[1]黄晖,陈燕萍,曹国洪,等.下肢骨肉瘤的MRI与X线对照研究[J].南方医科大学学报,2005,(12):1552-1554.
　HUANG Hui,CHEN Yan-ping,CAO Guo-hong,et al.Magnetic resonance imaging and radiography for diagnosis of lower limb osteosarcoma:a comparative study[J].Journal of Southern Medical University,2005,(12):1552-1554.
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下肢骨肉瘤的MRI与X线对照研究()
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《南方医科大学学报》[ISSN:1673-4254/CN:44-1627/R]

卷:
期数:
2005年12期
页码:
1552-1554
栏目:
出版日期:
2005-12-01

文章信息/Info

Title:
Magnetic resonance imaging and radiography for diagnosis of lower limb osteosarcoma:a comparative study
作者:
黄晖;  陈燕萍;  曹国洪;  林志春
南方医科大学南方医院影像诊断中心, 广东, 广州, 510515
Author(s):
HUANG Hui;  CHEN Yan-ping;  CAO Guo-hong;  LIN Zhi-chun
Diagnostic Imaging Center, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
关键词:
骨肉瘤; 下肢; 磁共振成像; X线
Keywords:
osteosarcoma; lower limbs; magnetic resonance imaging; radiography
分类号:
R445
摘要:
目的 对比分析下肢骨肉瘤的X线与MRI表现,探讨MRI对骨肉瘤的诊断价值。方法 收集经手术或病理穿刺活检证实的下肢骨肉瘤15例,男11例,女4例,均行MRI平扫及增强扫描(4例行CT扫描),并摄有X线平片,对其MRI征象与X线征象作逐一对比。结果 MRI及X线平片对下肢骨肉瘤的诊断准确率均为100%,MRI在显示病变范围、放射状骨针、Codman三角两层结构以及跳跃病灶等方面明显优于X线平片检查。结论 X线平片是诊断骨肉瘤最简便而实用的方法,但MRI可以更好的显示病变的范围,发现早期病变。
Abstract:
Objective To investigate the diagnostic value of magnetic resonance imaging (MRI) for lower limb osteosarcoma by comparing the findings between X-ray and MRI. Methods Fifteen surgically or pathologically confirmed patients with lower limb osteosarcoma (11 males and 4 females) underwent both plain and enhanced MRI (with CT scanning in 4 cases) in addition to radiography, and the findings were compared. Results The diagnostic accuracy of both MRI and X-ray film was 100%. Compared with X-ray, MRI was capable of clear display of the lesion extent, perpendicular periosteal reaction, the two layers of Codman’s triangle and the skip lesions. Conclusion Plain X-ray film provides a convenient and practical diagnostic modality for lower limb osteosarcoma, but MRI has better performance in clearer display of the tumor range and identification of early-stage lesions.

参考文献/References:

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[3] 许建荣,吴春根,杨世埙,等.骨肉瘤的影像学和病理对照分析[J].中华放射学杂志,2000,34(4):261-4.Xu JR,Wu CG,Yang SX,et al.Investigating osteosarcoma by comparing various radiological modality and pathology [J].Chin J Radiol,2000,34(4):261-4.
[4] Murphey MD,Jelinek JS,Temple HT,et al.Imaging ofperiosteal osteosarcoma:radiologic-pathologiccomparison [J].Radiology,2004,233(1):129-38.
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备注/Memo

备注/Memo:
收稿日期:2005-4-16。
作者简介:黄晖(1976- ),女,南方医院影像中心在读硕士,电话:020-61642086,E-mail:hhui0913@sina.com.
更新日期/Last Update: 1900-01-01