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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. 1
Published: 2006-01-20
 
       论著
1 MRI diagnosis of cerebral venous malformation(report of 8 cases)
ZHOU Wen-hui;WANG Qin;HU Jiu-yi;XIE Xiao-ping
DOI:
Objective: To study MRI features of cerebral venous malformation(CVM) and assess the value of each imaging sequence. Methods: MRI and three-dimensional multiple overlapped thin slab acquisition(3D-MOTSA) MR angiography(MRA) were performed in 8 cases with CVM. Six patients were imaged by MR scanner with Gd-DTPA enhanced T1WI, and 3 of them underwent additional 3D-MOTSA CE MRA. Results: In 4 cases the lesions were located in cerebellum and 4 cases in frontal lobe, parietal lobe or occipital lobe. In 5 cases, MRI showed draining veins which were hypointense on T1WI and T2WI, hypointense on T1WI and in 3 cases showed hyperintense on T2WI, while medullary veins showed hypointense on T1WI and hyperintense on T2WI. After enhancement, numerous radiating medullary veins gathered together into one or two larger draining veins and flowed into superficial or deeper veins, demonstrating the so-called “Caput Medussa” appearance. 3D-MOTSA MRA showed some draining veins, but a few medullary veins. 3D-MOTSA CE MRA could show the whole length of the draining veins in 3 cases, the number of medullary veins were numerous. Conclusion: MRI could diagnose the complications of CVM accurately and make up for the deficiency of cerebral angiography. 3D-MOTSA CE MRA could replace cerebral angiography.
2006 Vol. 17 (1): 1-3 [Abstract] ( 2497 ) HTML (0 KB)  PDF  (0 KB)  ( 439 )
2 Tissue Doppler echocardiography detecting early myocardial relaxation abnormality in Adriamycin-induced cardiomyopathy rabbits
FEI Hong-wen;WANG Xin-fang;XIE Ming-xing;HE Ya-le
DOI:
Objective: Transmitral flow velocity to mitral annular velocity ratio(E/E’) had a strong positive relationship with left ventricular filling pressure, which presents as a good indicator for evaluating left ventricular diastolic relaxation abnormality. The present study was designed to evaluate myocardial relaxation function changes in an Adriamycin-induced cardiomyopathy model using E/E’. Methods: Twenty-eight Japanese rabbits were divided into two groups. Adriamycin was administered intravenously at a dose of 2mg/kg once a week for 8 weeks(total dose 16mg/kg) in 20 rabbits to induce the cardiomyopathy model. Eight rabbits served as controls receiving the same amount of saline once a week for a total of 8 weeks. Conventional and tissue Doppler echocardiography were performed at baseline, 4th week, 6th week, 8th week, 10th week, 12th week. Results: In the Adriamycin-treated group, LV chamber diameter significantly increased, while ejection fraction and fraction shortening decreased significantly in the 10th and 12th week(P<0.05). The significant changes were first found in the 10th week. Mitral annulus systolic peak velocity by TDE decreased significantly in the 8th, 10th and 12th week(P<0.05). The significant changes were first found in the 8th week. The ratio of E/E’ significantly increased in the 6th, 8th, 10th and 12th week(P<0.05). The significant changes were first found in the 6th week. In the control group, no significant changes were found in all parameters by tissue Doppler, conventional echocardiography(P>0.05). Conclusions: Myocardial function was reduced in Adriamycin-induced rabbit model of dilated cardiomyopathy. The relaxation parameter(E/E’) by TDE changed earlier than contraction indices by TDE and conventional echocardiography in Adriamycin-induced cardiomyopathy rabbits, which provide a new sensitive and reliable method to evaluate LV relaxation function.
2006 Vol. 17 (1): 2-31 [Abstract] ( 2204 ) HTML (0 KB)  PDF  (0 KB)  ( 242 )
4 Study of ADC value in normal human brain correlated with age and sex
SONG Jian-xun;LU Hong-xia;HE Ning;WEI Chun-ping;LIU Jian-li
DOI:
Objective: To determine whether the mean ADC values in various regions of the brain differ with age and sex. Materials and Methods: Thirty healthy men and 30 healthy women were included, and divided into 3 groups according to age. In group 1 the age were 20~34 years old, group 2 35~49 years old, and group 3 50~64 years old(n=20 each). All subjects were examined with MR imaging, including conventional and EPI diffusion-weighted imaging with two b values(0 and 1000mm2/s). Bilateral ADCAV values were determined in 34 regions of interest encompassing the entire brain. Results: ①The mean ADCAV values in the cortical gray matter showed a descent tendency with advancing age; an increased tendency were showed in the mean ADCAV values of the white matter and thalami, basal ganglia, the lateral ventricle. ②A difference in the mean ADCAV values of the cortical gray matter were observed between men and women, the value in men was[0.81±0.05(0.68~0.92)]×10-3mm2/s, and the value in women was [0.78±0.05(0.71~0.91)]×10-3mm2/s. ③The mean ADCAV values of CSF in the lateral ventricle had interaction between age and sex, no interaction were showed in the others parts. Conclusions: The study of ADCAV values in normal human brains can be used for reference and instruction in future clinical studies and normal brain aging.
2006 Vol. 17 (1): 4-8 [Abstract] ( 1386 ) HTML (0 KB)  PDF  (0 KB)  ( 259 )
9 MRI for evaluation of cervical lymphadenopathy
HU Hai-jing;HUANG Biao;LI Chun-fang;LI Liang;ZHANG Ying-he
DOI:
Objective: To evaluate MRI features in cervical lymphadenopathy. Methods: Sixty-eight patients with cervical lymphadenopathy underwent both plain and enhanced MRI. Fat-suppression imaging was routinely performed using the chemical shift imaging(CSI) and fat saturation(FS) technique. Morphological features and signal intensity characteristics of MRI were analyzed and compared with pathological results. Results: Diagnosis was verified by pathology. Twenty cases had cervical tuberculous lymphadenitis, 33 had malignant lymph node metastasis and 11 had malignant lymphoma. MRI detected round lymph nodes (with the long axis/short axis<2) in 45 cases(8 with tuberculosis, 28 with malignant metastasis and 9 with lymphoma), and oval lymph nodes(with the long axis/short axis>2) in 19 cases(12 with tuberculosis, 5 with malignant metastasis and 2 with lymphoma). Thirty-five cases manifested with necrotic focus locating in the centre of the lymph node revealed in T1WI and T2WI and thin-walled rim enhancement revealed in T1WI(6 with tuberculosis, 27 with malignant metastasis and 9 with lymphomas). Ill defined margin of the lymph node and invasion of adjacent adipose tissue were found in 35 cases(5 with tuberculosis, 28 with malignant metastasis and 2 with lymphoma). Nine cases with lymphoma showed homogeneous signal intensity on MRI. Conclusion: MRI is significant in the evaluation of enlarged cervical lymph nodes. It is an important examination in the diagnosis and differential diagnosis of cervical lymphoadenopathy.
2006 Vol. 17 (1): 9-11 [Abstract] ( 1119 ) HTML (0 KB)  PDF  (0 KB)  ( 216 )
12 Analysis of uterine artery embolization with KMG for leiomyoma
LIU Zhao-yu;SHAN Ming;LU Zai-ming;ZHENG Jia-he;ZHANG Jun;SUN Wei
DOI:
Objective: To evaluate the effects of embolization of the uterine artery with KMG for uterine leiomyoma. Materials and Methods: Thirty-five patients with uterine leiomyoma were treated by uterine artery embolization(UAE) with KMG. The patients were followed up from 6 to 20 months to observe the changes of leiomyoma size and symptom improvement after the procedure. Results: Bilateral embolization of the uterine arteries was performed in all patients, clinical improvement was observed in 86.2%(25/29) patients, especially in menses resumption. The mean reduction of myoma and uterine volume was 49.3% and 42.1% respectively at six months after embolization. Postembolization syndrome was seen in almost all patients, no serious adverse reaction was observed. Conclusion: Uterine artery embolization with KMG is an effective and safe therapeutic procedure for leiomyoma.
2006 Vol. 17 (1): 12-14 [Abstract] ( 1229 ) HTML (0 KB)  PDF  (0 KB)  ( 242 )
15 Value of multi-slice CT and its processing technique in the diagnosis of acute appendicitis
SU Jin-liang;XU Zhao-long;JI Jian-song;LU Chen-ying;ZHOU Li-min;MENG Pan-wei
DOI:
Objective: To evaluate the value of multi-slice CT(MSCT) and its imaging processing technique in the diagnosis of acute appendicitis. Methods: Sixty-seven patients with clinically suspected appendicitis underwent preoperative contrast-enhanced MSCT. Images were transferred to the workstation and then processed with multiplanar reconstruction(MPR), curved planar reformation(CPR). The CT manifestations were analysed and compared with surgical and pathological findings. Results: The CT manifestations of acute appendicitis were an enlarged appendix in 38 cases, thickening of appendiceal wall in 31 cases, appendicolith in 19 cases, cecal apical thickening in 15 cases, appendiceal abscess in 12 cases, inflamatory mass in 7 cases. Sensitivity, specificity, accuracy, positive predictive value and negative predictive value of MSCT in acute appendicitis were 95%, 82%, 93%, 96%, 75% respectively. Conclusion: MSCT can provide an advantage of showing the appendix multi-directionaly and improving the accuracy of diagnosis.
2006 Vol. 17 (1): 15-17 [Abstract] ( 1292 ) HTML (0 KB)  PDF  (0 KB)  ( 297 )
18 Image analysis of ring shape enhancement in hepatic tumor
JIN Wu-nan;YANG Xiang;CHE Cheng-ri
DOI:
Objective: To dynamic investigate the ring shape and flower crest shape CT enhancement in hepatic tumor. Methods: Observation of single-level dynamic computed tomography hepatic arteriography(SD-CTHA) so that analysis of image of SD-CTHA in hepatocellular carcinoma and hepatic metastases. Results: Sustained enhancement was noticed in tumor center and slowly diffused to tumor circumference after maximum contrast-enhancement, and flower crest shaped contrast-enhancement was formed while contrast agent was disappeared in hepatocellular carcinoma. Diffused enhancement was showed from tumor margin to center, slow and sustained enhancement in circumference was showed while contrast agent of the tumor center was disappeared after maximum contrast-enhancement in hepatic metastases. The time-intensity of ring shape enhancement was observed by Mann-Whitney method(P=0.000<0.01). Conclusion: SD-CTHA had diagnostic and differential diagnostic value in ring shape enhancement hepatocellular carcinoma and hepatic metastases.
2006 Vol. 17 (1): 18-20 [Abstract] ( 1245 ) HTML (0 KB)  PDF  (0 KB)  ( 278 )
21 An experimental study of the enhanced effect of radiofrequency ablation with adjuvant agent
JIANG Bao-guo;XU Ke;HE Dong-feng
DOI:
Objective: To compare the effects of hypertonic saline, acetic acid and acetic acid-hypertonic saline solution (AAHS)-enhanced hepatic radiofrequency and to determine the optimal solution in order to maximize its effect on the extent of the RFA-induced coagulation necrosis. Material and Methods: Tweleve pieces of fresh ex vivo pork liver were assigned to one of the four groups: group A: RFA alone; group B: RFA with 36% NaCl injection; group C: RFA with 50% acetic acid injection; group D: RFA with 50% AAHS. A volume of 1ml various solution were injected into the liver respectively before RFA. Twelve lesions were obtained in each group of liver. The lowest impedance value and persistent time were recorded. Then the long and transverse diameter of the necrotic lesion were measured, the areas of radiofrequency induced coagulation were calculated. Finally, the values were evaluated statistically. Results: The lowest impedance in group A is the highest. The lowest impedance value in group A were compared with other groups, the difference was statistically significant. However, compared the lowest impedance value in group B with that in group C, there was no significant difference. Radiofrequency enery persistent time in group A was significantly shorter than those in group B, C or D(P<0.05). Radiofrequency persistent time in group B was the longest, compared group B with other groups, the difference was significant. Coagulation necrosis areas in group D was maximum, compared group D with other groups, the differences were statistically significant(P<0.05). Conclusion: Combined 50% AAHS injection and RFA can increase the dimension of coagulation necrosis in the ex vivo pork liver.
2006 Vol. 17 (1): 21-23 [Abstract] ( 1165 ) HTML (0 KB)  PDF  (0 KB)  ( 189 )
24 Correlation between spiral CT imaging features with the expression ofVEGF and MVD in intrahepatic cholangiocarcinoma
QIAO Hui-jie;WANG Bin;SONG Xiu-feng;YU De-xin;ZHOU Mao-yi;LI Li-xin
DOI:
Objective: To investigate the correlation between characteristic features of spiral computed tomography(SCT) and the expression of vascular endothelial growth factor(VEGF) and microvessel density(MVD) in intrahepatic cholangiocarcinoma(IHCC). Methods: Triple-phase SCT scanning was performed in 24 patients with 28 pathological confirmed IHCC lesions. SCT signs were observed. Immunohistochemical analysis was carried out in 28 lesions to examine the expression of VEGF and quantity MVD by using antibodies against CD34 in IHCC. The features of SCT were compared with all immunohistochemical results of IHCC. Results: Size of the lesions, invasion and metastasis of IHCC on CT scanning correlated with the expression of VEGF(P<0.05); tumor edge, size of the lesions, invasion and metastatic bile duct dilation and delayed enhancement pattern of IHCC correlated with MVD(P<0.05). Conclusion: SCT imaging features could reflect tumor angiogenesis in certain extent and infer the expression of VEGF, which is very helpful for its early diagnosis and the selection of proper therapy.
2006 Vol. 17 (1): 24-27 [Abstract] ( 1356 ) HTML (0 KB)  PDF  (0 KB)  ( 240 )
32 Effects of diagnostic color Doppler ultrasound insonification on protein P53 expression in fetal rats’ kidneys
JIA Hua-ping;DUAN Yun-you;ZHAO Jing;ZHOU Ning;ZHOU Hai-yan;CAO Tie-sheng
DOI:
2006 Vol. 17 (1): 32-33 [Abstract] ( 1379 ) HTML (0 KB)  PDF  (0 KB)  ( 460 )
34 A study on imaging characteristics of color Doppler echocardiography of aortic left ventricular tunnel
HOU Chuan-ju;DENG Dong-an;ZHU Xian-yang;HAN Xiu-min;WANG Qi-guang;SHENG Xiao-tang;JIN Yan;CUI Chun-sheng;ZHANG Po
DOI:
Objective: To probe the imaging characteristics of aortic left ventricular tunnel(ALVT) in color Doppler echocardiography(CDE). Methods: Seven patients with ALVT were examined by CDE, to find out the character of ALVT. All of the 7 patients underwent angiocardiography for correlation. Of them, 5 cases were confirmed by operation. Results: Five cases were accurately diagnosed by imaging character of CDE, 1 case was misdiagnosed as the left coronary artery left ventricular fistula, the other one was misdiagnosed as the aortic valve stenosis with insufficiency. The features of CDE image were obvious as follows: ①The parasternal long axis view of two-dimensional echocardiography(2DE) image on the front or back wall of aortic valve showed non-echo tubal cavity was connected with left ventricular outflow-tract. CDFI showed that blood flow sign entered into the non-echo cavity from left ventricular outflow-tract during systolic time, and vice versa during diastolic time. ②The parasternal short axis view of 2DE image showed semilunar echoless cavity between aortic sinus and aortic wall. CDFI showed blood flow signal in echoless cavity. ③Most patients associated with aortic valve hypoplasia and aortic valve insufficiency, half with mitral insufficiency and very few with ventricular septal defect. Conclusion: The feature of CDE image in ALVT was obvious. CDE was valuable especially in diagnosing ALVT, but it should be differented from coronary artery fistulas, aortic dissecting aneurysm and aortic valve insufficiency.
2006 Vol. 17 (1): 34-36 [Abstract] ( 1445 ) HTML (0 KB)  PDF  (0 KB)  ( 253 )
37 Relationship between color Doppler ultrasound features of the insufficient perforating veins and clinical stages of chronic venous insufficiency
ZHENG Yan-ling;XIE Xiao-yan;HUANG Xue-ling;KUANG Ming;XU Zuo-feng;LIANG Jin-yu
DOI:
Objective: To evaluate the relationship between the ultrasonic features of perforating veins(PVs) and the clinical stages in patients with venous insufficiency of lower extremities. Methods: In 45 cases(50 lower limbs) with differernt clinical stages of venous incompetence of lower extremities, the number, diameter and blood flow velocity of PVs were examined by color Doppler ultrasound. Results: There were positive relationships between PVs’ number, diameter or blood flow velocity and the clinical stages, with a relationship index of 0.48, 0.55 and 0.51, respectively(P<0.05). Conclusion: Higher clinical stages were accompanied with greater number, wider diameter or faster blood flow of PVs.
2006 Vol. 17 (1): 37-38 [Abstract] ( 2496 ) HTML (0 KB)  PDF  (0 KB)  ( 272 )
39 Value of echocardiographic indices in predicting the spontaneous closure of ductus arteriosus among neonates
ZENG Hui-ru;ZHAO Jin-hui;LIU Tong;LI Ling
DOI:
Objective: To investigate whether the spontaneous closure of ductus arteriosus could be predicted by early echocardiographic indices. Methods: The term neonates were examined with echocardiography 1 to 3 days after birth. The presence or absence of a hemodynamically significant ductus shunt was judged from echocardiographic indices. If the ductus arteriosus was not closed, follow-up research were made. From January 1995 to March 2005, there were 45 subjects in our hospital whose ductus did not close spontaneously within a one-year follow-up(PDA group), and 50 subjects whose ductus closed spontaneously within 3 days were collected randomly served as controls(CONTROL group). The echocardiographic indices were compared between the two groups. Results: The LA/AO, LVIDd/AO, the smallest width of ductal color Doppler flow jet and the velocity at the pulmonary end of the duct in PDA group were found to be significantly higher than those in CONTROL group(P<0.001, P<0.01, P<0.001, P<0.001 respectively). LA/AO<1.30, LVIDd/AO<1.82, and the smallest width of ductal color Doppler flow jet<0.29cm were good indicators for prediction that the ductus arteriosus could be closed spontaneously. LA/AO>1.39, LVIDd/AO>1.97, and the smallest width of ductal color Doppler flow jet>0.33cm indicated that the ductus arteriosus could not be closed spontaneously, and further treatment was necessary. Conclusion: The early echocardiographic indices of term neonates was very valuable to predict the spontaneous closure of ductus arteriosus.
2006 Vol. 17 (1): 39-41 [Abstract] ( 2514 ) HTML (0 KB)  PDF  (0 KB)  ( 221 )
42 Experimental studies of infection imaging of CPF labeled with 99mTc
ZHANG Hong;JIANG Ning-yi;ZHU Lin;LI Hong-yu;LIU Xiong-ying;CHEN Gui-bing;CHEN Shao-xiong
DOI:
Objective: To prepare 99mTc-Ciprofloxacin(CPF), an inflammation tracer, and obtain the information about its biodistribution and scintigraphy in mice model, and assess its feasibility of clinical application. Methods: The stability of 99mTc-CPF, its biodistribution in mice model were studied, and 99mTc-CPF scintigraphy in mice model of inflammation was also performed. Results: The labelling rate of 99mTc-CPF was over 90%. 99mTc-Ciprotech was stable within 6 hours at room temperature. The inflammatory tissue/normal tissue were 3.48, 4.30 and 4.17 at 1, 4, 6 hour after injection respectively. The radioactivity clearance mainly occurred in the liver and kidney, and the clearance from blood was rapid. Conclusion: 99mTc-CPF is a specific and sensitive radiophamiaceutical agent for scintigraphy of inflammatory lesions, and it is easy to prepare.
2006 Vol. 17 (1): 42-44 [Abstract] ( 1296 ) HTML (0 KB)  PDF  (0 KB)  ( 255 )
       综述
45 Application of Doppler ultrasonography in diagnosing blood supply and vascular pathology of ovarian tumor
GUO Li-kui;QI Zheng-qin;ZHAO Yu-zhen
DOI:
2006 Vol. 17 (1): 45-47 [Abstract] ( 1125 ) HTML (0 KB)  PDF  (0 KB)  ( 255 )
       论著摘要
48 FDG-PET and CT features in pulmonary inflammatory pseudotumor
WANG Shu-xia;TANG An-wu;LIU Hui
DOI:
2006 Vol. 17 (1): 48-49 [Abstract] ( 1253 ) HTML (0 KB)  PDF  (0 KB)  ( 269 )
50 Clinical study on percutaneous CT-guided lung biopsy of the patients with peripheral lung focus
MU Hai-yu;GU Xin;NIU Huai-yin
DOI:
2006 Vol. 17 (1): 50-51 [Abstract] ( 1070 ) HTML (0 KB)  PDF  (0 KB)  ( 256 )
51 Clinical value of PET-CT in heart image technique
ZHAI Wei;YANG Ping-zhu;HOU Yang;WANG Kai;XIN Jun
DOI:
2006 Vol. 17 (1): 51-53 [Abstract] ( 1166 ) HTML (0 KB)  PDF  (0 KB)  ( 255 )
54 CT diagnosis of adrenal myelolipoma(report of 10 cases)
CHEN Jun-bo?熏 FANG Wen-qiang
DOI:
2006 Vol. 17 (1): 54-55 [Abstract] ( 1186 ) HTML (0 KB)  PDF  (0 KB)  ( 240 )
55 Multi-slice spiral CT diagnosis of small renal carcinoma
TANG Ren-chao?熏 LI Lin
DOI:
2006 Vol. 17 (1): 55-56 [Abstract] ( 1114 ) HTML (0 KB)  PDF  (0 KB)  ( 262 )
57 MRI manifestation of extradural extramedullary metastasis of non-Hodgkin lymphoma
LIANG You-lu
DOI:
2006 Vol. 17 (1): 57-58 [Abstract] ( 1024 ) HTML (0 KB)  PDF  (0 KB)  ( 265 )
       病例报告
59 Malignant fibrous histocytoma of the liver?押 report of one case
QUAN Guan-min;YUAN Tao
DOI:
2006 Vol. 17 (1): 59-59 [Abstract] ( 1019 ) HTML (0 KB)  PDF  (0 KB)  ( 292 )
60 CT diagnosis of ureterocele combined with multiple intracapsular calculus?押 report of one case
ZHU Jie;LIU Rong-bo;LU Chun-yan;WANG Na
DOI:
2006 Vol. 17 (1): 60-60 [Abstract] ( 1170 ) HTML (0 KB)  PDF  (0 KB)  ( 228 )
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