Rathke囊肿17例MRI表现分析
MRI diagnosis of Rathke's cleft cyst:a report of 17 cases
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摘要: 目的: 探讨Rathke囊肿的MRI特点,提高其MRI诊断水平。方法: 对17例经病理证实的Rathke囊肿患者MRI平扫及增强扫描影像特征进行回顾性分析。结果: 17例病灶中,12例位于鞍内,4例位于鞍内及鞍上,1例位于鞍上;13例呈类圆形,4例为哑铃型。病灶均为囊性病灶,1例囊内有漂浮结节。6例呈T1WI低信号,T2WI高信号;8例为T1WI等信号,其中6例T2WI高信号,2例T2WI等信号;3例为T1WI高信号,T2WI高信号,增强后3例部分囊壁强化,囊内漂浮结节未见强化。结论: Rathke囊肿具有一定的MRI特点,病灶多位于鞍内或者鞍内鞍上,T1WI多为等或高信号,一般增强后不强化。结合该特点有助于在术前正确诊断。Abstract: Objective: To study the MR images of Rathke's cleft cyst so as to improve the diagnosis of this disease. Methods: The enhanced MR images of 17 patients with Rathke's cleft cyst were retrospectively analyzed. Results: The Rathke's cleft cyst was located in the intrasellar region in 12 cases,in both sella and superasellar regions in 4 cases and in the suprasellar region in 1 case. The lesions were ovoid (13/17) or dumbell shaped (4/17),all of which were cystic. Intracystic nodule was found in 1 case. Six of the cases presented hypointense on T1WI and hyperintense on T2WIs,8 cases isointense on T1WI and hyperintense on T2WI,2 cases isointense on T1WI and T2WI,and 3 cases hyperintense on T1WI and T2WI. Partial linear contrast enhancement on the cystic wall was seen in 3 cases,but no enhancement was found in the intracystic nodule. Conclusions: The MRI features of the Rathke's cleft cyst were as follows:most of the lesions were located in the intrasellar region or involving both intra-and suprasellar regions,manifesting iso or hyper intensity on T1WI but no enhancement after contrast injection. These will be of help to the diagnosis of Rathke's cleft cyst before surgery.