Detection and mapping of intraabdominal adhesions by using functional cine MR imaging: Preliminary results
Detection and mapping of intraabdominal adhesions by using functional cine MR imaging: Preliminary results
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DOI：
10.1148/radiology.217.2.r00oc23421
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发表时间：
2000-11-01
期刊：
影响因子：
19.7
通讯作者：
Reiser, M
中科院分区：
文献类型：
--
作者：
Lienemann, A;Sprenger, D;Reiser, M
目得：通过使用功能电影磁共振（MR）Imaging.MATERIALS和METHODS：27例疑似腹腔内粘连的患者进行了检查。逐切片动态：通过使用稳态进动序列的横向或矢状真快速成像来实现整个腹部的诱导内脏滑动的描绘。使用腹部A标测图的9个节段记录诊断粘连的位置和类型。这些标准和术中结果进行了比较，在13 patients.Results：磁共振图像描绘了共42腹腔内粘连，21（50%）在下腹部。最常见的粘连类型位于腹侧腹壁和小肠袢之间（n = 10 [24%]）和相邻小肠袢之间（n = 9 [21%]）。与术中结果比较，敏感性为87.5%，特异性为92.5%。MR成像在显示腹壁粘连（15/16例[94%]）和腹膜下间隙粘连（8/8例[100%]）方面最准确。之间的粘连吐温肠loops.CONCLUSION：内脏幻灯片在功能电影磁共振成像检测是很容易执行，并代表了一个耐受性良好，准确的程序，用于识别慢性疼痛和可疑的临床结果患者的腹腔内粘连。
PURPOSE: To identify and map intraabdominal adhesions by using functional cine magnetic resonance (MR) Imaging.MATERIALS AND METHODS: Twenty-seven patients suspected of having intraabdominal adhesions were examined. Section-by-section dynamic:depiction of induced visceral slide throughout the whole abdomen was achieved by using a transverse or sagittal true fast imaging with steady-state precession sequence. Location and type of diagnosed adhesions were documented by using the nine segments of the abdominal A map. These criteria and intraoperative results were compared in 13 patients.RESULTS: MR images depicted a total of 42 intraabdominal adhesions; 21 (50%) were in the lower abdomen. The most common types of adhesions were located between the ventral abdominal walt and smalt-bowel loops (n = 10 [24%]) and between adjacent small-bowel loops (n = 9 [21%]). Comparison with the intraoperative results showed a sensitivity of 87.5% and a specificity of 92.5%. MR imaging was most accurate in depicting adhesions to the abdominal wall (15 [94%] of 16) and subperitoneal space (eight [100%] of eight). The presence of adhesions between tween bowel loops was overestimated.CONCLUSION: Detection of Visceral slide at functional cine MR imaging is easy to perform and represents a well-tolerated and accurate procedure for use in the identification of intraabdominal adhesions in patients with chronic pain and equivocal clinical findings.