原发性脑淋巴瘤的CTMRI影像表现与鉴别诊断.pdfVIP

西部医学 20 11 年1 月 第23 卷第1 期 Med J West China, January 2011, V l. 23, N . 1 # 143 # CTMRI 丁洪彬, 田为中, 张 波, 李苏建 ( , 225300) 分析原发性脑淋巴瘤的CT 与 MRI 的影像学表现, 提高对该 的诊断与鉴别诊断率 回顾 性分析 13 例经 理证实的原发性脑淋巴瘤的 CT 与MRI 影像学资料 13 例患者中, 单发 灶 11 例, 多发2 例; 幕上12 例; 幕下1 例, 共20 个 灶, 理类型均为B 细胞型非霍奇金淋巴瘤, CT 多表现为等密度或稍高密度肿块, MRI 表现为T WI 为稍低信号, T WI 为近等信 号, 灶内无明显坏死囊性变, 瘤周水肿相对较轻, 占位效应轻, 中线结构移 1 2 位不明显CT 和MRI 增强扫描, 灶大多呈明显均匀性强化 原发性脑淋巴瘤的CT 和MRI 表现有 一定的特 征性, 但与其它颅内肿瘤有相似之处, 确诊主要依靠 理检查 脑淋巴瘤; 体层摄影术; X 线计算机; 磁共振成像 R 73941 A DOI: 10. 3969/ j. issn. 2011. 01. 063 CT and MR imaging diagnosis and differentiation of primary brain lymphoma DING Hongbin, TIAN Weizhong, ZHANG o, ( D ep ar tment of Rad iol og y , Taiz ho u Pe op l e! s H osp it al , T aiz ho u 225300, J iang s u, Chi na) Abstract Objective T analyze CT and MR features f Primary Brain Lym ph ma and impr ve the diagn sis and different iati n f the disease. Methods CT and MR findings in 13 patients w ith pat h l gically pr ved Primary Brain Lymph ma w ere retr spectively analyzed. Results There were 11 cases wit h single lesi n and 2 cases w ith multiple le si ns. The lesi ns f 12 cases distributed in supratent rium and f 1 case in inferi rtent rium. T he t t al cases sh wed 20 lesi ns alt get her . All cases were path l gically n nH dgkin! s B cell type. On CT , the Lesi ns presented as an is dense t hyperdense. On MRI, slightly hyp intense n T weighted images and is intense r slight ly hyperintense n T 1 2 weighted images, and t he tum rs sh w ed w ith ut cys