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CT Diagnosis of Split Cord Malformation in Children

Bo LIU ; Zengjun ZHANG ; Tianhua CHEN ; Jufen JIANG ; Yuqin CAO ; Mingxia HUANG

Journal of Practical Radiology.1991;0(03):-.

Objective To study the appearances of split cord malformation(SCM)and evaluate the diagnostic value of CT for SCM.Methods Clinical and CT data of 48 cases with SCM were analyzed retrospectively ,21 were males and 27 were females,ranged from 1 day to 8 years with a mean of 11.6 months. All cases evaluated by plain CT with coronal and sagittal reconstructions.Results Type I accounted 75%, consisted of two hemicords, each contained in its dural tube and separated by a rigid median septum .TypeⅡaccounted 25%, consisted two hemicords contained in a single dural sac separated by a non-rigid, fibrous median septum. Associated abnormalities: tethered cord syndrome(n=38), syringomyelia(n=9), intradural lipomas(n=10), meningocele(n=18).Conclusion CT can clearly demostrate the position, the septum and the shape of the SCM, as well as associated abnormalities.

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The Diagnostic Value of Cystography with Low-concentration Contrast Medium in Diagnosing Small Tumor of Urinary Bladder

Kun HAO ; Guangxiu HAN ; Yuqin WANG ; Zhijun WANG ; Hongsheng ZHANG

Journal of Practical Radiology.1991;0(03):-.

Objective To evaluate the value of cystography with low-concentration contrast medium in diagnosing small tumor of urinary bladder.Methods Cystography in 187 cases with bladder disease from 1992 to 2001 was performed using 6%～8% Meglumine Diatrizoate 100～120 ml under TV monitored.Radiogrames of A-P position and bilateral oblique position were taken when the focus was found.The radiogram on patient’s position at head low was adopted when necessary.Results Of 187 cases,106 cases of bladder tumors were detected,including 8 cases of small bladder tumor(≤1.0 cm in diameter),3 cases were misdiagnosed,the detectable rate was 73.0%.All cases were confirmed by operation and pathologiy.In these 8 cases,1 case was adenocarcinoma,5 cases were transitional epithelia cell carcinoma,2 cases were papilloma.The X-ray appearances were nipple-like or cauliflower shape with filling defect,a narrow pedicel could be occasionally found in papilloma or transitional epithelia cell carcinoma and it had somewhat movement when changed patient’s position.Conclusion Cystography with low-concentration contrast medium is a non-injury procedure in diagnosis of small tumor of urinary bladder.

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CT Diagnosis of Ovarian Cystadenoma

Jinwei QIANG ; Kangrong ZHOU ; Zhihe LIAO ; Gang LU

Journal of Practical Radiology.1991;0(03):-.

Objective To improve the diagnostic accuracy by analyzing the CT manifestations of ovarian cystadenoma .Methods The CT images of 57 patients with 62 ovarian cystadenomas proved by surgery and pathology were studied retrospectively . Results Of 62 ovarian cystadenomas, 26 cases with 31 tumors were serous,another 31 cases were mucinous . Unilocular and multilocular forms were seen respectively in 19(61.3%)and 12(38.7% ) of 31 serous cystadenomas, and in 3(9.7%)and 28(90.3%) of 31 mucinous cystadenomas.22 (71.0%) tumors were benign, and 9(29.0%)were of borderline and/or malignant transformation in 31 serous cystadenomas.23 (74.2%) tumors were benign, and 8 (25.8%) were of borderline and/or malignant transformation in 31 cases of mucinous cystadenomas.Benign cystadenomas were frequently round or oval cysts with thin regular wall and septa.Borderline or malignant transformation cystadenomas demonstrated predominately thick irregular wall or septa with projections.The overall preoperative accuracy of characterization was 48.4% in serous and 77.4% in mucinous cystadenomas.Conclusion Multilocular cystadenomas have the typical CT manifestations and CT is a high valuable procedure for imaging them, whereas unilocular cystadenomas, having similar CT findings with some other benign cystic lesions, are lack of enough characteristic features for CT correct characterization.

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Interventional Therapy for Ulcerative Colitis

Guiyun JIN ; Baozhong SHEN ; Gang SUN ; Yuan LIANG

Journal of Practical Radiology.1991;0(03):-.

Objective To introduce a new management for ulcerative colitis. Methods There were eighteen patients underwent inferior mesenteric artery drug infusion who suffered from ulcerative colitis and cannot be cured by internal medicine. We observed the clinical symptoms and laboratory test results at the most resent follow up. Results All the patients’symptoms such as bellyache ,phrexia, abdominal distension were disappeared after interventional therapy. Diarrhea in seventeen patients was stopped. Fifteen patients who had blood stool were be cured. Erythrocyte and leucocyte were no longer be seen with stool laboratory test after drug infusion.Conclusion Inferior mesenteric artery drug infusion is another positively efficacy way for ulcerative colitis.

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A Study on the Effect of TACE on the Apoptosis Proteins fas, bax and bcl-xl in HCC

Houfa NING ; Bin WANG ; Guiwen CAO ; Yequan SUN ; Dexin YU

Journal of Practical Radiology.1991;0(03):-.

Objective To explore the effect of transcatheter arterial chemoembolization ( TACE ) on the apoptosis proteins fas,bax,and bcl-xl in hepatocellular carcinoma ( HCC ) . Methods Sixty-three cases with HCC proved by histopathologically were studied, which included 42 cases treated with surgical resection alone,and 21 cases underwent TACE . The expressions of fas,bax,bcl-2 and bcl-xl were detected with immunohistochemical SP method .Results The positive rate of fas was 47.62% ( 10/21 ) in HCCs treated with TACE,and 21.43%(9/42) in those treated with surgical resection alone, there was significantly difference between the two groups(?0.05). Conclusion TACE can increase the expression of fas and decrease the expression of bcl-xl, it can increase the rate of apoptosis of HCC, make HCC lesion contract. The effect of TACE to bax need more research.

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MRI Diagnosis of Intervertebral Disc Infection

Binglun GUO

Journal of Practical Radiology.1991;0(03):-.

Objective To explore MRI diagnostic value of intervertebral disc infection.Methods 10 cases of intervertebral disc infection proved by operation and pathology were restrospectively analysed.Results 15 intervertebral discs were invalved in 10 patients.Among them,lumbar vertebral discs were only invalved in 7 cases,lumbar and sacrum vertebral discs were in 3 cases simultaneously.The involved discs were long T 1 and long T 2 signal intensity in 8 cases equal T 1 and short T 2 signal intensity in 2 cases.The soft tissue around vertebral was involved.The involved discs and soft tissue were enhanced in varied degrees on Gd-DTPA contrast-enhanced scan in 6 cases.Conclusion MRI is of important value in diagnosis of vertebral disc infection.

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Primary Application of 3D DCE MRA in the Liver Pretransplantation

Ke LI ; Yi HUAN ; Yali GE ; Haitao ZHAO ; Kaishan TAO

Journal of Practical Radiology.1991;0(03):-.

Objective To evaluate the clinical efficacy of 3D DCE MRA(three dimensional dynamic contrast-enhanced MR angiography)in patients of preoperation of liver transplantion.Methods 8 cases of potential liver transplant recipients suffering from severe liver disease underwent MRI and 3D DCE MRA, accessed the images synthetically. All of them had DUS examination, 4 cases received liver transplantation successfully.Results Satisfactory angiography images were obtained in all cases, the grade Ⅱ～Ⅲ branches of the hepatic artery, the grade Ⅱ～Ⅴ branches of the portal vein and gradeⅡ branches of the hepatic vein could clearly be visualized. Gastric-oesophageal varices were found in 3 cases of cirrhosis, compression and displacment of hepatic artery and portal vein were shown in one case of polycystic liver.Conclusion 3D DCE MRA is an efficiency, noninvasive technique, it offers great help in evaluating pre-operative vasculature of liver transplantation.

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Imaging Diagnosis and Misdiagnosis of Multi-nodular Bronchioalveolar Carcinoma

Baohong WANG ; Guangsen FENG ; Jiao ZHI

Journal of Practical Radiology.1991;0(03):-.

Objective To study the imaging features and the reason of misdiagnosis of multi-nodular bronchioalveolar carcinoma(BAC).Methods 33 cases with the BAC proved by pathology,were reviewed,including 20 males and 13 females,the age ranged from 34～76 years with an average age of 54.2 years.X-ray there were over twice X-ray filmes in all cases,and CT scans with GE 9800 Quick were performed in 30 cases . The imaging features were analysed . Results Imaging findings : Miliary noduli were inhomogeneous in distribution,size and density.The large noduli generally located at the periphery of lung or under the pleura and noduli were focused together,“vacuole sign” was present in 72.7% cases and the noduli were around the vacuole,and lobulated.69.7% of nodule focuses were in company with consolidatory shade . The rate of X-ray misdiagnosis was 75.8%, in which 72.0% were misdiagnosed as TB . CT misdiagnostic rate was 36.4%.The misdiagnostic reasons were unsufficient in consideration of clinical symptom and imaging findings.Conclusion The BAC is the developmental stage of cancer.The accurate diagnosis can be improved if clinical-imaging features are analysed properly,and reexamination and comparison are taken carefully.

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CT and Chest Radiographic Manifestations of Pulmonary Aspergilloma

Daiquan YAN ; Xiuhua LIU ; Zhigang LIU ; Zhigang NI ; Guocheng ZHAO

Journal of Practical Radiology.1991;0(03):-.

Objective To enhance the knowledge of pulmonary aspergilloma on CT and chest radiography. Methods CT scans and chest radiographs of 10 cases with pulmonary aspergilloma were reviewed retrospectively. Of these 10 patients,9 were men,1 was woman, ranged in age from 25～55 years old(means 36.4 years old).Results Of 10 cases,8 cases manifested themselves as an oval or round masses .9 cases were located both upper lobes. Air crescent sign or air ring sign were shown in all 10 cases. The fungus ball could move with the change of patient’s body position in 3 cases.Conclusion A mobile intracavitary mass with air crescent sign or air ring sign is the imaging characteristic of pulmonary aspergilloma.

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Imaging Diagnosis of Endomyocardial Fibrosis

Rongfu LI ; Hangao CHEN ; Gumai LI ; Weixiong LI

Journal of Practical Radiology.1991;0(03):-.

Objective To investigate the value of imaging diagnosis of endomyocardial fibrosis(EMF).Methods Imaging findings of 28 cases of EMF were restrospectively analyzed.Results There were three types:right ventricle type(n=21),left ventricle type(n=1),and dual ventricle type(n=6).The misdiagnostic rate of EMF by X-ray plain films was high(18/28). On angiography and MRI right ventricle type presented as shortened,deformed inflow-tract,obliteration of apex and dilated outflow-tract,marked tricuspid valve regurgitation(TR) and enlarged right atrium,even dilated superior vena cava,left ventricle type presented as narrowiug and deformed inflow-tract,small and deformed left ventride,even no markedly volume changes in relaxation or contraction,obtuse cardiac apex and mitral regurgitation.Dual ventricle type owned manifestations in the two types mentioned above,but predominated by right ventricle type. Conclusion In diagnosis of EMF X-ray plain films are of less value while MRI and cardioangiography are significant,MRI is a valuable non-invasive method,it can substitutd for cardioangiography as the first choice in diagnosing EMF.

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