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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
2006 Vol. 17, No. 2
Published: 2006-02-20
论著
61
Evaluation of 3D-CE-MRA for diagnosis of cerebral veins thrombosis
WU Hua-min;LIU Xin-hong;KONG Qing-kui;XIE Yuan-zhong;WANG Xia;XU Yu-lin
DOI:
Objective: To evaluate the value of MRI, 3D-CE-MRA in the diagnosis of cerebral venous sinus thrombosis. Methods: Twenty-two patients with cerebral venous sinus thrombosis were examined with spin-echo MR imaging and MR venography. Various imaging features were analysed. Result: Ten cases with secondary intraparenchymal abnormalities were shown by MRI(SE sequence), 13 cases with thrombosis in superior sagittal venous sinus, transverse sinus and straight sinus were also shown, MRV examination demonstrated superior sagittal sinus thrombosis in 6 cases, inferior sagittal sinus thrombosis in 1 case, superior sagittal sinus thrombosis complicated with straight sinus thrombosis in 2 cases. Superior sagittal sinus complicated with transverse sinus, sigmoid sinus thrombosis in 3 cases, transverse sinus complicated with sigmoid sinus thrombosis in 3 cases, cavernous sinus thrombosis in 1 case, vein of galen and internal cerebral venous thrombosis in 1 case. Superior cerebral vein and anastomatic venous thrombosis in 1 case. All the cases were proved by DSA. Conclusion: Combination of MRI and 3D-CE-MRV can show CVT accurately and is the best methods in demonstrating CVT.
2006 Vol. 17 (2): 61-64 [
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65
Interventional treatment of hepatic artery complications after liver transplantation
CHEN Kai;CHEN Guang;ZHAO Ying;LIU Ying-xiu;WANG Jian;QI Ji
DOI:
Objective: To define the role of interventional treatment in hepatic artery complications after liver transplantation. Methods: Of the 450 patients after liver transplantation, 36 cases with hepatic artery complications were encountered, and interventional treatment was performed in 34 of those patients. Results: Thirty-two cases of hepatic artery complications were successfully treated. There were no procedure-related complications. Conclusion: Interventional treatment is valuable in the detection and management for hepatic artery complications after liver transplantation.
2006 Vol. 17 (2): 65-67 [
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1213
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68
Study the hemodynamics of central retinal artery and posterior ciliary arteryin diabetic retinopathy with color Doppler ultrasonography
NIE Fang;TONG Ming-hui;CHE Yan
DOI:
Objective: To study the hemodynamics of posterior ciliary artery(PCA) and central retinal artery(CRA) in diabetic retinopathy(DR) with color Doppler ultrasonography and the correlation between glycohemoglobin(GHb) and hemodynamics. Methods: We measured the peak systolic velocities(PSV), the end diastolic velocities(EDV), the resistive index(RI) of CRA and PCA with color Doppler ultrasonography and GHb in 67 patients with diabetes and 40 normal volunteers, the correlation between GHb and hemodynamics were analysed. Result: Reduced blood flow velocity and increased resistance of CRA and PCA was found in patients with diabetes and appeared to become further reduce in PSV, EDV and increase in RI with the progression of retinopathy. The alteration of CRA has statistically significance compared to PCA. The hemodynamic alteration of CRA and PCA appeared before retinopathy. The GHb has positive correlation with blood flow velocity and correlation with RI. Conclusion: Reduced blood flow velocity and increased resistance were the characteristics of ophthalmic hemodynamics in diabetic retinopathy. The alteration of CRA hemodynamics correlated with GHb significantly.
2006 Vol. 17 (2): 68-70 [
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1222
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71
Monitoring the chemotherapy response in primary breast cancer using 18F-FDG PET
SONG Wu-zhan;WANG Jing;CHI Jun;WANG Xi-qing;WANG Yun-ya;WANG Ying;ZHANG Zi-tai
DOI:
Objective: To evaluate the response to neo-adjuvant chemotherapy of patients with primary breast cancer in early stage using 18F-FDG PET imaging. Method: 18F-FDG PET tomography fusion imaging were performed on 31 patients with primary breast cancer at pre-chemotherapy, after the first and the third course of treatment. Tumor-to-normal tissue background(T/N) ratios were measured for all scans, all patients were diagnosed by fine-needle aspiration(FNA) cytology. According to the evaluation criterion of WHO for tumor chemotherapy curative effect, all patients were divided into two groups, responders[R(+), n=22] and non-responders[R(-), n=9]. Results: Before chemotherapy, the T/N value of R(+) and R(-) group were 3.18±0.41 and 3.14±0.52(P>0.05) respectively. After the first and the third course of treatment, the T/N value of R(+) group decreased significantly from 3.18±0.41 to 2.62±0.38 and 2.06±0.45(P<0.05) respectively. However in the R(-) group T/N value decreased slightly from 3.14±0.52 to 3.01±0.47 and 2.87±0.27(P>0.05). The decrease percentage of T/N in R(+) group after the first and the third course of treatment were significantly higher than those in the R(-) group, being 16.12%±7% and 33.42%±6%, 4.09%±3%(P<0.05) and 8.89%±6%(P<0.01) respectively. In the R(+) group, the decrease percentage in T/N after the first and the third course treatment had significant difference?穴16.12%±7% and 33.42%±6%, P<0.05), but in R(-) group there were no significant difference(P>0.05). Using a decrease of T/N value≥10% as a threshold for monitoring the treatment response at the end of the first course of treatment, 18F-FDG PET imaging had a sensitivity of 90% and a specificity of 100%. Conclusions: The results suggested that 18F-FDG PET imaging had a certain clinical value to evaluate the chemotherapy response in primary breast cancer in early stage.
2006 Vol. 17 (2): 71-72 [
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73
Trend of pathological changes of the parotid duct in Sjogren’s syndrome(report of 87 cases)
ZHENG Guo;ZHANG Cheng;ZHANG Xue
DOI:
Objective: To study the trend of pathological changes of the parotid duct in Sjogren’s syndrome(SS) examined by parotid sialography. Materials and Methods: Parotid sialography was performed in 87 patients with SS. The abnormal changes of parotid duct were analysed. Results: Lesion can occur in any grade of the branches of the parotid duct, the incidence of abnormal changes was highest in the terminal ductules. The lesion has a tendency to develop from the terminal ductules to the main ducts. The early-stage pathological changes became small in proportion as the diseased prolonged, and vice verse in the mid-stage and late-stage of the disease. There were no difference in the appearance of parotid sialography in the <60 and the ≥60 age group. Conclusions: The pathological changes of the parotid duct in SS could be divided into 6 stages, ie, normal appearance of parotid duct, early stage of pathological changes of terminal ductules, late stage of pathological changes of terminal ductules, pathological changes of parotid trunk and branches of parotid duct, early-stage of gland atrophy, late-stage of gland atrophy. The pathological changes of the parotid duct with SS has coherence in broad sense and has no coherence in narrow sense. The age changes of parotid gland could be ignored in the diagnosis of SS.
2006 Vol. 17 (2): 73-75 [
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1238
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76
Value of high frequency and Doppler ultrasound in the diagnosis of parathyroid adenoma and its complications
LIU Jian;HUANG Dao-zhong;ZHANG Qing-ping;ZHOU Yuan-yuan
DOI:
Objective: To detect the value of high frequency ultrasound and Doppler ultrasound in diagnosing parathyroid adenoma(PTA) and complications. Methods: Twelve patients who had suffered parathyroid adenoma and undergone ultrasonography were reviewed. Their gallbladder, pancreas, kidney, ureter, bladder, prostate and painful soft tissue were examined by ultrasound. Results: High frequency probes are very useful in detection both the nature and the location of parathyroid adenoma. Moreover, we have found that 12MHz probe is more valuable than 7.5MHz probe in detection small masses. Color Doppler could provide more information about blood supply of the mass, and was very useful in differentiating parathyroid mass from thyroid tumor. In this study we found PTA complicated renal stone in 7 cases, bladder stones in 3 cases, gallbladder stone in 2 cases, lower exteremity soft tissue calcification in 1 case, prostate calcification in 2 cases, repeatedly pancreatitis and pancreatic stone in 1 case. Conclusion: High frequency ultrasound and Doppler ultrasound contributes to the diagnosis of PTA and its complications.
2006 Vol. 17 (2): 76-78 [
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1251
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79
Evaluating left ventricular function in congestive heart failure before and after treatment by acoustic quantification
XU Dong-mei;ZHANG Mei;FAN Chong-lun;JIANG Hong-ju
DOI:
Objective: To evaluate left ventricular systolic and diastolic function before and after treatment by acoustic quantification(AQ). Methods: Thirty-four normal subjects were selected as control group, 34 consecutive patients with a clinical diagnosis of congestive heart failure were studied by echocardiography. Left ventricle end diastolic volume(EDV), end systolic volume(ESV), ejection fraction(EF), peak ejection rate(PER), peak rapid filling rate(PRFR) and peak atrium filling rate(PAFR) were also measured, PRFR/PAFR were calculated. Results: Compared with healthy controls, EDV, ESV, PRFR and PAFR had significantly increased?穴P<0.001, P<0.001, P<0.001 and P<0.05 respectively), EF and PER significantly decreased(P<0.001 and P<0.05 respectively), PRFR/PAFR had no significant differences. ESV, EDV and PAFR had significantly decreased(P<0.001), EF and PER significantly increased(P<0.001), PRFR and PRFR/PAFR had no significant differences after treatment(P>0.05). Conclusions: AQ is helpful to evaluate left ventricular systolic function, while evaluating left ventricular diastolic function of heart failure patients in late phase, AQ is limited.
2006 Vol. 17 (2): 79-81 [
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82
Evaluation of interictal PET and ictal SPECT brain imagingin localizing the foci of intractable epilepsy in children
SUN Ai-jun;SU Wen-cong;LI Shu-sheng;LIU Jian;SU Fu-yong;WEI Qiang;DU Jing-bo;LIU Jie
DOI:
Objective: To evaluate the value of interictal PET and ictal SPECT brain imaging in localizing the foci of intractable epilepsy in children. Methods: Thirty pediatric patients with intractable epilepsy were performed with interictal PET and ictal SPECT brain imaging. The results were compared and analysed. Results: In interictal PET, 16 patients showed local single lobe hypo-metabolism, multi-lobe and diffuse hypo-metalism in 14 patients. During ictal SPECT studies, 18 showed hyper-perfusion in solitary lobe, multi-hyper-perfusion foci in 10 patients. Compared the two examinations, 26(86.7%) were accorded with each other in 30 patients. Of the 12 patients with multiple and diffuse hypometabolism in interictal PET, 6 patients showed foci changed to solitary focal hyper-perfusion in ictal SPECT. Conclusion: Interictal PET combined with ictal SPECT can learn from others’s strong points to offset one’s weakness, elevate the accuracy in localizing epileptic foci, offer more reliable messages for treatment.
2006 Vol. 17 (2): 82-84 [
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85
Water-cooled microwave antenna for expanding ablation zone: in vitro porcine liver experiment
KUANG Ming;LV Ming-de;XIE Xiao-yan;XU Hui-xiong;LIU Guang-jian;XU Zuo-feng;ZHENG Yan-ling;LIANG Jin-yu
DOI:
Objective: To expand coagulation zone in liver tissue by improving microwave ablation technique, so as to provide experimental evidence for clinical improvement of local efficacy. Methods: A novel microwave antenna with water-cooled shaft was used in fresh liver of pig in vitro. Microwave energy was applied in one session at 60~90W for 5~25min, and the diameter and appearances of coagulation were observed. Results: Coagulation diameters were (4.5~8.3)cm×(3.0~6.1)cm. Elevation of energy power alone resulted in significant increase of longitudinal diameter, while both longitudinal and transverse diameters were significantly increased when accompanied with prolongation of ablation time. 70~80W, 25min produced the best coagulation appearances and was considered as appropriate ablation parameters for clinical use. Conclusions: By using water-cooled microwave antenna, coagulation zones in the liver tissue were significantly expanded with increase of energy power and prolongation of ablation time, which may help to improve local efficacy of image-guided liver cancer ablation.
2006 Vol. 17 (2): 85-87 [
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88
Value of transvaginal three-dimensional color power angiography in the diagnosis of ovarian tumors
QI Zheng-qin;GUO Li-kui;WANG Kai;YU Jie
DOI:
Objective: To explore the value of transvaginal three-dimensional color power angiography(TV3D-CPA) in the diagnosis of ovarian tumors and determine the relationship between TV3D-CPA and clinical stages of malignant ovarian tumors. Methods: Sixty-five ovarian tumors(47 malignant ovarian tumors, 18 benign ovarian tumors) were examined with TV3D-CPA preoperatively, and the vascular index(VI) of tumors were determined. The difference in VI between benign and malignant ovarian tumors were analysed, and the relationship between VI and clinical stages were evaluated. Results: The VI of 47 malignant ovarian tumors with (0.08±0.052)counts/cm
3
was higher than that of benign tumors with (0.043±0.031)counts/cm
3
(P<0.05). Using the VI≥0.035counts/cm
3
as the cutoff, its sensitivity and specificity in detecting malignant ovarian tumors were 87.8% and 75%, respectively. VI in stage Ⅲ and Ⅳ (0.089±0.037)counts/cm
3
was higher than that in stageⅠand Ⅱ (0.056±0.04)counts/cm
3
(P<0.05). Conclusion: TV3D-CPA was an effective method to indentify benign and malignant ovarian tumors by calculating VI. The higher the clinical stage was, the higher the VI will be, which might be an important index for predicting prognosis.
2006 Vol. 17 (2): 88-90 [
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91
Diagnostic value of MRI and CDFI in endometrial carcinoma
MIAO Hong;CHEN Ya-bin;GAO Zong-hui
DOI:
Objective: To discuss MRI and color Doppler flow ultrasound imaging(CDFI) features of endometrial carcinoma and to evaluate MRI and CDFI in its preoperative staging. Materials and Methods: Preoperative MRI and CDFI of the pelvis were performed in 18 patients with pathologically proved endometrial carcinoma. The location of the lesion and the depth of mascular invasion were observed. The findings were compared with pathologic results. Results: MRI findings on T2WI usually included thickening of the endometrium, the signal was higher than muscular layer but a bit lower than adjacent remaining tunica intima and mucus in uterine cavity. The staging accuracy of MRI was 77.8%, and accurate evaluation of the depth of muscular invasion was 87.5%. CDFI findings included abundant color Doppler flow signal and low resistant blood flow in the focus. The staging accuracy of CDFI was 77.8%, accuracy of assessment of the depth of muscular invasion was 75%. Conclusion: MRI and CDFI can clearly display endometrial carcinoma and its extent and depth of involvement from different directions. MRI and CDFI have high value in the diagnosis of endometrial carcinoma transvaginal color Doppler sonography which has high resolution speciality, is a sensitive and simple way for screening endometrial carcinoma, but it is influenced by operators experience and other factors thus is inferior to MRI in clearly and directly displaying the depth of muscular invasion and metastatic nodules in adjacent structures. The diagnosis and staging accuraey of MRI and CDFI in endometrial carcinoma will be increased if these methods are combined in diagnosis.
2006 Vol. 17 (2): 91-93 [
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1314
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94
Clinical value of imaging examination in diagnosing atlantoaxial subluxation
DUAN Shao-yin;HUANG Xi-en;LIN Qing-chi
DOI:
Objective: To compare the features of imaging examination in the atlantoaxial joints, and evaluate imaging examination in diagnosing atlantoaxial subluxation. Methods: Fifty-two cases were examined by plain X-ray, 69 by routine CT, 7 by MRI, and 89 by CT three-dimensional(3D) imaging. Their imaging findings in diagnosing atlantoaxial subluxation were retrospectively analyzed, their imaging manifestations were observed and the imaging diagnosis obtained. 3D-images were mainly obtained by surface shade display(SSD), assisted with multiplanar reformorting(MPR), maximum intensity projection(MIP) and volume rendering(VR). Results: In the 52 cases examined by X-ray examination, there were 13 cases with dislocation, 17 cases were suspicious and negative in 22. In the 69 cases examined by routine CT, 32 cases had dislocation, suspicious in 23 and negative in 14. In the 7 cases examined by MRI, 1 case had dislocation, suspicious in 3 and negative in 4. In the 89 cases examined by CT-3D reconstruction, 72 cases had dislocation and negative in 17. Its positive diagnostic rate of dislocation and diagnostic rate of rotary dislocation is 80.9% and 72.2% respectively. Conclusion: Imaging examinations are the main methods in diagnosing atlantoaxial subluxation, and can be used in ascertaining diagnosis. 3D-CT shows the signs of atlantoaxial dislocation most clearly and directly.
2006 Vol. 17 (2): 94-97 [
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病例报告
97
Ultrasonographic appearance of congenital accessary spleen within scrotum: one case
CHEN Ya-li;PEI Xin-ping;LV Rong;SU Xiao-ling
DOI:
2006 Vol. 17 (2): 97-97 [
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1107
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论著
98
MRI diagnosis of spontaneous spinal epidural hematoma
WANG An-ming;ZHU Li-li;ZHAO Han-qing;CHENG Guo-qin
DOI:
Objective: To investigate the MRI findings and differential diagnosis of spontaneous spinal epidural hematoma. Methods: There were 9 cases of spontaneous spinal epidural hematoma. Four were male and 5 were female. All cases did not have history of trauma. The routine SE T1WI and T2WI sagittal and transversal planes were performed with MRI scanner. Seven cases were examined by enhanced MRI. Results: The hematomas located at the dorsum of spinal canal in 8 cases and at the ventral side of spinal canal in 1 case. The hematomas covered 3 to 5 vertebral bodies with average of 4 vertebral segments. There were 4 cases at cervical segment, 4 cases at cervicothoracic segment, 1 case at lumbar segment. The hematomas had crescent or long ribbon shape. Hematomas in 3 cases were of homogeneous high signal on T1WI and T2WI, 4 cases were of medium signal on T1WI and high signal on T2WI. Two cases had heterogeneous high signal both on T1WI and T2WI. There was a low signal septum between spinal cord and henatoma on T1WI and T2WI, especially clear on T2WI. The wall of hematoma was enhanced in 3 cases on MRI enhancement scan. Conclusion: MRI is the best method in diagnosing spontaneous spinal epidural hematoma. It not only can show clearly the location and the extent of hematoma clearly, but also the age of hematoma and injury of the spinal cord.
2006 Vol. 17 (2): 98-99 [
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100
Computed tomography in the diagnosis of costal tumor and tumorlike lesions
YANG Wei-hong;FANG Ling;YAN Wei-qiang;LIU Peng-cheng
DOI:
Objective: To discuss the value of CT in the diagnosis of costal tumor or tumorlike lesions. Materials and Methods: All the patients took the examination of CT, two of them took MRI. Results: Thirty-two cases belong to benign lesions, 12 cases of them are bone island, 9 cases are fibrous dysplasia, 7 cases are chondrogenous tumor, 4 cases are infective lesions. Eighteen cases are malignant lesions, 10 cases of them are metastatic tumor, 4 cases are myeloma, 4 cases are giant cell tumor of bone. Conclusion: There are some characteristic CT findings which are helpful to diagnose a certain tumor. We can distinguish benign tumor from malignant tumor of rib in the majority of cases by these characterstics.
2006 Vol. 17 (2): 100-102 [
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1931
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103
Clinical imaging diagnosis of ischiopubic osteochondritis: report of 23 cases
GAN Yun-gen;LIN Fei-fei;LI Yin-tai;SUN Jie;RONG Yuan-xin;XIE Na;XIANG Kui;XU Da-yong
DOI:
Objective: To explore the clinical and imaging features of ischiopubica osteochondritis(Van Neck disease). Methods: Clinical and imaging features of 23 cases with Van Neck disease were reviewed and X-ray films of 100 cases examined for other reasons were randomly chosen. Results: In the 23 cases of disease group, 16 cases were unilateral and 7 cases were bilateral. X-ray examination showed local prominence between ischium and pubis in all cases. Lamellar changes of the bone inhomogeneous in density with round translucence were found in 8 cases accompanied with intact cortex. Mild osseous hyperplasia was found in 8 cases without changes of periosteum and soft tissues. CT examination of 8 cases presented with local prominence between ischium and pubis, translucence, cataclasm, discontiguous osteal cortex with irregular ends, sclerotic medullary cavity of boney surroundings, but no sequestration and changes of periosteum and soft tissues. The above-mentioned X-ray features appeared in 14 cases among normal group, bilateral in 3 cases. Conclusion: Imaging features of Van Neck disease were typical, which can help correct diagnosis and differential diagnosis combined with the clinical manifestation.
2006 Vol. 17 (2): 103-105 [
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论著摘要
106
Diagnostic value of DR dual-energy subtraction in nasopharyngeal carcinoma
ZHOU Xu
DOI:
2006 Vol. 17 (2): 106-108 [
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1102
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108
Study on image character of color Doppler echocardiography on complete transposition of the great arteries with intact ventricular septum
HOU Chuan-ju;DENG Dong-an;ZHU Xian-yang;HAN Xiu-min;YANG Jun;LI Chun-hua
DOI:
2006 Vol. 17 (2): 108-109 [
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1155
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110
Clinical study of dual interventional embolization in the treatment on patients with portal hypertension
HE Zhi-bing;ZHOU Zhou;CHEN Min;ZHANG Chang-qing;YANG Ji-hong;LIU Fu-chun;WANG Xiao-wei;KANG Guang-wen;ZHANG Jie-chao;YANG Qin
DOI:
2006 Vol. 17 (2): 110-112 [
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1075
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论著
112
Comparison of contrast enhanced ultrasound and enhanced-CT in diagnosis of focal fatty sparing of liver
XIONG Yi;XU Jin-feng;WU Ying;SONG Hong;PENG Qi-hui;GONG Jing-shan;LIU Jia-lin
DOI:
2006 Vol. 17 (2): 112-114 [
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1076
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论著摘要
114
Ultrasonic diagnosis and influential factors in cleft lip and cleft palate of fetus
MAO Wen-hua;DONG Xiu-mei;ZHANG Xue-mei;SUN Xiao-fang
DOI:
2006 Vol. 17 (2): 114-115 [
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1175
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病例报告
116
Cystic teratoma in cerebellar hemisphere?押 report of one case
WANG Xiao-rui;LIU Peng-fei;NA Jing
DOI:
2006 Vol. 17 (2): 116-117 [
Abstract
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1013
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117
Non-Hodgkin’s lymphoma of the left parotid gland: report of one case
LI Ming-yong;WANG Qiang;LIU Yu-xin
DOI:
2006 Vol. 17 (2): 117-117 [
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1150
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118
Echocardiography manifestations of leiomyosarcoma in left atrium: report of two cases
LIU Jia;JIA Li-dan;YUE Qing-xiong
DOI:
2006 Vol. 17 (2): 118-118 [
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1030
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119
Clinical manifestations and diagnosis of X-ray of the straight back syndrome(report of 3 cases)
YANG Jian-cheng;DU Hua;WANG Xue-wu
DOI:
2006 Vol. 17 (2): 119-120 [
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994
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120
Malignant fibrohistiocytoma of tibia: one case
HU Xing-rong
DOI:
2006 Vol. 17 (2): 120-120 [
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1132
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