DIAGNOSIS OF URINARY-BLADDER CARCINOMA BY MR - IMPROVEMENT THROUGH GD-DTPA

被引:15
作者
SPARENBERG, A [1 ]
HAMM, B [1 ]
HAMMERER, P [1 ]
SAMBERGER, V [1 ]
WOLF, KJ [1 ]
机构
[1] FREE UNIV BERLIN,KLINIKUM STEGLITZ,UROL KLIN,W-1000 BERLIN 45,GERMANY
来源
FORTSCHRITTE AUF DEM GEBIETE DER RONTGENSTRAHLEN UND DER NEUEN BILDGEBENDEN VERFAHREN | 1991年 / 155卷 / 02期
关键词
MRT; URINARY BLADDER CARCINOMA; GADOLINIUM-DTPA;
D O I
10.1055/s-2008-1033231
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
85 patients suffering from urinary bladder carcinoma were examined by magnetic resonance imaging in a prospective study. Following precontrast diagnosis, 15 patients were given an intravesicular application of gadolinium-DTPA (Gd-DTPA). Another 35 patients received an intravenous bolus of GD-DTPA. A diagnostic advantage was achieved in only 2 of 15 tumours by using intravesicular contrast application. Compared to the precontrast diagnosis, a 14% improvement from 69% (precontrast) to 83% (contrast medium) was seen with Gd-DTPA applied intravenously in the diagnosis of the tumour stage. The diagnostic gain lies in the improved tumour recognition, the improved demarcation of papillary, non-muscle-infiltrating tumours and in the more definite diagnosis of infiltration into neighbouring organs and the pelvic wall. Demarcation of perivesicular fatty infiltration is rendered more difficult by Gd-DTPA.
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页码:117 / 122
页数:6
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