磁敏感加权成像在胶质瘤分级中的应用价值初探.pdfVIP

一492一 磁共振新技术临床应用 磁敏感加权成像在胶质瘤分级中的应用 价值初探 张 军 李 克 汤伟军顾菲菲唐 烨 【摘要】初步探讨磁敏感加权成像(SWI)在胶质瘤分级中的应用价值。收集经手术病理证实的高级别胶质瘤13 例和低级别胶质瘤11例，均做了MRI平扫、增强扫描和SWI，按照WHO中枢神经系统肿瘤分类标准对肿瘤 分级，由两位神经放射诊断医师对SWI肿瘤内的低信号进行评分，分析测定两组肿瘤的SWI低信号评分有无 统计学差异。11例高级别组肿瘤实质出现明硅低信号(敏感性84．6％)，7例低级别组肿瘤内出现明显低信弓(特异 性36．4％)，高级别组肿瘤低信号评分值高于低级别组(P0．05)。磁敏感加权成像有助于胶质瘤的分级。 【关键词】胶质瘤；磁共振成像；磁敏感加权成像 中图分类号：R814．46文献标识码：A文章编号：1006—5741(2008)一06—0492—03 APilot of in CerebralGliomas StudySusceptibilityWeightedImagingGrading ZHANG al Jun，LIKe，TANGWei—jun，et 【Abstract】To thevalueof in cerebral investigate susceptibilityweightedimaginggrading gliomas． Thirteen with andeleven with ones patients provedby patientshigh——gradegliomas low——grade surgi— enhanced underwentMRI andcontrast and co—pathology plain scanningsusceptibilityweightedimaging． two artifactsinthetumor were werereviewed Images by neuroradiologists，andsusceptibility region were totheWorldHealth classification．Abnormal graded．Tumorsgradedaccording Organization hy- wasdetectedonSWIin18tumors．ofwhich11were ix)intensity high—grade and7were SWI．Theoflesionabnormal grade low—gradelesions(36．4％specificity)on hypointensity on withtumor Wasa