AIM: To determine the accuracy of 1.5-T magnetic resonance imaging (MRI) in the evaluation of gastric wall invasion and perigastric lymph node metastasis in gastric adenocarcinoma.METHODS: Twenty resected gastric ...AIM: To determine the accuracy of 1.5-T magnetic resonance imaging (MRI) in the evaluation of gastric wall invasion and perigastric lymph node metastasis in gastric adenocarcinoma.METHODS: Twenty resected gastric specimens containing 20 tumors were studied with a 1.5-T MR system using a commercial head surface coil. MR scanning was performed with a T1 weighted image (TR/TE = 500/20), and a T2 weighted image (TR/TE = 2500/90). MR findings were compared with pathologic findings.RESULTS: A T1-weighted image demonstrated three layers in the normal gastric wall. All of the gastric tumors were well demonstrated by lesions and location. In a MRI findings of gastric wall invasion, there was 1 case of T1, 7 of T2, 11 of T3. Pathologic results of resected specimens included 3 cases of pT1, 4 of pT2, and 12 of pT3. The accuracy of T staging with MRI was 74% (14 of 19). MRI findings of lymph node metastasis included 6 cases of NO, 13 cases of N1. The accuracy of the N staging with MRI was 47% (9 of 19).CONCLUSION: MRI has a high diagnostic accuracy in the evaluation of the T staging of gastric cancerin vitro and thus potentially enables preoperative histopathologic staging.展开更多
In the last couple of years,as the development ofnew imaging techniques,diffusion-weighted magnetic resonanceimaging (DW-MRI) has been applied increasingly in the evaluationof various diseases in the body,and has been...In the last couple of years,as the development ofnew imaging techniques,diffusion-weighted magnetic resonanceimaging (DW-MRI) has been applied increasingly in the evaluationof various diseases in the body,and has been adopted frequentlyas an imaging tool in clinical tumor assessment.As a completelynon-invasive,highly sensitive,well-tolerated and relatively lowcost technique,diffusion-weighted imaging (DWI) can supplyboth quantitative and qualitative information at the cellular levelby exploring irregular diffusion motion of water molecules withintissues in the body.In this article,we summarized the recentapplication and reliability of DWI in tumor evaluation includingtumor detection,tumor features,and outcome of early treatmentresponse.展开更多
The ability of 3D ultrasound volume contrast imaging in C-plane (VCI-C) in the assessment of female levator hiatus was analyzed in eighty normal nullipaxas. Interoperator variability in levator hiatus measurements w...The ability of 3D ultrasound volume contrast imaging in C-plane (VCI-C) in the assessment of female levator hiatus was analyzed in eighty normal nullipaxas. Interoperator variability in levator hiatus measurements was analyzed. The comparison of the axial image of magnetic resonance imaging (MRI) and C-plane image of volume contrast imaging (VCI) in thirty normal nulliparas was also done. It shows that VCI-C can clearly demonstrate the structure and accurately quantitates the size of the levator hiatus. It is reliable, convenient and without contraindication in assessment of female levator hiatus. The technology opens up entirely new modality for assessing female pelvic floor.展开更多
文摘AIM: To determine the accuracy of 1.5-T magnetic resonance imaging (MRI) in the evaluation of gastric wall invasion and perigastric lymph node metastasis in gastric adenocarcinoma.METHODS: Twenty resected gastric specimens containing 20 tumors were studied with a 1.5-T MR system using a commercial head surface coil. MR scanning was performed with a T1 weighted image (TR/TE = 500/20), and a T2 weighted image (TR/TE = 2500/90). MR findings were compared with pathologic findings.RESULTS: A T1-weighted image demonstrated three layers in the normal gastric wall. All of the gastric tumors were well demonstrated by lesions and location. In a MRI findings of gastric wall invasion, there was 1 case of T1, 7 of T2, 11 of T3. Pathologic results of resected specimens included 3 cases of pT1, 4 of pT2, and 12 of pT3. The accuracy of T staging with MRI was 74% (14 of 19). MRI findings of lymph node metastasis included 6 cases of NO, 13 cases of N1. The accuracy of the N staging with MRI was 47% (9 of 19).CONCLUSION: MRI has a high diagnostic accuracy in the evaluation of the T staging of gastric cancerin vitro and thus potentially enables preoperative histopathologic staging.
文摘In the last couple of years,as the development ofnew imaging techniques,diffusion-weighted magnetic resonanceimaging (DW-MRI) has been applied increasingly in the evaluationof various diseases in the body,and has been adopted frequentlyas an imaging tool in clinical tumor assessment.As a completelynon-invasive,highly sensitive,well-tolerated and relatively lowcost technique,diffusion-weighted imaging (DWI) can supplyboth quantitative and qualitative information at the cellular levelby exploring irregular diffusion motion of water molecules withintissues in the body.In this article,we summarized the recentapplication and reliability of DWI in tumor evaluation includingtumor detection,tumor features,and outcome of early treatmentresponse.
基金the Scientific Research Project of Shanghai Municipal Health Bureau (No. 2008083)
文摘The ability of 3D ultrasound volume contrast imaging in C-plane (VCI-C) in the assessment of female levator hiatus was analyzed in eighty normal nullipaxas. Interoperator variability in levator hiatus measurements was analyzed. The comparison of the axial image of magnetic resonance imaging (MRI) and C-plane image of volume contrast imaging (VCI) in thirty normal nulliparas was also done. It shows that VCI-C can clearly demonstrate the structure and accurately quantitates the size of the levator hiatus. It is reliable, convenient and without contraindication in assessment of female levator hiatus. The technology opens up entirely new modality for assessing female pelvic floor.