| 王宏,吴春楠,穆学涛.钆贝葡胺增强MRC与3D-SPACE-T2WI-MRC显示活体肝移植供体胆管的比较[J].中国医学影像技术,2010,26(7):1265~1268 |
| 钆贝葡胺增强MRC与3D-SPACE-T2WI-MRC显示活体肝移植供体胆管的比较 |
| Gd-BOPTA CE-MRC and 3D-SPACE-T2WI-MRC in the evaluation biliary of living liver transplant donor candidates |
| 投稿时间：2009-12-10 修订日期：2010-03-22 |
| DOI： |
| 中文关键词: 肝移植 组织供体 胆管 磁共振成像 胆管造影术 |
| 英文关键词:Liver transplantation Tissue donors Biliary tract Magnetic resonance imaging Cholangiography |
| 基金项目:武警总医院重点课题(WZ2008008、WZ2007002)。 |
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| 摘要点击次数: 2976 |
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| 中文摘要: |
| 目的 比较钆贝葡胺(Gd-BOPTA)CE-MRC与3D-SPACE-T2WI-MRC对活体肝移植供体胆管解剖及变异的显示。方法 32名肝移植供体,术前接受Gd-BOPTA CE-MRC与3D-SPACE-T2WI-MRC。以术中胆管造影为标准,分析并比较两种方法诊断胆管变异情况。结果 两种方法对胆总管、肝总管、左肝管及右肝管的显示差异有统计学意义(P<0.05),CE-MRC优于3D- SPACE-T2WI-MRC;对胆囊管,左前、后肝管,右前、后肝管及3级以上胆管的显示差异无统计学意义(P>0.05)。术中胆管造影诊断胆管变异17例,3D-SPACE-T2WI-MRC诊断14例,CE-MRC诊断15例,两者联合诊断17例。结论 3D-SPACE-T2WI-MRC与CE-MRC均可用于评估术前肝移植供体胆管解剖,CE-MRC对部分胆管的显示优于3D-SPACE-T2WI-MRC,二者联合应用效果更佳。 |
| 英文摘要: |
| Objective To compare 3D-SPACE-T2WI-MRC with Gd-BOPTA contrast enhanced MRC (CE-MRC) for evaluation on biliary anatomy and variation in liver transplant donor candidates. Methods Totally 32 healthy liver transplant donor candidates underwent CE-MRC and 3D-SPACE-T2WI-MRC. According to intraoperative cholangiography, the diagnosing ability of biliary variation were analyzed and compared between two methods. Results CE-MRC provided a superior visualization of the common bile duct, hepatic duct, left hepatic duct and right hepatic duct than 3D-SPACE-T2WI-MRC did (P<0.05), whereas no difference was found in displaying of the cystic duct, left anterior and posterior segment duct, right anterior and posterior segment duct and bile duct above the third grade branches between the two methods (P>0.05). Biliary variation was proved with intraoperative cholangiography in 17 cases, 14 of them were diagnosed with 3D-SPACE-T2WI-MRC, 15 with CE-MRC, while all were diagnosed correctly with combining application of these two methods. Conclusion 3D-SPACE-T2WI-MRC and CE-MRC can be both used to evaluate biliary anatomy of liver transplant donor candidates, CE-MRC is superior to 3D-SPACE-MRC in display of part of the bile duct. The effect of combining application of these two methods is much better. |
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