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视网膜母细胞瘤的CT与MRI诊断
引用本文:张德翻,郑文龙,吴爱琴.视网膜母细胞瘤的CT与MRI诊断[J].医学影像学杂志,2011,21(5):648-650.
作者姓名:张德翻  郑文龙  吴爱琴
作者单位:1. 浙江省宁海县县城关医院放射科,浙江,宁波,315600
2. 浙江省温州市第二人民医院放射科,浙江,温州,325000
3. 温州医学院育英儿童医院放射科,浙江,温州,325000
摘    要:目的:探讨CT与MRI对视网膜母细胞瘤的诊断价值。方法:16例视网膜母细胞瘤,11例行CT检查,4例行MRI检查,1例同时行CT和MRI检查。回顾性分析其影像学征像。结果:视网膜母细胞瘤的CT征象主要表现为眼环后份或以后份为主的软组织肿块,伴有斑点及斑块状钙化,钙化显示率达92.9%(13/14)。MRI主要表现为眼环内软组织信号肿块,部分病例肿块内可见更低信号影,钙化显示率仅40%(2/5),但MRI对肿瘤侵犯周围结构较敏感。结论:CT与MRI对视网膜母细胞瘤的诊断价值,以CT较具优势,肿块内钙化可以认为是视网膜母细胞瘤定性诊断依据。影像学检查对于临床确定治疗方案和判断预后具有重要临床价值。

关 键 词:视网膜母细胞瘤  体层摄影术  X线计算机  磁共振成像

CT and MRI diagnosis of retinoblastoma
ZHANG De-fan,ZHENG Wen-long,WU Ai-qin.CT and MRI diagnosis of retinoblastoma[J].Journal of Medical Imaging,2011,21(5):648-650.
Authors:ZHANG De-fan  ZHENG Wen-long  WU Ai-qin
Affiliation:ZHANG De-fan1,ZHENG Wen-long2,WU Ai-qin31.Department of Radiology,Hospital of Ninghai City,Ningbo,315600,P.R.China2.Department of Radiology,Wenzhou No 2 People's Hospital,Zhejiang Province,325000,P.R.China3.Department of Radiology,Pediatrics Hospital,Wenzhou Medical College 325000,P.R.China
Abstract:Objective:To investigate and compare the value of imaging diagnosis of retinoblastoma.Methods:16 cases of retinoblastoma were collected in the study.There were 11 cases with CT examination,4 cases with MRI examination,1 case with CT and MRI examination.The signs of imaging were retrospectively analyzed.Results:CT signs of retinoblastoma mainly demonstrated soft tissue mass with fleck or plaque calcification on posterior part of the eye ring.The rate of calcification of tumors was 92.9%(13/14).MRI signs main...
Keywords:Eye neoplasm  Retinoblastoma  Tomography  X-ray computed  Magnetic resonance imaging  
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