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肾上腺血管瘤CT及MRI征象分析

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目的 探讨、总结肾上腺血管瘤影像学征象.方法 回顾性分析经手术病理证实的10例肾上腺血管瘤CT或M RI征象.结果 10例肾上腺血管瘤(左侧6例,右侧4例)均为单发,最大径29-70mm.7例行CT检查,1例CT平扫,6例CT平扫+增强;5例有钙化,其中2例平扫低密度并周围钙化,增强后未见强化;1例出血并周围钙化,增强未见强化;1例中间及周围均有钙化,增强轻度强化;另外2例平扫分别呈等密度及等低混杂密度,增强均为动脉期边缘结节状明显强化,随时间延迟向中央扩散,但中央区始终未见强化.3例行MR检查,平扫信号不均,1例T2WI FS、DWI中间低信号,T1WI正反相位高信号(出血);1例T2WI FS中间明亮高信号,DWI及T1WI均低信号(囊变),这2例强化方式为动脉期周围结节样明显强化并向中央扩散;另1例为T2WI FS、DWI低信号中散在小斑片高信号,T1WI低信号,增强仅周围少许轻度强化,中央延迟见小斑片强化.结论 肾上腺血管瘤CT或MR具有一定的征象,熟悉这些特征能够提高其诊断准确率.
Analysis of CT and MRI Features of Adrenal Hemangioma
Objective To investigate and summarize the imaging features of adrenal hemangioma.Methods The CT or MRI findings of 10 cases of adrenal hemangioma confirmed by surgery and pathology were retrospectively analyzed.Results Ten cases of adrenal hemangioma(6 cases on the left and 4 cases on the right)were solitary,with a maximum diameter of 29-70mm.7 patients underwent CT examination,including 1 case of CT plain scan and 6 cases of CT plain scan and enhanced.Calcification was found in 5 cases.2 cases showed low density and calcification on plain scan,but no enhancement was found on enhanced scan.1 case had hemorrhage with peripheral calcification and no enhancement.1 case had calcification in the middle and periphery with mild enhancement.The other 2 cases showed isodense and isolow mixed density on plain scan,respectively.The enhancement showed marginal nodular enhancement in the arterial phase,which spread to the central area with time delay,but the central area was never enhanced.3 patients underwent MR Examination,and the signal was heterogeneous on plain scan.1 case of low signal in the middle of FS and DWI on T2WI and high signal in the forward and reverse phase on T1WI(hemorrhage).1 case showed bright hyperintensity on T2WI FS and hypointensity on DWI and T1WI(cystic change).The enhancement pattern of these two cases was marked peripheral nodular enhancement on arterial phase and spread to the center.The other case showed scattered patchy hyperintensity in T2WI FS,DWI hypointensity,and T1WI hypointensity,with slight peripheral enhancement and delayed central enhancement.Conclusion Adrenal hemangioma has certain CT or MR Signs,and familiarity with these features can improve its diagnostic accuracy.

AdrenalHemangiomaComputed TomographyMagnetic Resonance Imaging

金佳熙、张盼

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福建中医药大学附属第二人民医院影像科(福建 福州 350003)

中国人民解放军联勤保障部队第九○○医院放射诊断科(福建 福州 350025)

肾上腺 血管瘤 计算机断层成像 磁共振成像

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(12)