1.Application of syngo RESOLVE MRI diffusion weighted imaging in the diagnosis of ovarian neoplasms
Chinese Journal of Primary Medicine and Pharmacy 2016;23(13):1936-1938,1939
Objective To compare the value of syngo RESOLVE DWI and conventional full field-of-view (f -FOV)DWI in the diagnosis of ovarian tumors with 3.0T MRI scanner.Methods 21 consecutive patients with ovarian tumors confirmed by operation and pathology were selected.All patients underwent routine MRI plain scanning,RESOLVE DWI and f -FOV DWI with a 3.0T MRI scanner.ADC values measured the RESOLVE and the traditional DWI images of ovarian tumors,used the method of four points by two imaging diagnostic doctors to image the display effect of ovarian tumor in subjective ratings.SPSS 13.0 software was used for statistical analysis.Results The subjective score of tumors ovarian showing of RESOLVE DWI was (3.62 ±0.44)points,which of f -FOV DWI was (2.93 ±0.51)points,there was statistically significant difference(Z =-3.787,P <0.05);The average ADC value of ovarian tumor in RESOLVE DWI was (0.824 ±0.157)×10 -3 mm2 /s,that in f -FOV DWI was (0.775 ± 0.147)×10 -3 mm2 /s,there was no statistically significant difference(t =1.038,P >0.05).Conclusion In ovarian tumor MRI DWI examination,compared with f -FOV DWI,RESOLVE DWI can obtain higher space resolution,higher image quality,and obtain accurate quantitative parameter values.
2.MRI findings of female non-genital origin masses in pelvis
Journal of Practical Radiology 2017;33(3):418-421
Objective To explore the diagnostic value of MRI in female non-genital origin masses in pelvis.Methods The MRI features of female non-genital origin masses confirmed by surgery pathology in 15 patients were analyzed retrospectively.Results Preoperative MRI showed that 10 masses were mixed type,3 masses were solid,and other 2 masses were cystic,5 masess were mis-diagnosed as genital origin tumors.Pathological results revealed the masses in 6 patients from digestive system,5 from abdominal and retroperitoneal tumor,and other 4 from other tumors,including small intestine stromal tumors in 4 patients,sigmoid colon ade-nocarcinoma in 1,mucinous cystadenoma of the appendix in 1 patients,mesenteric liposarcoma in 1 schwannomas in 2,retroperitoneal fibromatosis in 1,hibernoma in 1,gossypiboma in 2,lymphatic cyst in 1,and lymphoma in 1.Conclusion Female non-genital origin masses in pelvis are easily misdiagnosed as ovarian tumor before operation,and other clinical features should be paid attention in or-der to reduce misdiagnosis.
3.CT Findings of Solitary Fibrous Tumors of the Pleura
Journal of Practical Radiology 2001;0(05):-
Objective To study the CT appearances of solitary fibrous tumors of pleura,in order to improve the knowledge of this diseases.Methods CT findings of solitary fibrous tumors of the pleura proved by pathology in 6 cases were retrospectively analysed with literatures review.Results 6 cases of solitary fibrous tumors of the pleura were all seen in the right thoracic cavity.The tumor was about 3 cm in maximum diameter in one case,and the other 5 cases,the tumors were over 9 cm in maximum diameter.On plain CT scans,all tumors were smooth at edge and with wide base connected to the pleura,the density of tumors were homogeneous in 4 cases,the CT values were 28~39 HU,in the other 2 cases,the tumors were unhomogeneous slightly with low density inside the tumors,CT value of the tumors were 12~40 HU.On contrast-enhanced CT scans in 4 cases,3 tumors showed moderated enhancement and distort vessels could be seen,the CT value were 44~52 HU,the lesions enhanced increasing 12 HU,1 case was obviously unhomogeneous enhancement,the lesions enhanced increasing 22~50 HU and "Pseudo-capsules" were demonstrated in 3 cases.Conclusion Solitary fibrous tumors of the pleura has certain CT characteristics.
4.Cystic Expansile Lesions of the Jaw:Differential Diagnosis with CT
Journal of Practical Radiology 1992;0(11):-
Objective To analyse CT features of cystic expansile lesions of the jaw.Methods CT features of 23 cystic expansile lesions of the jaw in 22 patients were retrospectively studied,the configuration and structure of the lesions were observed.Results There were ondontogenic cysts(n=11)including radicular cyst(n=3),dentigerous cyst(n=4)and keratotic cyst(n=5),ameloblastomas(n=6),ondontogenic adenomatoid tumor(n=1),cemento-ossifying fibroma(n=2)and firbrous dysplasia(n=2).The ondontogenic cysts were mainly unilocular in shape with distinct sclerosing margin,most of them contained teeth.Ameloblastomas mainly appeared as multilocular or lobulated in shape and markedly expanded growth with disruption of the adjacent cortex;cemento-ossifying fibroma and fibrous dysplasia were mainly solid tumors,ossifying fibromas often associated with calcification.Conclusion Plain CT scan is of important value in diagnosing cystic expansile lesions of the jaw preoperatively.
5.CT features of primary hepatic neuroendocrine carcinoma
Yongguang WANG ; Da LIN ; Shifeng XIANG ; Qiande QIU
Chinese Journal of Hepatobiliary Surgery 2016;22(11):729-733
Objective To investigate the CT features of primary hepatic neuroendocrine carcinoma (PHNEC).Methods The CT findings of 8 patients with PHNEC which was confirmed by surgery and histopathology were analyzed retrospectively.Tumor location,size,shape,margin,density,enhancement patterns and degree,portal vein tumor thrombus,hilar and retroperitoneal lymph node enlargement were studied retrospectively.Results Of 8 patients,there were 5 tumors which were located in the right liver,1 in the left liver,and the remaining 2 in both the left and right livers.The CT value of the mass on plain scanning ranged from 20 to 35 HU.The mean value of CT was (29.6 ± 8.4) HU.Tumors showed low density in 5 patients and slightly lower density in 3.In 5 tumors the boundary was clear and in 3 it was not clear.Uneven mass density and different sizes of necrotic cysts were found in 8 tumors.In one of these tumors,the inside showed honey-comb appearance while small areas of haemorrhage were found in the tumor of another 2 patients.For all the eight patients,there were dilatation of peripheral bile ducts,portal vein tumor thrombus,enlarged lymph nodes or peritoneal effusion in hepatic portal area and peritoneal cavity.In the arterial phase,there was mild to moderate enhancement of the mass with CT value of 38 ~ 65 HU.The average value of CT was (54.8 ± 6.9) HU.In the venous phase,there was mild to moderate continuous enhancement of liver parenchyma,with CT value of 40 ~67 HU.The average value of CT was (61.4 ± 11.6) HU.In the delay phase,a substantial part of the mass was continuously enhanced in 2 patients while there was slow fading of enhancement in 6 patients.The CT value were 36 ~ 57 HU,the average value of CT was (46.6 ± 9.2) HU.In 3 patients,the separations inside the tumor showed enhancement.Conclusion CT features combined with clinical findings might give a hint to the diagnosis of primary neuroendocrine carcinoma of liver.
6.CT features of pediatric mediastinal neuroblastoma
Zhe CHEN ; Chongyong XU ; Hai WU ; Shifeng XIANG ; Qiande QIU
Journal of Endocrine Surgery 2013;7(6):498-501
Objective To investigate CT features of pediatric mediastinal neuroblastoma.Methods The CT performance of pediatric mediastinal neuroblastoma confirmed by clinical and pathology in 17 cases were retrospectively analyzed.The tumor growth pattern,size,density,degree of enhancement,invasion to the surrounding tissues and metastatic characteristics were observed,and the results were compared with pathological analysis.Results Among the 17 cases,2 were at the right posterior upper mediastinum,3 at posterior right middle and upper mediastinum,3 at the posterior right middle and lower mediastinum,1 at the posterior right lower mediastinum,3 at the posterior left middle mediastinum,3 at the posterior left middle and lower mediastinum,1 at the posterior left lower mediastinum,and 1 at bilateral posterior middle and lower mediastinum.The average tumor size was 6.3 ×4.3 cm,ranging from 2.3 ×2.0 cm ~ 12.6 ×4.0 cm.CT plain scan showed 8 cases with clear boundary and 9 case without clear boundary.13 cases were with inhomogeneous density and 4 cases with homogeneous density.8 calcification of grainy or strip was found in the tumor.10 cases were with pleural thickening and 5 cases with pleural effusion.6 cases were with tracheal or main bronchial compression,4 with cardiac compression,7 with pulmonary artery compression,and 1 with descending aorta compression were found.6 cases were with tumors crossing the midline,5 with intervertebral foramen growth,3 wrapped around the aorta,3 with rib attack damage,2 with rib compression deformation,2 with thoracic invasion,and 1 into the upper abdomen.10 cases were with mediastinal lymph nodes enlargement,10 with bone metastasis,4 with cervical lymph nodes enlargement,1 with liver metastasis,and 1 with cerebral metastasis.Enhanced CT scan was performed in 14 cases:11with inhomogeneous enhancement,and 3 with homogeneous enhancement.The average CT value of the 3 mild enhancement was 36 HU,ranging from 20 to 56 HU.The average CT value of the 8 moderate enhancement was 53 HU,ranging from 36 to74 HU.The average CT value of the 3 marked enhancement 72 HU,ranging from 56 to 88 HU.7 punctate vessels and 6 polycystic changes were found in the tumors.Conclusions Mediastinal neuroblastoma in children are with certain characteristics.CT findings with clinical manifestations can make a definite diagnosis.
7.MRI appearance of placenta accrete
Shifeng XIANG ; Jie YU ; Qiande QIU ; Sujun YANG
Journal of Practical Radiology 2015;(4):613-615,620
Objective To investigate the features and diagnostic value of MRI in prenatal and postpartum for placenta accreta. Methods 18 cases of placenta accreta confirmed by surgical pathologically and clinical were retrospectively analyzed,including 10 ca-ses of prenatal and postpartum 8 cases,observed the signal feature and diagnostic value of MRI images.Results In the 10 cases of prenatal patients with placenta accreta,MRI manifestations of 9 cases of placenta prevail,totally or partly covering cervical,10 cases of partial placenta and uterine muscle gap disappeared,boundaries are not clear,2 cases of uterine wall bars low signal-image inter-rupted,bulging outward placenta,increased sub placental vascular wag detected in 8 patients;8 cases of postpartum patients with pla-centa accrete,MRI show 4 examples which were mixed signals within the uterine cavity,with the junctional zone boundaries were not clear,the junctional zone was discontinuous interruption in 7 cases,8 cases of muscular layer appear oval,high and low,patchy mixed signals in shadow,4 cases in the palace district,5 cases of invading the shallow layer,3 cases of infection and deep muscle layers. Conclusion MRI technique is of great value for diagnosis of placenta accreta.
8.Grading of Uterine Cervical Neoplasms:A Pilot Study with Small Field of View Intravoxel Incoherent Motion MRI Technology
Shifeng XIANG ; Yunyun GAO ; Lihua ZHANG ; Ying LI ; Sujun YANG ; Xiaolei DONG
Chinese Journal of Medical Imaging 2015;(3):219-221,225
PurposeTo probe into the feasibility of small field of view intravoxel incoherent motion (IVIM) MRI in the grading of cervical cancer before surgery.Materials and Methods Twenty-three patients with cervical cancer confirmed pathologically underwent preoperative conventional MRI and IVIM sequence scan [IVIM sequence included 10 b value (0-1500 s/mm2)]. Based on postoperative pathological cell morphology the patients were divided into well differentiated group (10 cases) and moderately or poorly differentiated group (13 cases). Then the parameters such as the ADC standard, D value, D* value and f value were calculated in each group according to double exponential function analysis. The data in the two groups were compared and nonparametric test to see whether they had normal distribution.Results Compared with the well differentiated group, the moderately or poorly differentiated group had statistically lower ADC standard value and D value (t=140.5 and 129.5,P<0.05); the area under the D value curve was 0.965 and 0.854, respectively. The sensitivity and specificity of well differentiated group and moderately or poorly differentiated group were 88.9%, 100.0% and 77.8%, 81.8%, respectively. There was no difference in either D* value or f value between the two groups (t=-0.184 and 1.072,P>0.05).Conclusion Small field of view IVIM MRI is feasible in predicting the differentiation of tumor in the preoperative grading of cervical cancer.
9.Silencing of Long Non-Coding RNA MALAT1 Promotes Apoptosis of Glioma Cells.
Jianping XIANG ; Shifeng GUO ; Shuling JIANG ; Yuelong XU ; Jiwei LI ; Li LI ; Jinyu XIANG
Journal of Korean Medical Science 2016;31(5):688-694
The metastasis-associated lung adenocarcinoma transcription 1 (MALAT1) is a highly conserved long non-coding RNA (lncRNA) gene. However, little is known about the pathological role of lncRNA MALAT1 in glioma. In the present study, we explored the expression level of lncRNA MALAT1 in primary glioma tissues as well as in U87 and U251 glioma cell lines. Using qRT-PCR, we found that the expression of lncRNA MALAT1 was significantly increased in glioma tissues compared with that of paracancerous tissues. Meanwhile, the expression of MALAT1 was highly expressed in U98 and U251 cells. In order to explore the function of MALAT1, the expression of MALAT1 was greatly reduced in U87 and U251 cells transfected with siRNA specifically targeting MALAT1. Consequently, cell viability of U87 and U251 cells were drastically decreased after the knockdown of MALAT1. Concomitantly, the apoptosis rate of the two cell lines was dramatically increased. Furthermore, the expression levels of some tumor markers were reduced after the knockdown of MALAT1, such as CCND1 and MYC. In summary, the current study indicated a promoting role of MALAT1 in the development of glioma cell.
*Apoptosis
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Biomarkers, Tumor/genetics/metabolism
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Blotting, Western
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Cell Line, Tumor
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Cell Movement
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Cell Proliferation
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Cyclin D1/genetics/metabolism
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Down-Regulation
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Flow Cytometry
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Glioma/metabolism/pathology
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Humans
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Proto-Oncogene Proteins c-myc/genetics/metabolism
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*RNA Interference
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RNA, Long Noncoding/antagonists & inhibitors/genetics/*metabolism
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RNA, Small Interfering/metabolism
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Real-Time Polymerase Chain Reaction