查詢結果分析
相關文獻
- Application of MRI 3D Isotropic Volume Pulse Sequence in Anorectal Fistula
- Unusual Signs for Dural Arteriovenous Fistulas with Diffuse Basal Ganglia and Cerebral Calcification
- 頸動脈海綿狀竇瘻管
- 以直接縫合來關閉持續性的氣管皮瘻管
- 硬脊膜外麻醉導致下半身癱瘓:病例報告
- Clinincal Characteristics and Management of Enterovesical Fistulas
- Gadolinium-Enhanced MRI in Neuro-Behcet Disease
- Magnetic Resonance Images of Neuronal Migration Anomalies
- 擴散影像在腦缺血及梗塞診斷上的應用價值
- Lumbar Synovial Cysts: Magnetic Resonance Imaging Evaluation
頁籤選單縮合
題 名 | Application of MRI 3D Isotropic Volume Pulse Sequence in Anorectal Fistula=磁振造影三維等邊長體積波序於肛門直腸瘻管之應用 |
---|---|
作 者 | 王士崇; 陳文昌; 林雅婷; 林秋湧; 林佳霓; 廖漢弘; | 書刊名 | 中華放射線技術學雜誌 |
卷 期 | 36:2 2012.06[民101.06] |
頁 次 | 頁103-109 |
分類號 | 416.245 |
關鍵詞 | 磁振造影; 三維等邊長體積; 瘻管; MRI; 3D isotropic volume; Fistula; |
語 文 | 英文(English) |
中文摘要 | 現今社會長坐於電腦前是許多人生活的寫照,因此原本少見的肛門直腸瘻管疾病案例,在臺灣有日漸增多的趨勢,若沒有儘早正確治療,甚至可能導致肛門癌或直腸癌。肛門直腸瘻管是由於肛管或直腸與肛門周圍皮膚產生不正常連接管道,瘻管發生的位置及其連接結構複雜,傳統二維切法的磁振造影(MRI)檢查,很難明確呈現出蜿蜒複雜的瘻管路徑,以及所侵犯的組織範圍。本研究利用磁振造影三維等邊長體積(3D isotropic volume)波序檢查,並使用重組技術,來獲得肛門直腸瘻管的具體路徑,以增進診斷的正確性,並且能有效縮短病人受檢時間,減少病人檢查過久而不適。自2010年4月至2011年9月總共收集15例疑似肛門直腸瘻管病患,使用SIEMENS 3T MRI;T2W 3D及施打顯影劑後T1W 3D波序檢查,檢查後做針對肛門直腸瘻管路徑重組影像,經由醫師診斷報告,結果有5例確診為肛門口附近的膿瘍,有10例為肛門直腸瘻管,診斷結果明確。因此針對肛門直腸瘻管的病例,使用三維等邊長體積波序掃描,主要的優點在於一次掃描中就能得到任意切面重組的影像,並且因等邊長體積重組影像不會變形的特性,因此重組時並不會造成影像變形,所以不會因重組影像變形而誤診的錯誤發生。病人的掃描造影時間在10分鐘內即可完成,省時又精確。所以此方法針對肛門直腸瘻管的檢查及診斷效果極佳且有效率,為可取代一般二維平面式掃描的重要檢查方法。 |
英文摘要 | Nowadays, sitting for a long time before the computer is the image of life to many people. Therefore, the once rarely seen cases of anorectal fistula have a trend to gradually increase in Taiwan. Without early and accurate treatment, it could even lead to anal cancer or rectal cancer. Anorectal fistula is the abnormal connecting route aroused between anal canal or rectum and the peripheral skin of anus. Generally, because the position and the connecting structure of anorectal fistula are complicated, traditional sections of MRI inspection are difficult to present the winding and complicated fistula route as well as the range of tissues invaded. The present study use MRI 3D isotropic volume pulse sequence inspection and by way of recombination technique to obtain the specific route of anorectal fistula so as to improve the accuracy of diagnosis and effectively shorten the inspection time for the patient and reduce the discomfort of the patient due to inspection. From April, 2010 to September, 2011, a total of 15 anorectal fistula suspect patient cases are collected using SIEMENS 3T MRI; T2W 3D and, after injection of contrast, are inspected with T1W 3D pulse sequence. After inspection, perform image recombination directed to the route of anorectal fistula. From the diagnosis report by the physicians, 5 cases are diagnosed as abscess fistula nearby the anus and 10 cases are diagnosed as anorectal fistula. The result of diagnosis is clear and definite. Regarding the cases of anorectal fistula, we use 3D isotropic volume pulse sequence scanning. The primary advantage is that recombinant image from arbitrary sections is obtained in one scanning and, because of the characteristic that isotropic volume recombinant images do not distort, no image distortion results upon recombination. Therefore, mistake of misdiagnosis resulting from recombinant image distortion would not occur. The inspection time of the patient is completed within 10 minutes. It is time-saving and accurate. Therefore, the present method regarding the inspection and diagnosis of anorectal fistula is excellent in terms of the diagnosis result and is effective. The present method may be an important inspection method to replace the conventional 2D planar scanning. |
本系統中英文摘要資訊取自各篇刊載內容。