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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
2016 Vol. 27, No. 8
Published: 2016-08-20
533
Functional MRI study of the functional language area with brain tumor preoperatively related with the semantic and syntactic paradigm
LIU Yong-jian1, HUANG Biao2, ZHOU Shou-guo1, FENG Yan-yun3, LIANG Chang-hong2, ZHANG Jia-xiong1
Objective: To observe the location and the language lateralization of language functional areas in patients with brain tumors. To evaluate the relationship between the location of the lesion and the language lateralization of functional language areas, and determine the Chinese language hemisphere. Finally analyzed the cause of this phenomenon. Methods: Nineteen patients were enrolled the study, to perform the semantic and syntactic paradigm. Functional data was collected when performed the language tasks and analyzed by SPM8. Using specify 2nd level(single sample t-test) for group analysis. Then locating the functional language areas and determining the Chinese language hemisphere. Results: In the case of 19 patients with brain tumors, bilateral medial frontal gyrus, bilateral superior frontal gyrus, right medial frontal gyrus, bilateral superior temporal gyrus, left inferior temporal gyrus, left middle temporal gyrus, the bilateral supramarginal gyrus etc were significantly activated. The LI was more than 0. The dominant hemisphere in patients with brain tumor was in left side. Conclusion: The mass effect due to growth of the brain tumors led to the restructuring of the brain tissue. And the normal brain regions around the lesion and the right hemisphere corresponding mirror brain areas may compensate for the part of the language function. BOLD-fMRI provides a reliable method for evaluating the relationship between the location of the lesion and the functional language areas. It is helpful for perfectly excision of the lesion in the surgery.
2016 Vol. 27 (8): 533-537 [
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538
Evaluate fetal origin of posterior cerebral artery accompanied with intracranial aneurysm by CT angiography
HE Zhen, ZHANG Ji-yang, XU Meng, WAN Ye-da
Objective: To observe fetal origin of posterior cerebral artery(FTP) accompanied with intracranial aneurysm by CT angiography(CTA). To investigate whether FTP is the risk factor of intracranial aneurysm. To analyze clinical datas(including age, gender, smoking history, hypertension, coronary heart disease and diabetes) of FTP patients whether accompanied with intracranial aneurysm. Methods: Three doctors reviewed intracranial CTA of 155 consecutive patients. Whether the FTP existed or not was observed firstly. Then, FTP type and intracranial aneurysms accompanied with FTP were observed carefully, including aneurysms’ location, size, and subarachnoid hemorrhage. The clinical data including smoking history, hypertension, coronary heart disease and diabetes of patients with FTP were interviewed by telephone. The incidence of FTP, intracranial aneurysms accompanied with FTP and non-FTP were calculated respectively. Gender difference about FTP was analyzed by χ2 test. The incidence of intracranial aneurysms(including accompanied with FTP and non-FTP) and their clinical data were analyzed by Fisher’s exact test. Binary logistic regression analysis was used to evaluate weather FTP is the risk factor of intracranial aneurysm. Results: The FTP incidence was 16.13%(25/155) in overall, 12.12%(12/99) in male, 23.21%(13/56) in female. There was no gender difference in FTP incidence(P=0.071). The incidence of intracranial aneurysms accompanied with FTP and non-FTP was 20%(5/25), 6.15%(8/135), respectively. There was statistical difference in the incidence of intracranial aneurysms between FTP and non-FTP(P=0.038). FTP is the risk factor of intracranial aneurysm(P=0.031). There were statistical differences between intracranial aneurysms accompanied with FTP and non-FTP on gender, hypertension, coronary heart disease and diabetes(P<0.05). On the contrary, there were no statistical difference between above on age and smoking(P>0.05). Conclusions: The incidence of intracranial aneurysms about female patients with FTP is significantly higher when they suffered hypertension, coronary heart disease or diabetes.
2016 Vol. 27 (8): 538-542 [
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543
Imaging analysis of minor salivary gland tumor
GUO Jun-chen, SUN Ling-ling
Objective: To study features of minor salivary gland tumors on the CT and MR image. Methods: The CT, MR image and clinical information of 31 patients with surgery and pathology confirmed tumors of minor salivary glands were retrospective analyzed. Result: Fourteen cases of minor salivary gland tumors among 31 cases were benign tumors, and most of them were adenoma. The average diameter of tumors was 2.3 cm, most tumors located in the palatine. Tumors were shown soft tissue density on CT, low or equal signal on T1WI and slightly higher signal on T2WI. Thirteen cases were well-defined and 4 cases had bone oppression. Tumors were moderate enhancement in the post-enhanced scan. Malignant tumors were seen in 17 cases, most of them were adenoid cystic carcinoma. They often appeared in the palatine. Most of them were shown mixed low density on CT, mixed slightly low signal on T2WI, few of them were shown slightly high signal. Fourteen cases were with unclear boundary and bone destruction. Tumors were mild to obvious heterogeneous enhancement in the post-enhance scan. Conclusion: CT and MRI are of considerable value in diagnosis and differential diagnosis of minor salivary gland tumor.
2016 Vol. 27 (8): 543-546 [
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547
Relationships between NOX4 expression and 18F-FDG uptake in patients with breast cancer
LI Xue-na, YIN Ya-fu, DU Bu-lin, LI Ya-ming
Objective: The relationship between the NOX4(NADPH oxidase 4) expression and glucose metabolism in breast cancer is unclear. This present study intends to study the expression levels of NOX4 and 18F-FDG uptake. And to further explore the clinical significance. Methods: The patients diagnosed as breast cancer who underwent preoperative 18F-FDG PET were enrolled. We examined the maximum standardized uptake values(SUVmax) of lesions. The levels of NOX4 were measured with immunohistochemical analysis. The clinical, histopathology of breast cancer patients were collected and recorded, and the correlation between NOX4 and clinical and histological predictors and metastasis were analyzed. Results: Fifty-six patients met the inclusion criteria and were included in the study, a total of 56 breast lesions. The SUVmax of lesions were 4.78±2.96. Thirty-three cases had positive expression of NOX4, 23 cases had negative expression. The SUVmax in the positive expression of NOX4 group was 6.42±3.23, the negative NOX expression group was 3.22±1.57. The SUVmax was higher in the NOX4 positive expression group than negative expression group, the difference was statistically significant(t=4.83, P<0.05). NOX4 expression levels were significantly correlated with lymph node metastasis(χ2=4.52, P<0.05). The expression of NOX4 and histological types have no significant correlation(χ2=2.88, P>0.05). The expression of NOX4 and histological grading were significantly related to histological grade, the positive rate of NOX4 expression in the group Ⅲ was higher than Ⅰ+Ⅱ Group(χ2=6.32, P<0.01). The SUVmax in infiltrating ductal carcinoma was higher than lobular carcinoma(t=2.97, P<0.05). The SUVmax in lymph node metastasis was higher than no lymph node metastasis(t=2.04, P=0.04). The SUVmax in the group Ⅲ was higher than Ⅰ+Ⅱ Group(t=-2.5, P<0.05). Conclusions: The levels of NOX4 expression were correlated with the 18F-FDG uptake. The expression of NOX4 and the 18F-FDG uptake are associated with lymph node metastasis and histological grade.
2016 Vol. 27 (8): 547-550 [
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551
Three-dimensional speckle tracking imaging in evaluation on global left ventricular strain in children with initial onset of nephrotic syndrome
HE Huan, SUN Fei-fei, REN Wei-dong, WU Dan
Objective: To evaluate the characters of global left ventricular(LV) strain in children with initial onset of nephrotic syndrome(INS) by three-dimensional speckle tracking imaging(3D-STI) technique. And to analysis the differences of the above data between the children with various amount of urine protein in 24 h. Methods: Forty-two INS children were randomly enrolled as INS group, and 30 healthy children were employed as normal controls. Three-dimensional left ventricular ejection fraction(3D-LVEF), global left ventricular longitudinal strain(LVGLS), left ventricular circumferential strain(LVGCS), left ventricular area strain(LVGAS) and left ventricular radial strain(LVGRS) were measured with 3D-STI. All of the data were analyzed by normality test to find out the proper statistical approaches. Then we choose 20 groups randomly to do the repeatability test. Meanwhile, we draw the scatter diagram. At last, we divided the INS group into 3 groups according to their various amount of urine protein in 24 h. Results: ①LVGLS and LVGAS were significant lower in INS group than in normal group(all P<0.05) while LVGCS and LVGRS have no significant differences. ②After the Bland-Altman’s repeatability test, it turned out that the 20 groups which were chosen randomly are in good correspondence with each other not only between-group but also in-group. Compared with between-group, the mean difference value of LVGAS, LVGCS, LVGLS and LVGLS are -0.2, -0.13, 0.1 and 0.2 respectively as well as the confidence interval of them are -2.8%~2.3%, -1.65%~1.29%, -2.1%~2.3% and -3.9%~4.3% respectively. When compared with in-group, the mean difference value of LVGAS, LVGCS, LVGLS and LVGLS are 0.0, -0.36, -0.4 and 0.1 respectively as well as the confidence interval of them are -2.9%~2.9%, -2.18%~1.45%, -3.2%~2.4% and -4.4%~4.6% respectively. ③Compared the data among the 3 INS subgroups, it can be inferred that only LVGAS and LVGLS make the significant differences. With the increasing amount of the urine protein, the data above can go down. Conclusion: The global left ventricular strain in children with INS has significant differences in our study. The new technology used in our study can be well repeated in the same way. The global left ventricular strain may be related to the severity level of the disease.
2016 Vol. 27 (8): 551-556 [
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557
Evaluation of hepatocellular carcinoma after TACE by using new dual energy image fusion technique
ZHANG Da-fu, LI Zhen-hui, YANG Guang-jun, WANG Guan-shun, LIAO Cheng-de, DING Ying-ying
Objective: To evaluate the application value of a new modified dual energy image fusion in hepatocellular carcinoma after transcatheter arterial chemoembolization(TACE). Method: Twenty-six hepatocellular carcinoma(HCC) patients after post-TACE underwent normal and three phases dual-energy CT scanning(non-enhanced, arterial, portal, and delayed phases scanning) were enrolled. The arterial phase scans used the dual-energy mode. Two image sets were used to process the data: A, the weighted average image was automatically generated from a linear blending of the data. B, the new double energy fusion was obtained. DSA regarded as the gold standard, we evaluated the feasibility of two image sets, which discriminate contrast enhanced lesions from compact iodized oil accumulations, thereby helping to identify viable lesions around the HCC previously-treated by TACE. Result: DSA revealed 60 lesions in 26 patients, and 45 of them had clear tumor vessel and supply blood. The sensitivity of B(93.3%) was higher than that of A(71.1%)(χ2=8.1, P=0.004), while the specificity of B(93.3%) was insignificantly different with A(66.7%)(χ2=1.5, P=0.221). The B set has a better consistency of DSA(K=0.83, P=0.000). Conclusion: After HCCs with TACE, displaying of iodized oil accumulations and/or enhanced lesion in outside is much better in the new double energy fusion than that in conventional CT protocol.
2016 Vol. 27 (8): 557-561 [
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562
The value of 3.0T high resolution MRI in preoperative T staging of rectal cancer
TANG Na, SHANG Nai-jian, ZHANG Hong-xia
Objective: To evaluate the value of 3.0T high resolution MRI in preoperative T staging of rectal cancer. Methods: Ninety-five cases of rectal cancer were taken into the study. All of them had a rectum MRI before surgery. The results of MRI for T staging were compared with that of histopathology. Result: The accuracy rate was 89.5% for T staging in total, 90.5% for T1~T2, 89.5% for T3, 98.9% for T4. A statistic analysis indicated that preoperative MRI for T staging was better consistent with pathologic T staging(Kappa=0.764, P=0.000). Conclusion: Preoperative 3.0T high resolution MRI may make an exact T staging.
2016 Vol. 27 (8): 562-564 [
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565
The value of CT in diagnosing lymph node metastasis of early-stage cervical carcinoma
YU Ying-ying, ZHAO Yan-ping, ZHOU Yong, WEN Zhi
Objective: To explore the value of CT evaluation of lymph node metastasis in early-stage cervical carcinoma. Methods: Seventy-eight patients with cervical carcinoma detected by CT were enrolled in this study. The potential lymph node metastasis were evaluated by detecting factors, including the size, morphology, enhancement pattern and distribution. The results were compared with postoperative pathological finding. Results: There were 22 patients with lymph node metastasis in 78 patients. ①There were significant differences among long-to-short diameter ratio, morphology, margin, enhancement pattern(P<0.05). There was no significant difference between extant of enhancement(P=0.715). Among the statistic results, the sensitivity and specificity of them that were using above or equal to the three CT factors was 77.27%, 82.14% respectively. ②According to the pelvic lymph nodes draining path, the lymph nodes were divided into three stages, stage two was the highest(The rate of lymph node metastasis were 11.54%, 24.36%, 7.69% respectively). Conclusion: Lymph node metastasis could be significantly diagnosed by long diameter with equal to or more than 10 mm, short-to-long ratio diameter with equal to or more than 0.7, circular or substantially circular or irregular shape, blurred edges or surrounding tissue adhesion, heterogeneous enhancement or ring enhancement. Lymph node metastasis may character as one lymph node with three features or more. Distribution of lymph nodes may partly be valuable for diagnosing lymph node metastasis.
2016 Vol. 27 (8): 565-569 [
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570
Correlation of cervical squamous cell carcinoma vascular quantitative three-dimensional color and pathological grading and micro-vessel density
ZHANG Hong-bin, LI He-zhou, HAO Zhi-wei, GUO Li-ya
Objective: To explore the correlation of perfusion index vascularization index(VI), pathological grading and microvascular density(MVD) cervical squamous cell carcinoma. Methods: Fifty-seven cases of cervical squamous cell carcinoma patients, three-dimensional color power angiography(3D-CPA) was used for reconstruction of blood vessels within cancerous tissue in the preoperative patients, and analyzed pathological grade and MVD value. Result: There was positively correlation between VI and MVD(r=0.612, P<0.05) in the 57 cases with cervical squamous cell carcinoma. There was statistically significant difference among them by comparing pathological grade Ⅰ~Ⅲ with VI and MVD(P<0.05), and with value of the VI, MVD had increased, the pathology grade would be high. Conclusions: It was positively correlated VI, histological grade and MVD in patients with cervical squamous cell. 3D-CPA may provide quantitative analysis for clinical doctor, and assess the grade of cervical squamous cell before surgery clinicians.
2016 Vol. 27 (8): 570-572 [
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573
Prenatal ultrasonography and its clinical value in diagnosis of fetal vascular ring
ZHANG Jing, JI Wei-ying, ZHENG Ming-fang
Objective: To investigate the clinical value of fetal echocardiography in prenatal diagnosis of vascular ring. Methods: Ultrasound images and follow-up results of 8 fetuses with vascular ring were retrospectively analyzed and summarized. Results: Double aortic arch formed “O” shaped complete vascular ring in 2 cases. Right aortic arch, left ductus artery and aberrant left subclavian artery formed “U” shaped complete vascular ring in 5 cases. Left aortic arch and aberrant right subclavian artery formed “C” shaped incomplete vascular ring in one case. Conclusion: Fetal echocardiography is of great clinical value in prenatal diagnosis of vascular ring. Three vessels and trachea view is the most important for prenatal ultrasonic diagnosis of fetal vascular ring. Tracheal bifurcation coronal view and long axial of aortic arch view is auxiliary view. The above views may make accurate diagnosis for the different types of fetal vascular ring.
2016 Vol. 27 (8): 573-575 [
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Evaluation of the influence of different ways of delivery and times of parity on female pelvic diaphragm hiatus with 4-dimensional ultrasound
LI Zai-hong1, HONG Yan1, YOU Jia1, FU Xiao-yan1, CHEN Yin1, ZHOU Qiao-miao1, FENG Xue2
Objective: To evaluate the influence of different ways of delivery and times of parity on female pelvic diaphragm hiatus with 4-dimensional ultrasound. Methods: One hundred and two puerperae were recruited who underwent delivery in hospital and visited clinic after 42 days postpartum from November 2015 to April 2016. Those patients were divided into different groups according to the ways of delivery and times of parity. Thirty healthy adult females were recruited as controls. The diameter, transverse diameter and area of pelvic diaphgragm hiatus in resting and Valsalva state were measured with 4-dimension ultrasound on all subjects. Results: ①Significant differences were found in the diameter, transverse diameter and area of pelvic diaphgragm hiatus in resting and Valsalva states among all groups, and the vaginal delivery group had the largest size of pelvic diaphragm hiatus. ②Patients with multi-times of parity had larger diameter, transverse diameter and area of pelvic diaphgragm hiatus in resting and Valsalva states. Conclusions: Vaginal delivery and multi-times of parity cause larger damage to pelvic floor function and 4-demensioanl ultrasonography could be effective method to diagnose pelvic floor function injury.
2016 Vol. 27 (8): 576-579 [
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580
CT and MRI features of multiple myeloma associated with plasmacytoma located in the spheno-clival region: three cases and literature review
WENG Yi-fei, QI Rong-feng, LU Guang-ming
Objective: To explore the clinical and imaging characteristics of plasmacytoma located in the spheno-clival region with multiple myeloma. Methods: The clinical materials and imaging information of three cases clinically confirmed spheno-clival plasmacytoma with multiple myeloma were reported. All of them performed CT and MRI scanning in our hospital. Results: In all of the three cases, homogeneous iso-density mass grew in the spheno-clival region with lytic bone destruction was shown on CT image. All masses were shown clear margin on MRI, two cases were homogeneous iso-intensity on T1WI, and one case was heterogeneous slightly hyper-intensity. One case demonstrated iso-intensity on T2WI, and the other two were shown slightly hyper-intensity. Two cases were performed contrated enhance MRI scanning before operation, and both of them demonstrated obvious homogeneous enhancement. DWI was performed on two cases and showed slightly hyper-intensity. Conclusion: Plasmacytoma located in the spheno-clival region with multiple myeloma is rare. If patients only show up with neurological symptoms, it needs to differential with other tumors frequently occur in this area. To combine analysing its characteristic appearance of MRI with clinical features and laboratory examinations ways would be helpful to improve the diagnostic accuracy, and final diagnosis need to be confirmed by pathological biopsy.
2016 Vol. 27 (8): 580-583 [
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584
The imaging manifestations of alveolar soft part sarcoma in skull
LI Yang, HAO Da-peng, SHI Xiang-long, YU Li-yuan, WAN Guang-yao, LIU Ji-hua, XU Wen-jian
Objective: To investigate the imaging features of alveolar soft part sarcoma(ASPS) in skull. Materials and Methods: The CT and MRI of eight patients with ASPS in skull confirmed by pathology were analyzed retrospectively. Results: All patients were shown excentric growth with pushing the scalp soft tissue and unclear margins abutting upon duramater. On CT scanning, six primary ASPSs were shown soft tissue mass with heterogeneous density, in which contained residual bone and uncompleted bony shell(n=6). The bone destruction was mainly osteolytic destruction(n=6). Two secondary ASPSs were shown soft tissue mass with homogeneous density and osteolytic destruction(n=2). On MRI scanning, six primary ASPSs were shown mushroom sign(n=6). The tumors appeared as hyper-intensity on T2WI, iso-intensity on T1WI and hyper-intensity on DWI(n=6). There were patchy hyper intensity areas, punctual/stripy hypo-intensity areas(n=4), clustered vessel signals(n=2) in tumors on T2WI. Inhomogeneous enhancement was seen on contrast-enhanced scan in six cases. Dural tail sign was seen in both side of the tumor(n=6). Two secondary ASPSs were shown orbicular-ovate mass(n=2). The tumors appeared as iso-intensity on T2WI and iso-intensity on T1WI(n=2). Homogeneous enhancement was seen on contrast-enhanced scan in two cases. The mean ADC value of six primary ASPSs was 2.19×10-4 mm2/s. The mean ADC value of two secondary ASPSs was 1.76×10-4 mm2/s. MRV was shown superior sagittal sinus pushed with a large number of drainage veins in the tumors. Conclusion: ASPS in skull was shown some typical imaging features. Combination the imaging features, clinical findings and pathology are helpful to the diagnosis the disease.
2016 Vol. 27 (8): 584-588 [
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589
Comparison analysis of CT and bone scintigraphy in diagnosis of SAPHO syndrome
ZHANG Qiang, CIDAN Wang-jiu, SUN Hong-zan, GUO Qi-yong
Objective: To explore the CT and bone scintigraphy features of patients with synovitis, acne, pustulosis, hyperostosis and osteitis(SAPHO) syndrome. Methods: CT and 99mTc-MDP features of 29 cases with SAPHO syndrome were retrospectively analyzed. Results: Twenty-four patients had anterior chest wall involved on CT, which showed bone sclerosis, hyperostosis, costal cartilage sclerotic hyperostosis, joint destruction and ankylosis; ten patients also had sacroiliac joint involvement, which showed sclerosis and hyperostosis on the iliac side of the sacroiliac joint, destruction of the articular surface and narrowing of joint space; eight patients had spinal involvement, which showed end plate erosion, sclerosis, paravertebral ossification, narrowed disc space, wedged body. Bone scintigraphy showed an increased uptake in ostearticular involvement. The anterior chest wall involvement was the commonest; it was presented in 27 patients(93.1%). Symmetric uptake in the sternoclavicular region with a typical “bull-horn” appearance was shown in bone scintigraphy by characteristic of the SAPHO syndrome. The uptake was also localized in: sacroiliac joints in 11, spine in 8, mandible, thighbone-one in each patient. Conclusion: Multi-bones of anterior chest wall involved was the common imaging characteristics, CT can accurately demonstrate bone sclerosis, hyperostosis, destruction and joint ankylosis. Bone scintigraphy can be very useful for an early diagnosis and localize the insidious lesion. SAPHO syndrome should be considered as they had the anterior chest wall involved and typical radiological features.
2016 Vol. 27 (8): 589-593 [
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762
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593
Testis Leydig cell tumors on ultrasound: report of one case
LIU Qi-ping, CHEN Hong-yan, GONG Hui-ling, SUN Qi
2016 Vol. 27 (8): 593-593 [
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699
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594
Pathogenesis progress and imaging advance in children with primary nocturnal enuresis
HUANG Ming-zhu, YU Bing, ZHANG Xu
Primary nocturnal enuresis(PNE) bring serious burden to the children and their families, whose etiology and pathogenesis are still controversial. Many research methods are used to investigate the pathogenesis of PNE. In recent years, multiple brain regions and functional defects in children with PNE, neural circuit connection and the abnormal of brain network properties have been found by multi-modality magnetic resonance imaging. With the progress of imaging technology, we will use more technique to explore the neural mechanism of PNE children.
2016 Vol. 27 (8): 594-596 [
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564
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597
Research on diagnostic value of combined MSCT enteroclysis and double-balloon endoscopy in small intestine tumor#br#
WANG Dong-xu, ZHANG Tian-yu, FENG Li-min, LI Guang-wei, DING Guo-xu
2016 Vol. 27 (8): 597-600 [
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683
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600
Diagnostic value of soft-copy reading in the rib micro-fracture
YAO Hong-xia, DUAN Qian-shen
2016 Vol. 27 (8): 600-602 [
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675
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602
Diagnosis value of the vaginal diseases on MRI
ZHAO Hui-ping, JIANG Gao-min
2016 Vol. 27 (8): 602-604 [
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682
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605
Acute rejection with renal artery embolism of transplanted kidney on contrast-enhanced ultrasound: report of one case
ZHANG Wan-jun, HE Yan-li, CHEN An-meng
2016 Vol. 27 (8): 605-606 [
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672
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606
Sarcomatoid carcinoma of the bladder: report of one case and literature review
ZHANG Lang, ZHANG Xue-hua, ZHANG Juan, ZHAI Zhao-hua
2016 Vol. 27 (8): 606-607 [
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656
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607
Diagnosis of intravesical migration of missed intrauterine device with stone formation on ultrasound: report of one case
ZHANG Xin-xin, JU Hao, LI Shi-xing, SHI Bo, ZHANG Yao, FENG Shu
2016 Vol. 27 (8): 607-608 [
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771
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