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CT及MRI两项检查如何选择?

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发表于 2020-10-21 12:41:27 | 显示全部楼层 |阅读模式

                    

                    

                    
                    
                    <p style="margin-top: 1em; color: rgb(34, 34, 34); font-family: &#39ingFang SC&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei&#39;, &#39;WenQuanYi Micro Hei&#39;, &#39;Helvetica Neue&#39;, Arial, sans-serif; font-size: 16px; line-height: 32px; white-space: normal; background-color: rgb(255, 255, 255);">CT和MRI是放射科检查的两大核心,然而,对于这两样检查的选择很多人都迷惑不已。本篇主要介绍它们的区别、各自的优缺点及对于某些疾病,优先选择什么检查。</p><p style="margin-top: 1em; color: rgb(34, 34, 34); font-family: &#39ingFang SC&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei&#39;, &#39;WenQuanYi Micro Hei&#39;, &#39;Helvetica Neue&#39;, Arial, sans-serif; font-size: 16px; line-height: 32px; white-space: normal; background-color: rgb(255, 255, 255);">CT与MRI的区别</p><p style="margin-top: 1em; color: rgb(34, 34, 34); font-family: &#39ingFang SC&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei&#39;, &#39;WenQuanYi Micro Hei&#39;, &#39;Helvetica Neue&#39;, Arial, sans-serif; font-size: 16px; line-height: 32px; white-space: normal; background-color: rgb(255, 255, 255);">CT是指计算机断层摄影,用计算机控制X线球管和探测器,使环绕人体某一部位旋转,根据人体组织对X线的吸收差异,再经过一系列图像后处理而成像。磁共振是把人体放置在一个强大的磁场中,通过射频脉冲激发人体内氢质子,发生核磁共振,然后接受质子发出的核磁共振信号,经过梯度场三个方向的定位,再经过计算机的运算,可做横断、矢状、冠状和任意切面的图像。</p><p style="margin-top: 1em; color: rgb(34, 34, 34); font-family: &#39ingFang SC&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei&#39;, &#39;WenQuanYi Micro Hei&#39;, &#39;Helvetica Neue&#39;, Arial, sans-serif; font-size: 16px; line-height: 32px; white-space: normal; background-color: rgb(255, 255, 255);"><strong>CT与MRI各自的优缺点</strong></p><p style="margin-top: 1em; color: rgb(34, 34, 34); font-family: &#39ingFang SC&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei&#39;, &#39;WenQuanYi Micro Hei&#39;, &#39;Helvetica Neue&#39;, Arial, sans-serif; font-size: 16px; line-height: 32px; white-space: normal; background-color: rgb(255, 255, 255);">CT成像只有不同组织间密度的差异,而 MRI由不同的扫描序列可形成各种图像,如T1加权像、T2加权像、质子密度像等,还有水成像、水抑制成像、脂肪抑制、弥散成像、波谱成像、功能成像等;MRI软组织分辨率较好,但CT空间分辨率较高;带有心脏起搏器的患者或有某些金属异物的部位不能作MR的检查,</p><p style="margin-top: 1em; color: rgb(34, 34, 34); font-family: &#39ingFang SC&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei&#39;, &#39;WenQuanYi Micro Hei&#39;, &#39;Helvetica Neue&#39;, Arial, sans-serif; font-size: 16px; line-height: 32px; white-space: normal; background-color: rgb(255, 255, 255);">此外,MRI噪声非常大、时间较长,对于婴幼儿来说需要保持绝对安静,否则会影响成像质量。MRI另一区别于CT的优点是无电离辐射。<img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/A1DicCH9Vl6PxOHe1ichd19vOOUpEPJ1qsiaVOYIYH99GOoKMSSvTibldQiaqqRLAaia3Jic1PZn9qaHlITKHIW4dtMmQ/0?wx_fmt=jpeg" style="line-height: 25.6px; white-space: pre-wrap;" data-ratio="1.3328125" data-w="1280"  /></p><p style="margin-top: 1em; color: rgb(34, 34, 34); font-family: &#39ingFang SC&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei&#39;, &#39;WenQuanYi Micro Hei&#39;, &#39;Helvetica Neue&#39;, Arial, sans-serif; font-size: 16px; line-height: 32px; white-space: normal; background-color: rgb(255, 255, 255);"><strong>优先选择检查方式</strong></p><p style="margin-top: 1em; color: rgb(34, 34, 34); font-family: &#39ingFang SC&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei&#39;, &#39;WenQuanYi Micro Hei&#39;, &#39;Helvetica Neue&#39;, Arial, sans-serif; font-size: 16px; line-height: 32px; white-space: normal; background-color: rgb(255, 255, 255);">CT的密度分辨率高,通过采用造影增强扫描以明确纵隔和肺门有无肿块或淋巴结增大、支气管有无狭窄或阻塞,对原发和转移性纵隔肿瘤、淋巴结结核、中心型肺癌等的诊断,起着主要的诊断作用;肺内间质、实质性病变也可以得到较好的显示;对胸膜、膈、胸壁病变,也可清楚显示;心脏方面主要是心包病变的诊断、心腔及心壁的显示;血管方面显示冠状动脉的钙化、大血管壁的钙化及动脉瘤改变等。</p><p style="margin-top: 1em; color: rgb(34, 34, 34); font-family: &#39ingFang SC&#39;, &#39;Hiragino Sans GB&#39;, &#39;Microsoft YaHei&#39;, &#39;WenQuanYi Micro Hei&#39;, &#39;Helvetica Neue&#39;, Arial, sans-serif; font-size: 16px; line-height: 32px; white-space: normal; background-color: rgb(255, 255, 255);">MRI主要检查脑内血肿、脑外血肿、脑肿瘤、颅内动脉瘤、动静脉血管畸形、脑缺血、椎管内肿瘤、脊髓空洞症和脊髓积水等颅脑常见疾病,同时对腰椎椎间盘后突、原发性肝癌等疾病的诊断也很有效。</p><p><img data-s="300,640" data-type="jpeg" src="http://mmbiz.qpic.cn/mmbiz_jpg/A1DicCH9Vl6PxOHe1ichd19vOOUpEPJ1qsfNFicsG89BnYcvxhTbTCHia4nYPgMbicR1MVyYibHcR8QvlHceZ9yN3ucw/0?wx_fmt=jpeg" style="" data-ratio="1.3328125" data-w="1280"  /></p><p><br  /></p><section class="pEditor " style="line-height: 25.6px; 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