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논문 기본 정보

자료유형
학술저널
저자정보
서홍길 (한림대학교 의과대학 방사선과학교실)
저널정보
대한영상의학회 대한방사선의학회지 대한방사선의학회지 제33권 제2호
발행연도
1995.1
수록면
205 - 211 (7page)

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Purpose : To characterize the MR findings for a differential diagnosis and to make a plan for treatment by interventional technique of the vascular masses with/without hypertrophic feeding vessels of the head and neck. Subjects and Methods : Seven patients with vascular masses of the head and neck proved by pathology, angiography, clinical findings were included. Vascular masses included 4 venous malformations, a capillary hemangioma, and a hemangiopericytoma, a hemangioma combined with arteriovenous malformation. 7 patients had MR studies with 1.0T and1.5T using routine T1- , T2- weighted spin echo sequences, and contrast enhancement. 4 MR angiography, 3 inversion recovery, and 6 contrast angiography were studied from 7 patients Results : All vascular masses demonstrate higher than muscle signal intensity on T1-weighted images, bright signal intensity on T2-weighted images, and prominent enhancement, except AV hemangioma combined with prominent arteriovenous malformation on postcontrast scan. Three hemangiomas demonstrate distinct serpiginous signal voids, Venous malformations demonstrate venous lakes seen as homogenous regions of high signal intensity and phleboliths seen as low signal foci on T2-weighted images. Inversion recovery was the best pulse sequence for evaluation of the extent of lesion. Conclusion : MR findings of the vascular masses of the head and neck are useful in delineating the extent of the disease, differentiating venous malformation or cavernous hemangioma from other hemangiomatous lesions including hypertrophic feeding vessels, and making a plan for treatment by interventional technique also.

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