磁共振成像2016,Vol.7Issue(5):379-382,4.DOI:10.12015/issn.1674-8034.2016.05.012
妊娠早期完全性葡萄胎的MRI诊断
MRI diagnosis of complete hydatidiform mole in early pregnance
摘要
Abstract
Objective: To investigate the MRI imaging features and diagnostic points of complete hydatidiform mole in the early stage of pregnancy. Materials and Methods: The clinical and MRI imaging data of 9 cases of complete hydatidiform mole confirmed by pathology were retrospectively analyzed, the diagnostic and differentiate points were summarized. Results: There are some common features of hydatidiform mole on MRI. All of the 9 cases showed enlargement of the uterus, thickness of the uterus wall and appeared abnormal enlarged and tortuous vessels in the uterus wall and around the uterus, which was markedly heterogeneous enhanced after contrast medium administrated. There appeared patchy abnormal signals in the uterine cavity, which showed iso- or hypo-intensity on T1WI and inhomogeneous hyper- or hypo-intensity on T2WI, and showed slight enhancement after injection of contrast medium. All the low-intensity endometrium was integrated. During the follow up visits after uterine aspiration in clinic, the HCG value gradually decreased in all cases, and the abnormal vessels in the uterus wall as well as adjacent spaces also shrinked or diminished. Conclusions: There are some specific imaging features of hydatidiform mole on MRI. The diagnosis of hydatidiform should take full consideration of the clinic history.关键词
葡萄胎/磁共振成像Key words
Hydatidiform mole/Magnetic resonance imaging分类
医药卫生引用本文复制引用
黎昕,代海洋,涂建新..妊娠早期完全性葡萄胎的MRI诊断[J].磁共振成像,2016,7(5):379-382,4.基金项目
广东省医学科学技术研究基金项目(编号A2015536);惠州市中心人民医院重点扶持科研项目(编号2015)ACKNOWLEDGMENTS This study was supported by Medical Science and Technology Research Foundation of Guangdong Province (No. A2015536) and the key support project of Huizhou Municipal Central Hospital (No.2015) (编号A2015536)