临床误诊误治2023,Vol.36Issue(7):68-71,4.DOI:10.3969/j.issn.1002-3429.2023.07.015
多层螺旋CT及MRI检查对听神经瘤的诊断效能比较
Comparison of Diagnostic Efficacy of Multi-slice Spiral CT and MRI in Acoustic Neuroma
摘要
Abstract
Objective To compare the diagnostic efficacy of multi-slice spiral CT(MSCT)and MRI in acoustic neuro-ma.Methods The clinical data of 86 patients with acoustic neuroma treated from April 2019 to July 2021 were retrospectively analyzed.The diagnostic efficacy of MSCT,MRI and their combined examination in acoustic neuroma was compared,and the MSCT and MRI characteristics of acoustic neuroma were analyzed.Results The accuracy of MRI combined with MSCT in the diagnosis of acoustic neuroma was 95.35%(82/86),which was significantly higher than that of single MRI diagnosis[(84.88%(73/86)]and MSCTdiagnosis[(72.09%)(62/86)](P<0.05).MSCT plain scan revealed similar round mas-ses,mostly uniform or slightly low density signal shadow,and enhanced scan revealed obvious enhancement,which can be uni-form,uneven or circular enhancement.Plain MRI revealed that cystic tumors showed high or slightly high signals on T1WI and T2WI,that solid tumors showed slightly low or low signals on T1WI and high or slightly high signals on T2WI,and that solid tumors showed low or slightly low signals on T1WI and high or slightly high signals on T2WI.The enhanced scan showed signifi-cant uniform and consistent enhancement of the tumor.Conclusion Both MSCT and MRI can display the imaging features of acoustic neuroma,and their combined examination can improve the diagnostic accuracy.关键词
神经瘤,听/多层螺旋CT/磁共振成像/平扫/增强扫描/影像学特征/诊断效能Key words
Neuroma,acoustic/Multi-slice spiral CT/Magnetic resonance imaging/Plain scan/Enhanced scan-ning/Imaging feature/Diagnostic efficacy分类
临床医学引用本文复制引用
陈荣,蒋永明,唐聪,殷成坤,沈小程..多层螺旋CT及MRI检查对听神经瘤的诊断效能比较[J].临床误诊误治,2023,36(7):68-71,4.基金项目
遂宁市中心医院2022年院级科研课题(2022ypj05) (2022ypj05)