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磁共振3D flash增 强扫描技术在小听 神经肿瘤中的应用 分析*

作者:张大波 侯刚强 谢井文 姜 梅 张 刚 张刚平

所属单位:深圳市南山区人民医院放射科 (广东 深圳 518052)

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摘要

目的 探讨磁共振3D flash增强 扫描技术在小听神经肿瘤中的诊断价值。 方法 回顾分析2014年2月至2017年10月期 间收治的16例经手术及病理证实的小听神 经瘤患者,分析比较磁共振常规增强扫描 及3D flash增强扫描两种成像技术在小 听神经肿瘤中的诊断应用中的优缺点。 结果 两种扫描方案所得肿瘤的体积及轮 廓无差别;两序列增强图像信噪比(SNR) 及对比噪声比(CNR)比较有统计学意义 (P<0.05)。结论 磁共振3D flash增强扫 描技术在小听神经肿瘤的诊断中具有重要 价值,值得广泛应用。

Objective To study the diagnostic value of magnetic resonance 3D flash scanning technique in small auditory nerve tumor. Methods A retrospective analysis was made from February 2014 to October 2017 in our hospital. 16 cases were confirmed by surgery and pathology of acoustic neuroma, advantages and disadvantages of enhanced MRI scanning and 3D flash enhanced scanning in application of small neural tumors were compared. Results There are no difference between the two methods in volume and contour of the tumor. The signal to noise ratio (SNR) and contrast to noise ratio (CNR) were statistically significant (P<0.05). Conclusion Magnetic resonance 3D flash enhanced scanning technique is a great value in the diagnosis small auditory nerve tumors, and it is worth to be widely used.There are no difference between the two methods in volume and contour of the tumor.

【关键词】磁共振成像;3D flash;增 强扫描;听神经瘤

【中图分类号】R764.41

【文献标识码】A

【DOI】 10.3969/j.issn.1672- 5131.2018.04.004

前言

听神经瘤起源于内听道前庭神经的雪旺氏细胞的良性肿瘤,占颅 内肿瘤的8%~10%。肿瘤早期常位于内耳道,随着体积增长逐渐发展进 入桥小脑角区。由于该区域有重要的神经、血管穿行,手术切除损伤 大,复发率高。因此,早期发现、早期诊断小听神经瘤具有重要的意 义[1-2]。磁共振具有良好的软组织分辨率,无颅骨伪影干扰,能够多平 面、多序列扫描及三维成像等诸多优势,成为后颅窝病变的首选检查 方法。本文通过对16例小听神经瘤行3D flash序列扫描,并与常规自 旋回波序列对比分析,评价其在小听神经瘤诊断中的价值。