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Full-Joint Coverage Delayed Gadolinium-Enhanced MRI of Cartilage:Preliminary Study in Vitro

Chinese Journal of Medical Imaging.2010;(1):14-18. doi:10.3969/j.issn.1005-5185.2010.01.006

Purpose To investigate the feasibility of T1 measurement using multi-slice inversion recovery turbo spin echo (IR-TSE) and variable flip angle three-dimensional fast low angle shot (3D FLASH) for full-joint coverage delayed gadolinium enhanced MRI of the cartilage. Materials and Methods MR phantoms using dilated gadolinium solution with different concentrations and ex vivo bovine cartilages were scanned using multi-slice IR-TSE and variable flip angle 3D FLASH sequences and the T1 values were calculated. The referring T1 value were obtained using single slice IR-TSE sequence. Results On phantom study, the correlation coefficiencies between multi-slice IR-TSE, 3D FLASH sequences and single slice IR-TSE was 1.000 and 0.997, respectively, where P<0.001 on ex vivo bovine cartilage study, the T1 values of the trypsin degraded species measured by single-slice, multi-slice IR-TSE and 3D-FLASH were significantly lower than the control species. The correlation coefficiency between single-slice and multi-slice IR-FSE on the control group, the trypsin degraded group and both was 0.821(P=0.012), 0.968(P=0.001), and 0.953(P=0.001) respectively. The correlation coefficiency between single-slice IR-FSE and 3D-FLASH on the trypsin degraded group, control group and both was 0.199(P=0.637), 0.757(P=0.030), and 0.775(P=0.001) respectively, where P<0.001. Conclusion Both Multi-slice IR-TSE and variable flip angle 3D-FLASH sequences can be applied for T1 measurement of the full joint cartilage.

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A Compared Study on Mammography, Ultrasound and Pathology of Breast Phyllodes Tumor

Haofeng ZHU ; Liqiu ZHANG ; Hai ZHOU

Chinese Journal of Medical Imaging.2010;(1):5-8. doi:10.3969/j.issn.1005-5185.2010.01.001

Purpose To investigate the imaging features of breast phyllodes tumor on mammography(MG),ultrasound(US) and pathology, correlated with its clinical manifestation.Materials and Methods Twelve cases of pathologically confirmed breast phyllodes tumors were examined by US and MG. The imaging findings were retrospectively analyzed. Results Of the 12 cases of breast phyllodes tumors, 6 were benign, 3 were malignant and 3 were borderline. MG predicted 3 breast phyllodes tumors, 3 breast carcinomas and 6 adenomas. US predicted 2 phyllodes tumors, 8 breast masses and 2 adenomas. Conclusion The imaging findings of phyllodes tumors on MG and US are characteristic but not specific. Combined application of both US and MG are helpful for early detection but can not differentiate its malignancy which is determined by pathology.

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Preliminary Research on Dynamic Optical Breast Imaging in Breast Cancer

Guojuan TAN ; Jie WANG ; Cui LIU ; Chunmian LI ; Zhang JOHN ; Weiping WANG

Chinese Journal of Medical Imaging.2010;(1):93-95. doi:10.3969/j.issn.1005-5185.2010.01.032

Purpose A new way in breast cancer detection, Dynamic Optical Breast Imaging (DOBI) was studied. Materials and Methods 52 patients receiving breast biopsy and DOBI were enrolled in this study. 19 were proved of breast cancer, 33 were benign. Results 94.8% of blue area in non-breast cancer lesions was found as wandering or diffusive pattern, while 68.42% breast cancer showed focal pattern. 86.46% of the curve signature of blue area in non-breast cancer lesions was wavy or flat, while 57.37% of breast cancer showed a steep decline. In 64.58% non-breast cancer, the curve of blue area was similar to that of non-blue area. 78.95% breast cancer had their curve different from that of non-blue area. The absolute value of amplitude (-5.77±2.13) of blue area in cancer was higher than that in non-cancer ( -3.34±0.87). The differences were all statistically significant(P<0.05). Conclusion The spatial and temporal characteristics of DOBI were of diagnostic and differential value for breast cancer. The absolute value of amplitude, over|-5|, also helped the diagnosis of breast cancer.

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Diagnostic Value of 18F-FDG PET/CT in Multiple Myeloma

Weikun LIU ; Xiangdong LI ; Xingyao LI ; Xinlu WANG ; Jiangtao QUAN ; Yu LIU ; Yangxi OU ; Jing ZHOU ; Jilin YIN

Chinese Journal of Medical Imaging.2010;(1):89-92. doi:10.3969/j.issn.1005-5185.2010.01.031

Purpose To investigate the diagnostic value of ~(18)F-flurorodeoxyglucose (~(18)F-FDG) PET/CT (positron emission tomography/computed tomography) on multiple myeloma.Materials and Method ~(18)FDG PET/CT imaging findings were retrospectively analyzed in 31cases with multiple myeloma proved by bone marrow aspiration or biopsy from August 2005 to June 2009. Results The PET/CT imaging characteristics were categorized into three types: ① osseous destruction (n=28): Osseous destruction with active metabolism was found in this type combined with no extramedullary organs involvement. The SUV_(max) ranged from 2.5 to 15.4, and the SUV_(arg) ranged from 2.0 to 11.3. ② Extramedullary organ involvement (n=2): Besides osseous destruction, extramedullary organs involvement were detected in this type demonstrating active metabolism in varying degrees. The SUV_(max) ranged from 2.2 to 8.3 and the SUV_(avg) ranged from 1.7 to 6.5. ③ Diffuse bone marrow infiltration (n=1): Diffuse hypermetabolism without osseous destruction was found in the whole body bone marrow with the SUV_(max) of 13.4 and SUV_(avg) of 8.8.Conclusions ~(18)FDG PET/CT can accurately demonstrate the morphology, extent and activity of multiple myeloma, thus facilitating the clinical staging, whereas multiple osteolytic osseous metastases and osseous lymphoma should be excluded for certain cases.

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Clinical Value of ~(131)I SPECT/CT Fusion Imaging in Differentiated Thyroid Cancer

Zhaosheng LUAN ; Wen ZHOU ; Weiguo TANG ; Yanling LI ; Jianxin WANG ; Qiguo WANG ; Yan HE

Chinese Journal of Medical Imaging.2010;(1):86-88. doi:10.3969/j.issn.1005-5185.2010.01.030

Purpose The clinical advantages of ~(131)I SPECT/CT fusion imaging over planar imaging of differentiated thyroid cancer(DTC) were studied. Materials and Methods 97 DTC accepting ~(131)I therapy after thyroid surgery underwent planar ~(131)I whole-body scan(WBS) and SPECT/CT fusion imaging. The diagnostic performance of ~(131)I-WBS and SPECT/CT were comparatively analyzed. Results The patients had totally 251~(131)I-WBS and 102 SPECT/CT imaging. In comparison to WBS, SPECT/CT fusion images were proven of a few advantages, such as: (1)Fused and 3D images being obtained by SPECT/CT;(2)finding more focus;(3)correctly confirming the position of lesions;(4)locating some ~(131)I negative lesions;and (5)distinguishing physiological or polluted activity. Conclusion ~(131)I SPECT/CT fusion imaging could clearly reveal the shape、sizes、biological status and relation to surrounding tissues, thus providing additional information to ~(131)I-WBS in DTC.

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Analysis on the Diagnostic Performance of 18F-FDG PET/CT in Cervical Lymphadenopathy

Yun ZHANG ; Xiaofeng YANG ; Yong GUO ; Jing PENG ; Yu WANG ; Wucheng CAO

Chinese Journal of Medical Imaging.2010;(1):83-85. doi:10.3969/j.issn.1005-5185.2010.01.029

Purpose To assess the value of 2-(fluorine-18) fluroro-2-deoxy-D-glucose (FDG)-PET/CT on the diagnosis of cervical lymphadenopathy.Materials and Methods FDG-PET/CT was performed in 38 patients with cervical lymphadenopathy from June 2006 to October 2008. The standard uptake value (SUV) of abdominal lymph nodes (SUVmean) and SUV of normal cervical lymph nodes (SUVneck) were measured. All malignant lymph nodes were pathologically proved.Results 35 enlarged lymph nodes detected in 30 patients demonstrated higher SUV than normal neck tissue. 7 benign lymph nodes were not visualized and 4 benign ones were visualized.The accuracy of PET/CT in indicating the malignant lymph nodes was higher than that of ultrasonography, CT and MRI (P<0.001).Conclusion PET/CT is an effective tool in differentiating malignant lymph nodes from benign ones for patitents with lymphadenopathy.

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The Value of Ultrasonography in the Diagnosis of Idiopathic Retroperitoneal Fibrosis

Chunguang WANG ; Yantao CHEN ; Guirong WANG ; Ying NA

Chinese Journal of Medical Imaging.2010;(1):72-74. doi:10.3969/j.issn.1005-5185.2010.01.023

Purpose To explore the ultrasonic characteristics of idiopathic retroperitoneal fibrosis (IRPF) and assess the diagnostic value of ultrasound. Materials and Methods Ultrasonic images of 11 cases of IRPF were retrospectively analyzed.Results The hypoechogenic masses encasing the abdominal aorta were detected in all cases, among which the encasement of inferior vena cava was found in 4 cases, the involvement of iliac artery in 3 cases and hydronephrosis in 9 cases.Conclusion IRPF demonstrated ultrasonic characteristics that would facilitate its detection and diagnosis.

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Rare Pancreatic Tumor of MSCT Diagnosis and Differential Diagnosis

Yingying ZHANG ; Rongtian XU

Chinese Journal of Medical Imaging.2010;(1):59-62. doi:10.3969/j.issn.1005-5185.2010.01.019

Purpose To investigate the MSCT diagnosis and differential diagnosis of rare pancreatic tumors.Materials and Methods The MSCT features were analysied respectively of 31 cases with pancreatic tumors confirmed by surgery and pathology.Results There were serous cystadenoma in 7 cases,mucinous cystadenoma in 9 cases,mucinous cystadenocarcinoma in 1 case,solid-pseudopapillary tumor in 8 cases,islet cell tumor in 4 cases,carcinoid tumor in 1 case and intraductal papillary adenocarcinoma 1 case.The MSCT appearances were different each other.Conclusion MSCT is very helpful in diagnosis and differential diagnosis for the rare pancreatic tumors.

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Experimental Study of Multi-slice Spiral CT Evaluation of Acute Mesenteric Ischemia Severity

Zhiwen MA ; Xuehong WANG ; Yulin JIA ; Xue HAN

Chinese Journal of Medical Imaging.2010;(1):55-58. doi:10.3969/j.issn.1005-5185.2010.01.018

Purpose To investigate the association of multi-slice spiral CT (MSCT) appearances and ischemia time as well as ischemia degree through both unenhanced and contrast-enhanced MSCT scans, then to investigate the value of MSCT in diagnosing acute mesenteric ischemia (AMI) by comparing the MSCT findings with pathologic examinations after establishing canine's AMI model. Materials and Methods 18 healthy hybrid canines were successfully punctured into the right femoral artery through seldinger's technique and injected absolute ethanol into the distal branches of superior mesenteric artery (SMA) for embolization via a 5F Cobra catheter. All experimental canines were underwent both unenhanced MSCT and enhanced CT scans no matter before nor after embolization. Every 3 canines were put to death randly each hour and ischemia bowel biopsies were examined. Results The AMI's models were suceessfully established in all 18 canines. The MSCT appearances were not same in different periods. Mesenteric stranding, bowel-wall thickening and luminal dilatation occurred in early periods and ascites, intramural gas and portal venous gas occurred lately. The contrast-enhanced degrees of abnormal bowel walls after embolization were declined than that of preoperation. The canines of three-hour to six-hour ischemia groups developed microscopic and gross changes of bowel ischemia. Conclusion MSCT can make the diagnosis of AMI accurately and the appearances of CT were gradually more variety along with the ischemia time longer. The contrast-enhanced degrees of abnormal bowel walls were negative correlation with ischemia time as well as ischemia degree.

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CT and CTA Diagnosis Of Intracranial Hemangiopericytoma

Dairong CAO ; Yinguan LI ; Ruixiong YOU ; Jieping ZHANG ; Fei JIANG ; Jinjie CHEN

Chinese Journal of Medical Imaging.2010;(1):51-54. doi:10.3969/j.issn.1005-5185.2010.01.017

Purpose To investigate the CT and CTA findings of intracranial hemanigoperiocytoma. Materials and Methods The CT and CTA data of 7 cases of pathologically confirmed intracranial hemanigoperiocytoma were retrospectively reviewed. Results All the 7 cases were extra-axial and supratentorial location. Six were lobulated and 1 were oval in shape. Three were iso-density to the parenchyma and 4 were inhomogeneous with clear margins. Five had perifocal edema. On contrast scan, all showed homogeneous or inhomogeneous enhancement. Five had dilated tortuous vessels and 4 were identified as feeding artery inside or around the tumors. Conclusion The CT findings of intracranial hemanigoperiocytoma are similar to meningioma but CTA is helpful for the differential diagnosis.

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