ABSTRACT
Purpose Median arcuate ligament (MAL) compression is the most common reason for celiac artery stenosis or occlusion, celiac artery compression of asymptomatic MAL is often misdiagnosed. This study aims to evaluate the multi-slice spiral CT manifestations of the celiac artery compression of median arcuate ligament. Materials and Methods CT features of 26 patients with celiac artery compression of median arcuate ligament were retrospectively studied. Eleven cases were symptomatic and fifteen cases were asymptomatic. Results In 14 cases (53.8%), the location of compression was at the level of superior 1/3 of the L1 vertebral body. There was statistic difference in location of the origin of compression between the celiac artery narrowing group and the non-narrowing group (P<0.05). CT manifestations included: narrowing of the celiac artery were observed in 26 patients on sagittal reformatted images with hollow on the anterior wall; a characteristic hooked appearance was observed. Narrowed celiac artery on the transverse images was seen in 21 patients, and a soft-tissue band extending across the anterior aspect of artery in 12 of them. Poststenotic dilatation was revealed in 20 patients. Collateral circulation was seen in 8 patients. Conclusion Multi-slice spiral CT can be helpful in demonstrating the location of celiac artery compression of median arcuate ligament and tell the characteristic imaging features.
ABSTRACT
Objective To analyse CT and MRI features of intracranial chondromas and review the literatures.9 cases of intracra-nial chondromas confirmed by operation and pathology were presented.Methods Among 9 cases,cerebral CT scan was performed in 8 cases(8/9),MRI scan in 4 cases(4/9)with spin-echo T1 WI,T2 WI,FLAIR,DWI sequences and enhanced T1 WI sequences.Results The lesions located at the skullbase in 8 cases,the dural convexity in 1 case.CT showed that the lesions were spot,strip or arc of fringe calcifications in 8 cases.MRI showed that the lesions were inhomogeneous low and moderate signal intensity on T1 WI and in-homogeneous high and moderate signal intensity on T2 WI in 4 cases(4/4).Multinodular or lobed high signal intensity was seen on T2 WI in 2 cases(2/4),coralline septal moderate signal intensity was seen on T2 WI ,which was obvious enhancement after adminis-tration of contrast medium on T1 WI in 2 cases(2/4),the envelope of the lesions was also obvious enhancement in 4 cases.Conclu-sion CT and MRI features of intracranial chondromas are marked.The MRI features of intracranial chondromas can reflect its path-ologic and histologic characteristics.