear cell from non-clear cell carcinoma, but has little value in differentiating papillary from chromophobe RC.
		2007 Vol. 18 (4): 269-271 [Abstract] ( 1297 ) HTML (0 KB) PDF (990 KB) ( 1013 )

	272	Detection of neprolithiasis and ureterolithiasis: comparison of low-dose unenhanced 16-detector helical CT and intravenous urography
		DU Zhong-li;LIU Yu-tao;CHEN Hai-dong;XIAO Wan-hong;SUN Fang;MAO Jun;CHEN Min;LI Wei;HE Hong
		DOI:
		Objective: To compare low-dose unenhanced 16-detector helical CT and intravenous urography in the detection of renal and ureteral stones. Methods: Ninty-two patients with suspected neprolithiasis and ureterolithiasis were collected. Low-dose helical CT scans were obtained by using 60mAs(other technical parameters remain same to the standard-dose scan), then it was immediately followed by IVU, to note the cases, location, size, number of calculi and signs of obstruction. Low-dose scans and IVU were compared by using paired χ2-test. Results: In low-dose scan, 81 cases found to have calculi, 53 cases had renal calculi, 59 cases had ureteral calculi, there were 156 stones, 78 cases had pelvicaliectasis and 63 cases had ureteral dilatation, in IVU, 62 cases had calculi, 40 cases had renal calculi, 42 had ureteral calculi, there were 101 stones, 67 cases had pelvicaliectasis and 45 had ureteral dilatation, there were significant differences in cases of calculi, number of calculi and the obstruction between low-dose scan and IVU. Conclusion: Low-dose unenhanced 16-detector helical CT is superior to IVU in detecting renal and ureteral calculi.
		2007 Vol. 18 (4): 272-275 [Abstract] ( 1902 ) HTML (0 KB) PDF (1345 KB) ( 1094 )

病例报告

	275	Pregnancy associated with giant fibroadenoma of the mammary gland: report of one case
		LI Ying-jia;ZHANG Xue-lin;GONG Wei-bing
		DOI:

		2007 Vol. 18 (4): 275-275 [Abstract] ( 1135 ) HTML (0 KB) PDF (821 KB) ( 674 )

论著

	276	Clinical value of three-dimensional contrast-enhanced MR angiography in aorta
		LUO Jian-jun;LI Xiao-bing;XU Jian-ming;LIU Ren-jian;QIN Ming-ming;ZHANG Wen-qi
		DOI:
		Objective: To evaluate the clinical value of three-dimensional contrast-enhanced MR angiography(3D CE-MRA) in the diseases of aorta. Methods: 3D CE-MRA were performed in 50 patients with 1.5T super conductive MR scanner. Postprocessing techniques including original digital subtraction and maximum intensity projection(MIP) and multiplanar reconstrution(MPR) and surface shading display （SSD）. Results: In the 50 cases, 11 cases are normal, 39 cases are abnormal, including thoracic aortic aneurysms in 4 cases, abdominal aortic aneurysms in 4 cases, aortic dissections in 15 cases, aorta atherosclerosis in 13 cases, arteritis in 1 case, aorta aberrance in 2 cases. Thirty-four cases were proved by surgery and/or DSA. Conclusion: 3D CE-MRA is a reliable noninvasive method for examining the diseases of the aorta. It has an important role in diagnosing and treating the diseases of aorta.
		2007 Vol. 18 (4): 276-278 [Abstract] ( 1205 ) HTML (0 KB) PDF (883 KB) ( 774 )

	279	Combination of MSI and MRI in diagnosis and treatment of dysembryoplastic neuroepithelial tumor
		WU Jie;SUN Ji-lin;ZHAO Ming;LI Su-min;QIN Jian-ping
		DOI:
		Objective: To evaluate the magnetic source imaging(MSI), MRI characteristics of dysembryoplastic neuroepithelial tumor(DNT) and the diagnosis and treatment result by the combination of these two methods. Methods: To analyse and summarize the MSI appearance and MRI characteristics in 4 cases of histopathologic confirmed DNT. Results: There were 2 men and 2 women, the age ranged from 14～21 years old, with an average age of 17.5 years old. All of the patients had partial seizures and generalized seizures. All lesions were located in the supratentorial region and involved the cortex on MRI. All lesions showed hypointensity on T1-weighted image and hyperintensity on T2-weighted image. There were no edema surrounding the tumor and no mass effect. In 2 cases, MRI showed multiple cystic changes. The lesion might have contrast enhancement or no contrast enhancement. MSI defined the relationship between lesions and epileptic focus. Of all the 5 lesions in 4 cases, 1 lesion located a little farther from the epileptic focus, 4 lesions showed abnormal spikes in front of the lesions or behind the lesions. A rather radical resection(tumor plus surrounding tissue showing active epilepogenicity) was essential for achievement of excellent seizures control in DNT-associated epilepsy. Conclusion: MSI can define the relationship between the active epiletogenicity and the lesions. Combining with MRI, tumors plus epileptic zones resection may get an excellent seizure control.
		2007 Vol. 18 (4): 279-281 [Abstract] ( 1209 ) HTML (0 KB) PDF (989 KB) ( 600 )

	282	Clinical comparison of treatment of lumbar disc herniation with medical ozone and PLD
		XU Wei-guo;YANG Jian-yong;ZHUANG Wen-quan;CHEN Wei;LI Jia-ping
		DOI:
		To evaluate the clinical value in the treatment of lumbar disc herniation with medical ozone and PLD. Methods: Seventy-seven patients with lumbar disc herniation were divided into two groups: PLD group and ozone group. Forty-two cases with lumbar disc herniation received PLD procedure and the other 35 cases had injection of medical ozone into the disc and paravertebral space. Results: The overall efficacy of PLD group and ozone group were 76.19% and 86.71% respectively, but there was no statistically significant difference. The complication of the two groups were 28.57% and 0% respectively and had significant difference, the complication of psoas spasm had statistically significant difference, but psosa hematoma, nerve injury, discitis and lumbar small joint disorder had no significant difference. Conclusion: Medical ozone and PLD are minimal-invasive treatment methods are effective and safe to treat lumbar disc herniation， but there are different principles of treatment and indication between medical ozone and PLD, and the curative effect of lumbar disc herniation is improved by selecting the proper cases.
		2007 Vol. 18 (4): 282-284 [Abstract] ( 1254 ) HTML (0 KB) PDF (785 KB) ( 881 )

综述

	285	Progress of medical imaging study on myocardial bridge-mural of the coronary artery
		ZHAO Lin-fen;YANG Li
		DOI:

		2007 Vol. 18 (4): 285-287 [Abstract] ( 1048 ) HTML (0 KB) PDF (858 KB) ( 1022 )

论著摘要

	288	Diagnosis of non-Hodgkin lymphoma of primary orbit by CT
		LIU Yun-cai;ZHENG Xiang-wu;YUAN Xiang-zhi;YANG Yun-jun
		DOI:

		2007 Vol. 18 (4): 288-289 [Abstract] ( 1135 ) HTML (0 KB) PDF (1041 KB) ( 580 )

	290	MRI diagnosis of the temporomandibular joint dysfunction
		ZHU Zhi-wei;JIANG Biao;GU Xin;HU Ai-mei
		DOI:

		2007 Vol. 18 (4): 290-291 [Abstract] ( 1132 ) HTML (0 KB) PDF (781 KB) ( 714 )

	292	Ultrasound analysis of perinephric edema associated with acute ureterolithiasis
		ZHU Ai-min
		DOI:

		2007 Vol. 18 (4): 292-293 [Abstract] ( 1026 ) HTML (0 KB) PDF (844 KB) ( 652 )

	293	Value of transvaginal color Doppler ultrasonography for the diagnosis of the depth and extension of myometral infiltration on endometrial carcinoma
		HONG Min
		DOI:

		2007 Vol. 18 (4): 293-294 [Abstract] ( 1149 ) HTML (0 KB) PDF (844 KB) ( 659 )

	294	Assessment of internal carotid arterial stent placement by color Doppler flow imaging
		TANG Li;CHEN Xin;REN Wei-dong
		DOI:

		2007 Vol. 18 (4): 294-295 [Abstract] ( 1104 ) HTML (0 KB) PDF (849 KB) ( 668 )

	296	Diagnostic and histopathological staging value of X-ray associated with colonoscopyand ultrasonography in connecting border of sigmoid colon and rectum
		YIN De-kui;ZHANG Hong-chun;MA Li-xia;QI Yu-hua;YUE Li-rong
		DOI:

		2007 Vol. 18 (4): 296-297 [Abstract] ( 1154 ) HTML (0 KB) PDF (777 KB) ( 888 )

	298	Application of Smartprep in coronary artery imaging in VCT
		YU Shu-jing;MA Guo-jun;XU Yan-feng;QI Jun-hua
		DOI:

		2007 Vol. 18 (4): 298-299 [Abstract] ( 1343 ) HTML (0 KB) PDF (957 KB) ( 1150 )

	299	Value of 16-slice helical CT 3D reconstruction in diagnosing lumbar spondylolysis
		WANG Zhi-bin;CHEN Qi
		DOI:

		2007 Vol. 18 (4): 299-300 [Abstract] ( 1170 ) HTML (0 KB) PDF (1143 KB) ( 799 )

	301	Application of DSA in the diagnosis of Moyamoya disease
		福建医科大学附属第一医院介入治疗室;福建福州 000
		DOI:

		2007 Vol. 18 (4): 301-302 [Abstract] ( 1070 ) HTML (0 KB) PDF (831 KB) ( 778 )

	303	Analysis of venography about the vein of upper limb after chemotherapy
		ZHOU He-qing;YANG Bei;QIN Yan-ling;ZHU Li
		DOI:

		2007 Vol. 18 (4): 303-304 [Abstract] ( 2468 ) HTML (0 KB) PDF (4452 KB) ( 1636 )

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