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脊椎骨嗜酸性肉芽肿的MRI表现

MRI Manifestations of Eosinophilic Granuloma of Spine

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【作者】 易先满罗伟刘军

【Author】 YI Xian-man;LUO-Wei;LIU Jun;Department of Radiology,Shimen People’s Hospital;

【机构】 湖南省石门县人民医院放射科中南大学湘雅二医院

【摘要】 目的 分析脊椎骨嗜酸性肉芽肿的MRI特征。方法 回顾分析经病理证实的12例脊椎骨嗜酸性肉芽肿的MRI资料。结果 12例脊椎骨嗜酸性肉芽肿主要表现为T1WI低或等信号,T2WI及T2FLAIR像为高或混杂信号,病灶周围正常骨髓内可见高信号水肿带;8例椎体呈扁平状,4例呈楔形,所有病例均形成椎旁软组织肿块,其中6例表现为“袖套征”;MRI增强椎体病变及周围软组织呈明显不均匀强化。结论 MRI对脊椎骨嗜酸性肉芽肿的诊断具有重要价值。

【Abstract】 Objective To analyze the MR manifestations of spinal eosinophilic granuloma.Methods MRI appearances of 12 patients with eosinophilic granuloma of spine confirmed by pathology were reviewed retrospectively.Results The lesions of spinal eosinophilic granuloma appeared as isointensity or hypointensity on T1WI and hyperintensity or heterogeneous intensity on T2WI and T2FLAIR,with high signal intense edema around the lesions.The pathological vertebras of 8 were presented as coronary longitude,and 4 as cuneiform.All cases had perivertebral soft tissue masses and 6 cases of them showed oversleeve like.The lesions and their soft tissue masses were markedly heterogeneous enhancement after being injected of Gd-DTPA.Conclusion MRI is of great value in diagnosis of spinal eosinophilic granulomas.

【关键词】 嗜酸性肉芽肿脊椎磁共振成像
【Key words】 eosinophilic granulomaspineMR imaging
  • 【文献出处】 实用放射学杂志 ,Journal of Practical Radiology , 编辑部邮箱 ,2009年01期
  • 【分类号】R445.2;R681.5
  • 【下载频次】19
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