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3.0T磁共振DWI联合动态增强扫描在唾液腺肿瘤中的诊断价值 被引量:7
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作者 郑宁 王光彬 +4 位作者 齐先龙 辛顺宝 刘文娟 邵硕 李蕊 《医学影像学杂志》 2016年第7期1193-1198,共6页
目的探讨3.0T磁共振扩散加权成像联合动态增强磁共振成像对唾液腺肿瘤的诊断价值。方法回顾性分析37例唾液腺肿瘤患者的临床和MRI资料,所有患者均经穿刺活检或手术病理证实,观察病灶形态、边界、包膜、T1WI及T2WI信号特征,并测量分析病... 目的探讨3.0T磁共振扩散加权成像联合动态增强磁共振成像对唾液腺肿瘤的诊断价值。方法回顾性分析37例唾液腺肿瘤患者的临床和MRI资料,所有患者均经穿刺活检或手术病理证实,观察病灶形态、边界、包膜、T1WI及T2WI信号特征,并测量分析病变的ADC值和TIC曲线。结果唾液腺多形性腺瘤的ADC值(1.75±0.32×10^(-3)mm^2/s)、唾液腺腺淋巴瘤的ADC值(0.78±0.09×10^(-3)mm^2/s)和恶性肿瘤的ADC值(1.12±0.21×10^(-3)mm^2/s)三者之间均存在统计学差异,唾液腺良性肿瘤与恶性肿瘤的ADC值分别为(1.32±0.57×10^(-3)mm^2/s)和(1.12±0.21×10^(-3)mm^2/s),两者无明显差异,腺淋巴瘤与恶性肿瘤的ADC阈值为0.83×10^(-3)mm^2/s,多形性腺瘤和恶性肿瘤的ADC阈值为1.38×10^(-3)mm^2/s;37例唾液腺肿瘤中,11例表现A型曲线,15例表现为B型曲线,10例表现为C型曲线,淋巴管瘤表现为D型曲线,腺淋巴瘤的Tpeak值(22.7±11.7)s与恶性肿瘤的Tpeak值(43.2±14.1)s之间存在统计学差异(P<0.01),腺淋巴瘤峰值时间早于恶性肿瘤;腺淋巴瘤廓清率(58.5%±7.4)高于恶性肿瘤廓清率(18.2%±12.1)(P<0.01),根据TIC曲线类型,其诊断的敏感性、特异性、准确率、阳性预测值及阴性预测值分别为88.9%、80%、86.5%、92.3%、72.7%;对于B型和C型曲线采用ADC值进行修正诊断后,各值分别为92.5%、90%、91.9%、96.2%、81.8%。结论磁共振ADC值和TIC曲线有助于唾液腺肿瘤性病变的诊断,TIC曲线表现为B型或C型时,联合应用ADC值有利于提高唾液腺肿瘤的定性诊断。 展开更多
关键词 唾液腺肿瘤 磁共振成像 动态增强 扩张散加权成像
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Modified Wiener method in diffusion weighted image denoising
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作者 易三莉 陈真诚 林红利 《Journal of Central South University》 SCIE EI CAS 2011年第6期2001-2008,共8页
To denoise the diffusion weighted images (DWls) featured as multi-boundary, which was very important for the calculation of accurate DTIs (diffusion tensor magnetic resonance imaging), a modified Wiener filter was... To denoise the diffusion weighted images (DWls) featured as multi-boundary, which was very important for the calculation of accurate DTIs (diffusion tensor magnetic resonance imaging), a modified Wiener filter was proposed. Through analyzing the widely accepted adaptive Wiener filter in image denoising fields, which suffered from annoying noise around the edges of DWIs and in turn greatly affected the denoising effect of DWIs, a local-shift method capable of overcoming the defect of the adaptive Wiener filter was proposed to help better denoising DWIs and the modified Wiener filter was constructed accordingly. To verify the denoising effect of the proposed method, the modified Wiener filter and adaptive Wiener filter were performed on the noisy DWI data, respectively, and the results of different methods were analyzed in detail and put into comparison. The experimental data show that, with the modified Wiener method, more satisfactory results such as lower non-positive tensor percentage and lower mean square errors of the fractional anisotropy map and trace map are obtained than those with the adaptive Wiener method, which in turn helps to produce more accurate DTIs. 展开更多
关键词 diffusion weighted image (DWI) diffusion tensor image (DTI) local-shift method modified Wiener filter
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