《医学影像学（汕医）》INTRACRANIAL NEOPLASMS.pptVIP

1.Primary central nervous system (CNS) neoplasms are classified according to putative cell of origin (WHO 1993) Skull radiographs: Pneumoencephalography: 1. Between 40% to 50% of primary CNS tumors are gliomas 1. Focal neurologic deficit Child: cerebellar hemisphere, brain stem Grade 1: normal to slightly increased celluaity Grade 1 and 2: Grade 1 and 2: Grade 3 and 4: 2. What are the typical imaging presentation of astrocytoma(stage 3) ? 1. Richard H, Daffner. Clinical Radiology. 2nd edition. New York:Wolters kluwer.1999 MRI： T1WI: hypointense T2WI: hyperintense Other features are similar to CT Diagnosis: Astrocytoma Differential diagnosis: cerebral infarction cerebral inflammation subacute intracranial hematoma metastatic carcinoma Differential diagnosis: cuniform gyriform enhancement Cerebral infarction： Cerebral inflammation acute period : broad extent marked edema abscess: thin and Smooth wall Differential diagnosis: T1WI : high-intensity Subacute intracranial hematoma ： Metastatic carcinoma more increased intracranial pressure marked edema Questions: Astrocytoma 1. Astrocytoma is the most common tumor in the brain.( True or False) * IMAGING DIAGNOSIS IN INTRACRANIAL NEOPLASMS Radiology Center the First Affiliated Hospital Medical College Shantou University Shunfa Lin INTRACRANIAL NEOPLASMS INTRODUCTION 2.The general classification is into glial and nonglial neoplasms 3.Glial neoplasms include those arising from astrocytes, oligodendrocytes, ependymal cell, and choroid plexus cell. They account for 40% to 50% of intracranial tumors Technical considerations : To detect shifts in the calcified pineal or falx cerebri INTRACRANIAL NEOPLASMS Technical considerations : To outline the cerebral ventricular system and to show the effects of neoplasms and other lesions on those structures INTRACRANIAL NEOPLASMS Technical considerations : To detect neovascularity(tumor new vessels)and to show the displ