1.The Experimental Observation on the Blood Vessels of Lymphoma of Bowel
Hong LU ; Shiyi DING ; Xinfu XU
Journal of Practical Radiology 2001;17(4):269-270
Objective To establish the vascular morphology of the lymphoma of small intestine for interventional radiology and HCT diagnosis. Methods 8 cases of small intestinal autopsy specimens of normal adults, 6 cases of lymphoma specimen of bowel comfirmed by pathology were studied by angiography,pathological diagnosis and quantitative analysis with CMIAS 007 system. Results The lymphoma of bowel was poor in vascularity (P < 0.05) There were significannt difference in the blood vessels such as disorder, tortuous, interruption sign,contrast medium puddle and dyeing of mensentery compared with normal . Conclusion The study on vascular morphology of lymphoma is help for interventional radology and HCT diagnosis.
2.Diagnosis of spinal cord injury with MRI
Li WEN ; Shiyi DING ; Dong ZHANG
Journal of Third Military Medical University 2001;23(3):364-366
Objective To study the MRI signs in spinal cord injury. Methods A tatal of 90 cases of spinal cord injury examined with magnetic resonance(MR),40 underwent a GE 0.5T superconducting system and 50 with a SIEMENS Open 0.2T. With spine surface coil, all of them were examined with axial and sagittal spin echo sequences, while 10 given extra coronal sequence. MRI findings and its correlation with prognosis of patients were analyzed. Results Among the 90 cases of spinal cord injury, incomplete and complete transection of spinal cord was found in 14 cases (13.2%), spinal cord edema in 11 (10.4%), intraspinal cord hemorrhage in 27 (25.5%), compression and dislocation in 27(25.5%), malacia in 16(15.1%), and atrophy in 11(10.4%). Conclusion From the morphologic and pathological changes of spinal cord MRI can not only direct the option of treatment protocols, but may also evaluate the prognosis of spinal cord injuries. Demonstrated by MRI, it suggests that.
3.The application study of 31P MR spectroscopy on differential diagnosis of bone malignancy and inflammation
Feizhou DU ; Shiyi DING ; Jian WANG ; Jun CHEN ; Enquan ZHANG
Chinese Journal of Radiology 2008;42(9):961-965
Objective To explore the value of 31P magnetic resonance spectroscopy(31P MRS)for differential diagnosis of bone malignancy and inflammation.Methods Radiography.MRI and 31P MRs were performed on 20 bone malignancy patients,22 bone and soft-tissue inflarnmation patients and 32 healthy voluntecrs.The spectra were analyzed by measuring the areas under the peaks of various metabolites,and by calculating the pH from the Pi shift relative to PCr.The data were analyzed by one-way analysis of vailance (ANOVA).Results Analysis of the 31P MRS data suggested differences among the bone malignancy,the inflammation and the healthy group.The mean of PME/β-ATP ratio(1.24±0.37)in malignancy group increased significantly(P<0.01).The mean of PDE/β-ATP(2.21.±0.37),Pi/β-ATP(1.46±0.43)in inflammation group was higher than that of the other two groups(P<0.05),but the ratio of PME/β-ATP (0.19±0.10)wag not increasing.The LEP/T31P(0.10±0.02),PCr/T31P(0.45±0.03)and ATP/T31P (0.45±0.03)ratios in control group were significantly difierent from the two others(P<0.01).The mean of intracellular pH in malignancy group was 7.45±0.16,higher than that in control group(7.05±0.06),and in inflaruination group(7.20±0.13)(P<0.01).Conclusions The significant increase of PME and intraeellular pH is of great value in diagnosis of bone malignancy.Combined conventional radiography and MRI.31PMRs would be a simple,no-.invasive and effective diagnostic method.
4.Study of techniques and postprocessing for ~(31)P MRS of human bone and soft tissue
Feizhou DU ; Shiyi DING ; Jian WANG ; Jun CHEN
Chinese Medical Equipment Journal 2003;0(12):-
Objective To investigate the best techniques and postprocessing protocols for 31P MRS of femur and soft tissue.Methods The 31P MRS was performed on the 20 normal volunteers,using Siemens SONATA 1.5T MR scanner and heart/liver 31P surface coil.The age of volunteers ranged from 18 to 25 years old.Related data came from 40 voxels of the interested region were post-processed and compared by two different kinds of methods: automatically processed(group A) and interactively processed(group B).Results In group A,only 28 of 40 studies displayed well defined spectra,another 12 can't,and the shift of PCr deviated from 0.0 ppm;In group B,35 of 40 studies produced well defined spectra,another 5 can't,and the shift of PCr was near to 0.0 ppm,(p
5.The observation of the opening of blood-brain barrier of severely scalded rabbits by CT
Jun HU ; Shiyi DING ; Haitao LI ; Shunmin LIAO
Journal of Medical Postgraduates 2003;0(10):-
Objective:The purpose of our experiment was to use CT to observe the opening of BBB at the early stage of severely scalded rabbits. Methods:Healthy male New Zealand white rabbits were used to establish 30% and 50% TBSA Ⅲ?scalded model. Using high resolution spiral CT (SCT), the brain parenchyma were observed when plain CT scan and contrast-enhanced CT were performed. Results:CT image changes were found in 4 cases at 6 hour after scald of 30% TBSA Ⅲ?scalded rabbits, while CT image changes were found in all cases at 6 hour after scald of 50% TBSA Ⅲ?scalded rabbits. Conclusion:The larger TBSA is Ⅲ?scalded, the earlier BBB is opening . BBB of 50% TBSA Ⅲ?scalded rabbits are wider than that of 30% TBSA Ⅲ?scalded rabbits
6.Dynamic observation of the brains of severely scalded rabbits by spiral CT and MRI
Jun HU ; Haitao LI ; Shiyi DING ; Shunming LIAO ; Enqua ZHANG
Journal of Third Military Medical University 2003;0(21):-
Objective To explore the image characteristics of the opening of the blood brain barrier (BBB) at the early stages of severely scalded rabbits. Methods Twenty-six rabbits inflicted with 50% total burn surface area (TBSA) of Ⅲ degree were randomized into 7 groups: pre-scald, post-scald at 1, 2, 3, 4, 5, and 6 h groups. The spiral CT (SCT) and MRI were used to observe the image changes during the corresponding phases. Samples from the anterior cortex, temporal lobe, posterior cortex, cerebellum, and brain stem were examined by light and transmission electron microscopy (TEM), respectively. Results The pathological features showed that neurons and oligodendrocytes swelled lightly and blood vessels were congested and dilated at 3-4 h after scald. CT image changes were found at 5 h after scald and became more remarkable at 6 h after scald. MRI image changes could not be found within 6 h after scald. Conclusion The opening of BBB is earlier than the formation of edema. Enhanced CT plays an important role in manifesting the opening of BBB at the early stages of severely scalded rabbits.
7.Clinical application of CT-guided percutaneous transthoracic automated needle biopsy
Xuemei ZHANG ; Shiyi DING ; Wei MU ; Qiang LI
Journal of Third Military Medical University 2003;0(21):-
Objective To explore the clinical application of CT-guided automated needle biopsy in the diagnosis of pulmonary lesions. Methods CT-guided automated needle biopsy was performed on 168 patients in which the pulmonary lesions were not confirmed by clinical and imaging diagnoses. The success rate of puncture, accurate diagnosis rate, and complications were analyzed. Results The operation was performed successfully in all cases (100%). Accurate diagnosis was made in 158 out of 168 cases (94.05%), including 93 cases of lung cancer, 4 cases of metastatic lesions, 28 case of tuberculosis, and 33 cases of chronic inflammatory masses. The major complications due to the operation were pneumothorax (8.33%) and pulmonary hemorrhage (20.24%). Conclusion CT-guided percutaneous transthoracic automated needle biopsy, a feasible and accurate diagnostic method for the treatment of pulmonary lesions, and resulting in low occurrence of complications, can be used in clinical practice more widely.
8.Primary Carcinoma of the Duodenum:CT Findings
Ming LU ; Beihai WU ; Shiyi DING ; Hong XIANG
Journal of Practical Radiology 1992;0(11):-
Objective To evaluate the role of CT in the diagnosis of the primary carcinoma of the duodenum.Methods CT findings of 15 patients with primary carcinoma of the duodenum(12 adenocarcinoma,3 carcinoid)underwent surgical treatment or biopsy were reviewed.Results 9/12 of adenocarcinomas were shown as local soft tissues masses;6/12 of adenocarcinomas manifested as ductal wall irregular or circular thickening;3/12 of adenocarcinomas were shown as local soft tissues masses accompanied with deformation and constriction of duodenum.Cholangiectasis,metastasis of retroperitoneal lymph nodes and liver were also founded.CT cannot difference adenocarcinoma with carcinoid.After enhancement,the masses were manifested as mild or intermediate enhancement in the early stage and they did not show obviously enhancement in the delay or portal stage.Conclusion CT play an important role in both the localization and qualitative diagnosis of the primary carcinoma of duodenum,but it is difficult to difference adenocarcinoma with carcinoid.
9.The comparative study of the anterior cruciate ligament in oblique coronal thin anatomical section and MRI
Wei CHEN ; Ming LU ; Jian WANG ; Shiyi DING ; Liu YANG ; Xiaoyu WANG ; Yaming WEN ; Mingguo QIU
Chinese Journal of Radiology 2008;42(1):80-83
Objective To compare the normal anatomy of the anterior cruciate ligament (ACL) of fresh frozen cadaveric knee specimen in oblique coronal thin-slice section with oblique coronal magnetic resonance imaging. Methods One fresh cadaveric knee specimen was scanned with MR T1-weighted spinecho sequence.then the specimen was frozen and sliced with a band saw along the oblique coronal plane into 1.0-mm-thick sections that corresponded to the MR images,MR images including oblique coronal T1-weighted and T2-weighted images of 50 normal the knee joints were retrospectively reviewed to observe the MR imaging features of the cruciate ligament. Results Anteromedial and posterolateral bundles of ACL were clearly depicted on both anatomic slices and MR images.The anteromedial bundles originated from the posteromedial aspect of the lateral femoral condyle,coursing through the lateral intercondylar notch in an anterior,inferior,and medial direction,and inserted on the anteromedial aspect of the intercondylar eminence. The posterolateral bundles originated from the anteromedial aspect of the lateral femoral condyle,passing laterally and inferiorly through the lateral intercondylar notch,and inserted on the posterolateral side of the intercondylar eminence.The full length of ACL of all 50 individuals was showed on MR images.MRI clearly differenitated the anteromedial and posterolateral bundles of ACL and depicted the full length of the bundles.similar to the findings on sectional anatomy.Conclusion Oblique coronal MR imaging is the best way to demonstrate ACL and should be used for clinically suspected injury of ACL.
10.The early pathology and image study of percutaneous laser disc decompression in beagles
Shunming LIAO ; Shiyi DING ; Jian YOU ; Wei MOU ; Jun HU ; Qiang LI
Journal of Interventional Radiology 2006;0(11):-
Objective To explore the cause, influencing factor and possible solving method of transient adverse reactions during the operation. Methods Sixteen healthy beagles were undergone virtual PLDD. The changes of vertebral discs and the surrounding tissues were observed by high resolution CT and MRI at different periods after the operation, and the same investigation procedure was carried out after the sacrifice of beagles. Results The beagles of the conventional vaporization group occasionally had limb tic and whining in the operations. Pieces of necrosis and edema could be found in the tissues of intervertebral foramen at the paracentetic side. The histological changes in the negative pressure suction group were less than those in the conventional group. Conclusion The reversible damages of the surrounding tissuses were observed in the conventional group and continuing negative pressure suction during the operations can prevent the damages to the surrounding tissues, all of the changes could be clearly displayed by CT and MRI scan.