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MR早期评估肝癌微波消融范围的临床研究 被引量:8
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作者 陈奇峰 贾振宇 +2 位作者 杨正强 吴文涛 施海彬 《介入放射学杂志》 CSCD 北大核心 2017年第1期55-59,共5页
目的应用MR早期评估经皮微波消融(MWA)肝脏肿瘤的消融范围。方法 2015年1月1日至2016年1月31日,46例肝脏肿瘤患者[55个病灶,平均直径(26.0±5.3)mm]行CT引导下经皮MWA治疗。消融后第2天,MR评估消融疗效,记录消融范围(长径×短... 目的应用MR早期评估经皮微波消融(MWA)肝脏肿瘤的消融范围。方法 2015年1月1日至2016年1月31日,46例肝脏肿瘤患者[55个病灶,平均直径(26.0±5.3)mm]行CT引导下经皮MWA治疗。消融后第2天,MR评估消融疗效,记录消融范围(长径×短径),与微波厂家提供的参考值进行对比分析,并对消融并发症进行记录分析(消融不足或过度)。结果术后第2天MR显示55个病灶均成功进行MWA治疗,无严重消融后即刻并发症发生。病例分布:60 W 5 min(n=4)、60 W 8 min(n=4)、60 W10 min(n=14)、70 W 8 min(n=4)、70 W 10 min(n=11)、80 W 10 min(n=18),对应的消融范围分别为41.3 mm×31.2 mm、52.0 mm×36.3 mm、51.5 mm×34.3 mm、52.9 mm×35.5 mm、56.8 mm×36.1 mm、64.0 mm×44.0 mm。相比参考值均偏大,其中80 W 10 min组差异最大(64.0 mm×44.0 mm比54.0 mm×37.0 mm,P<0.01)。未观察到消融不足病灶,可观察到过度消融病灶12个,主要表现为消融范围累及肝包膜或皮下肌层。结论术后MR早期复查可用于精准评估消融范围,本研究MWA作用范围比参考值大,术前精确预估消融范围有利于肿瘤的完全消融及提高消融的安全性。 展开更多
关键词 微波消融 范围 磁共振早期评估 肝脏肿瘤
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MOCART2.0在距骨骨软骨损伤自体骨软骨移植术后评价中的应用 被引量:4
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作者 桂琦 宋关阳 +1 位作者 刘亮 王雪松 《中国运动医学杂志》 CAS CSCD 北大核心 2022年第12期911-919,共9页
目的:探讨软骨修复组织的磁共振观察评价系统2.0版本(MOCART2.0)评分在距骨骨软骨移植术后评价中的应用,以及影响距骨骨软骨损伤自体骨软骨移植手术术后磁共振影像学评价的因素。方法:选取自2016年1月至2019年12月因距骨骨软骨损伤在北... 目的:探讨软骨修复组织的磁共振观察评价系统2.0版本(MOCART2.0)评分在距骨骨软骨移植术后评价中的应用,以及影响距骨骨软骨损伤自体骨软骨移植手术术后磁共振影像学评价的因素。方法:选取自2016年1月至2019年12月因距骨骨软骨损伤在北京积水潭医院行距骨自体骨软骨移植术的48例患者作为研究对象。根据入组及排除条件,纳入术后2年再行关节镜探查的患者共25例。收集患者手术前后的一般临床资料、疼痛视觉模拟评分(VAS)及美国足踝外科学会评分(AOFAS)、踝关节磁共振扫描图像、二次探查术中影像资料等,根据MOCART2.0评价系统,对患者二次探查时的MRI进行评价,并得出MOCART2.0分项目得分及总分。应用Spearman相关性分析对MOCART2.0与临床评分、二次探查结果进行相关性分析,通过年龄段、性别、体重指数(BMI)、体重分别对患者进行分组,应用非参数检验及卡方检验等统计学方法,探讨MOCART2.0评分的影响因素。结果:共纳入25例患者,平均随访时间为14.4±3.6个月。术前与最终随访VAS、AOFAS评分存在显著性差异(P<0.05)。MOCART2.0评分项目中,总分平均为67.2±21.5,最终随访AOFAS得分与MOCART2.0总分相关系数为0.548,P=0.005;二次探查Outbridge分级与MOCART2.0总分相关系数为0.578,P=0.002。术后AOFAS评分分别与软骨填充度、边缘整合及软骨下骨改变相关性较高。以BMI为24 kg/m2分为两组,MOCART2.0总分存在显著性差异。结论:MOCART2.0骨软骨移植术后磁共振评价系统与距骨骨软骨移植患者术后临床评分及二次手术探查的镜下形态学改变存在相关性。BMI是MOCART2.0总分的影响因素之一。 展开更多
关键词 距骨骨软骨损伤 自体骨软骨移植 磁共振评估 术后评价 关节镜检查
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MRI of gastric carcinoma:Results of T and N-staging in an in vitro study 被引量:9
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作者 Il Young Kim Sang Won Kim +4 位作者 Hyeong Cheol Shin Moon Soo Lee Dong Jun Jeong Chang Jin Kim Young Tong Kim 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第32期3992-3998,共7页
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
关键词 Gastric cancer Magnetic resonance imaging NEOPLASM STAGING STOMACH Depiction of walllayer
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Recent Progress of Diffusion Weighted Magnetic Resonance Imaging in Assessment of Tumor in the Body
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作者 Anwen Liu Qin Liao +1 位作者 Jing He Xinlan Xiao 《Clinical oncology and cancer researeh》 CAS CSCD 2009年第5期362-366,共5页
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
关键词 magnetic resonance imaging DIFFUSION-WEIGHTED tumor.
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Assessment of Levator Hiatus by 3D Ultrasound Volume Contrast Imaging in Normal Nulliparas 被引量:6
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作者 应涛 胡兵 李勤 《Journal of Shanghai Jiaotong university(Science)》 EI 2009年第3期371-375,共5页
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
关键词 ULTRASOUND levator hiatus volume contrast imaging (VCI) C-plane
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