MRI of the orbit at 1.5-Tesla was performed in 5 healthy volunteers and 30 patients with a variety of pathological intraocular or intraconal conditions. Major advantages of MRI over CT include higher spatial resolution, higher tissue contrast, possibility of direct multiplanar imaging, absence of bony and dental artifacts, and of ionising radiation. Specific indications of MRI in orbital pathology concern differentiation of uveal melanoma from subretinal haemorrhage, identification of lesions of the orbital apex, the orbital fissure or the optic canal, differentiation of inflammatory pseudotumour from malignant lesions, determination of the posterior extension of lesions of the optic nerve, and detection of abnormal flow in normal or hypertrophic intraorbital vessels. Limitations are due to motion artifacts on T2 weighted sequences, less accurate visualisation of calcification, poor specificity of some findings, and absence of signal from cortical bone.

译文

:在5名健康志愿者和30名患有各种病理性眼内或圆锥内疾病的患者中进行了1.5-Tesla眼眶的MRI检查。 MRI优于CT的主要优点包括更高的空间分辨率,更高的组织对比度,直接多平面成像的可能性,无骨和牙齿伪影以及电离辐射。眼眶病变的MRI特定指征涉及葡萄膜黑色素瘤与视网膜下出血的区别,眼眶顶点,眼眶裂孔或视神经管的病变的识别,炎性假瘤与恶性病变的区别,对视神经病变的向后扩展的确定神经,以及正常或肥大的眶内血管中异常血流的检测。局限性是由于T2加权序列上的运动伪影,钙化的可视化效果较差,某些发现的特异性差以及皮质骨信号缺失所致。

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