[1]姜永能,胡继红,邬明,等.肝脏局灶性结节增生的DSA和MRI 诊断[J].介入放射学杂志,2010,(07):531.
　JIANG Yongneng,HU Jihong,WU Ming,et al.DSA and MRI diagnosis of hepatic focal nodular hyperplasia[J].journal interventional radiology,2010,(07):531.
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肝脏局灶性结节增生的DSA和MRI 诊断()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年07期
页码:
531
栏目:
心脏介入
出版日期:
2010-07-15

文章信息/Info

Title:
DSA and MRI diagnosis of hepatic focal nodular hyperplasia
作者:
姜永能; 胡继红; 邬明; 等
６５００３２昆明医学院第一附属医院医学影像中心（姜永能、胡继红、赵卫），肝胆外科（邬明）
Author(s):
JIANG Yong－neng; HU Ji－hong; WU Ming; ZHAO Wei．
Medical Imaging Center，the First Affiliated Hospital of Kunming Medical College，Kunming６５００３２，China
关键词:
肝脏; 局灶性结节增生; 数字减影血管造影; 磁共振成像
分类号:
R５７５.２９
文献标志码:
A
摘要:
目的评估DSA和MRI 对肝脏局灶性结节增生（FNH）的诊断价值。方法回顾性分析７例经病理证实的FNH的DSA和MRI 影像资料，DSA检查为选择性肝动脉造影，MRI 检查为平扫后动态增强扫描。结果DSA显示病灶富血供性，供血动脉增粗、迂曲，进入病灶后的供血动脉分支向周围呈放射状分布，病灶染色均匀，边界清楚；６例见肝静脉引流。MRI 动态增强扫描显示病灶于动脉期呈显著强化，持续至延迟期仍高于或等于肝实质；３例病灶中央显示瘢痕组织信号，于门脉期开始强化并持续至延迟期。结论FNH的DSA特征为供血动脉分支进入病灶后呈辐射状向周围分布，且常见肝静脉引流，MRI 动态增强扫描能敏感显示其病灶中央的瘢痕组织信号，两者结合检查能提高其诊断的准确性。

参考文献/References:

［１］Leconte I，van Beers BE，Lacrosse M，et al．Focal nodularhyperplasia：natural course observed with CT and MRI ［J］．J Comput Assist Tomogr，２０００，２４：６１－６６．
［２］Hussain SM，Terkivatan T，Pieter EZ，et al．Focal nodular hyperplasia：findings at state－of－art MR imaging，US，CT，and pathologic analysis［J］，RadioGraphics，２００４，２４：３－１９．
［３］Carlson SK，Johnson CD，Bender CE，et al．CT of focal nodular hyperplasia of the liver［J］．AJR，２０００，１７４：７０５－７１２．
［４］Mortele KJ ，Praet M，van Vilerberghe H，et al．CT and MRI imaging findings in focal nodular hyperplasia of the liver：radiologic pathologic correlation［J］．AJR，２０００，１７５：６８７．
［５］Brancatelli G，Federle MP ，Grazioli L，et al．Focal nodular hyperplasia：CT findings with emphasis on multiphasic helical in７８patients［J］．Radiology，２００１，２１９：６１－６８．
［６］Vogl TJ ，Own A，Hammerstingl R，et al．Transarterial embolization as a therapeutic option for focal nodular hyperplasia in four patients［J］．Eur Radiol，２００６，１６：６７０－６７５．

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备注/Memo

备注/Memo:
收稿日期：２００９－１２－１１
更新日期/Last Update: 2010-07-15