1.The Value of Low Field Intensity MR Gradient Echo T_2~*WI in the Diagnosis of Meniscus Injury of the Knee Joint
Zhoupeng MA ; Jianzhong ZHU ; Xudao MAO
Journal of Practical Radiology 2001;0(07):-
Objective To explore the value of low field intensity MR GET2*WI in the diagnosis of meniscus injury.Methods 40 patients with knee injury were examined by various sequences of low field intensity MR to show meniscus.The results of surgery or arthroscopy were acted as diagnostic gold standard of meniscus tear,all samples were confirmed by pathology.Results The sensitivity,specificity and accuracy in diagnosing meniscus tear was 95.65%,92.86% and 94.32% by GET2*WI,and 84.78%,85.71% and 85.23% by FSET2WI respectively.Conclusion Low field intensity MR GET2*WI can show meniscus clearly,it is of significant in the diagnosis of meniscus injury
2.CT and MRI Features and pathological characteristics of retroperitoneal localized Castleman's disease.
Chun WANG ; Jianjun ZHOU ; Zhoupeng MA ; Shunzhuang ZHANG ; Xudao MAO ; Penggen QIU ; Huaying TENG
Chinese Journal of Oncology 2014;36(3):193-197
OBJECTIVETo analyze the CT and MRI findings and pathological characteristics of retroperitoneal localized Castleman's disease and discuss the diagnostic and differential value of CT and MRI.
METHODSCT, MRI and clinical data of retroperitoneal localized Castleman's disease, proved by surgery and pathology, of 13 patients were reviewed. Among them, all the 13 cases received CT, and 4 cases received MRI examination.
RESULTSAmong the 13 cases, 12 cases were of hyaline vascular type, and one was of mixed type. All foci were single mass and most foci located in the periphery of the kidney. The maximum diameter was 4.2 cm to 8.6 cm and the mean diameter of all tumors was 5.9 cm. The outline of most tumors was clear and kidney-shaped. On unenhanced CT, 10 cases showed low density and 3 cases showed isodensity. On plain MRI, four cases showed iso-signal on T1WI, three cases showed slightly high signal on T2WI and one showed moderately high signal. The CT and MRI findings were similar on contrast enhanced scan. In arterial phase, 10 cases showed moderate enhancement, 2 cases showed significant enhancement and one case showed moderate enhancement. Five cases showed rather homogeneous enhancement and 8 cases showed heterogeneous enhancement.In venous phase, all the 13 tumors showed continuous enhancement. Eight cases showing heterogeneous enhancement in arterial phase showed expanded range, and among them two cases showed tending to be homogeneous enhancement. Six cases showed areas of low density without enhancement, and 9 cases were accompanied with single or multi-satellite punctuate or striped foci around the tumors.
CONCLUSIONDynamic contrast-enhanced CT and MRI combined with MR T2WI fat-suppression are of great importance in the diagnosis and identification of retroperitoneal localized Castleman's disease.
Adult ; Castleman Disease ; diagnostic imaging ; pathology ; surgery ; Female ; Humans ; Image Enhancement ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Radiographic Image Enhancement ; Retroperitoneal Space ; diagnostic imaging ; Retrospective Studies ; Tomography, X-Ray Computed