3.0T MR 3D T1-SPACE 增强和T1 TSE DIXON增强序列在鼻咽癌扫描中的应用对比

doi:10.3969/j.issn.1001-8131.2026.03.001

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摘要目的比较3.0T MR 3D T1-SPACE增强和T1 TSE DIXON增强序列在鼻咽癌（NPC）扫描中的应用效果。方法选取2022年1月至2025年3月期间在我院经病理确诊为鼻咽癌的患者105例,均行3.0T MR 3D T1-SPACE增强和T1 TSE DIXON增强序列检查,比较两组检查方法的伪影和肿瘤显示效果、原发病灶侵犯范围检出情况、颈部淋巴转移检查情况。结果 3D T1-SPACE增强序列伪影、肿瘤显示效果评分与T1 TSE DIXON增强序列的分相比更高（P<0.05）。和T1 TSE DIXON增强序列相比,3D T1-SPACE增强序列NPC侵犯海绵窦和颅内、鼻窦、颅底骨质、咽后淋巴结、口咽、咽旁间隙的检出率与T1 TSE DIXON增强序列相比更高（P<0.05）。3D T1-SPACE增强序列对Ⅱ区、Ⅲ区颈部淋巴结转移检出率与T1 TSE DIXON增强序列相比更高（P<0.05）。结论和T1 TSE DIXON增强序列比较,3D T1-SPACE增强序列应用于NPC扫描中可提供更为满意的图像质量,且原发病灶侵犯范围检出率更高,在Ⅱ区、Ⅲ区颈部淋巴结转移检出率更高。

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	梅广雄
	梅鸿德
	钟庆科

关键词 ：鼻咽癌, 3.0T MR 3D T1-SPACE增强序列, 2D T1 TSE DIXON增强序列, 序列扫描, 应用效果

Abstract：Objective Compare the application effects of 3.0T MR 3D T1-SPACE enhancement and T1 TSE DIXON enhancement sequences in nasopharyngeal carcinoma(NPC)scanning.Methods 105 patients diagnosed with nasopharyngeal carcinoma in our hospital between January 2022 and March 2025 were selected and underwent 3.0T MR 3D T1-SPACE enhancement and T1 TSE DIXON enhancement sequence examinations.The artifacts and tumor display effects,detection of primary lesion invasion range,and cervical lymph node metastasis examination were compared between the two examination methods.Results The artifact and tumor display effect scores of the 3D T1-SPACE enhancement sequence were points and points,respectively,which were higher than those of the T1 TSE DIXON enhancement sequence points and points(P<0.05).Compared with the T1 TSE DIXON enhancement sequence,the detection rates of NPC invasion into the cavernous sinus,intracranial,sinus,skull base bone,retropharyngeal lymph nodes,oropharynx,and parapharyngeal space in the 3D T1-SPACE enhancement sequence were,and,respectively,which were higher than those in the T1 TSE DIXON enhancement sequence respectively(P<0.05).The detection rates of cervical lymph node metastasis in Zone II and Zone III using 3D T1-SPACE enhancement sequence were respectively,which were higher than those ofusing T1 TSE DIXON enhancement sequence(P<0.05).Conclusion The application of T1 TSE DIXON enhancement sequence and 3D T1-SPACE enhancement sequence in NPC scanning can provide more satisfactory image quality,and the detection rate of primary lesion invasion range is higher,with a higher detection rate of cervical lymph node metastasis in Zone II and Zone III.

Key words： Nasopharyngeal Carcinoma 3.0T MR 3D T1-SPACE Enhancement Sequence 2D T1 TSE DIXON Enhanced sequence Sequence scanning Application Effect

收稿日期: 2026-04-01

PACS:

R766.3

基金资助:广东省医学科研基金（A2021116）

引用本文:

梅广雄, 梅鸿德, 钟庆科. 3.0T MR 3D T1-SPACE 增强和T1 TSE DIXON增强序列在鼻咽癌扫描中的应用对比[J]. 哈尔滨医药, 2026, 46(3): 1-4.
Mei Guangxiong, Mei Hongde, Zhong Qingke. Comparison of the Application of 3.0T MR 3D T1-SPACE Enhancement and T1 TSE DIXON Enhancement Sequence in Nasopharyngeal Carcinoma Scanning. journal1, 2026, 46(3): 1-4.

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http://www.hrbyybjb.org.cn/CN/10.3969/j.issn.1001-8131.2026.03.001 或 http://www.hrbyybjb.org.cn/CN/Y2026/V46/I3/1

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