DEFINITIVE DIAGNOSIS AND LOCATION OF PEANUTS IN THE AIRWAYS USING MAGNETIC-RESONANCE-IMAGING TECHNIQUES

被引:8
作者
IMAIZUMI, H
KANEKO, M
NARA, S
SAITO, H
ASAKURA, K
AKIBA, H
机构
关键词
D O I
10.1016/S0196-0644(94)70366-3
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A 14-month-old boy suspected to have aspirated peanut fragments into the airways was transferred to our hospital. His chest radiographs revealed Holzknecht's sign, which indicated left mainstem bronchial obstruction. Magnetic resonance imaging with T1-weighted images clearly showed a high-intensity signal of peanut fragments in the left mainstem bronchus. Removal was performed by bronchoscopy in a shorter time under general anesthesia. Magnetic resonance imaging with T1-weighted images (T1W1) is useful for definitive diagnosis and location of peanut fragments in the lower airway because the peanut material appears as a high-intensity signal surrounded by the low-intensity lung tissue. Various slice orientations of T1W1 provide accurate information concerning anatomic location of such fragments, thus facilitating removal by bronchoscopy.
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页码:1379 / 1382
页数:4
相关论文
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[1]  
Hamamoto, Kawai, Shido, Et al., A statistical review of tracheo-bronchial and esophageal foreign bodies treated at Sapporo Medical College during the past ten years, Jibi Inkouka Tenbou, 35, pp. 297-302, (1992)
[2]  
McGuirt, Holmes, Feehs, Et al., Tracheobronchial foreign bodies, Laryngoscope, 98, pp. 615-618, (1988)
[3]  
Blumhagen, Wesenberg, Brooks, Et al., Endotracheal foreign bodies: Difficulties in diagnosis, Clin Pediatr, 19, pp. 480-484, (1980)
[4]  
O'Uchi, Tokumaru, Mikami, Et al., Value of MR imaging in detecting a peanut causing bronchial obstruction, AJR, 159, pp. 481-482, (1992)
[5]  
Berger, Kuhn, Kuhns, Computed tomography and the occult tracheobronchial foreign body, Radiology, 134, pp. 133-135, (1980)