诊断学理论与实践2013，Vol.12Issue(3)：339-342,4.DOI:10.3969/j.issn.1673-6087.2013.03.020
MRI在子宫肌瘤定位和定性诊断中的价值分析
Value of MRI in uterine leiomyoma localization and quality assessment
章伟 1刘彦平 1汪建华 2朱应合 1杨非1
作者信息
- 1. 江苏省常州市中医医院放射科,江苏常州213000
- 2. 宁波大学医学院附属医院放射科,浙江宁波315000
- 折叠
摘要
Abstract
Objective:To evaluate the value of MRI for uterine leiomyoma localization and quality assessment.Methods:MRI and pathology results of 30 cases of uterine leiomyoma were retrospectively analyzed,with emphasis on the MRI display of uterine leiomyoma located at different positions and the MRI characteristics of different types of uterine leiomyoma in various MRI series,and cross-analyzed with the results of surgical pathology.Results:There were 58 lesions in 30 cases.MRI could clearly demonstrate the lesion size,position and distribution.Intramural myoma was surrounded by muscular layer; subserous myoma located in subserosa often with accompanying sign of pressed muscular layer; and submucous myoma located directly in the endometrium of uterus.Almost all the leiomyomas showed slight hypointensity or isointensity on T1 weighted images.Most of the ordinary leiomyomas displayed hypointensity on T2 weigthed images and diffusion Images,and most cellular leiomyomas manifested as slight hyperintensity,degenerated leiomyomas manifested as uneven mixing signals.In enhancement scanning,ordinary leiomyomas mostly were homogenously enhanced,most cellular leiomyomas showed heavy homogenous enhancement,and degenerated leiomyomas mostly displayed mild enhancement.The diagnosis accordance rate between MRI and pathology diagnosis was 93.1％.Conclusions:MRI has great value for uterine leiomyomas localization and quality assessment,it can provide important reference for selecting clinical treatment.关键词
子宫平滑肌瘤/磁共振成像/病理学Key words
Uterine leiomyoma/ Magnetic resonance imaging/ Pathology分类
医药卫生引用本文复制引用
章伟,刘彦平,汪建华,朱应合,杨非..MRI在子宫肌瘤定位和定性诊断中的价值分析[J].诊断学理论与实践,2013,12(3):339-342,4.
