CT and CTA Diagnosis Of Intracranial Hemangiopericytoma / 中国医学影像学杂志

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.

Diagnosis of multiple carcinomas in the unilateral upper urinary system with 16-slice spiral CT / 中国医学影像技术

Objective To assess the clinical value of 16-slice spiral CT in the diagnosis of multiple carcinomas in unilateral upper urinary system. Methods The imaging findings of 16-slice spiral CT of 10 patients suffered from multiple carcinomas in the unilateral upper urinary system proven pathologically were analyzed. Results Among 10 cases, 6 cases had multiple carcinomas in the unilateral renal pelvis and ureter and simultaneously involved urinary bladder, 3 cases had the multiple carcinomas in the unilateral renal pelvis and ureter, and 1 case had the multiple carcinomas in the lower and middle ureter and involved urinary bladder. CT images clearly presented the thickened irregular renipelvic and ureteric wall with stenosis and/or mass in the renipelvic and ureteric cavity. The urinary bladders involved by carcinoma were depicted as thickened irregular wall of urinary bladder or the mass in the wall of urinary bladder. The images of curved reconstruction clearly showed the extention of the multiple carcinomas and the changes of the urinary tract involved by the multiple carcinomas. Enlarged retroabdominal lymph nodes were detected in 3 cases simultaneously, and 2 of them were proved metastasis, the imaging findings were absolutely identical to that of the operation and pathological examination. Conclusion Sixteen slice spiral CT can clearly and accurately depict the location and extention of multiple carcinomas in the unilateral upper urinary system.

MRI and MRS Study of Intracranial Hemangiopericytoma / 中国医学影像学杂志

Purpose:To assess MRI and MRS features of intracranial hemangiopericytoma.Materials and Methods: The imaging data of MRI and MRS were analyzed retrospectively with seven cases of hemangiopericytoma.MR examinations were performed on seven cases,MRS on 4 cases.Results: The position of lesions were all located at the supratentorial area and extraaxial region.Six masses were lobulated in shape.Of seven cases,3 cases were isointense with cortical gray matter,3 iso- and hypointense,l hypointense with localized hyperintense resulted from hemorrhage on T1WI: 2 cases demonstrated isointense with cortical gray matter,4 iso- and hyperintense,1 complex hyperintense on T2WI.Five tumors had prominent internal or surficial serpentine signal voids.3 tumors showed homogeneous marked enhancement,4 heterogeneous enhancement.MRS of four tumors showed marked elevated Cho peak,Lip peak and diminished or disappeared NAA peak.Two cases were companied with marked elevated MI peak.Conclusion:The MR imaging findings of hemangiopericytoma has some characteristics,which can help differentiation from meningioma combined MRS.

The clinical value of MRI in the diagnosis of small-bowel diseases / 中华放射学杂志

Objective To evaluate the feasibility and the clinical value of MRI in the diagnosis of small-bowel disease. Methods Sixty-three patients with suspected small-bowel diseases and 3 volunteers without signs of small bowel disease underwent MRI examination. Thirty-one patients whose diagnoses were confirmed by pathology or clinical results were categorized into two groups (neoplastic and normeoplastic). The conspicuity of bowel wall, the sensitivity of MRI in detecting small-bowel lesions, and the accuracy rate of diagnosis were calculated. The average bowel wall thickness between the two groups was assessed by using Wilcoxon signed-rank test. Enlarged mesenteric lymph nodes, mesenteric infiltration, and small-bowel stenosis were analyzed by using Fisher's exact test in each group respectively. Results MRI examinations of all 66 subjects were successfully performed. Images were rated on a continuous 4-peint scale. Sixty-two cases (93.9%) were scored as 2 or 3. The diagnoses of 31 patients (neoplastic group (n = 10) and nonneoplastic group (n = 21) were confirmed by pathology or clinical results. The sensitivity, accuracy of MRI in identifying small bowel diseases were 100% (31/31) and 77.4% (24/31) respectively. The average bowel wall thickness of the two groups was 23 mm(7.0-65.0 mm) and 5 mm(2.0-35.0 mm) respectively, and there was a statistically significant difference between the two groups (Z = - 2.949, P < 0.01). Enlarged lymph nodes in mesentery were found in 7 cases in neoplastic group and 4 cases in nonneoplastic group, and there was a statistically significant difference between the two group (P < 0.05). Small-bowel stenosis was depicted in 10 cases in both groups and there was a statistically significant difference between the two groups (P <0.01). The mesenteric infiltration sign was seen in 5 cases and 17 cases respectively, and showed no significant difference between the two groups (P > 0.05). Conclusion MRI can depict the location and extension of the small-bowel disease accurately and it is an effective method in the diagnosis of small-bowel disease.

Reproducibility of functional MR imaging during electroacupuncture stimulation at PC6(neiguan) / 第三军医大学学报

Objective To assess the reproducibility of brain activation by functional MR imaging during electroacupuncture stimulation at PC6(neiguan).Methods Six healthy adult volunteers participated in three identical scan sessions during different interval time.Each scan session consists of two functional tasks,an electroacupuncture stimulation(2 Hz) at PC6 and a control task of simple finger tapping.The reproducibility of brain responses was analyzed in terms of the overlap ratio of active volume within sessions and the ICC of active signal intensity in ROIs.Results The Roverlap of the simple finger tapping task(34.24?9.49) was significantly higher than that of the electroacupuncture stimulation task(13.23?14.21).The range of ICC of ROIs in the simple finger tapping task(0.69-0.80) was significantly higher than that of the electroacupuncture stimulation task(0.18-0.68).The results above showed that the reliability of brain activation in the finger tapping task group was higher than that in the electroacupuncture stimulation task group.The active intensity of ROIs in the simple finger tapping task was significantly higher than that in the electroacupuncture stimulation task,indicating the signal to noise ratio of brain activation in the finger tapping task group was higher than that in the electroacupuncture stimulation task group.Conclusion In contrast to the relatively reliable activation evoked by the simple finger tapping task,the activation evoked by electroacupuncture stimulation task was much more variable.The main possible reason is that the relatively low signal to noise ratio of brain activation on fMRI and low sensitivity caused the lower reproducibility of electroacupuncture stimulation task.The group analysis in combination with the individual functional data may be utilized to improve the reproducibility of fMRI evoked by electroacupuncture stimulation at PC6(neiguan).