朱海云,王莉,田建明.骨原发性淋巴瘤的MR表现[J].中国医学影像技术,2004,20(11):1742~1744
骨原发性淋巴瘤的MR表现
MR appearance of primary bone lymphoma
投稿时间:2004-06-14  
DOI:
中文关键词:  淋巴瘤  骨骼  磁共振成像
英文关键词:Lymphoma  Bone  Magnetic resonance imaging
基金项目:
作者单位
朱海云 第二军医大学长海医院放射科,上海 200433 
王莉 第二军医大学长海医院放射科,上海 200433 
田建明 第二军医大学长海医院放射科,上海 200433 
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中文摘要:
      目的 观察骨原发性淋巴瘤的MR表现,探讨其信号特征。方法 对7例骨原发性B细胞淋巴瘤行MR检查。结果 所有7例均为单骨发病,累及腰椎2例,髂骨1例,髋臼1例,股骨上段1例,肱骨1例,腓骨1例。病变在T1WI呈等或稍低信号,T2WI呈等或稍高信号,注入对比剂后呈轻至中度均匀或不均匀强化。7例病灶周围均见大小不等的软组织肿块影。结论 骨原发性淋巴瘤主要侵犯四肢骨,T2WI信号不高,增强扫描轻至中度强化,病灶周围均有较大软组织肿块。
英文摘要:
      Objective To study MR manifestation and signal characteristics of primary bone lymphoma. Methods Seven patients (5 males, 2 females) with primary B cell non-hodgkin's lymphoma of bone were included in this study. MR imaging were performed in all patients, nuclide bone scan were performed in 4 patients. Results All lesions affected single bone, 2 lesions involved the lumbar vertebrae, in one case each the ilium, acetabulum, femur, humerus, and fibula, respectively, were affected. Most of the lesions showed homogeneous signal intensity except 1 pathologic fracture lesion in femur and 1 center necrosis lesion in humerus. Lesions showed equal or low signal intensity on T1WI, showed equal or slightly high signal intensity on T2WI. Fat-suppression scanning showed no significant increase in signal intensity. Lesions showed slightly or moderate homogeneous or inhomogeneous enhancement after intravenous injection of contrast agent. Unequal size of soft-tissue masses were present in all cases. Conclusion Primary bone lymphoma mainly involved the extremities. Most of lesions showed homogeneous signal intensity, equal or slightly high signal intensity on T2WI, slightly or moderate enhancement after intravenous injection of Gd-DTPA and soft-tissue masses were present around all lesions.
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