摘要
目的 比较分析3D Bravo及3D Cube Flair两种MR增强扫描序列对肺癌脑 转移检出能力的优劣,优化肺癌脑转移病 例的MR检查方案。方法 回顾分析25例临 床确诊的肺癌患者的MR检查结果,患者MR 检查时同时行3D Bravo 及3D Cube Flair 两种MR增强扫描序列,比较两者的病灶 显示能力并作统计分析。结果 3D Cube flair共检出135个病灶,其中脑膜转移灶 78个、脑内转移灶57个;3D Bravo共检出 91个病灶,其中脑膜转移灶36、脑内转移 灶55个。脑膜转移者两种扫描序列相比P <0.01,有明显差异;脑内转移者两种扫 描序列相比P>0.05,无差异。结论 3D Cube Flair增强扫描序列在早期判断肺癌 脑转移尤其是早期脑膜转移具有较高应用 价值,与3D Bravo扫描序列联合应用对诊 断价值更高。
Objective Comparative analysis of 3D Bravo and 3D Cube Flair two MR enhancement scanning sequence for detecting lung cancer with brain metastasis of quality. Methods Optimize the retrospective analysis of 25 cases of clinically diagnosed lung cancer patients with MR results MR examination method for cases of brain metastases of lung cancer, while 3D Bravo and 3D Cube Flair two MR enhanced scan sequence comparison, both display focus ability and statistical analysis. Results 3D Cube flair were detected in 135 lesions, including meningeal metastasis 78, brain metastases 57; 3D Bravo were detected in 91 lesions, including meningeal metastasis 36, brain metastases in 55. Meningeal metastasis two scanning sequence P<0.01, there are significant differences in brain metastasis; the two scanning sequence compared with P>0.05, no difference. Conclusion 3D Cube Flair enhanced scan sequence in the early diagnosis of brain metastases from lung cancer, especially the early meningeal metastasis has a high application value, and the combined use of 3D Bravo scan sequence is higher diagnostic value.
【关键词】MR增强;3D Bravo;3D Cube Flair
【中图分类号】R739.421;R445.2
【文献标识码】A
【DOI】 10.3969/j.issn.1672-5131.2015.02.01
前言
肺癌在我国发病率很高,而临床上肺癌脑转移是晚期肺癌远处转 移的常见现象,是肺癌患者预后和死亡的主要影响因素。肺癌脑转移 占脑部转移性肿瘤的40%~60%,甚至更高[1]。发达国家肺癌在恶性肿 瘤中的发生几率,男性是第一位;女性是第二、第三位[2]。确定肺癌 患者有无脑部转移病灶对临床选择治疗方案至关重要。MR检查对确定 有无脑转移具有很高的价值,以往都通过T1WI增强扫描来判断有无转 移灶的存在,以及病灶的大小和病灶数。多数患者都能通过T1WI增强 扫描明确诊断,但普通T1WI成像序列一般层厚较厚,对一些微小转移 灶尤其是脑膜转移灶容易造成漏诊,而Bravo序列与Cube flair序列 是三维容积采集,空间分辨率有了很大的提高,对微小转移灶的检出 能力有很大提升,已广泛用于临床。本文主要通过Bravo序列与Cube flair序列在增强后扫描效果的对比,探讨两者成像质量的优劣,优化 扫描方案。
中国CT和MRI杂志
第13卷, 第 2 期
2015年02月
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