首都医科大学学报 ›› 1999, Vol. 20 ›› Issue (1): 40-42.

• 论著 • 上一篇    下一篇

MRI在四肢骨巨细胞瘤检查中的作用

周海, 曹亚丽, 徐冰, 杨蓉, 徐晓彤   

  1. 首都医科大学附属北京天坛医院放射科
  • 收稿日期:1998-03-26 修回日期:1900-01-01 出版日期:1999-01-15 发布日期:2013-10-16

The Rule of Magnetic Resonance Imaging in the Examination of Giant Cell Tumor of Limb Bone

Zhou Hai, Cao Yali, Xu Bing, Yang Rong, Xu Xiaotong   

  1. Department of Radiology,Beijing Tiantan Hospital, Affiliate of Capital University of Medical Sciences
  • Received:1998-03-26 Revised:1900-01-01 Online:1999-01-15 Published:2013-10-16

摘要:

为探讨MRI在四肢骨肿瘤检查中的作用,对8例四肢骨肿瘤病人同时行MRI、CT和X线平片检查,并将影像资料与术后病理结果对比分析。结果:5例MRI T1-WI均呈均匀低信号,T2-WI呈高信号;3例T1和T2WI呈混杂信号。1例X线平片和CT术前表现为骨巨细胞瘤,MRI呈动脉瘤性骨囊肿表现。CT和X线平片均表现为限局性骨质破坏,呈膨胀性,骨皮质变薄或消失。结果表明,MRI在显示肿瘤基质、肿瘤内出血和坏死、肿瘤在髓内范围及其周围情况方面较优越,CT在显示骨质破坏、轻度骨膜反应方面较优越。

关键词: 骨巨细胞瘤, 四肢, MRI

Abstract:

Eight cases of bone tumor were examined by MRI, CT and plain film. 5 cases MRI showed low signal intensity on T1-WI and high signal intensity on T2-WI. 3 cases of MRI showed mixed signal intensity on T1 and T2-WI. CTand plain film both showed cortical thinning and destruction. These results shown that MRI was superior to CT and plain film in demonstrating areas of tissue inhomogeneity within the tumor as well as soft tissue extension. CT was superior in demonstrating cortical destraction and subtal reation.

Key words: giant cell tumor, limb, MRI

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